PhysAssist Scribe Terminology

PhysAssist Scribe Terminology

memorize.aimemorize.ai (lvl 286)
Section 1

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Cornea

Front

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Last updated

6 years ago

Date created

Mar 1, 2020

Cards (264)

Section 1

(50 cards)

Cornea

Front

transparent coat of the eyeball covering the iris and pupil, allowing light into the eye

Back

Midline

Front

Dives body into left and right sections

Back

Transverse

Front

Divides body into upper and lower parts

Back

Extension

Front

to straighten

Back

Superficial

Front

nearer to the surface

Back

Cholelithiasis

Front

gallstones

Back

Cachectic

Front

state of ill appearance and malnutrition

Back

Flexion

Front

farther from the limb root

Back

Cardiomegaly

Front

enlarged heart

Back

Posterior/Dorsal

Front

Rear or Back

Back

Dysphagia

Front

difficulty swallowing

Back

Atelectasis

Front

partial/total collapse of lung tissue

Back

Bruit

Front

a murmur or sound heard in auscultation of an artery

Back

Arrhythmia

Front

abnormal heart rhythm

Back

Anatomical Position

Front

standing erect, arms at the sides, with palms facing forward

Back

Pronator

Front

Turning the palm of the hand downward by medial forearm rotation

Back

Prone

Front

Denoting the position of the body when lying flat, with face downward

Back

Debridement

Front

removal of foreign matter or dead tissue from a wound

Back

Dysmenorrhea

Front

painful menstruation

Back

Diarrhea

Front

frequent discharge of fluid fecal matter

Back

Dyspepsia

Front

upset stomach or indigestion characterized by epigastric pain, burning and nausea

Back

Cholecystectomy

Front

surgical removal of the gallbladder

Back

Cellulitis

Front

inflammation of the skin

Back

Dyspnea

Front

difficulty breathing, shortness of breath

Back

External

Front

outside

Back

Contusion

Front

mechanical injury causing hemorrhages beneath unbroken skin; bruise

Back

Cervical

Front

pertaining to the neck or to the cervix of the uterus

Back

Diaphoresis

Front

sweating

Back

Dysphasia

Front

Inability to understand language as a result of injury or disease to the brain

Back

Cyanosis

Front

dark blue or purple discoloration of the skin

Back

Costochondritis

Front

inflammation of the costal cartilages

Back

Aneurysm

Front

widening of a blood vessel due to pressure on weakened tissues causing formation of a sac of blood that may become clotted

Back

Inferior

Front

lower, farther from crown of the head

Back

Bradycardia

Front

slow heart rate

Back

Supine

Front

Denoting the position of the body when lying flat, with face up

Back

Afebrile

Front

without fever

Back

Diverticulitis

Front

inflammation of the diverticulum, especially the small pockets in the wall of the colon

Back

Crepitus

Front

crackling/grating sound, usually bones

Back

Cerumen

Front

Ear wax

Back

Angina

Front

a severe, often constricting pain, usually referring to the chest that occurs when your heart does not get enough blood

Back

Medial

Front

nearer to the midline

Back

Superior

Front

upper, nearer to the crown of the head

Back

Lateral

Front

farther from the midline

Back

Supinator

Front

Turning the palm of the hand upwards by lateral forearm rotation

Back

Internal

Front

Inside

Back

Bronchitis

Front

inflammation of the bronchi

Back

Proximal

Front

nearer to the limb root

Back

Conjunctiva

Front

delicate membrane lining the eyelids and covering the eyeball

Back

Anterior

Front

situated in front of or directed toward the front

Back

Ascites

Front

Accumulation of serous fluid in the abdominal cavity

Back

Section 2

(50 cards)

Loculations

Front

presence of numerous small spaces or cavities

Back

Hematuria

Front

blood in the urine

Back

Olecranon

Front

Head or point of the elbow

Back

Exudate

Front

fluid with a high content of protein and cellular debris that has escaped from blood vessels and has been deposited in tissues or on tissue surfaces, usually as a result of inflammation

Back

Emesis

Front

vomit

Back

Petechia

Front

tiny red spot occurring on the skin caused by a small amount of escaping blood

Back

Pleurisy

Front

painful inflammation of the pleura

Back

Etiology

Front

Cause of disease and mode of operation

Back

Exacerbation

Front

aggravate

Back

Lingual

Front

to do with the tongue

Back

Hematochezia

Front

passage of a bloody stool

Back

Mottled

Front

marked by spots or blotches of different colors or shades

Back

Post-ictal

Front

following a seizure, post-seizure symptoms

Back

Meningitis

Front

Inflammation of the meninges

Back

Hyponatremia

Front

low sodium

Back

Edema

Front

swelling of body tissues

Back

Pharyngitis

Front

Inflammation of the mucous membrane and underlying parts of the pharnyx

Back

Lacrimal

Front

to do with tears

Back

Infiltrate

Front

to penetrate the interstices of a tissue or substance

Back

Ileus

Front

bowel obstruction

Back

Occiput

Front

back of the head

Back

Febrile

Front

having a fever

Back

Hemoptysis

Front

spitting of blood; bloodstained sputum

Back

Malaise

Front

generalized discomfort or weakness

Back

Photophopia

Front

intolerance to light

Back

Ischemia

Front

temporary, localized restriction of blood supply

Back

Erythema

Front

redness of the skin

Back

Edentulous

Front

without teeth

Back

Normocephalic

Front

normal shape of the head

Back

Nystagmus

Front

involuntary rapid eye movement

Back

Dysuria

Front

painful urination

Back

Hemothorax

Front

Blood fluid present in the pleural cavity

Back

Epistaxis

Front

nose bleed

Back

Melena

Front

Black terry stool

Back

Eczema

Front

inflammatory condition of the skin, characterized by itching or burning, tiny papules and vesicles, oozing, crusting, and scaling

Back

Pneumothorax

Front

presence of air or gas in the pleural

Back

Hyperkalemia

Front

high potassium

Back

Hematoma

Front

swelling of blood from ruptured blood vessels

Back

Hematemesis

Front

vomiting blood

Back

Infarct

Front

necrotic area of tissue due to cessation of the blood supply

Back

Neuralgia

Front

nerve pain

Back

Inguinal

Front

groin region

Back

Hepatosplenomegaly

Front

enlarged liver and spleen

Back

Ecchymosis

Front

non-elevated bruise

Back

Embolism

Front

obstruction of a blood vessel by a clot of blood or foreign substance

Back

Hemorrhage

Front

excessive or profuse bleeding

Back

Effusion

Front

escape of fluid into a cavity

Back

Lymphadenopathy

Front

chronic enlargement of the lymph nodes

Back

Gastroenteritis

Front

inflammation of the gastrointestinal tract, involving the stomach and the small intestine

Back

Paresthesia

Front

abnormal tactile sensation (creeping, burning, tingling, or numbness)

Back

Section 3

(50 cards)

ASA

Front

acetylsalicylic acid (aspirin)

Back

BM

Front

bowel movement

Back

Rhonchi

Front

whistling or snoring sound heard on auscultation of the chest when air channels are partially obstructed

Back

BLE

Front

bilateral lower extremeties

Back

AFib

Front

atrial fibrilation

Back

appy

Front

appendectomy

Back

Syncope

Front

loss of consciousness; to faint

Back

CAD

Front

coronary artery disease

Back

BP

Front

blood pressure

Back

BS

Front

bowel sounds, breath sounds

Back

Tugor

Front

condition of being distended or swollen; normal fullness

Back

BSG

Front

blood sugar glucose

Back

Purulent

Front

consisting of matter or pus, resembling pus

Back

Psoriasis

Front

Chronic, non-contagious disease characterized by inflammed lesions covered with silvery-white scabs of dead skin

Back

Seizure

Front

an attack or sudden onset of symptoms; an epileptic attack

Back

Tachypnea

Front

extremely rapid respiration

Back

AB

Front

abortion

Back

Tinea

Front

any of many different superficial fungal infections of the skin

Back

Rale

Front

abnormal respiratory sound heard on auscltation

Back

Thoracostomy

Front

Procedure to install a chest tube

Back

AAA

Front

abdominal aortic aneurysm

Back

Urticaria

Front

hives or wheals which are either redder or paler than the surrounding area and are often attended by itching

Back

Tachycardia

Front

abnormal rapid heart beat

Back

approx

Front

approximately

Back

abd

Front

abdomen

Back

CABG

Front

coronary arterial bypass graft

Back

appt

Front

appointment

Back

Auto/Ped

Front

automobile vs. pedestrian

Back

CBC

Front

complete blood count

Back

BUE

Front

bilateral upper extremeties

Back

cath

Front

catheter, catheterization

Back

Rhinorrhea

Front

thin, watery discharge from the nose

Back

abx

Front

antibiotic

Back

Wheeze

Front

difficult breathing with a whistling sound resulting from narrowing of the lumen of the respiratory passageways

Back

ABG

Front

arterial blood gas

Back

AMA

Front

against medical advice

Back

Torsion

Front

twisting of a bodily organ on its own axis

Back

A&O x3

Front

altert and oriented times 3 (person, place, time)

Back

Sputum

Front

spittle, any mixed matter with the saliva that is expectorated through the mouth

Back

Vertigo

Front

condition of dizziness, specifically a room spinning sensation

Back

AMS

Front

altered mental status

Back

AMI

Front

acute myocardial infarction

Back

Stridor

Front

harsh or high-pitched respiratory sound, caused by an obstruction of the air passages

Back

Tinnitus

Front

ringing in the ears

Back

Sepsis

Front

presence of pathological microorganisms or their toxins in the blood

Back

bilat

Front

bilateral

Back

BCP

Front

birth control pill

Back

Sciatic

Front

pertaining to the ischium or hip

Back

BBS

Front

bilateral breath sounds

Back

Stenosis

Front

narrowing of a body opening or passage

Back

Section 4

(50 cards)

DM

Front

diabetes mellitus

Back

F/U

Front

follow up

Back

COPD

Front

chronic obstructive pulmonary disorder

Back

CTA

Front

clear to auscultation, CT angiogram

Back

C-collar

Front

cervical spine collar

Back

CNS

Front

central nervous system

Back

FHT

Front

fetal heart tone

Back

EOMI

Front

extra ocular movements intact

Back

CV

Front

cardiovascular

Back

CXR

Front

chest x-ray

Back

C&S

Front

culture & sensitivity

Back

EKG/ECG

Front

electrocardiogram

Back

CO2

Front

carbon dioxide

Back

Hgb

Front

hemoglobin

Back

Fx

Front

fracture

Back

CPR

Front

cardiopulmonary resuscitation

Back

ETT

Front

endotracheal tube

Back

DVT

Front

deeo vein thrombosis

Back

DNR

Front

do not resuscitate

Back

CPAP

Front

continuous positive airway pressure

Back

FTN

Front

finger-to-nose (coordination test)

Back

C-section

Front

cesarean section

Back

DKA

Front

diabetic ketoacidosis

Back

CHI

Front

closed head injury

Back

GB

Front

gallbladder

Back

DTR

Front

deep tendon reflex

Back

HA

Front

headache

Back

GSW

Front

gunshot wound

Back

c/o

Front

complains of

Back

GERD

Front

gastro esophogeal reflux disease

Back

HCT

Front

hematocrit

Back

CVA

Front

cerebrovascular accident

Back

CSF

Front

cerebrospinal fluid

Back

chole

Front

cholecystectomy

Back

FROM

Front

full range of motion

Back

epi

Front

epinephrine

Back

h/o

Front

hostory of

Back

HTN

Front

hypertension

Back

DIP

Front

distal interphalangeal (joint)

Back

GCS

Front

glascow coma scale

Back

FB

Front

foreign body

Back

CP

Front

chest pain

Back

DJD

Front

degenerative joint disease

Back

CVAT

Front

costovertebral angle tenderness

Back

Dx/dx

Front

diagnosis

Back

EtOH

Front

ethyl alcohol (consumption and dependancy)

Back

CHF

Front

congestive heart failure

Back

CMT

Front

cervical motion tenderness

Back

d/c

Front

discontinue

Back

C-spine

Front

cervical spine

Back

Section 5

(50 cards)

ICH

Front

intracranial hemorrhage

Back

KUB

Front

kidneys, ureters, bladder x-ray

Back

I&D

Front

incision and drainage

Back

LLQ

Front

left lower quadrant

Back

L-spine

Front

lumbar spine

Back

NS

Front

normal saline

Back

Hyst

Front

hysterectomy

Back

nl

Front

normal

Back

IM

Front

intramuscular

Back

obs

Front

observe

Back

med(s)

Front

medication(s)

Back

L

Front

left

Back

NPO

Front

noting by mouth (per os)

Back

LOC

Front

loss of consciousness

Back

MAEW

Front

moves all extremities well

Back

NAD

Front

no acute distress

Back

O2

Front

oxygen

Back

NTG

Front

nitroglycerine

Back

NCAT

Front

normocephalic, atraumatic

Back

NKDA

Front

no known drug allergies

Back

NH

Front

nursing home

Back

N/V

Front

nausea/vomiting

Back

ICP

Front

intracrainial pressure

Back

IV

Front

intravenous

Back

OD

Front

overdose

Back

HR

Front

heart rate

Back

NSR

Front

normal sinus rhythm

Back

JVD

Front

jugular venous distention

Back

LNMP

Front

last normal menstrual period

Back

IVPB

Front

intravenous piggyback

Back

LUQ

Front

left upper quadrant

Back

ICD

Front

implantable cardioverter-defibrillator

Back

N/V/D

Front

nausea/vomiting/diarrhea

Back

LMP

Front

last menstrual period

Back

NKA

Front

no known allergies

Back

ICE

Front

ice, compression, elevation

Back

NG

Front

nasogastric

Back

lac

Front

laceration

Back

IBS

Front

irritable bowel syndrome

Back

MIP

Front

metacarpointerphalangeal (joint)

Back

IUP

Front

intrauterine pregnancy

Back

MI

Front

myocardial infarction

Back

LFT

Front

liver function test

Back

LBBB

Front

left bundle branch block

Back

Hx

Front

history

Back

NRB

Front

nonrebreather (oxygen mask)

Back

LP

Front

lumbar puncture

Back

MVC

Front

motor vehicle collision

Back

NVID

Front

neurovascularly intact distally

Back

LVH

Front

left ventricular hypertrophy

Back

Section 6

(14 cards)

PCP

Front

primary care physician

Back

Pt

Front

patient

Back

PRN

Front

as needed

Back

post-op

Front

post operative

Back

PCN

Front

penicillin

Back

PERRLA

Front

pupils equal, round and reactive to light and accommodation

Back

Ortho

Front

orthopedic

Back

PE

Front

pulmonary embolism

Back

PIP

Front

proximal interphalangeal (joint)

Back

palp

Front

palpation

Back

preg

Front

pregnancy

Back

PPD

Front

packs per day (cigarettes)

Back

PID

Front

pelvic inflammatory disease

Back

PA & Lat

Front

posteroanterior and lateral (x-ray)

Back