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Medical Terminology

What does each letter in SOAP stand for? Subjective, Objective, Assessment, Plan
What is the definition of Root? Foundation or subject of the term
What is a Suffix? Ending that gives essential meaning to the term
What is a Prefix Added to the beginning of a term when needed to further modify (placed at beginning of a word)
When DO you use a combining vowel? To join a root to any suffix beggining with a consonant; to join 2 roots together; to join 2 roots together even when the second root begins with a vowel
When DON'T you use a combining vowel? To join a root to a suffix that begins with a vowel
What is are 2 examples of a Subjective section of a health record? -Main reason for the health visit -Description of his or her problem -Timing of the problem -Previous medical problems or surgeries -Family Health problems that might relate -Current medications and allergies
What does the Objective part of a health record provide? The Objective part of a health record tells you about the data collected during the health care providers interaction with the patient.
What is the importance of the Assessment part of the health record? Assessments are the facts from the patient that are recorded and data about the patient are collected, then put together to reach a conclusion on the nature of the problem AKA the diagnosis.
What is the Plan section of the health record include? The plan lays out what the provider recommends what to do about the patients current status. This may include medicine or home remedies, help from another health provider, surgery, or waiting to see if the problem will improve on its own.
What is the position called when a person is standing facing forward, arms at the side with palms forward? Anatomic Position
what position does Lateral mean? Out to the side
What position does medial mean? Toward the middle
Ventral/anteral/anterior mean in body positions? The front
Dorsal/posterior body position means? The back
Cranial body position means? Towards the top
Caudal body position means? Towards the bottom
What does it mean when a patient is in a "Prone" body position? Lying down on belly
When a patient is in a "supine" position? Lying down on back
Unilateral means? One Side
Bilateral means? Both Sides
When a patients body is split from left to right, what is the name of the plane? Sagittal
When a patients body is split from upper body to lower body, what is the name of the plane? Transverse
When a patients body is split from front to back, what is the name of the plane? Coronal
Abbreviation ROS means? Review of Systems
Abbreviation of PMHx means? Past Medical History
Abbreviation of FHx means? Family History
Abbreviation of NKDA stands for? No Known Drug Allergies
Abbreviation of PE means Physical Exam
Abbreviation of "pt" means Patient
Abbreviation of "y/o" stands for years old
Abbreviation of "h/o" means History of
Abbreviation of PCP stands for Primary Care Provider
Abbreviation of "f/u" means Follow up
Abbreviation of SOB stands for Shortness of Breath
What does HEENT stand for? Head, Eyes, Ears, Nose, Throat
What does PERRLA stand for Pupil are Equal, Round, and Reactive to light and accommodation
What does NAD stand for No Acute Distress
CV in a chart means? CardioVascular
RRR stands for in a medical chart Regular Rate and Rhythm
CTA means what in a medical chart Clear to Auscultation (description of normal sounding lungs)
WDWN stands for? Well Developed, well nourish
A&O means Alert & Oriented
WNL means Within Normal Limits
NOS stands for Not Otherwise Specified
NEC Not elsewhere classified
When Administering medicine, PO stands for By Mouth
NPO on a chart stands for Nothing by mouth
When administering medicine, PR means Per rectum (anal)
When administering medicine, IM means Intramuscular
When administering medicine, SC means subcutaneous (under the skin)
When administering medicine, IV means Intravenous
When administering medicine, CVL stands for Central Venous Line
When administering medicine, PICC stands for Peripherally inserted central catheter
When administering medicine, Sig means Instructions short
What are the 2 languages that were used to describe Medical Terminology language? Greek and Latin
Root word Muscul/o means muscle
Root woord dermat/o means Skin
Root word Derm/o means skin
Root word vascul/o means blood vessel
Root word vas/o means blood vessel
Root word pneumon/o means lung
Root word pneum/o means lung
Root word pulmon/o means lung
Root word my/o means muscle
Root word angi/o means blood vessel
Root word hemta/o means blood
Root word hem/o means blood
Root word Cutane/o means skin
-meter instrument used to measure
-metry process of measuring
-scope instrument used to look
-scopy process of looking
-graph instrument used to produce a recording
-graphy process of recording
-gram written record
-centesis puncture
pre- before
post- after
re- again
contra- against
anti- against
pro- before, on behalf of
de- down, away from
a- not
an- not
ante- before
tachy- fast
-ium tissue, structure
-icle small
-ous pertaining to
-ac pertaining to
-ia condition
-eal pertaining to
-logy study of
-logist specialist in the study of
-ist specialist
-iatrist specialist in the medicine of
-iatrics medical science
-old resembling
-iasis presence of
-cele hernia
-penia deficiency
-rrhea flow
-lysis loosen, break down
-ptosis drooping
-rrhexis rupture
Using SOAP a description of the problem in the patients own words Subjective
Using SOAP data collected to assist in understanding the nature of the problem Objective
Using SOAP cause of the problem Assessment
Using SOAP treatment with medicine or a procedure Plan
Amedical professionals directions for a patients medication Prescription
Documents an Imagining procedure by a radiologist Radiology Report
Documents a Pathology procedure Pathology Report
Documents a patients progress during a daily hospital visit Daily Hospital Note/Progress Note
Documents a patients emergency department visit Emergency Department Note
Documents a patients admission to the hospital Admission Summary
Documents a Surgery Operative Report
Documents a patient visit in an office setting Clinic Note
Documents sent to a PCP usually by a specialist to give an opinion on a more challenging problem Consult Note
Documents a patients admission and hospital stay (usually longer stay) Discharge summary
Medical language is necessary and useful because Medical professionals can communicate clearly and quickly with each other using a common language, and patients can be comforted and assure that the medical professional understands their symptoms and is in control of the diagnosis and treatment process
An _________ is a word formed by including the name of the person who discovered or invented what is being described Eponym
Thinking of medical language as a sentence to be translated instead of words to be memorized alls one to Break down and understand new words
CCU Coronary Care Unit
ECU Emergency Care Unit
ED Emergency Department
PICU Pediatric Intensive Care Unit
NICU Neonatal Intensive Care Unit
SICU Surgical Intensive Care Unit
PACU Post Anesthesia Care Unit
DDx Differential Diagnosis
"Abrupt" means All of a sudden
"Febrile" means To have a fever
"Malaise" means Not feeling well
"Auscultation" means To listen
"Palpation" means To Feel
"Idiopathic" means No know specific cause
"Mortality" means The risk of dying
"Pending" means Waiting for
Integumentary system The skin
ABCDE asymmetry, boarder, color, diameter, evolving
AK actinic keratosis
Bx biopsy
C&S culture and sensitivity
Derm Dermatology
ID intradermal
SC subcutaneous
SQ Subcutaneous
Translate the root rhytid/o. Wrinkle
The roots onych/o and ungu/o both mean: Nail
Which of the following roots means thick? Pachy/o
Identify and define the roots in the term pachyderma. (thick) skin
The medical term for a freckle is: macule, macula
Which of these is the correct breakdown and translation of the medical term ichthyosis? fishy (scaly) skin
Which of the following roots means fat? adip/o, lip/o, steat/o
Which of the following root pairs both mean hair? pil/o, trich/o
What is the correct pronunciation for the term alopecia? a-loh-PEE-sha
Translate the term onychopathy as literally as possible. nail disease
Which of these is the correct breakdown and translation of the medical term ichthyosis? ichthy (scaly) + osis (condition) = a condition of the skin that is dry and scaly
Identify the correct breakdown of the term epidermal into its component parts. epi/derm/al
Which medical term means against histamine? Antihistamine
Which medical term means incision into a nail? Onychotomy
ABCDE is a mnemonic device for remembering steps in analysis and means asymmetry, border, color, diameter, evolving
ID is an abbreviation for: intradermal = intra (inside) + derm (skin) + al (pertaining to) = pertaining to inside the skin.
Build a medical term from the information provided: bone inflammation osteitis
Build a medical term from the information provided. wrist inflammation carpitis
Build a medical term from the information provided. removal of a rib costectomy
inflammation of the tendon tendinitis
inflammation of the bursa bursitis
joint inflammation arthritis
decrease in muscle tone or tightness hypotonia
softening of a muscle Myomalacia
muscle tone myotonia
instrument for looking into a joint arthroscope
neur/o nerves
crani/o head, skull
psych/o mind
hypn/o or somn/o sleep
-mania excessive desire
cerebr/o brain
esthesi/o sensastion, feeling
-paresis slight or partial paralysis
myel/o spinal cord; bone marrow
encephal/o brain
-plegia paralysis
mening/o membrane surrounding the brain and spinal cord
LP lumbar puncture
PET scan positron emission tomography
TIA Transcient ischemic attack
ALS amyotrophic lateral sclerosis
EEG electroencephalography
LOC Level of Consciousness
PNS Peripheral nervous system
loss of brain function caused by blood loss Stroke
a disease marked by seizures epilepsy
a disease characterized by sudden, uncontrolled sleepiness narcolepsy
loss or decline in mental function dementia
time after a seizure postictal
time before a seizure preictal
procedure used to examine blood vessels in the brain cerebral angiography
a stroke where the blood loss is caused by the rupture of a blood vessel hemorrhagic stroke
a stroke where blood loss is caused by a blockage ischemic stroke
blockage of a blood vessel in the brain caused by a foreign object cerebral embolism
blockage of a blood vessel in teh brain caused by a clot cerebral thrombosis
Translate the root/suffix asthenia. Weakness
Which root refers to the membrane surrounding the brain and spinal cord? mening/o, meningi/o
Which root refers to the nerve bundle? gangli/o
Which root refers to the spinal cord or bone marrow? myel/o
Which is the correct breakdown and translation of the medical term encephalalgia? encephal (brain) + algia (pain) = brain pain
Which is the correct breakdown and translation of the medical term apathy? a (no) + path (suffering, disease) + y (condition) = without feeling; lack of emotion
Which is the correct breakdown and translation of the medical term polyneuritis? poly (many) + neur (nerve) + itis (inflammation) = inflammation of multiple nerves
Build a medical term that means "nerve pain." Neuralgia
Build a medical term that means "abnormal narrowing of the skull." Craniostenosis
Build a medical term that means "removal of a piece of the skull." Craniectomy
An excessive desire to steal is called: kleptomania.
Which is the correct breakdown and translation of the medical term synesthesia? syn (with, together) + esthesia (feeling, sensation) = together sensation; condition where one sensation is experienced as another
Build a medical term that means "head pain." Cephalodynia
Build a medical term that means "excessive bleeding inside the brain." Intracerebral hemorrhage
A patient experiencing an abnormal sensation, usually numbness or tingling in the skin, is experiencing: paresthesia.
Created by: JFowler007



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