medical terms 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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EHR | show 🗑
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roadmap | show 🗑
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show | the four general parts of a medical note
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show | the patient's personal story of health issue: reason for visit, description of problem, timing, previous problems/surgeries, family health issues, current meds/allergies
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show | started recently or sharp and severe symptom
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chronic | show 🗑
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exacerbation | show 🗑
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show | all of a sudden
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show | to have a fever
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show | to not have a fever
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show | not feeling well
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progressive | show 🗑
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symptom | show 🗑
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noncontributory | show 🗑
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show | a decrease in level of consciousness, usually means really sick in medical records
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genetic/hereditary | show 🗑
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chief complaint | show 🗑
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history of present illness | show 🗑
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review of symptoms | show 🗑
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show | other significant past illnesses, like high blood pressure, asthma, or diabetes
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past surgical history | show 🗑
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show | any significant illnesses that run in the patient's family
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social history | show 🗑
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clinic note | show 🗑
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show | a note from a visit to a specialist or consultant
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emergency department note | show 🗑
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show | a summary of a patient's physical details upon being admitted to a hospital
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discharge summary | show 🗑
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operative report | show 🗑
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show | a document made every day a patient is in a hospital, usually covers how their condition has changed since the day before.
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radiology report | show 🗑
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show | mirrors the same style as a radiology note, but for pathology
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show | a note that doesn't follow SOAP format, it's the plan.
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CCU | show 🗑
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ECU | show 🗑
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ER | show 🗑
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ED | show 🗑
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show | intensive care unit
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show | pediatric intensive care unit
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NICU | show 🗑
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show | surgical intensive care unit
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show | post-anesthesia care unit
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L&D | show 🗑
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show | operating room
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show | after surgery
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show | before surgery
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show | able to answer questions, responsive
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show | being aware of who they are, where they are, and the current time
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marked | show 🗑
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show | normal
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auscultation | show 🗑
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show | to hit something and listen to the resulting sound or feel for resulting vibration
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palpation | show 🗑
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show | assessment
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diagnosis | show 🗑
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differential diagnosis | show 🗑
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benign | show 🗑
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show | dangerous, a problem
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show | to be getting worse
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show | to get better or improve, most often used when discussing cancer
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show | no known specific cause, just happens
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localized | show 🗑
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show | all over the body or most of the body
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prognosis | show 🗑
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show | hidden
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lesion | show 🗑
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show | to have again
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sequela | show 🗑
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pending | show 🗑
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show | what happened to the patient at the end of the visit, used at end of ED notes to reference where patient went after visit
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show | to send home, or fluid coming out of part of body
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palliative | show 🗑
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show | watch, keep an eye on
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reassurance | show 🗑
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supportive care | show 🗑
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sterile | show 🗑
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show | closer to the center
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show | farther from center
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lateral | show 🗑
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medial | show 🗑
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ventral | show 🗑
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dorsal | show 🗑
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show | towards top
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show | towards bottom
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superior | show 🗑
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inferior | show 🗑
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prone | show 🗑
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supine | show 🗑
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show | opposite side
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ipsilateral | show 🗑
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show | one side
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show | both sides
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show | the top of hand or foot
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plantar | show 🗑
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palmar | show 🗑
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saggital | show 🗑
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show | divides body front and back
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show | divides body top to bottom
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show | skilled healthcare provider who attended and graduated medical school
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pediatrician | show 🗑
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surgeon | show 🗑
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anesthesiologist | show 🗑
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epidemiologist | show 🗑
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show | midlevel healthcare provider who works under the license of a supervising physician, requires postgraduate training
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nurse practitioner (NP) | show 🗑
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emergency medical technician | show 🗑
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occupational therapist | show 🗑
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respiratory therapist | show 🗑
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show | trained in evaluating the nutritional status of a patient and developing diet plan
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show | trained and certified to provide basic care to a patient
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registered nurse (RN) | show 🗑
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medical assistant | show 🗑
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show | physician with special training in both evaluating the causes and effects of disease and in laboratory medicine
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show | trained in performing laboratory testing on bodily fluids
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show | trained in the removal of blood from the body for diagnostic or therapeutic purposes
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show | physician trained in evaluating images of the body to diagnose illness or injury
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show | trained to perform radiologic testing or administer radiation therapy under the direction of a healthcare provider
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show | trained in performing ultrasound imaging on a patient
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pharmacist | show 🗑
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pharmacy technician | show 🗑
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patient service coordinator | show 🗑
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show | trained in converting voice recorded dictations of healthcare providers into text format
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VS | show 🗑
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show | temperature
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show | blood pressure
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show | heart rate
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show | respiratory rate
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show | height
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show | weight
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show | body mass index
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I/O | show 🗑
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Dx | show 🗑
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DDx | show 🗑
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show | treatment
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show | prescription
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show | history and physical
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show | history
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show | chief complaint
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show | history of present illness
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ROS | show 🗑
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PMHx | show 🗑
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FHx | show 🗑
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NKDA | show 🗑
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show | physical exam
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Pt | show 🗑
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y/o | show 🗑
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show | history of
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PCP | show 🗑
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f/u | show 🗑
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SOB | show 🗑
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HEENT | show 🗑
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show | pupils are equal, round, reactive to light and accomadations
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show | no acute distress
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CV | show 🗑
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show | regular rate and rhythm
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CTA | show 🗑
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WDWN | show 🗑
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A&O | show 🗑
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WNL | show 🗑
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NOS | show 🗑
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NEC | show 🗑
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PO | show 🗑
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NPO | show 🗑
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PR | show 🗑
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show | intramuscular
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SC | show 🗑
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show | intravenous
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CVL | show 🗑
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PICC | show 🗑
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Sig | show 🗑
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show | twice daily
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TID | show 🗑
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Q | show 🗑
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QD | show 🗑
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QID | show 🗑
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QHS | show 🗑
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AC | show 🗑
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PC | show 🗑
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show | as needed
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ad lib | show 🗑
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