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Terminology unit 2
difine the 50 abbr, acronyms,
| Question | Answer |
|---|---|
| Sx | Symptons Subjective evidence of disease or physical disturbance |
| Hx | History |
| Px | An acronym for Physical Exam |
| Dx | Abbreviation for Diagnosis |
| MEDCIN | A medical, nomenclature and knowledge base developed by medicomp systems inc. It is incorporated in many commerical EHR systems |
| DM | Diabetes Mellitus |
| RX | Abbreviation for Therapy( including prescriptions) |
| HEENT | An acronym for head, eyes, ears, nose, throat |
| HIT | Acronym for health information technology also healthcare information technology |
| GI/GU | Acronym for gastrointestinal/genitourinary |
| ROS | Acronym for review of systems |
| Sig | Instructions for labeling prescriptions |
| URI | acronym for upper respiratory infection |
| CC | Cheif complaint |
| HPI | acronym for history of present illness |
| E/M | evaluation and management codes |
| PFSH | past history, family history, social history |
| CBC | Complete blood count |
| EMR | electronic medical record |
| MDM | Medical decision making |
| NEC | not elsewhere classified |
| NOS | not otherwise spcified |
| OIG | office of inspector general |
| Primary diagnosis | main reason patient came to office |
| ENT | ears, nose and throat |
| Dis | apart |
| -blast | immature cells, germ cells |
| -dynia | pain |
| -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 |
| myoplasty | surigcal repair of a muscle |
| tenodesis | surgical binding of a tendon |
| massage | kneading that applies pressure and friction to external body tissue |
| con- | with, together |
| quadri- | four |
| dacty/o | finger and toes |
| -oid | resemble |
| -ceps | head |
| =ure | process |
| combination codes | a code from radiology section as well as a code from one of the other sections. must be used to fully describe the procedure |
| multiple coding | also known as dual coding. use of more than one icd-9-cm code to identify both etiology and manifestopn of a disease |
| morphology code | the science of the form and structure of organisms |
| neoplasm | new tumor growth that can be benign or malignant |
| in situ | malignancy that is within the orignal site of development and has not invaded neighboring tissue |
| benign | not progressive |
| malignant | used to describe cancerous tumor |
| malignant hypertension | Accelerated severe form of hypertension, Manifested by headaches, blurred vision, dyspena and uremia usally cause permanment + organ damage |