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Phys Assessment
Physical Assessment Terms for PSLII Fall 2009
| Question | Answer |
|---|---|
| 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 |