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Phys Assessment

Physical Assessment Terms for PSLII Fall 2009

QuestionAnswer
abduction movement away from the midline
acrocyanosis cyanosis of the extremities (vs. central cyanosis which involves mucous membranes)
acromegaly disease characterized by enlarged features, especially the face and hands, caused by hypersecretion of the pituitary growthhormone after puberty, when normal bone growth has stopped; most often caused by a pituitary tumor
acute sharp; having severe symptoms and a short course
adduction movement towards the midline
affect emotional feeling or mood
akathasia side effect of antipsychotic medication; sensation of needing to move about, restlessness
alopecia hair loss
anesthetic a drug that temporarily blocks transmission of nerve conduction to produce a loss of sensations
anhedonia loss of ability to experience pleasure
anorchism absence of one or both testes
anorexia loss of appetite
anterior front of the body
antibiotic a drug that kills or inhibits the growth of microorganisms
aphagia inability to swallow
aphthous ulcers canker sores
arrhythmia any of several kinds of irregularity or loss of rhythm of the heartbeat
arthralgia joint pain
articulation a joint; the point where two bones come together
ascites an accumulation of fluid in the peritoneal cavity
asterixis flapping tremor characteristic of metabolic encephalopathy
asthenopia eyestrain
ataxia defective muscular coordination
atelectasis collapse of lung tissue
atrophy shrinking of muscle size
auscultation a physical examination method of listening to sounds within the body with a stethoscope
benign mild or noncancerous
biopsy removal of a small piece of tissue for microscopic pathologic examination
blocking interruption of train of thought before finishing a statement
bronchiectasis abnormal dilation of the bronchi with accumulation of mucus
bruit adventitious sound of arterial origin heard on auscultation
buccal in the cheek
cachectic malnourished; wasted
carie dental cavity
cathartic drug that causes movement of the bowels
chemotherapy treatment of malignancies, infections, and other diseases with chemical agents that destroy selected cells or impair the ability toreproduce
chief complaint a statement in the patient's words as to the purpose of the encounter
chronic a condition developing slowly and persisting over a period of time
circumstantiality speech which contains excessive digression between subjects
clanging speech based on sound relationships rather than logical connections (punning, rhyming)
claudication leg cramping/pain during walking due to arterial insufficiency
coma a deep sleep; a general term referring to levels of decreased consciousness with varying responsiveness; a common method ofassessment is the Glasgow coma scale
compulsions ritualistic or stereotyped action
confabulation facts or events that are not remembered are made up
cord palpable thrombosis of vein
coryza head cold; inflammation of the nasal mucous membranes
crepitus grating noise or sensation related to joint motion
cyanosis bluish coloration due to accumulation of deoxygenated hemoglobin
debridement removal of dead tissue from a wound or burn site to promote healing and to prevent infection
decubitus lying down, especially in a bed
defense mechanisms mechanisms which provide relief from unwanted feelings and conflicts
delusion false, unshakable belief firmly held in the face of contradictory evidence
denial failure to acknowledge reality
derailment speech that stops and then resumes on an entirely different topic
diaphoretic sweating
diastole to expand; period in the cardiac cycle when blood enters the relaxed ventricles from the atria
diplopia double vision
distal away from the beginning of the structure
dysarthria difficult and defective speech due to impairment of the tongue or other muscles
dysmenorrhea painful menses
dyspareunia painful intercourse
dysphagia difficulty in swallowing
dysphonia hoarseness
dysphoria sadness
dyspnea shortness of breath
dysuria painful or difficult urination
edema swelling
ego freudian term used to describe the part of the mind that deals with reality
emesis vomit
enuresis involuntary loss of urine, usually referring to during sleep
epistaxis nosebleed
eructation belching
erythema redness of skin
etiology study of the cause of a disease
exacerbation increase in severity of disease with aggravation of symptoms
exophthalmos abnormal protrusion of eyeball
expectoration coughing up and spitting out of material from lungs
extension straightening at the joint so that the angle between the bones is increased
family history an account of the health status of the patient's immediate and extended family
flatus gas in the intestinal tract or its expulsion
flexion bending at the joint so the angle between the bones is decreased
flight of ideas speech and thought that jumps from one idea to another rapidly
formication feeling that insects are crawling on the skin
full term delivered after completion of 37th week
glucosuria glucose in the urine
goiter enlargement of the thyroid gland
gravid pregnant
gravida number of pregnancies
gynecomastia development of mammary glands in the male, caused by altered hormone levels
halitosis bad breath
hallucinations false sensory perceptions; perception in the absence of external stimulus
hematemesis vomiting of blood
hematochezia visible blood in the stool
hematopoietic referring to the blood or blood-forming organisms
hematuria blood in the urine
hemoptysis coughing up blood
hesitancy abnormal delay in onset of urinary stream
hirsutism shaggy; an excessive growth of hair, especially in unusual places
history story that a clinician composes to help himself and others understand the patient's illness
history of present illness story of the chief complaint from start to present (each current but unrelated problem gets its own HxPI
hyperesthesia increased sensitivity to stimulation such as touch or pain
hyperpnea deep breathing
hypopnea shallow breathing
id: freudian term used to describe the part of the mind that contains sexuality and aggression
identifying data demographic and situational data regarding the patient, e.g. age, gender, etc
idiopathic a condition occurring without a clearly identified cause
illusions misinterpretation of real perceptions
impotence failure to initiate or maintain an erection until ejaculation because of physical or psychological dysfunction
incontinence involuntary loss of urine or feces
inferior away from the head
interview interpersonal process during which the raw material of the medical history is evoked
jaundice yellow discoloration due to accumulation of billirubin
lacrimation secretion of tears
lateral toward the side
libido sex drive
loosening of associations illogical shifting of topics
lymphadenopathy abnormality, usually implying enlargement, or lymph nodes
malaise feeling of unwellness
malignant harmful or cancerous
marked significant
medial toward the middle
melena black, tarry stool due to blood in stool from upper gastrointestinal tract that has been denatured in transit
menarche first menses
menometrorrhagia irregular and excessive menstrual bleeding
menorrhagia excessive or prolonged menstrual bleeding
metrorrhagia irregular, acyclic bleeding
miosis abnormal contraction of the pupils
molimina time just prior to menstrual flow
morbidity sick; a diseased state
mortality the state of being subject to death
mutism complete lack of speech
myalgia muscle pain
neologism use of words invented by the patient
neuralgia pain along the course of a nerve
nocturia having to get up at night to urinate
non-focal neurological exam grossly normal
nystagmus oscillatory movement of the eyes
obsessions ideas, images, impulses that are undesired and intrusive
odynophagia pain upon swallowing
oligomenorrhea reduction of frequency of menses
oliguria scanty production of urine
orthopnea shortness of breath related to the recumbant position
otalgia earache
otorrhea purulent drainage from the ear
para to bear; a woman who has produced one or more viable offspring
paracusis impaired hearing
paresthesia abnormal sensation of numbness and tingling without objective cause; pins and needles sensation
paroxysmal nocturnal dyspnea shortness of breath related to the recumbant position that awakens the patient
past medical history account of the patient's lifelong medical problems and interventions for them
pectus carinatum pigeon chest
pectus excavatum funnel chest
perseveration repetition of identical words and phrases
photophobia ocular pain related to exposure to light
pleurisy inflammation of the pleura
pneumaturia air in the urine
polydipsia excessive thirst
polyphagia excessive hunger
polyuria excessive urination (in quantity)
posterior back of the body
poverty of content of speech speech that is adequate in amount and conveys little information
pressured speech speech that is rapid, difficult to interrupt and increased in amount
preterm infant delivered before completion of 37th week of gestation
primigravida first pregnancy
pronation turning downward or backward of the palmar surface
prone lying face down and flat
prophylaxis a process or measure that prevents disease
proptosis forward displacement of eyeball
proximal toward the beginning or origin of the structure
pruritus severe itching
pyrosis heartburn
recumbent lying down
remission a period in which symptoms and signs stop or abate
review of systems exhaustive list of symptoms grouped according to which bodily system they refer to
rhinorrhea nasal discharge
rub pleural or pericardial friction rub
scotoma islandlike blind gap in the visual field
sign a mark; objective evidence of disease that can be seen or verified by an examiner
social history a detailing of the patient's lifestyle and personal habits
sputum substance expelled by cough or clearing of the throat
strangury painful and interrupted urination in drop produced by spasmodic muscular contraction of urethra and bladder
superior toward the head
supination turning upward or forward or the palmar surface
supine horizontal recumbent; lying flat on the back
suppuration production of purulent matter (pus)
symptom an experience obtained from the medical history that suggests disease or physical dysfunction described in the history by thepatient
syncope transient loss of consciousness
systemic relating to the whole body rather than only one part
systole to contract; period in the cardiac cycle when the heart is in contraction and blood is ejected through the aorta and pulmonaryartery
tangentiality thought which shifts to associated topics and never returns to the original subject
tinnitus a subjective ringing sensation in the ear
toxic appearing gravely ill
urgency abnormally strong desire to void
urticaria hives
vertigo sensation of moving around in space (subjective vertigo) or the environment moving about the person (objective vertigo)
word salad incoherent speech, with words and phrases having little or no association to each other
xeroderma dry skin
Created by: tonyyvo
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