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Terminology
Unit 2
| Question | Answer |
|---|---|
| SX | Symptoms; subjective evidence of diease or physical disturbance. (Also symtom tab in the software.) |
| HX | History (Tab) |
| PX | Physical Exam (same as PE) |
| DX | Diagnosis |
| MEDCIN | A medical nomencalutre |
| DM | Diabetes Mellitus |
| RX | take thou; prescribe; treatment; therapy |
| Heent | Head, eyes, ears, nose, throat |
| HIT | Health Information Technology also as Healthcare Information Technology |
| GI/GU | Gastrointestinal/Genitorinary body system |
| ROS | Reveiw Of Systems |
| Sig | instructions for labeling a prescription (Latin Signa) |
| CC | Cheif Complaint |
| HPI | History of Present Illness which is a chronological discription of the development of the patient present illness from the first sign or symptom or from the previous encounter to the present |
| PFSH | Past History, Family History, and Social History obtained from patient or other family member |
| CBC | Complete Blood Count |
| EMR | Electronic Medical Record |
| MDM | Medical Decision Making (a key component) |
| E & M | Evaluation and Management codes which area subset of CPT-4 codes used to bill for nearly every kind of patient encounter |
| NEC | Not Elsewhere Classified (diagnosis codes) |
| NOS | Not Otherwise Specified (diagnosis codes) |
| OIG | Office of Inspector General (Department of Health and Human Services) |
| primary diagnosis | first-listed diagnosis, used in the outpatient sertting to identify the reason for the encounter |
| ENT | Ears, Nose, and Throat |
| Dis- | apart |
| -blast | immature cell, germ cell, embryonic cell |
| -dynia | pain, ache |
| -ar | pertaining to |
| bradykinesia | Slowness of motion or movement |
| neuromyopathic | Pertaining to a disease condition involving both nerves and muscles |
| myofibroma | Tumor that contains muscle and fiber |
| myoplast | Surical repair of a muscle |
| tenodesis | Band of fibrous connective tissue serving for the attachment of muscles to bones; a giant cell tumor of tendon sheath is a benign, small, yellow, tumorlioke nodule |
| massage | Kneading that applies pressure and friction to external body tissues |
| con- | with together |
| quadri- | four |
| syn- | together, with |
| dactyl/o | finger or toe |
| -oid | resemble, like, similar |
| -ceps | head |
| -ure | process |
| combination code | A code from one section of the precedural code book combined with a code from another section that is uesed top completely describe a procedure performed |
| multuiple code | dual using more than one ICD code |
| morphology code | study of a form or a shape |
| neoplasm | tumroms new thing form |
| in situ | within a site refers to tumor cells that remain and have not invaded tissue |
| benign | not progressive |
| malignant | pertaining to a bad wandering |
| malignant hypertension | life treating high blood presssure |
Created by:
BLONDIEHXAA
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