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476 Cards in this Set

  • Front
  • Back
Resection
Is a cutting back in the sense of cutting out or removal (excision).
Gastric resection is
1. A gastrectomy;
2. Or excision of the stomach.
Craniotomy
Removal of a diseased or injured portion of the brain.
Thoracotomy
Open heart surgery, or removal of lung tissue.
Diskectomy
Relief of symptoms from a bulging intervertebral disk.
Mediastinoscopy
Inspection of lymph nodes in the region btwn the lungs
Tracheotomy
Emergency effort to remove foreign material from the windpipe.
Laryngectomy
Removal of squamous cell carcinoma in the voicebox
Arthroscopy
Inspection and repair of torn cartilage in the knee.
Peritoneoscopy
Inspection of abdominal organs and removal of diseased tissue.
Anorexia
Lack of appetite
Ascites
Abnormal accumulation of fluid in the abdomen.
Borborygmus(pl. borborygmi)
Rumbling or gurgling noise produced by movement of gas, fluid or both in the gastrointestinal tract.
Constipation
Difficulty in passing stools (feces).
Diarrhea
Frequent passage of loose watery stools.
Dysphagia
Difficulty in swallowing.
Eructation
Gas expelled from the stomach through the mouth.
Flatus
Gas expelled through the anus.
Hematochezia
Passage of fresh, bright red blood from the rectum.
Jaundice (icterus)
Yellow-orange coloration of the skin and whites of the eyes caused by high levels of bilirubin in the blood (hyperbilirubinemia).
Melena
Black, tarry stools; feces containing digestive blood.
Nausea
Unpleasent sensation in the stomach associated with a tendency to vomit.
Steatorrhea
Fat in the feces; frothy, foul-smelling fecal matter.
Aphthous stomatitis
Inflammation of the mouth with small, painful ulcers (canker, sores).
Dental carries
Tooth decay
Herpetic Stomatitis
1. Inflammation of the mouth(gingiva, lips, palate, and tongue) by infection with herpesvirus(HSV1).
2. (HSV2) occurs on the reproductive organs.
3. Both conditions highly are contagious
Oral leukoplakia
White plaque or patches on the mucosa of the mouth.
Periodontal disease
Inflammation and degeration of gums, teeth and surrounding tissue.
Achalasia
Failure of the lower esophagus sphincter (LES) muscle to relax.
Esophogeal varices
1. Swollen, varicose veins at the lower end of the esphogus.
2. Causes portal hypertension
Gastric carcinoma
Malignant tumor of the stomach.
Gastroesophgeal reflus disease (GERD)
Solids and fluids return to mouth from stomach
Hernia
Protrusion of an organ or part through the muscle normally containing it.
Peptic ulcer
Open sore or lesion of the mucous membrane of the stomach or duodenum.
Anal fistula
Abnormal tube-like passageway near the anus.
Name 3 types of hernia
1. Hiatal hernia, diaphragmatic
2. Inguinal direct, passes through the abdominal wall in the area of the weakness.
3. Inguinal indirect, occurs through inguinal canal and descends into scrotal sac.
Colonic polyposis
Polyps (benign growths) protrude from the mucous membrane of the colon.
Colorectal cancer
Adenocarcinoma of the colon or rectum, or both.
Crohn disease (Crohn's)
1. Chronic inflammation of the intestinal tract (terminal ileum and colon).
2. (Crohn's) and ulcerative colitis are forms of inflammatory bowel disease (IBD).
Dysentary
Painful, inflamed intestines.
What cause dysentary
1. Salmonellae or shigellae in food or water.
2. Amebae, or viruses.
3. Symptoms are bloody stools and abdominal pain.
Hemorrhoids
Swollen, twisted, varicose veins in the rectal region.
Ileus
Failure of peristalsis with resulting obstruction of the intestines.
Intussusception
Telescoping of the intestines.
Irritable bowel syndrome (IBS)
Group of gastrointestinal symptoms associated with stress and tension.
Ulcerative colitis
Chronic inflammation of the colon with presence of ulcers.
Volvulus
Twisting of intestine on itself.
Cholelithiasis
Gallstones in the gallbladder.
Cirrhosis
Chronic degenerative disease of the liver.
Pancreatitis
Inflammation of the pancreas
Viral hepatitis
Inflammation of the liver caused by a virus.
Name the 3 types of hepatitis
1. Hepatitis A;
2. Hepatitis B;
3. Hepatitis C;
What is Hepatitis A
A viral hepatitis caused by the hepatitis A virus (HAV). It is benign disorder spread by contaminated food or water and characterized by slow onset of symptoms. Complete recovery is expected.
What is Hepatitis B
Caused by the hepatitis B virus (HVB) and is transmitted by blood transfusion, sexual contact, or the use of contaminated needles or instruments. Severe infection can cause destruction of liver cells, cirrhosis, or death. A vaccine that provides immunity is available and recommended for persons at risk for exposure.
What is Hepatitis C
Caused by hepatitis The acute illness may progress to chronic hepatitis.
What are the symptoms of Hepatitis A,B, and C
In all types, liver enzyme levels may be elevated, indicating damage to liver cells. Signs and symptoms include malaise, anorexia, hepatomegaly, jaundice, and abdominal pain.
Liver function tests (LFTs)
Tests for the presence of enzymes and bilirubin (clear fluid that remains after blood has clotted).
ALT and AST
ALT (alanine transminase) and AST (aspartate transminase), are present in many tissues, and levels are elevated in the serum of patients with liver disease.
What does high levels of ALT and AST indicate
Damage to liver cells (as in hepatitis).
What does elevated Alkaline phosphatase (alk phos), indicate
enzyme that may be elevated in patients with liver, bone, and other diseases.
Serum bilirubin are elevated in patients with
liver disease and jaundice.
direct bilirubin test
measures conjugated bilirubin (combined with a substance in the liver). High levels indicate liver disease or biliary obstruction.
indirect bilirubin test
measures unconjugated bilirubin. Increased levels mean excessive hemolysis (destruc of RBCs), as may occur in a newborn.
stool culture
Test for microorganisms present i feces.
stool guaiac or Hemocult test
Detection of occult (hidden) blood in feces.
lower gastrointestinal series (barium enema)
X-ray images of the colon and rectum obtained after injection of barium into the rectum.
upper gastrointestinal series
X-ray images of the esophagus, stomach, and small intestine obtained after adminstering barium by mouth
small bowel follow-through
X-ray sequence images of small intestine as barium passes through.
barium swallow
X-ray image study of the esophagus.
cholangiography
X-ray examination of the biliary system performed after injection of contrast into the bile duct.
computed tomography (CT)
Imaging technique in which a series of x-ray film are obtained to visualize internal organs in multiple views including in cross section.
abdominal ultrasonography
Sound waves beamed into the abdomen produce an image of abdominal viscera
magnetic resonance imaging (MRI)
Magnetic and radio waves produce images of organs and the tissues in all three planes of the body
liver scan
Image of the liver after injecting radioactive material into the blood stream.
gastric bypass
Reducing the size of the stomach and diverting food to the jejunum (gastrojujenostomy).
gastrointestinal endoscopy
Visual examination of the gastrointestinal tract using an endoscope.
upper gastrointestinal series
X-ray images of the esophagus, stomach, and small intestine obtained after adminstering barium by mouth
small bowel follow-through
X-ray sequence images of small intestine as barium passes through.
barium swallow
X-ray image study of the esophagus.
cholangiography
X-ray examination of the biliary system performed after injection of contrast into the bile duct.
computed tomography (CT)
Imaging technique in which a series of x-ray film are obtained to visualize internal organs in multiple views including in cross section.
abdominal ultrasonography
Sound waves beamed into the abdomen produce an image of abdominal viscera
magnetic resonance imaging (MRI)
Magnetic and radio waves produce images of organs and the tissues in all three planes of the body
liver scan
Image of the liver after injecting radioactive material into the blood stream.
gastric bypass
Reducing the size of the stomach and diverting food to the jejunum (gastrojujenostomy).
gastrointestinal endoscopy
Visual examination of the gastrointestinal tract using an endoscope.
laparoscopy
Visual (endoscopic) examination of the abdomen with a lararoscope inserted through small incisions in the abdomen.
liver biopsy
Removal of liver tissue followed by microscopic visualization.
nasogastric intubation
Insertion of a tube through the nose into the stomach.
paracentesis
Surgical procedure to remove fuild from the abdomen.
alk phos
alkaline phosphatase
ALT, AST
alanine transminase, aspertate transminase--enzymes measured to elevaluate liver function
BE
barium enema
BM
bowel movement
BRBPR
bright red blood per rectum---hematochezia
CT
computed tomogaphy
EGD
esophagogastroduodenoscopy
ERCP
endoscopic retrograde cholangiopancreatography
FOBT
fecal occult blood test
G-tube
gastrostomy tube; also called a stomach tube PEG tube--used to introduce netrients into the stomach after insertion through the abdomen wall with laparoscopic instruments.
GB
gallbladder
GERD
gastroesohogeal reflux disease
GI
gastrointestinal
HBV
hepatitis B virus
IBD
inflammatory bowel syndrome
LAC
laparoscopic assisted colectomy
LFTs
live function test--alk phos, bilirubin, AST (SGOT), ALT(SGPT)
MRI
magnetic resonance imaging
NG tube
nasogastric tube
NPO
nothing by mouth
PEG tube
percutaneous endoscopic gastrostomy tube--feeding tube
PTHC
percutaneous transhepatic cholangiography
PUD
peptic ulcer disease
STEP
serial transverse enteroplasty
TPN
total parenteral nutrition
IV TPN solutions typicallyncontain sugar (dextrose), proteins (amino acids), electrolytes (sodium, potassium, chloride), and vitamins
T tube
tube placed in the biliary tract for drainage
removal of the gallbladder
cholecystectomy
large bowel resection
colectomy
suture of a weakened muscular wall (hernia)
herniorrhaphy
new opening of the first part of the colon to the outside of the body
cecostomy
surgical repair of the eyelid
blepharoplasty
incision of a ring of muscles
spincterotomy
new surgical connection between the stomach and the first part of the small intestine
gastroduodenal anastomosis
opening of the third part of the small intestine to the outside of the body
ileostomy
removal of gum tissue
gingivectomy
new surgical connection between the gallbladder and second part of the small intestine
cholecystojejunostomy
surgical puncture of the abdomen to withdraw fluid
paracentesis
hernia of the rectum
rectocele
normal urine color
yellow (amber) or straw-colored
colorless or pale urine
indicates a large amount of water
smokey red-urine
indicates blood in urine
Normal appearance of urine
clear
turbid or cloudy urine
indicates urinary tract infection with pus (pyuria) and bacteria (bacteriuria)
What is the pH range
between 0 (very acid) and 14 (very alkaline).
Normal urine is
6.5 acidity
in infections of the bladder, urine pH is
alkaline
bacteria brake down in the urine brake down urea and release
an alkaline substance called ammonia
when protein test is positive
albumin is usually responsible
major protein in blood
albumin
albuminuria
idicates leak of glomerular membrane
microalbuminuria recognized is
earliest sign of involvement of diabetes mellitus
glycosuria
sugar in the urine indicates diabetes millitus, hyperglycemia (excessive sugar in blood) renal tubules cannot reabsorb all the suger that filters through the glomerular membrane
Specific gravity
amounts of wastes, minerals and solids in urine
patients with diabetes millitus have
higher-than normal specific gravity of the presence of sugar
Ketone bodies
or acetones are brake down of free fatty acids to the liver.
brake down of fatty acids instead of sugar, ketones in the blood
acidosis is quite dangerous can lead to coma and death
sediment and casts in bottom of urine
signs of pathological condition. includes cells (epithilial, white, red), bacteria, crystals, and casts (cylindrical structures of protein, often containing cellular elements)
Phenylketonuria (PKU)
found in urine of infants due to lack of enzyme phenylalanine hydroxylase.
Bilirubin
present in darker appearing urine. Liver has difficulty in removing bilirubin from blood, hyperbilirubinemia occcurs and bilirubinuria follows
glomerulonephritis
inflammation of kidney glomerulus
interstitial nephritis
inflammation of the renal interstitium (connective tissue that lies between the renal tubules).
nephrolithhiasis
kidney stones (renal calculi).
nephrotic syndrome (nephrosis)
a group of clinical signs and syptoms caused by excessive protein loss in the urine
polycystic kidney disease (PKD)
multiple fuild-filled sacs (cysts) within and on the kidney
pyelonephritis
inflammation of the renal pelvis and renal medulla.
renal cell carcinoma (hypernephroma)
cancerous tumor of the kidney in adulthood
renal failure
failure of the kidney to excrete wastes and maintain filtration function
renal hypertension
high blood pressure resulting from kidney disease
essential hypertension
cause arterial and arteriolar damage, resulting in stroke, MI, heart failure and renal failure.
Wilms tumor
malignant tumor of the of the kidney occuring in childhood
bladder cancer
malignant tumor of the urinary bladder
diabetes insipidus
inadequate secretion or resistance of the kidney to the action of antidiuretic hormone (ADH)
diabetes mellitus
inadequate secretion or improper use of insulin
blood urea nitrogen (BUN)
measurement of urea levels in blood
creatine clearance
measures the rate at which creatine is cleared from the blood by the kidney
CT scan
X-ray image showing a detailed cross-sectional view of organs and tissue
kidneys, ureters and bladder (KUB)
X-ray examination (without contrast) of the kidneys, ureters and bladder
renal angiography
X-ray examination (with contrast) of the vascular system (blood vessels) of the kidney
retrograde pyelogram (RP)
X-ray imaging of the kidneys, ureters, and bladder after injection of contrast through a urinary catheterinto the ureters
voiding cystourethergram
X-ray record (with contrast) of the urinary bladder and urethra obtained while patient is voiding urine
ultrasonography
process of imaging urinary structures using high-frequency sound waves
radioisotope scan
image of the kidney after injecting into the blood stream a radioactive substance (radioisotope) that concentrates in the kidney
{MR}
a magnetic field and radio waves produce images of the kidney and surrounding structures in all three planes of the body
cystoscopy
direct visual examination of urinary bladder with an endoscope (cystoscope)
dialysis
process of seperating nitrogenous waste materials from the bloodstream when the kidneys no longer function
hemodialysis (HD)
uses an artificial kidney machine that filters waste from the bloodstream ans returns clean blood back
arteriovenous fistula
anastomosis of artery and vein shunting. surgically created for hemodialysis
peritoneal dialysis (PD)
uses a peritoneal catheter to introduce fluid into peritoneal cavity to cause waste to be drawn from capillaries
lithotripsy
urinary tract stones are crushed and either removed or pass from the body urine
renal angioplasty
dilation of narrowed areas in renal arteries
renal biopsy
removal of kidney tissue for microscopic examination by a pathologist
renal transplantation
surgical transfer of a complete kidney from a donor to a recipient
urinary catheterization
passage of a flexible, tubular instrument through the urethra into the urinary bladder by way of a Foley catheter
ADH
antidiuretic hormone--vasopressin
ARF
acute renal failure
BILI
bilirubin
BUN
blood urea nitrogen
CAPD
continuous ambulatory peritoneal dialysis
CKD
chronic kidney disease-serum creatinine and BUN levels rise. Which may result in impairment of all body systems
C1~
chloride--an electrolyte excreted by the kidney
CRF
chronic renal failure--progressive loss of kidney function
C&S
culture and sensitivity testing--to determine antibiotic effectiveness against bacteria grown from a patient's specimen
cysto
cystoscopic examination
ESRD
end stage renal disease--CKD
HTO3~
bicarbonate--an electrolyte conserved by kidney
HD
hemodialysis
IC
interstitial cystitis--chronic inflammation of the bladder wall; not cause by bacteria infection and not rexsponsive to conventional antibiotic therapy.
K+
potassium--an electrolyte
KUB
kidney, ureter, and bladder
Na+
sodium--an electrolyte
PD
peritoneal dialysis
pH
symbol for degree of acidity or alkalinity
PKD
polycystic kidney disease
PKU
phenylketonuria
PUL
percutaneous ultrasonis lithotripsy
RP
retrograde pyelogram
sp gr
specific gravity
UA
urinalysis
UTI
urinary tract infection
VCUG
voiding cystourethrogram
AB
abortion
AFP
alpha-fetoprotein--high levels in amniotic fluid of fetus or maternal serum indicat increase risk of neurologic birth defects in the infant
ASCUS
atypical squamous cells of unknown significance--abnormal Pap smear but does not meet criteria for a lesion
BSE
breast self examination
CA 125
protein marker elevated in ovarian cancer (normal range 0-35)
C-section
cesarean section
CIN
cervical intraepithelial neoplasia
CIS
carcinoma in situ
CS
cesarean section
CVS
chorionic villus sampling
Cx
cervix
D&C
dilation and curettage
DCIS
ductal carcinoma in situ; a precancerous breast lesion that indicates a higher risk for invasive ductal breast cancer
DES
diethylstilbestro--an estrogen compound used in the treatment of menapausal problems involving estrogen deficiency; if administered during pregnancy; it has been found to be related to subsequent tumors in daughters (rarely in sons) of mothers so treated
DUB
dysfunctional uterine bleeding
ECC
endocervical curettage
EDC
estimated date of confinement
EMB
endometrial biopsy
FHR
fetal heart rate
FSH
follicle stimulating hormone
G
Gravida (pregnant)
GnRH
gonadotropin-releasing hormone--secreted by the hypothalamus to stimulate release of FSH and LH from the pituitary gland
GYN
gynecology
hCG or HCG
human chorionic gonadotropin
HDN
hemolytic disease of the newborn
HPV
human papillomavirus
HRT
hormone replacement therapy
HSG
hysterosalpingography
IUD
intrauterine device; contraceptive
IVF
in vitro fertilization
LAVH
laparoscopically assisted vaginal hysterectomy
LEEP
loop electrocautery excision procedure
LU
luteinizing hormone
LMP
last menstrual period
multip
multipara; multiparous
OB
obstetrics
OCPs
oral contraceptive pills
para 2-0-1-2
woman's reproductive history; 2 full term infants, 0 preterm, 1 abortion, and 2 living children
Pap smear
Papanicolaou smear--test for cervical or vaginal cancer
Path
pathology
PID
pelvic inflammatory disease
PMS
premenstrual syndrome
primip
primipara; primiparous
RDS
respiratory distress syndrome of the newborn
SLN biopsy or SNB
sentinel lymph node biopsy--blue dye or radioisotopes (or both) identifies the first lymph node draining the breast lymphatics
TAH-BSO
total abdominal hysterectomy with bilateral salpingo-oophorectomy
TRAM-flap
trans-rectus abdominis musclecutaneous flap--for breast reconstruction
TVH
total vaginal hysterectomy
UAE
uterine artery embolization
BPH
benign prostate hyperplasia (also called benign prostate hypertrophy)
DRE
digital rectal examination
GU
genitourinary
HSV
herpes simplex virus
NSU
nonspecific urethritis (not due to gonorrhea or chlamydial infection)
PID
pelvic inflammatory diease
PSA
prostate-specific antigen
PVP
photoselective vaporization of the prostate; GreenLight PVP
RPR
rapid plasma reagin [test]; a test for syphilis
STD
sexually transmitted disease
`STI
sexually transmitted infection
TRUS
transrectal ultrasound [examination]; test to assess the prostate gland and to guide the precise placement of a biopsy needle
TUIP
transurethral incision of the prostate, successful in less enlarged prostate and less invasive than TURP
TUMT transurethral microwave
transurethral microwave thermotherapy
TUNA
transurethral needle ablation; radiofrequency energy destroys prostate tissue
TURP
transurethral resection of the prostate
AD
Alzheimer disease
AFP
alpha-fetoprotein; elevated levels in amniotic fluid and maternal blood associated with congenital malformations of the nervous system, such as anencephaly and spina bifida
ALS
amyotrophic lateral disease--Lou Gegrig's disease
AVM
arteiovenous malformation; congenital tangle of ateries and veins in the cerebrum
CNS
central nervous system
CSF
cerebral spinal fluid
CVA
cerebralvascular accident
EEG
electroencephalography
GABA
gamma-aminobutyric acid (neurotransmitter)
ICP
intracranial pressure (normal pressure is 5 to 15 mm Hg)
LP
lumbar puncture
MAC
monitored anesthesia care
MG
myasthenia gravis
MRA
magnetic resonance angiography
MS
multiple sclerosis
1/2P
hemiparesis
PSRS
proton stereotactic radiosurgery
Sz
seizure
TBI
traumatic brain injury
TENS
transcutaneous electric nerve stimulation; technique using battery-powered device to relieve acute and chronic pain
TIA
trans ischemic attack; temporary interference with the blood supply to the brain
tPA
tissue plasminogen activator; a clot -dissolving drug used as therapy for strokes
atheroma
-oma means mass or collectio. Atheromas are collections of plaque that protrude into a lumen (opening) of an artery, weakening the muscle lining
cardiomyopathy
toxic or infectious agents may cause , but not often the etiology is unknown (idiopathic).
hypertrophic cardiomyopathy
ia abnormal thickening of heart walls (septa), which causes narrowing (stenosis) of the aortic valve
cardiogenic shock
results from failure of the heart in it's pumping action. Shock nis a circulatory failure associated with inadequate delivery of oxygen and nutrients to body tissues
coronary arteries
arties come down over the top of the heart like a crown (native artery)
myxoma
a benign tumor derived from connective tissue, with cells embedded in soft mucoid stromal tissue. These tumors occur most frequently in the left atrium
vavuloplasty
a balloon-tipped catheter dilates a cardiac valve
coartation of the aorta (CoA)
narrowing (coarctation) of the aorta
radiofrequency catheter ablation (RFA)
is a minimally invasive treatment to treat cardiac arrhythmias. destroys tissue that causes arrhythmias
patent ductus arterious (PDA)
a duct between the aorta and the pulmonary artery, which normal closes soon after birth, remains open, (patent)
septal defects
small holes in the septa between the atria (atrial septal defect) or the ventricles (ventricular septal deffect)
tetralogy of Fallot (fa-LO)
a congenital malformation of the heart invoving four (tetra-) distinct defects
1. pulmonary artery stenosis
2. Ventricular septal defect
3. shift of the aorta to the right
4. hypertrophy of right ventricle
CHF
congestive heart failure-blood accumulates (when heart unable to pump) in lungs (left sided heart failure) causing pulmonary edema (fuild seeps out of capillaries into tiny sacs of lungs)
CHF (right side)
damming of blood results in accumulation of fluid in the abdominal organs (liver spleen) and subcutaneous tissue of the legs
TGA
transposition of the great arteries (pulmonary artery arises from the left ventricle and the aorta from the right ventricle) causes cyanosis and hypoxia as well
CAD
usually a result of atherosclerosis
thrombotic occlusion
blocking of the coronary artery by a clot
blood flow is decreased to the heart
ischemia, leading to necrosis
necrosis of the myocardium
constitutes MI, heart attack
(MI), 5-7 days old
acute myocardial infarction
Acute coronary syndrome
(ACS) are conditions caused by myocardial ischemia.
unstable angina
chest pain at rest or chest pain if increasing frequency
endocarditis
inflammation of the inner lining of the heart caused by bacteria (bacterial endocarditis)
hypertensive heart
this condition results from narrowing of arterioles, affected (left ventricular hypertrophy) it pumps more vigorously to overcome increased resistance in the arteries
MVP
mitral valve prolapse; inproper closure of the mitral valve
murmur
an extra heart sound between heart beats
bruit
is an abnormal sound or murmur heard on auscultation, is a vibration felt on chest, often accompany a murmur
pericarditis
inflammation of the membrane surrounding the heart
compression of the heart caused by collection of fluid in the pericardium cavity
cardiac tamponade
cause of pericarditis
bacteria and virus
pericarditis sound?
auscultation reveals a friction rub (scraping or grating sound)
aneurysm of small vessels of the brain
berry aneurysms
DVT
deep vein thrombosis, usually in the lower extremities
acute rheumatic mitral valulitis with chronic rheumatic heart disease
small vegetation's are visible along the ling of closure of the mitral valve leaflet
hypertension
HTN--high blood pressure
essential hypertension
high blood pressure with no identifiable cause. in adults 140/90 mm hg or greater
secondary hypertension
the increased pressure is caused by another associated lesion. such as glomerulonepritis, pyelonpephritis, or disease of the adrenal glands.
peripheral vascular disease
PVD--blockage of blood vessels outside the heart, femoral (thigh),and popliteal (back of knee),
intermittent claudication
sign of PVD in lower extremities; absence of pain or discomfort in a leg at rest, but pain and weakness after walking has begun
Raynaud disease
episodes of pallor and cyanosis primarily in fingers and toes
varicose veins
abnormally swollen and twisted veins, usually occurring in thelegs
acute coronary syndrome
consequences of plaque ruture in coronary arteries: unstable angina and myocardial infarction
angina (pectoris)
chest pain resulting from MI
unstable angina
occurs predictably with exertion
unstable angina
is chest pain that occurs more often with less exertion
angiotensin-converting enzyme (ACE) inhibitor
antihypertensive drug that blocks the conversion of angiotensin I to angiotensin II and thus dilates blood vessels. It prevents heart attacks, CHF, stroke, and death.
auscultation
listening for sounds in blood vessels or other body structures, by way of stethoscope
beta-blocke
drugs used to treat angina, hypertension, and arrhythmias. they block the action of epinephrine (adrenaline) at receptor sites on cells, slowing the heartbeat and reducing the work load on the heart
biventricular pacemaker
device enabling ventricles to beat together (in synchrony) so that more blood is pumped out of heart
bruit
an abnormal or blowing or swishing sound heard during auscultation of an artery or organ
calcium channel blocker
drugs used to treat angina and hypertension. they dilate blood vessels by blocking the influx of calcium into muscle cells lining vessels
cardiac arrest
sudden, unexpected stopping of heart action; sudden cardiac death
cardiac tamponade
pressure on the heart caused by fluid in the pericardial space
claudication
pain, tension, and weakness in a leg after walking has begun, but absence of pain at rest
digoxin
drug that treats arrhythmias and strengthens the heart
embolus (emboli)
a clot or other substance that travels to a distant location and suddenly blocks a blood vessel
infarction
area of dead tissue
nitrates
drug used in the treatment of angina. they dilate blood vessels, increasing blood flow and O2 to myocardial tissue
nitroglycerin
nitrate drug used in treatment of angina
occlusion
closure of blood vessel
palpitations
uncomfortable sensations in the chest related to cardiac arrhythmias, such as premature ventricular contractions PVCs).
patent
open
pericardial friction rub
scraping or grating noise heard on auscultation, suggestive of pericarditis
petechiae
small, pinpoint hemorrhages
statins
drugs used to lower cholesterol in the blood stream
thrill
vibration felt on touching the body over an area of turmoil in blood flow (as a blocked artery)
vegetations
clumps of platelets, cloting proteins, microorganisms, and red blood cells on the endocardium in conditions such as bacterial endocarditis and rheumatic heart disease
BNP test
measurement of BNP (brain natriuretic peptide) in blood
lipid tests (lipid profile)
measurement of cholesterol and triglycerides (fats) in a blood sample
lipoprotein electrophoresis
lipoproteins (combination of fat and protein) are physically separated in a blood sample
serum enzyme test
chemical measured in the blood as evidence of a heart attack, substance tested for are creatine kinase (CK), troponin-I, (cTnI) and troponin-T, (cTnT)
Troponin
is a protein released into circulation after myocardial injury
angiography
X-ray imaging of blood vessels after injection of contrast material, via catheter into aorta or an artery
computerized tomography angiography (CTA)
3-D x-ray images of the heart and coronary arteries using computed tomography (CT) (64-slice CT scanner)
digital subtraction angiography (DSA)
video equipment and a computer produce x-ray images of blood vessels
electron beam computed tomography (EBCT or EBT)
electron beams and CT identify calcium deposits in and around coronary arteris to diagnose CAD
doppler ultrasound studies
sound waves measure movement of blood flow
echocardiography (ECHO)
echos generated bu H-F sound waves produce images of the heart
positron emission tomography (PET) scan
images show blood flow and myocardial function following uptake of radioactive substance
technetium Tc 99m sestamibi scan
technetium Tc 99m sestamibi injected IV is taken up to cardiac tissue, where it is detected by scanning
thallium 201 scan
concentration of radioactive substance is measured in the myocardium
cardiac catheterization
thin flexible tube is guided into the heart via a vein or an artery
recording of electricity flowing through the heart
(ECG)
left-sided cardiac catheterization
the catheter is passed retrograde (backward) from the femoral artery into aorta and then into left ventricle. also performed via radial artery by increasing # of interventional cardiologist
right-sided cardiac catheterization
the catheter is inserted through the femoral vein and advances to the right atrium and right ventricle and into pulmonary artery, can also be performed through the radial artery
Holter monitoring
an ECG device worn 24 hrs period to detect arrhythmias
stress test
exercise tolerance test (ETT) determines the heart's response to physical exertion (stress)
cardioversion (defibrillation)
very brief discharge of electricity, applied across the cest to stop arrhythmias
coronary artery bypass graft (CABG)
arteries and veins are anastomosed to coronary arteries to detour around blockages
endarterectomy
surgical removal of plaque from the inner lining of an artery
extracorporeal circulation
heart-lung machine diverts blood from the heart and lungs while the heart is repaired
heart transplantation
a donor heart is transferred to recipient
percutaneous coronary intervention (PCI)
a balloon-tipped catheter is inserted into a coronary artery to open the artery; stents (flexible device that springs open and opens vessel) are put in place
thrombolytic therapy
drugs to disolve clots are injected into bloodstream of pt with coronary thrombosis
tissue plasminogen activator (tPA)
and strptokinase restore blood flow to heart and limit irreversible damage to heart. given 12 hrs after on set of a heart attack
AAA
abdominal aortic aneurysm
ACE inhibitor
angiotensin-converting enzyme inhibitor
ACLS
advance cariac life support; CPR plus drugs and defibrillation
ACS
acute coronary syndrome
ADP
adenosine diphosphate; ADP blockers are used to prevent cardiovascular-related death, heart attack, and strokes and after all stent procedures
AED
automatic external defibrillator
AF, a-fib
atrial fibrillation
AICD
automatic implantable cardioverter-defibrillator
AMI
acute myocardial infarction
ARVD
arrhythmogenic right ventricular dysplasia
AS
aortic stenosis
ASD
atrial septal deffect
AV, A-V
atrioventricular
AVR
aortic valve replacement
BBB
bundle branch block
BNP
brain natriuretic peptide; elevated in congestive heart failure
BP
blood pressure
CABG
coronary artery bypass graft
CAD
coronary artery disease
CCU
coronary care unit
cath
catheterization
CHF
congestive heart failure
CK
creatine knase; released into the bloodstream after injury to heart or skeletal muscle
CoA
coarctation of aorta
CPRC
cardiopulmonary resuscitation
CRT
cardiac resychronization therapy; biventricular pacing
CTNI or eTnT
cardiac troponin I; troponin is a prtein released into the bloodstream after myocardial injury
CTNT or cTnT
cardiac troponin T
CV
cardiovascular
DES
drug-eluding stent
DSA
digital subtraction angiography
DVT
deep vein thrombosis
ECMO
extracorporeal membrane oxygenation
ECG
electrocardiography
EF
ejection fraction; measure; measure of the amount of blood thast pumps out of the heart with each beat
EPS
electro physology study; electrode catheters are inserted into veins and threaded into the heart and electrical conduction is measured (tachycardias are provoked and analyzed)
ETT
exercise tolerance test
ETT-MIBI
exercise tolerance test combined with a radioactive tracer (sestamibi) scan
HDL
high-density lipoprotein; high blood levels are associated with lower incidence incidence of coronary artery disease
HTN
hypertension (high blood pressure)
IABP
intra-aortic balloon pump; used to support patients in cardiogenic shock
LAD
left anterior descending (coronary artery)
LDL
low-density lipoprotein
LMWH
low-molecular-weight heparin
LV
left ventricle
LVAD
left-ventricular assist device
LVH
left ventricular hypertrophy
MI
myocardial infarction
MR
mitral regurgitation
MUGA
multiple-gated acquisition scan; a radioactive test of heart function
MVP
mitral valve prolapse
NSR
normal sinus rhythm
NSTEMI
non-ST elevation myocardial infarction
PAC
premature atrial contraction
PCI
percutaneous coronary intervention
PDA
patent ductus arteriosus; posterior descending artery
PVC
premature ventricular contraction
RFA
radio frequency ablation
SA, S-A
sinoatrial
SCD
sudden cardiac death
SOB
shortness of breath
SPECT
single photon emission computed tomography; used for myocardial imaging with sestamibi scans
SSCP
substern chest pain
STEMI
ST elevated myocardial infarction
SVT
supraventricular tachycardia; rapid heart beats arising from the atria and causing palpitations, SOB, and dizziness
Tc
technetium
TEE
transesophogeal echocardiogram
TGA
transposition of great arteries
tPA
tissue-type plasminogen activator; a drug used to prevent thrombosis
UA
unstable angina
VF
ventricular fibrillation
VSD
ventricular septal defect
VT
ventricular tachycardia
WPW
Wolff-Parkinson-White syndrome; an abnormal ECG pattern often associated with paroxysmal tachycardia
auscultation
listening to sound within the body
percussion
tapping on a surface to determine the difference in the density of the underlying structure
pleural rub
scratchy sound produced by the motion of inflamed or irritated pleural surfaces rubbing against each other; also called friction rub
rale (crackle)
fine crackling sound heard on auscultation (during inspiration) when there is fluid in the alveoli
rhonchus (plural: rhonchi)
fine cackling sound heard on auscultation of bronchai obstructed by sputum
Purulent
(containing pus) sputum often is green or brown
sputum culture
growing sputum in a nutrient medium to detect the presence of a pathogen
culture and sensitivity (C&S)
studies identify the sputum pathogen and determine which antibiotic will be effective
stridor
strained, high-pitch, relatively loud sound on inspiration; associated with obstruction of the larynx or trachea
wheeze
continuous high-pitched whistling sound heard when air is forced through a narrow space during inspiration or expiration