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Chapter 1:

Basic term and medical record

TermDefinition
a- without
an- without
anti-/contra- against or opposed to
de- from, down, or not
ab- away from
ad- to, towards, or near
circum- around
dia-/trans- across or through
e-/ec- out or away
echo-/exo-/extra- outside
en-/endo- withon
epi- upon
ex- out or away
infra- below
inter- between
intra- within
meso- middle
meta- beyond, after, or change
para- alongside or abnormal
peri- around
retro- backward or behind
sub- below or under
bi- two or both
hemi-, semi- half
hyper- above or excessive
hypo- below or deficient
macro- large or long
micro- small
mono- one
multi-/poly- many
oligo- few or deficient
pan- all
quadri- four
super-/supra- above or excessive
tri- three
uni- one
ultra- beyond or excessive
ante-/pre-/pro- before
Brady- slow
tachy- fast
post- after or behind
re- again or back
con-/sym-/syn- together or with
dys- painful, difficult, or faulty
eu- good or normal
neo- new
-ic pertaining to
-ium structure or tissue
-y condition or process of
-rrhea discharge
-rrhage/-rrhagia excessive discharge
-rrhexis rupture
-rrhapy suture
cyan/o blue
erythr/0 red
leuk/o white
melan/o black
aer/o air/gas
hem/o,hemat/o blood
hydr/o water
lip/o fat
py/o pus
ur/o, urin/o urine
abdomin/o abdomen
acr/o extremity or topmost
aden/o gland
angi/o vessel
arthr/o joint
cardi/o heart
cephal/o head
col/o, colono colon
cutane/o, derm/o, dermat/o skin
cyt/o cell
enter/o small intestine
esophag/o esophagus
gastr/o stomach
hepat/o liver
hist/o tissue
lapar/o abdomen
muscul/o muscle
nas/o, rhin/o nose
nephr.o, ren/o kidney
neur/o nerve
or/o mouth
oste/o bone
pneum/o, pnemon/o air or lung
vas/o, vascul/o vessel
carcin/o cancer
crin/o secrete
esthesi/o sensation
fibr/o fiber
gen/o origin or production
gynec/o woman
lith/o stone
morph/o form
necr/o death
onc/o tumor or mass
orth/o straight, normal, correct
path/o disease
ped/o child or foot
phag/o eat or swallow
phas/o speech
phob/o exaggerated fear or sensitivity
plas/o formation
psych/o mind
scier/o hard
son/o sound
sten/o narrow
therm/o heat
tox/o, toxic/o poison
troph/o nourishment or development
H&P history and physical
CC chief complaint
PH/PMH Past history/past medical history
HPI/PI History of present illness/present illness
FH/SH family history/social history
OH Occupational history
ROS/SR review of system/systems review
c/o complains of
Dx diagnosis
L&W family members living and well
NKA no known allergies
NKDA no known drug allergies
PERRLA Pupils equal round and reactive to light and accommodation
R/O rule out
Sx symptoms
UCHD usual childhood diseases
WNL within normal limits
SOAP subjective, objective, assessment, plan
Created by: maariiaa
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