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Chapter 1 & 2 - Bell
Ch. 1: Intro to Medical Language; Ch. 2: Intro to Health Records - Bell
| Question | Answer |
|---|---|
| Gen/o | Creation, cause |
| Hydr/o | Water |
| Morph/o | Change |
| Myc/o | Fungus |
| Necr/o | Death |
| Orth/o | Straight |
| Path/o | Suffering, disease |
| Phag/o | Eat |
| Plas/o | Formation |
| Py/o | Pus |
| Scler/o | Hard |
| Sten/o | Narrowing |
| Troph/o | Nourishment, development |
| Xen/o | Foreign |
| Xer/o | Dry |
| -ac | Pertaining to |
| -al | Pertaining to |
| -ar | Pertaining to |
| -ary | Pertaining to |
| -eal | Pertaining to |
| -ic | Pertaining to |
| -tic | Pertaining to |
| -ous | Pertaining to |
| -ia | Condition |
| -ism | Condition |
| -ium | Tissue, structure |
| -y | Condition, procedure |
| -icle | Small |
| -ole | Small |
| -ule | Small |
| -ula | Small |
| -iatrics | Medical science |
| -iatry | Medical science |
| -iatrist | Specialist in medicine of |
| -ist | Specialist |
| -logist | Specialist in the study of |
| -logy | Study of |
| -algia | Pain |
| -dynia | Pain |
| -cele | Hernia (A bulging of tissue into an area where it doesn’t belong) |
| -emia | Blood condition |
| -iasis | Presence of |
| -itis | Inflammation |
| -lysis | Loosen, break down |
| -malacia | Abnormal softening |
| -megaly | Enlargement |
| -oid | Resembling |
| -oma | Tumor |
| -osis | Condition |
| -pathy | Disease |
| -penia | Deficiency |
| -ptosis | Drooping |
| -rrhage | Excessive flow |
| -rrhagia | Excessive flow |
| -rrhea | Flow |
| -rrhexis | Rupture |
| -spasm | Involuntary contraction |
| -centesis | Puncture |
| -gram | Written record |
| -graph | Instrument used to produce a record |
| -graphy | Process of recording |
| -meter | Instrument used to measure |
| -metry | Process of measuring |
| -scope | Instrument used to look |
| -scopy | Process of looking |
| -desis | Binding, fixation |
| -ectomy | Removal |
| -pexy | Surgical fixation |
| -plasty | Reconstruction |
| -rrhaphy | Suture |
| -stomy | Creation of an opening |
| -tomy | Incision |
| Singular -a | Plural -ae |
| Singular -ax | Plural -aces |
| Singular -ex | Plural -ices |
| Singular -ix | Plural -ices |
| Singular -is | Plural -es |
| Singular -ma | Plural -mata |
| Singular -on | Plural -a |
| Singular -um | Plural -a |
| Singular -us | Plural -i |
| Singular -y | Plural -ies |
| a- | Not |
| -an | Not |
| anti- | Against |
| contra- | Against |
| de- | Down, away from |
| ante- | Before |
| pre- | Before |
| pro- | Before, on behalf of |
| brady- | Slow |
| tachy- | Fast |
| post- | After |
| re- | Again |
| ab- | Away |
| ad- | Toward |
| circum- | Around |
| peri- | Around |
| dia- | Through |
| trans- | Through |
| e- | Out |
| ec- | Out |
| ex- | Out |
| ecto- | Outside |
| exo- | Outside |
| extra- | Outside |
| en- | In, inside |
| endo- | In, inside |
| intra- | In, inside |
| epi- | Upon |
| sub- | Beneath |
| inter- | Between |
| bi- | Two |
| hemi- | Half |
| semi- | Half |
| hyper- | Over |
| hypo- | Under |
| macro- | Large |
| micro- | Small |
| mono- | One |
| uni- | One |
| oligo- | Few |
| pan- | All |
| poly- | Many |
| multi- | Many |
| con- | With, together |
| syn- | With, together |
| sym- | With, together |
| dys- | Bad |
| eu- | Good |
| Combining vowels are used to: | -joining a root to any suffix beginning with a consonant -join two root words together -joint two roots together even when the second root begins with a vowel |
| Do not use combining vowels when: | The suffix begins with a vowel |
| Impression | Another way of saying assessment |
| Diagnosis | What the health care professional thinks the patient has |
| Differential diagnosis | A list of conditions the patient may have based on the symptoms exhibited and the results of the exam |
| Etiology | The cause |
| Benign | Safe |
| Remission | To get better or improve; most often used when discussing cancer |
| Morbidity | The risk for being sick |
| Mortality | The risk for dying |
| Prognosis | The chances for things getting better or worse |
| Localized | Stays in a certain part of the body |
| Pathogen | The organism that causes the problem |
| Lesion | Diseased tissue |
| Sequelae | A problem resulting from a disease or injury |
| Disposition | What happened to the patient at the end of the visit; often used at the end of ED notes to reference where the patient went after the visit (home, the ICU, normal hospital bed) |
| Observation | Watch, keep an eye on |
| Reassurance | To tell the patient that the problem is not serious or dangerous |
| Supportive care | To treat the symptom and make the patient feel better |
| Palliative | Treating the symptoms, but not actually getting rid of the cause |
| Distal | Farther away from the center |
| Proximal | Closer to the center |
| Superior | Above |
| Inferior | Below |
| Anterior | The front |
| Posterior | The back |
| Midline | The middle |
| Ventral | The front |
| Dorsal | The back |
| Medial | Towards the middle |
| Lateral | Out to the side |
| Supine | Lying down on back |
| Prone | Lying down on belly |
| Right hemisphere | Of the brain, controls the left hand when on the left side |
| Left hemisphere | Of the brain, controls the right hand when on the right side |
| Contralateral control | Control of the opposite side |
| Ipsilateral and contralateral control | Control of the same side and control of the opposite side |
| Unilateral | One side |
| Bilateral | Both sides |
| Dorsum | The top of the hand or foot |
| Palmar/plantar | The palm of the hand/the sole of the foot |
| Transverse plane | Divides the body from top to bottom |
| Coronal plane | Divides the body into slices from front to back |
| Sagittal plane | Divided the body in slices right to left |
| Pre-op | Before surgery |
| OR | Operating room |
| Post-op | After surgery |
| ICU | Intensive care unit |
| CCU | Coronary care unit |
| SICU | Surgical intensive care unit |
| PICU | Pediatric intensive care unit |
| NICU | Neonatal intensive care unit |
| ER | Emergency room |
| ED | Emergency department |
| ECU | Emergency care unit |
| L&D | Labor & delivery |
| (R) | Right |
| (L) | Left |
| (B) | Bilateral (both sides) |
| ⬆️ | Increased |
| ⬇️ | Decreased |
| VS | Vital signs |
| HR | Heart rate |
| RR | Respiratory rate |
| BP | Blood pressure |
| T | Temperature |
| I/O | Intake/output: the amount of fluids a patient has taken in (by IV or mouth) and produced (usually just urine output) |
| Dx | Diagnosis |
| DDx | Differential diagnosis |
| Tx | Treatment |
| Rx | Prescription |
| Hx | History |
| PMHx | Past medical history |
| FHx | Family history |
| H&P | History & physical |
| CC | Chief complaint (the main reason for the visit) |
| HPI | History of present illness (the story of the symptoms) |
| ROS | Review of systems (anything else not directly related to the chief complaint) |
| PE | Physical exam |
| PCP | Primary care provider |
| PERRLA | Pupils equal, round, and reactive to light and accommodation |
| NOS | Not otherwise specified |
| RRR | Regular rate and rhythm |
| CTA | Clear to auscultation |
| A&O | Alert & oriented |
| NAD | No acute distress |
| PO | Per os (by mouth) |
| IV | Intraveneous |
| SC | Subcutaneous |
| CVL | Central venous line |
| IM | Intramuscular |
| PR | Per rectum (anal) |
| NPO | Nil per os (nothing by mouth) |
| prn | As needed, from the latin term per re nata, as the need arises |
| QID | Four times daily from latin quater in die, four in a day |
| QD | Daily, from latin quaque die, each day |
| AC | Before meals, from latin ante cibum, before food |
| TID | Three times daily, from latin ter in die, three in a day |
| BID | Twice daily, from latin bis in die, two in a day |
| PC | After meals, from later post cibum, after food |
| QHS | At night, from latin quaque hora somni, each night at the hour of sleep |
| SOAP | Subjective- the problem in the patient’s own words Objective- physical exam, laboratory findings, imaging studies performed at visit Assessment- logical analysis; diagnosis, or differential diagnosis Plan- a course of action consistent with assessment |
| Symptom | Something a patient feels |
| Noncontributory | Not related to this specific problem |
| Acute | Started recently or a sharp, severe symptom |
| Abrupt | All of a sudden |
| Progressive | More and more each day |
| Febrile | To have a fever |
| Alert | Able to answer questions; responsive; interactive |
| Auscultation | To listen |
| Palpation | To feel |
| Marked | Really stands out |
| Oriented | being aware of who he or she is, where he or she is, and the current time; a patient who is aware of all three is “________ × 3” |
| Unremarkable | Normal |
| Percussion | to hit something and listen to the resulting sound or feel for the resulting vibration; drums are a percussion instrument |
| Idiopathic | No known cause; it just happens |
| Malignant | Dangerous; a problem |
| Systemic/generalized | All over the body (or most of it) |
| Chronic | It has been going on for a while now |
| Exacerbation | It is getting worse |
| Afebrile | To not have a fever |