H.I.T
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| Integumentary System | Also known as the skin, acts as a shield for the body and is considered the largest body system
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| Bx or bx | Biopsy
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| C&S | Culture & Sensitivity
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| Derm | Dermatology
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| FS | Frozen section
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| HSV | Herpes simplex virus
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| ID | Intradermal
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| I&D | Incision and Drainage
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| KOH | Potassium Hydroxide
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| sc or sub-q | Subcutaneous
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| UV | Ultraviolet
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| Unbundling | Occurs when procedures are performed and services are separately coded and submitted to the insurance company for payment
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| Fragmenting | Is a term used when several procedures are performed during one surgical encounter, and instead of one code to capture all services rendered, each service is broken out, or fragmented, and assigned its own code.
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| Excisional biopsy | Is defined as a specimen that is sent for pathology, the specimen consists of the entire lesion with margins instead of a small sampling from a lesion left otherwise intact
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| Downcoding | Occurs when a service performed can be reported by one code, when explains the service rendered, but the service is instead coded at a lower level to use additional codes
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| Epidermis | Is the outermost layer of the skin. There are no blood vessels or connective tissue within the epidermis, so this layer of skin depends on lower layers for nourishment
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| Dermis | Is the thick layer of tissue located directly below the epidermis
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| Subcutaneous | Layer of skin connects the skin to the muscle surface
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| Aspiration | Is a procedure in which fluid is surgically removed from the body
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| Fine needle aspiration | Is a type of aspiration in which a very fine needle is inserted into the site, and fluid is drawn
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| Incision and Drainage | Involves surgically cutting over the area to be drained and then withdrawing the fluid or draining it
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| Debridement | Is a type of cleansing, it involves removal of dirt or foreign objects along with tissue that is necrotic or damaged in a way that hinders the healing process
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| Dermatome | Is a cutting instrument, but the dermatome cuts slices of skin - the thickness is determined by the surgeon
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| Scalpel | Is actually the handle part of a surgical knife
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| Hyperkeratotic lesions | Overgrowth of skin
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| Biopsy | Is a procedure in which a sampling of tissue is removed for pathological examination to differentiate between malignant and benign tissue
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| Skin tags | Is a small lesion that can be brownish or flesh color and is raised away from the body
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| Shaving | A lesion involves removal of a lesion from the epidermal or dermal layer by a transverse incision or slicing to remove epidermal and dermal lesions
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| Benign lesion | Is one in which the cell growth is abnormal but not life- threatening
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| Malignant lesion | Is one in which the abnormal cell growth is found to be cancerous
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| Metastasis | When a malignant growth or tumor spreads from one part of the body into another part of the boby
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| Hematoma | Is a collection of blood in a particular space or organ
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| Wedge excision | Is a procedure where the physician excises skin in a area of the ingrown portion of the nail in the hopes of freeing the nail enough to relieve pain
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| Pilonidal cyst | Is a closed sac, located in the sacrococcygeal area
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| Repair | Is a surgical closure of an area that may have been injured as a result of trauma or surgery
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| Simple repair | Is a one in which there is a simple, single-layer of a laceration that does not go any deeper than the subcutaneous tissue
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| Intermediate repair | Repair of a laceration or a wound is defined as a repair of the epidermis, dermis, and subcutaneous tissue with a layered closure of one or more of the deepest layers of subcutaneous tissue and superficial (nonmuscle) fascia
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| Complex repair | Requires more than a layered closure
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| Clean wound | Has a very low infection rate and involves on inflammation or break in sterile technique
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| Clean-contaminated wound | Has a low infection rate and involves a minor break in sterile technique, but no inflammation is present
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| Contaminated wounds | Involve a major break in sterile technique, & acute nonpurulent inflammation is present
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| Dirty and infected wound | Involves nonsterile conditions in which infection & inflammation are present
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| Adjacent tissue transfer | Healthy tissue is manipulated or rearranged transferred from a site close to or next to an area that is open because of disease or injury
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| Pedicle flap | Is a flap of skin that hangs on a stem of skin that contains a blood vessel
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| Donor site | Is the area that provides the tissue used to make the repair
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| Gaft | Is a section of tissue that is moved from one site to another in an effort to heal or repair a defect
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| Homograft (homologous graft) | Involves tissue from an individual of the same species
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| Autogenous graft | Where tissue is taken from one part of a person's body & put on another part of the same person's body
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| Heterodermic graft | Where tissue from a different species is used for the repair
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| Split- skin or split-thickness graft | Is one in which the tissue is about half or more of the thickness of the skin
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| Autograft | Involves only one individual
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| Pinch graft | Is a smaller form of autograft
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| Split-thickness autograft | Contains only part of the dermal layer
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| Epidermal autograft | Is a graft of the epidermal layer only
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| Dermal autograft | Involves only the dermal tissue in the harvest process
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| Tissue-cultured epidermal autograft | Where the tissue is harvested in a split-tissue autograft & the cultured tissue is grafted back to the donor
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| Acellular dermal replacement | Is a skin substitute for areas that require a temporary closure
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| Full thickness graft | Contains a portion pf both the epidermis & dermis of the donor site with a section that is equal, continuous, and totally free for transfer
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| Xenografts | Made up of material that is nonhuman
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| Decubitus ulcer | Is the result of continuous pressure in a area that eventually limits or stops the oxygen flow to the area, causing a sore
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| Osectomy | Excising the ulcer & cleansing the area until viable tissue is found
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| Burn | Injury to the body tissue that is a result of heat
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| 1st degree burn | Least severe burn
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| 2nd degree burn | Burns that forms blisters
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| 3rd degree burn | Burn goes to the subcutaneous skin layers
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| Escharotomy | Removal of necrosed tissue
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| Destruction | A procedure that totally destroys or removes something
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| Mohs mircographic surgery | Is a type of chemosurgery
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| Mastectomy | Is a excision of the breast or breast tissue
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| Melanocytes | Cells that produce dark pigment
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| Melanoma | Is a fast-growing cancer of the skin
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| Cutane | Means "skin"
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| Carbuncles | Occur when furuncles cluster and form a pus-filled sac
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| Cellulitis | Type of infection that develops within the layers of the skin that can be a result of an ulcer, laceration, or wound
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| Abscess | Is a localized collection of pus and indicates tissue destruction
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| Dermatitis | Is a inflammation of the upper layer of the skin
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| Urticaria (hives) | Is a skin disorder in which there are raised edermatous areas of skin accompanied by intense itching
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| Nails | Are hardened cells of the epidermis
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| Hair | Is a form of protection used by the body to keep foreign material from entering through the skin
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| Hirsutism | Excessive hair growth
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| Alopecia | The loss of hair
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| Sebaceous glands | Are located in the skin & procedure an oily secretion that conditions the skin
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| Ulcers | Are erosions of the skin in which the tissue becomes inflamed and then is lost
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