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Ch 5 - Vocabulary
Vocabulary
| Term | Definition |
|---|---|
| Adverse effect | An unfavorable, detrimental, or pathological reaction to a drug that occurs when appropriate doses are given. |
| AHIMA | American Health Information Management Association: A national professional organization for promoting the art and science of medical record management and improving the quality of comprehensive health information for the welfare of the public. |
| Benign | of a mild type or character that does not threaten health or life. Non-Cancerous. |
| Chief Complaint (CC) | A patient's statement describing symptoms, problems, or conditions as the reason for seeking health care services from a physician. |
| Conventions | Rules or principles for determining a diagnostic code when using diagnostic code books. |
| Debridement | Removal of dead, damaged or infected tissue. |
| Diagnosis (Dx) | the art or act of identifying a disease from its signs and symptoms |
| E-Code | External cause of injury, accident, poisoning, and other adverse reactions to chemical. (never make primary) |
| Eponym | The name of a disease, anatomic structure, operation, or procedure, usually derived from the name of a place where it first occurred or a person who discovered or first described it. |
| Etiology | The causes of disease; the study of the cause of a disease. |
| Excision | surgical removal of organ, bone, or tissue. |
| Fx | Fracture: complete or incomplete break in bone |
| Hx | History: recording of past event that maybe relevant to patients current state of health. |
| Hypertension | Abnormally High blood pressure |
| ICD-9 | International Classification of Diseases Ninth Revision: Diagnostic code |
| In-Situ | A description applied to a malignant growth confined to the site of origin without invasion of neighboring tissues. |
| Malignant | Cancerous or life threatening. |
| Metastasis | Process in which tumor cells spread and transfer from one organ, tissue or body part to another site. |
| Neoplasm | Benign or malignant tumor. |
| Primary Diagnosis | Initial identification of the condition or chief complaint for which the patient is treated for outpatient medical care. |
| Principal Diagnosis | A condition established after study that is chiefly responsible for the admission of the patient to the hospital. |
| Tx | Treatment: Administration of remedies to a patient for disease, injury, or condition. |
Created by:
RacheleCarter
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