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40 Cards in this Set

  • Front
  • Back
Subjective data
Obtaining info from patient/family
Objective data
obtain info from physical examination
hyperthermia
elevated body temp
hypothermia
low body temp
palpation
to examine or explore by touching (an organ or area of body) usually as a diagnostic tool
sequellae
a disease or disorder that is caused by a preceeding disease or injury
percussion
method of tapping on a surface to determine the underlying structure, used in clinical examinations
auscultation
listening for sounds within the body, heart, lung, bowel etc
sphygmomanometer
(blood pressure meter) device used to measure blood pressure in an artery
HPI
HIstory of present illness
NKDA
No known drug allergies
NKA
No known allergies
CC
Chief complaint
OTC
Over the COunter
S/P
Status post
Alopecia
Absence or loss of hair
Papule
a circumscribed, solid elevation up to 1 cm in diameter on skin. Maybe pedunculated, sessile, or filiform
Hematoma
localized mass of extravasated blood that is relatively/completely confined in a space/tissue/organ. usually clotted
Excoriation
A scratch mark/ a linear break in the skin surface, usually covered with blood or serous crusts
diffuse
to disseminate/to spread about
vitiligo
Areas of nonpigmented white patches. often symmetrically distributed. usually bordered by hyperpigmented areas. Hair usually white
Hirsutism
Excessive bodily and facial hair (usually in women)
Cachexia
General weight loss and wasting occuring in the course of a chronic disease or emotional disturbance
Hematocrit/hemoglobin
white/red blood cells. centrifuged. white - examined for presence of parasites. red - examined for oxygen
Albumin
type of simple protein/ soluble in water; precipitatble from soln by strong acids
Macule
change in epidermis color with out elevation/depression
Dyspepsia
upset stomach/indigestion. hard/difficult digestion
Dysphagia
difficulty swallowing
Clubbing
Thickening of flesh under finger/toe nails (spoon like)
Ecchymosis
purple patch caused by extravasation of blood into the skin. larger than 3mm diameter
Petechiae
small red/purplish spot on the body caused by minor hemorrhage under the skin surface
Abrasion
wound caused by superficial damage to the skin
Wheal
(hive) raised reddish area
Pruritis
intense itching sensation
Jaundice
yellowing of the skin
Uritcaria
Hives; a vascular rxn of the upper dermis marked by transient appearance of slightly elevated patches which are red.
Nevus
(birthmark); medical term for sharply circumscribed and chronic lesions on skin
Vesicle
a small bladder like cell/cavity. small sac or cyst (esp containing fluid)
Cyanosis
Bluish discoloration of skin/mucous membranes. Sign that oxygen in blood is diminished.
Patch
Small area differing from rest. Macule more than 3-4 cm in diameter.