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523 Cards in this Set

  • Front
  • Back
croup
acute viral infection in infants and children; characterized by obstruction of the larynx, barking cough, and stridor
what are the most causative agents in croup
influenza viruses or repiratory syncytial virus (RSV).
diphtheria
acute infection of the throat and upper respiratory tract caused by diphtheria bacterium (Corynebacterium)
epistaxis
nosebleed
pertussis
highly contagious bacterial infection of the pharynx, larynx, and trachea caused by Bordetella pertussis. Also know as whooping cough
asthma
chronic inflammatory disorder with airway obstruction caused by bronchial edema, bronchoconstriction, and increased mucus production
bronchiectasis
chronic dilation of a bronchus secondary to infection in the lower lobes of the lungs
what is the treatment for bronchiectasis
palliative
chronic bronchitis
inflammation of the bronchi persisting over a long time
cystic fibrosis
inherited disorder of exocrine glands resulting in thick, mucous secretions that do not drain normally
atelectasis
incomplete (atel/o) expansion (-ectasis) of alveoli: collapsed, functionless, airless lung or portion of a lung.
what causes atelectasis
tumor or other obstruction of the bronchus, or poor respiratory effort
emphysema
hyperinflation of air sacs with destruction of alveloar walls.
cor pulmonale
as a result of emphysema pulmonary artery pressure rises and the right side of the heart must work harder to pump blood. this leads to right ventricular hypertrophy and heart failure
lung cancer
malignant tumor arsing from the lungs and bronchi
what are the two gen cat of lung cancer
non-smal cell lung cancer (NSCLC) and small cell lung cancer (SCLC)
pneumoconiosis
abnormal condition caused by dust in the lungs, with chronic inflammation, infection, and bronchitis
pneumonia
Acute inflammation and infection of alveoli, which fill with pus or products of inflmmatory reaction
pulmonary abscess
large collection of pus (baterial infection) in the lungs
pulmonary edema
swelling and fluid in the air sacs and bronchiloes
pulmonary embolism (PE)
clot (thrombus) or other material lodges in vessels of the lung
pulmonary fibrosis
formation of scar tissue in the connective tissue of the lungs
sarcoidosis
chronic inflammatory disease of unknown cause in which small nodules or tubercles develop in lungs, lymph nodes, and other organs
tuberculosis (TB)
infectious disease caused by Mycobacterium tuberculosis; lungs usually are involved, but any organ in the body maybe affected
mesothelioma
rare malignant tumor arising in the pleura; associated with asbestos and exposure
pleural effusion
abnormal accumulation of fluid in the pleural space (cavity).
pleurisy (pleuritis)
inflammation of the pleura
pneumothorax
collection of pus in the pleural space
pleurodesis
is the artificial production of adhesions between the parietal and visceral pleura for treatment of persistent pneumothorax and severe pleural effusion
anthracosis
coal dust accumulation in lungs
asbestosis
asbestos particles accumulate in the lungs
bacilli (singular: bacillus)
rod-shaped bacteria (caused by tuberculosis)
chronic obstructive pulmonary disease (COPD)
chronic condition; persistent obstruction of air flow through bronchial tubes and lungs
chronic bronchitis COPD
are referred as blue bloaters (cyanotic, stocky build)
emphysema COPD
are called pink puffers (shortness of breath, but with near normal oxygen levels and no color skin change)
cor pulmonale
failure of the right side of the heart to pump sufficient blood to the lungs because of underlying lung disease
exudate
fluid cells, or other substances (pus) that slowly leave the cells or capillaries through pores or brakes in cell membranes
hydrothorax
collection of fluid in the pleyral cavity
palliative
relieving symptoms, but not curing the disease
paroxysmal
pertaining to sudden occurrence, such as a spasm or seizure; oxysm/o means sudden
purulent
containing pus
silicosis
disease dut to silica or glass dust in the lungs; occurs in mining occupations
ABGs
arterial blood gases
AFB
acid-fast bacilus--the type of organism that cause tuberculosis
ARDS
acute (formally adult) respiratory distress syndrome--a group of signs and symptoms including tachypnea, dyspnea, tachycardia, hypoxemia, and cyanosis associated with acute respiratory failure
BAL
bronchioaveolar lavage
Bronch
bronchoscopy
CO2
carbon dioxide
COPD
chronic obstructive pulmonary disease-- airway obstruction associated with emphysema and chronic bronchitis
CPAP
continuous positive airway pressure
CPR
cardiopulmonary resuscitation
C&S
culture and sensitivity
CTA
clear to aulscultation
CXR
chest x-ray (film)
DLco
diffusion capacity of lung for carbon monoxide
DPI
dry powder inhaler
DOE
dyspnea on exertion
DPT
diphtheria, pertussis, tetanus--toxoids for vaccination of infants, to provide immunity to these diseases
ERV
expiratory reserve--maximal volume of gas that can be exhaled after resting volume of exhalation
FEV1
forced expiratory volume in 1 second
FVC
forced volume capacity--amount of gas that can be forcibly and rapidly exhaled after a full inspiration
HHN
hand-held nebulizer--device for administering aerosolized drug (in fine spray)
HCO2
bicarbonate--measured in blood to determine acidity or alkaline
ICU
intensive care unit
IRV
inspiratory reserve volume--maximum volume of gas that can be inhaled beyond normal inspiration
LLL
left lower lobe
LUL
left upper lobe
MDI
metered-dose inhaler--used to deliver aerosolized medications to patients with respiratory disease
NC
nasal cannula
NIV
noninvasive ventilation
NSCLC
non-small cell lung cancer
O2
oxygen
OSA
obstructive sleep apnea
PaCO2
carbon dioxide partial pressure--a measure of the amount of carbon dioxide in arterial blood
PaO2
oxygen partial pressure--a measure of the amount of oxygen in arterial blood
PA gram
pulmonary angiogram
PCP
pneumocystis pneumonia--a type of pneumonia seen in patients with AIDS or other immunosuppression
PE
pulmonary embolism
PEP
positive expiratory pressure--mechanical ventilator strategy in which patients take a deep breath and then exhales through a device that resists air flow (helps refill underventilated areas of the lung)
PEEP
positive end-expiratory pressure--a common mechanical ventilator setting in which airway pressure is maintained above atmospheric pressure
PFTs
pulmonary function tests
PND
paroxysmal nocturnal dyspnea
PPD
purified protein derivative--substance used in tuberculosis test
RDS
respiratory distress syndrome
RLL
right lower lobe
RUL
right upper lobe
RSV
respiratory synctial virus--a common cause of bronchiolitis, broncopneumonia, and the common cold; esp in children
RV
residual volume--amount of air remaining in lungs at the end of maximal expiration
SCLC
small cell cancer
SIMV
synchronized intermittent mandatory ventilation
SOA
shortness of air
SOB
shortness of breath
TB
tuberculosis
TBNA
transbronchial needle aspiration (for biopsy of lesions)
TLC
total lung capacity--volume of gas in the lungs at the end of maximal inspiration, equals VC plus RV
URI
upper respiratory infection
Vt
tidal volume--amount of air inhaled and exhaled during a normal ventilation
VAP
ventilator-associated pneumonia--bacterial pneumonia in a patient who has been on mechanical ventilation for 48 hours or more
VATS
video-assisted thoracic surgury (thorasoscopy, thorascopy
VC
vital capacity--equals inspiratory reserve volume plus expiratrory reserve volume plus tidal volume
V/Q Scan
ventilation-perfusion scan--radioactive test of lung ventilation and blood perfusion throughout the lung cappillaries (lung scan)
anemia
deficiency in erythrocytes or hemoglobin
aplastic anemia
failure of blood cell production due to aplasia (absence of development, formation) of bone marrow cells
hemolytic anemia
reduction in red blood cells due to excessive destruction
congenital spherocytic anemia
also called hereditsary spherocytic; instead of their normal biconcave shape, erythrocytes are spherodial
pernicious anemia
lack of mature erythrocyes caused by inability to absorb vitamin B12 into body. (Pernicious means ruinous or hurtful.)
sickle cell anemia
a hereditary condition characterized by abnormal sickle shape of erythrocytes and by hemolysis
thalassemia
an inherited defect in the ability to produce hemoglobin, usually seen in persons of Mediterranean background
hemochromatosis
excess iron deposits throughout the body
polycythemia vera
general diease in red blood cells (erythremia)
hemophilia
excessive bleeding caused by hereditary lack of one of the protein substances (either factor VIII or factor IX) necessary for blood clotting
purpura
multiple pinpoint hemorrhages and accumulation of blood under skin
Petechiae
are tiny purple or red flat spots appearing on the skin as a result of hemorrhages
ecchymoses
are larger blue or purplish patches on the skin (bruises)
thrombocytopenic purpura
is a condition in which a patient makes an antibody that destroys platelets
leukemia
increase in cancerous white blood cells
acute myelogenous (myelocytic) leukemia (AML)
immature granulocytes (myeloblasts) predominate
acute lymphocytic leukemia (ALL)
immature lymphocytes (lymphoblasts) predominate
chronic myelogenous (myelocytic) leukemia (CML)
both mature ans immature granulocytes are present in the marrow, and bloodstream. slow progress in >55yrs w/o life threatening condition, treatable w/(Gleevec)
chronic lymphocytic leukemia(CLL)
abnormal number of relativity mature lymphocytes predominate in the marrow, lymph nodes, and spleen. usually in elderly & follows slow progress
granulocytosis
abnormal increase in granulocytes in the blood
mononucleosis
an infectious disease marked by increased number of leukocytes and enlarged cervical lymph nodes
multiple myeloma
malignant neoplasm of bone marrow
destroys bone tissue and cause over production of immunoglobulins, including Bence Jones protein, an immunoglobulin fragment found in urine
multiple myeloma
condition leads to ostelytic lesions, hypercalcemea, anemis, renal damage, and increased susceptibility to infection, treatment: palliative
multiple myeloma
autologous bone marrow transplantation (ABMT) patient serves as donor, may lead to prolonged remission
multiple myeloma
antiglobulin test
test for presence of antibodies that coat and damage erytherocytes
bleeding time
time required for blood to stop floeing from a tiny puncture wound
coagulation time
time required for venous blood to clot in a test tube
complete blood count (CBC)
determination of number of red and white cells and platlets, hemoglobin level and hematocrit, and red cell indices--MCH, MVC, MCHC-
erytherocyte sedimentation rate (ESR)
speed at which erytherocytes settle out of plasma
hematocrit (Hct)
percentage of erytherocytes in a volume of blood
hemoglobin test (H, Hg, HGB)
total amount of hemoglobin in a sample of peripheral blood
partial thromboplastin time (PTT)
measure the presence of plasma factors that act in a portion of the coagulation pathway
platelet count
number of platelets per cubic millimeter (mm3) or microliter (ul) of blood
prothrombin time (PT)
test the ability of blood to clot
red blood cell count (RBC)
number of erytherocytes per cubic millimeter (mm3) or microliter (ul) of blood
red blood cell morphology
microscopic examination of a stained blood smear to determine the shape of individual red cells
white cell blood count (WBC)
number of leukocytes per cubic millimeter (mm3) or microliter (ul) of blood
white blood cell differential
percentage of total WBC made by different types of leukocytes
shift to the left
describes an increase in immature neutrophilis in blood
patients with malignantnhematolgic disease, such as AML, ALL, CLL, CML, and multiple myeloma are candidates for this treatment
hematopoietic stem cell transplantation
ABMT
autolgous bone marrow transolantation, patient serves as donor to self
ABO
four main blood types--A, B, AB, and O
ALL
acute lymphocytic leukemia
AML
acute myelogenous leukemia
ASCT
autologous stem cell transplantation
baso
basophils
BMT
bone marrow transplantation
CBC
complete cell count
CLL
chronic lymphocytic leukemia
CML
chronic myelogenous leukemia
DIC
disseminated intravascular coagulation--bleeding disorder marked by reduction in blood clotting factor
diff.
differential count (white blood cells)
EBV
Epstein-Barr virus, the cause of mononucleosis
eso
esinophils
EPO
ertherpoietin
ESR
ertherocyte sedimentation rate
Fe
iron
G-CSF
graulocyte colony-stimulating factor
GM-CSF
granulocyte-macrophage colony stimulating-factor
g/dl
gram per deciliter
GVDH
graft versus host disease--immune reaction of donor's cell to recipient tissue
HCL
hairy cell leukemia--abnormal lymphocytes accumulate in bone marrow, leading to anemia, thrombocytopenia, neutropenia, and infection
Hct
hematocrit
Hgb, HGB
hemoglobin
H and H
hemoglobin and hematocrit
HLA
human leukocyte antigen
IGA, IgD, IgE, IgG, IgM
immunoglobulions
lymphs
lymphocytes
MCH
mean corpuscular hemoglobin concentration--average concentration of hemoglobin in a single red cell; when MCHC is low, the cell is hypochromic
MCV
mean corpuscular volume--average volume or size of a single red blood cell; when MCV is high, the cells are macrocytic, and when low, the cells are microcytic
mono
monocyte
mm3
cubic millimeter
polys, PMNs, PMNLs
polymorphoneuclear leukocyte; neutophils
PT
prothrombin time
PTT
partial thromboplastin time
RBC
red blood cell; reblood cell count
sed rate
erytherocyte sedimentation rate
segs
segmented, mature white blood cells
SMAC
sequential multiple analyzer computer--an automated chemistry system that determines substance in serum
ul
microliter
WBC
white blood cell; white blood cell count
WNL
within normal limits
AIDS
acquired immunodeficiency syndrome--suppression of immune system and mark by opportunistic infections
infectious diseases associated with AIDS
opportunistic infection
OIAIDS
opportunistic infections with AIDS
candidiasis (OIAIDS)
yeast-like fungus
cryptococcal infection (OIAIDS
yeast-like fungus cause lung, brain and blood infections,
(OIAIDS pathogen found in pigeon droppings, nesting places, water and soil; yeast-like fungus
crptococcal infection
(OIAIDS normally present in mouth, skin, intestinal tract, and vagina, overgrows, causing infection of the mouth (thrush), respiratory tract, skin; yeast-like fungus
cadidiasis
cryptosporidiosis (OIAIDS
parasitic infection of the gastrointestinal tract and brain and spinal cord
(OIAIDS the pathogen, Cryptosporidum, is a one-celled organism commonly found in farm animals
cryptosporidiosis
cytomegalovirus (CMV) infection (OIAIDS)
virus causes enteritis and retinitis (inflammation of the retina at the back of the eye)
(OIAIDS) found in saliva, semen, cervical secretions, urine, feces, blood and breast milk, but usually causes disease only when immune system is compromised
cytomegalovirus (CMV) infection
Herpes simplex (OIAIDS)
viral infection causes small blisters on the skin of the lips or nose or on the genitals.
(OIAIDS) can also cause encephalitis
herpes simplex
histoplasmosis (Histo) (OIAIDS)
fungal infection caused by inhalation of dust contaminated with Histoplasma capsulatum;
(OIAIDS) causes fever, chills and lung infection. pathogen is found in bat droppings
histoplasmosis (Histo)
Mycobacterium avium-intercellulare (MAI) infection (OIAIDS)
baterial disease manifesting with fever, malaise, night sweats, anorexia, diarrhea, weight loss, and lung and blood infections
pneumocysitis pneumonia (PCP) (OIAIDS)
one-celled organisim (P. jiroveclii) causes lung infection, with fever, cough, and chest pain.
pathogen is found in air, water, and soil and is carried by animals (OIAIDS)
PCP
Infection is treated with trimethoprim--sulfamethoxazole (Bactrim), a combination of antibiotics (OIAIDS)
PCP
infection is treated with pentamidine; aerosolized pentamidine, which is inhaled, can prevent an occurrence (OIAIDS)
PCP
Toxoplasmosis (Toxo) (OIAIDS)
parasitic infection involving the central nervous system (CNS) and causing fever, chills, visual disturbances, confusion, hemiparesis an seizures.
pathogen (Toxoplasma) is acquired by eating uncooked lamb, pork, unpasteurized dairy products, and raw eggs or vegetables (OIAIDS)
Toxoplasmosis
Tuberculosis (TB) (OIAIDS)
bacterial disease (caused by mycobacterium tuberculosis) involving the lungs.
Signs and symptoms are fever, loss of weight, anorexia, and low energy (OIAIDS)
Tuberculosis (TB)
MAAIDS
malignancies associated with AIDS
Kaposi sarcoma MAAIDS
a cancer arising from the lining cells of cappillaries that produce a bluish-red skin nodules
Wasting syndrome MAAIDS
marked by weight loss and decrease in muscular strenght, appetite and mental activity , may occur with AIDS
persons with HIV antibodies in their blood against this virus are
HIV-positive
allergy
abnormal hypersensitivity acquired by exposure to an antigen
anaphylaxis
in which an extraordinary hypersensitivity reaction occurs throughout the body
lymphoma
malignant tumor of lymph nodes and lymph tissue
Hodgkin disease
malignant tumor of lymphoid tissue in the spleen and lymph nodes
follicular lymphoma
composed of collection of small lymphocytes in a follicle or nodule arrangement (Non-Hodgkin lymphoma)
large cell lymphoma
composed of large lymphocytes that infiltrate nodes and tissue diffuely. Non-Hodgkin lymphoma
multiple myeloma
composed of plasma cells (antibody-producing B lymphoctes) associated with high levels of one of the specific immunoglobulins, usually IgG.
Waldwnstrom macroglobulinemia
another tumor of malignant B cells. this disease involves B cells that produce large quanties of IgM (a globulin of high molecular weight).
increased IgM concentration impairs the passage of blood through capillaries in the brain and eyes, causing a hyperviscosity syndrome (thickening of the blood)
Waldenstrom macroglobulinemia
thymoma
malignant tumor of the thymus gland
atopy
hypersensitive or allergic state involving inherited predisposition.
CD4+ cells
helper T cells that carry the CD4 protein antigen on their surface. HIV binds to CD4 and infects and kills T cells bearing this protein
protease inhibitor
drug that treats AIDS by blocking production of protease, a proteolytic enzyme that helps to create new viral pieces for HIV
retrovirus
RNA virus that makes copies of itself by using the host cell's DNA;
reverse transcriptease
A retrovirus (like HIV) carries an enzyme, that enables it to reproduce within the host cell
reverse transcriptease inhibitor
drug that treats AIDS by blocking reverse transcrptease, an enzyme needed to make copies of HIV
CD4+ cell count
measures the number of CD4+ T cells (helper T cells) in the bloodstream of patients with AIDS
ELISA
screening test to detect anti-HIV antibodies in the bloodstream
immunoelectrophoresis
test that separates immunoglobulins (IgG, IgM, IgE, IgA, IgD)
viral load tests
tests that measure the amount of AIDS virus (HIV) in the bloodstream
AIDS
acquired immunodificiency syndrome
CD4+
protein antigen on helper T cells
CMV
cytomegalovirus--causes opportunistic AIDS-related infection
Crypto
Cryptococcus--causes opportunistic AIDS-related infection
ELISA
enzyme-linked to immunosorbent assay--test to detect anti_HIV antibodies
G-CSF
granulocyte colony-stimulating factoe--a cytokine that promotes neutrophil production
GM-CSF
granulocte-marcophage colony-stimulating factor--cytokine secreted by macrophages that promotes the growth of myeloid progenitor cells and differentiation to granulocytes
HAART
highly active antiretroviral therapy--use of combinations of drugs that are effective against AIDS
HD
Hodgkins disease
Histo
histoplasmosis--fungal infection seen in AIDS patients
HIV
human immunodeficiency virus--cause AIDS
HSV
herpes simplex virus
IgA, IgD, IgE, IgG, IgM
immunoglobulins
IL1-15
interleukins
KS
Kaposi sarcoma
MAC
Mycobacterium avium complex--group of pathogens that cause lung and systemic disease in immunocompromised patients
MAI
Mycobacterium avium-intracellulare--the bacterial species, M. avium and M.intracellulare, that have been identified in MAC
MoAB
monoclonal antibody
NHL
non-Hodgkin lymphoma
NK cell
natural killer cells--lymphocytes that recognizes and destroys foreign cells by releasing cytotoxins
PCP
pneumocystis pneumonia--opportunistic AIDS-related infection
PI
protease inhibitor
RTIs
reverse transcriptase inhibitors--for example, zidovudine (Retrovir) and lamivudine (Epivir)
Toxo
toxoplasmosis--parasitic infection associated with AIDS
arthritis
inflammation of joints
ankylosing spondylitis
chronic, progressive arthritis with stiffening of joints, primarily of the spine
gouty arthritis
onlammation and painful swelling of joints caused by excessive uric acid in the body
osteoarthritis (OA)
progressive, degenerative joint disease characterized by loss of articular cartilage and hypertrophy of bone (formation of osteophytes, or bone spurs) at articular surfaces
rheumatoid arthritis (RA)
chronic disease in which joints become inflamed and painful. it is believed to be caused by an immune (autoimmune) reaction against joint tissues, particularly against synovial memebrane
pyrexia
fever
ankylosing
union
bunion
abnormal swelling of the medial aspect of the joint between the big toe and the first metatarsal bone
carpal tunnel syndrome (CTS)
compression (by wrist ligament) of the median nerve as it passes between the ligament and the bones and tendons of the wrist (the carpel tunnel)
dislocation
displacement of a bone from its joint
acromioclavicular dislocation
disruption of the articulation between the acromion and clavicle, also know as shoulder separation
shoulder dislocation
disruption of articulation between the head of the humerus and glenoid fossa of the scapula
ganglion
a fluid-filled cyst arising from the joint capsule or a tendon in the wrist
herniation of an intervertebral disk (disc)
abnormal protrusion of a fibrocartliginous intertebral disck into the neural canal or spnal nerves, AKA slipped disk
laminectomy
surgical removal of a portion of the vertebral arch, and open removal of all or part of the protruding disk
lyme disease
a recurrent disorder marked by severe arthritis, myalgia, malaise, and neurologic and cardiac symptoms
sprain
trauma to a joint with pain, swelling, and injury to ligaments
systemic lupus erthematosus (SLE)
chronic inflammatory autoimmune disease involving joints, skin, kidneys, nervous system, heart, and lungs
condition affects connective tissue (specifically a protein component called collagen) in tendons , ligaments, bones, and cartilage all over the body
SLE
typically there is a red, scaly rash over the nose and cheeks (butterfly rash)
SLE
muscular dystrophy
a group of inherited diseases characterized by progressive weakness and degeneration of muscle fibers without involvement of the nervous system
polymyositis
chronic inflammatory myopathy, marked by symmetrical muscle weakness and pain, often accompanied by a rash around the eyes and on the face and limbs
antineuclear antibody test (ANA)
detects an antibody present in serum of patients with systemic lupus erthematosus
ESR
measures the rate at which erythrocytes settle to the bottom of a test tube
is associated with inflammatory disorders such as rheumatoid arthrits, tumors, and infections, and with chronic infections of bone and soft tissue
ESR
rheumatoid factor test (RF)
serum is tested for the presence of an antibody found in patients with rheumatoid arthritis
serum calcium (Ca)
measurement of calcium level in serum
serum creatine kinase (CK)
measurement of enzyme (creatine) in serum
uric acid test
measurement of uric acid in serum; associated with gouty arthritis
arthrocentesis
surgical punctue to remove fluid from the joint space
arthrography
process of taking x-ray images after injection of contrast material into the joint
arthroplasty
surgical repair of a joint
(TKR)
in total knee replacement a metal prosthesis covers the end of the femur and a tibial component made of metal and plastic covers tip end of the tibia
arthroscopy
visual examination of the inside of a joint with an endoscope and TV camera
bone density test (bone densitometry)
low-energy x-ray absorption in bones of the spinal column, pelvis, and wrist to measure bone mass
bone scan
uptake of radioactive substance is measured in bone; to detect tumors, infection, inflammation, stress fractures
diskography
x-ray examination of cervical or lumber intervetebral disk after injection of contrast into nucleus pulposus (interior of the disk)
electromyography (EMG)
process of recording the strength of muscle contraction as a rsult of electrical stimulation
AC joint
acromioclavicular joint
ACL
anterior cruciate ligament of the knee
ANA
antinuclear antibody-indicator of SLE
CK
creatine kinase--enzyme elevated in muscle disease
DEXA or DXA
dual-energy x-ray absorptiometry--a test of bone density
DMARD
disease-modifying antirheumatic drug
DO
doctor of osteopathy
DTRs disruption of articulation
disruption of articulation
EMG
electromyography
LE cell
lupus erthematosus cell
NSAID
nonsteroidal anti-inflammatory drug--often perscribed to treat joint disorders
ORIF
open reduction (of fracture)/ internal fixation
OT
occupational therapy
PT
physical therapy
RA
rheumatoid arthritis
RF
rheumatoid factor
ROM
range of motion
sed-rate
ESR test
TKR
total knee replacement
THR
total hip replacement
TMJ
temporalmandibularjoint
albino
melanin pigment deficiency
basal layer
deepest region of the epidermis;
gives rise to all epidermal cells
basal layer
collagen
structural protein found in the skin and connective tissue
cuticle
band of epidermis at the base and sides of the nail plate
dermis
middle layer of the skin
apocrine sweat gland
large exocrine glands located in the axilla and genital areas
secretes sweat that, in action with bacteria, is responsible for body odor
apocrine sweat land
epidermis
outer most layer of the skin
epithelium
layer of skin forming the outer layer and inner surfaces of the body
hair follicle
sac within each hair grows
integumentery system
the skin and its accessory structures such as hair and nails
keratin
hard protein material found in the epidermis, hair, and nails.
lipocyte
a fat cell
lunula
the half-moon-shaped, whitish area of the base of the nail
melanin
major skin pigment
paronychium
soft tissue surrounding the nail border
pore
tiny opening on the surface of the skin
sebaceous gland
oil-secreting gland in the dermis that is associated with hair follocles
sebum
oily substance secreted by the sebaceous glands
squamous epithelium
flat, scale-like cells composing the epidermis
stratified
arranged in layers
stratum (plural: strata)
a layer (of cells)
stratum corneum
outermost layer of the epidermis, which consists of flattened, keratinized (horny) cells
subcutaneous layer
innermost layer of the skin, containing tissue
crust
collection of dried serum and cellular debris
cyst
thick-walled, closed sac or pouch containing fluid or semisold material
erosion
wearing away or loos of epidermis
fissure
groove or crack-like sore
macule
discolored (often reddened) flat lesion
nodule
solid, round or oval elevated lesion more than 1 cm in diameter
papule
small (less than 1 cm in diameter), solid elevation of the skin
polyp
benign growth extending from the surface of mucus membrane
pustule
small elevation of the skin contining pus
ulcer
open sore on the skin or mucus membranes within the body
vesicle
small collection of clear fluid (serum); blister
wheal
smooth, slightly elevated, edematous (swollen) area that is redder or paler than surrounding skin
alopecia
absence of hair from areas where it normally grpws
ecchymosis (plural: ecchymoses)
blusih-black mark (bruise) on the skin
petechia (plural: petechiae)
small. pinpoint hemorrhage
pruritis
itching
urticaria
acute allergic reaction in which red, round wheals develop on the skin
acne
chronic papular and pustular eruption of the skin with increased production od sebum
first-degree burns
superficial epidermal lesions--sunburn
second-degree burns
partial-thickness burn injury; blistering
third-degree burns
epidermis and dermis destroyed (necrosis of skin), and subcutaneous layer is damaged, leaving charred, white tissue
cellulitis
diffuse, acute infection of the skin marked by local heat, redness, pain, and swelling
eczema
inflammatory skin disease with erythematous, papulovesicular lesions
chronic or acute atopic dermmtitis (rash, on face, neck, elbows, and knees) accompanied by pruritis and tends to occur with a family history of allergic conditions
eczema
exanthematous viral dieases
rash (exanthema) of the skin due to viral infection; rubella, rubeola, and varicella
gangrene
death of tissue associated woth loss of blood supply
impetigo
bacterial inflammatory skin disease characterized by vesicles, pustules, and crusted-over lesions, contagious pyoderma (py/o means pus)
contaggious pyoderma
caused by staphylococci, or streptococcci
psoriasis
chronic, recurrent dermatosis marked by itchy, scaly, red plaques covered by silvery gray scales
scabies
a contagious, parasitic infection of the skin with intense pruritis
scleroderma
a chronic progressive disease of the skin with hardening and shrinking of connective tissue
SLE should be differentiated from DLE (discoid lupus erythematosus)
a chronic, milder, scaling, plaque-like, superficial eruption of the skin confined to the face, scalp, ears, chest, arms, and back. the reddish patches leave scars
tinea
infection of the skin caused by fungus
tinea corporis
or ringworm, is a highly contagious and causes severe pruritis
vitiligo
loss of pigmentation in areas of the skin (milk-white patches)
callus (benign neoplasm)
increased growth of cells in keratin layer of the epidermis caused by pressure or friction
keloid (benign neoplasm)
hypertrophied, thickened scar that occurs after trauma or surgical incision
keratosis (benign neoplasm)
thickened and reddened area of epidermis, usually associated with aging or skin damage
leukoplakia (benign neoplasm)
white, thickened patches on mucus membrane tissue of the tongue or cheek
this precancerous lesion is common in smokers and may be cause by chronic inflammation
leukoplakia (benign neoplasm)
nevus (plural: nevi) (benign neoplasm)
pigmented lesion of the skin
moles that do not form properly may progress to malignant melanoma
dyspastic nevi
verruca (benign neoplasm)
epidural growth (wart) caused by a virus
basal cell carcinoma (cancerous lesion)
malignant tumor of the basal layer of epidermis
squamous cell carcinoma (cancerous lesion)
malignant tumor of the suamous cells of the epidermis
keratoses
are premalignant lesions in people with sun-damaged skin
malignant melanoma (cancerous lesion)
cancerous growth composed of melanocytes
Kaposi sarcoma (cancerous lesion)
malignant, vascular, neoplastic growth characterized by cutaneous nodules, usually in lower extremities, pink to dark blue and purple
bacterial analysis
sample of skin are sent to a lab to detect presence of microorganisms
fungal test
scraping from skin lesions, hair specimens, or nail clippings are sent to a lab for culture and microscopic examination
cryosurgery
use of subfreezing temperature via lig N2 application to destroy tissue
curettage
shaped like a spoon or scoop used to scrape away skin lesions
electrodesiccation
tissue is destroyed by burning with an electric spark
Mohs surgery
thin layers of malignant growth are removed, and each is examined under a microscope
skin biopsy
suspected skin lesions are removed and sent to the path lab for microscopic examination
punch biopsy
surgical instrument removes a core of tissue by rotation of its sharp, circular edge
shave biopsy
tissue is excised using a cut parallel to the surface of the surrounding skin
skin test
reaction of the body to a substance by observing the results of injecting the substance intradermally or applying it topically to the skin
scratch test
several scratches are made in the skin, and a very minute amt inserted in skin, (diphtheria and PPD [TB] tests)
ABCD
asymmetry (of shape), border (irregularity), color (variation with on lesion), diameter (greater than 6mm)--characteristics associated with skin cancer
bx
biopsy
Derm.
dermatology
DLE
discoid lupus erythematosus
PPD
purified protein derivitive--skin test for TB
PVUA
psoralen--ultraviolet. A light therapy; treatment for psoriasis and other skin conditions
SC
subcutaneous
aqueous humor
fluid produced by ciliary body and found in the anterior chamber
biconvex
having 2 sides that ae rounded, elevated, and curved evenly, like part of a sphere
ciliary body
structure on each side of the lens that connects the choroid and iris, contains ciliary muscles, which control shape of lens, secretes aqueous humor
cone
photorecepter cell in the retina that transforms light enery into a nerve impulse.
responsible for color and central vision
cones
conjunctiva
delicate membrane lining the retina that transforms light energy into nerve impulse
cornea
fibrous transparent layer of clear tissue that extends over the anterior portion of the eyeball
fovea centralis
tiny pit or depression in the retina that is the region of clearest vision
fundus of eye
posterior, inner part of eye
iris
colored pigmented membrane surrounding pupil of the eye
lens
transparent, biconvex body behind the pupil of the eye. It bends (refracts) light rays to bring theom into focus on the retina
macula
yellowish region on the retina lateral to and slightly below the optic disc; contains the fovea centralis, which is the area of clearest vision
optic chiasm
point at which optic nerve fibers cross in the brain (chiasm means crossing)
optic disc
region at the back of the eye where the optic nerve meets the retina. it is the blind spot of the eye because it contains only nerve fibers, no rods or cones, and is thus insensitive to light
optic nerve
cranial nerve carrying impulses from retina to the brain (cerebral cortex)
pupil
dark opening of the eye, surrounded by the iris, through which light rays pass
refraction
bending of light rays by the cornea, lens and fluids of the eye to bring the rays into focus on the retina
retina
light-sensitive nerve cell layer of the eye containing photoreceptor cells (rods & cones)
rod
photoreceptor cell of the retina essential for vision in dim light and fpr peripheral vision
sclera
tough, white outer coat of the eyeball
thalamus
relay center of the brain. Optic nerve fibers pass through the thalamus on their way to cerebral cortex
vitreous humor
soft, jelly-like material behind the lens in the vitreous chamber; helps maintain the shape of the eyeball
astigmatism
defective curvature of the cornea or lens of the eye
hyperopia (hypermetropia)
farsightedness
myopia
nearsightedness
presbyopia
impairment of vision as a result of old age
cataract
clouding of the lens, causing decreased vision
chalazion
small, hard, cystic mass (granuloma) on the eyelid; formed as a result of chronic inflammation of a sebaceous gland (meibomian gland) along the margin of the eyelid
diabetic retinopathy
retinal effects of diabetes mellitus including microaneurysms, hemorrhages, dilation of retinal veins, and neovascularization (new blood vessels form in the retina)
glaucoma
increased intraoccular pressure results in damage to the retina and optic nerve with loss of vision
diagnosed by means of tonometry
glaucoma
hordeolum (stye or sty)
localized, purulent, inflmmatory staphylococcal infection of a sabaceous gland in the eyelid
blepharitis
inflammation of eyelid, causing redness, crusting, and swelling along lid margins
dacryocystitis
blockage, inflammation, and infection of a nasolacrimal duct and lacrimal sa, causing redness and swelling of lower lid
ectropion
outward sagging and eversion of the eyelid, leading to improper lacrimation and corneal drying and ulceration
entropion
inversion of the eyelid, causing the lashes to rub against the eye; corneal abrasion may result
ptosis
drooping of upper lid margin as a result of a neuromuscular problems
xanthelasma
raised yellowish plaque on the eyelid caused by lipid disorder
macular degeneration
progressive damage to the macula of the retina
nystagmus
repetitive rhythmic movements of one or both eyes
retinal detachment
two layers of the retina separate from each other
seceral buckle
for larger retinal detachment
pneumatic retinoplexy
in selected retinal detachments is performed. A gas bubble is injected into vitreous cavity to put pressure on the area of retinal tear until retina reattach
strabismus
abnormal deviation of the eye, leads to lazy eye in children
fluorescein angiography
intravenous injection of fluorecein (a dye) followed by serial photographs of the retina through dilated pupils
ophthalmoscopy
visual examination of the interior of the eye
slit lamp microscopy
examination of the anterior ocular structures under microscopic magnification
visual acuity test
clarity of vision is assessed with a Snellen chart at 20 feet
visual field test
measures the area within which objects are seen when the eyes are fixed, looking straight ahead without movement of the head
enucleation
removal of entire eyeball
keratoplasty
surgical repair of the cornea
laser photocoagulation
intense, precisely focused light beam (argon laser) creates an inflammatory reaction that seals the retinal tears and leaky retinal blood vessels
lasik
use of an excimer laser to correct errors of refraction (myopia, hyperopia, and astigmatism)
phacoemulsification
ultrasonic vibrations breakup the lens, which then is aspirated through the ultrasonic probe
scleral buckle
suture of a silicone band ot the sclera over a detached portion of the retina
vitrectomy
removal of vitreous humor
AMD
age-related macular degeneration
HEENT
head, eyes, ears, nose, and throat
IOL
intraocular lens
IOP
intraocular pressure
LASIK
laser in situ keratomileusis
OD
right eye
OS
left eye
OU
both eyes
PERRLA
pupils equal, round, reactive to light and accomodation
POAG
primary open-angle glaucoma
PRK
photorefractive keratectomy--a laser beam flattens the cornea to correct myopia
VA
visual acuity
VF
visual field
auditory canal
channel that leads from pinna to the eardrum
auditort meatus
auditory canal
auditory nerve
carry impulses from the inner ear to the brain (cerebral cotex). Thease fibers compose the vestibulocochlear nerve (cranial nerve VIII)
auditory tube
channel between the middle ear and the nasopharynx; eustachian tube
auricle
flap of the ear; the protruding part of the external ear or pinna
cerumen
waxy substance secreted by the external ear; also called ear wax
cochlea
snail-shaped, spirally wound tube in the inner ear; contains hearing-sensitive receptor cells
endolymph
fluid within the labyrinth of the inner ear
eustachian tube
auditory tube
incus
second ossicle (bone) of the middle ear; incus means anvil
labyrinth
maze-like series of canals of the inner ear. the includes the cochlea, vestibule, and semicircular canals.
malleus
first ossicle of the middle ear; malleus means hammer
organ of Corti
sensitive auditory receptor area found in the cochlea of the inner ear
ossicle
small bone of the ear; includes the malleus, incus, and stapes
oval window
membrane between the middle ear and the inner ear
perilymph
fluid containe in the labyrinth of the inner ear
pinna
auricle; flap of the ear
semicircular canals
passages in the inner ear associated with maintaining equilibrium
stapes
third ossicle of the middle ear. stapes means stirrup
tympanic membrane
membrane between the outer ear and the middle ear; also called the eardrum
vestibule
central cavity of the labyrinth, connecting the semicircular canals and the cochlea. The vestibule contains two structures, the saccule and the utricle, that help to maintain equilibrium
acoustic neuroma
benign tumor arsing from the acoustic vestibulocochlea nerve (eight cranial nerve) in the brain
cholesteatoma
collection of skin cells and cholesterol in a sac within the middle ear
deafness
loss of ability to hear
sensorineural hearing loss
nerve deafness, results from impairment of the cochlea or auditory (acoustic) nerve
conductive deafness
results from impairment of the middle ear ossicles and membranes transmitting sound waves into the cochlea
Meniere disease
disorder of the labyrinth of the inner ear; elevated endolymph pressure within the cochlea (cochlear hydrops) and semicircular canals (vestibular hydrops)
otitis media
inflammation of the middle ear
heightening sensitivity to loud sounds, progressive hearing loss, headache, nausea, and vertigo.
Meniere disease, attacks last minutes or continue for hours
suppurative otitis media
as bacteria invade middle ear, pus formation occurs
serous otitis media
is a noninfectious inflammation with accumulation of serous fluid; results from a dysfunctional or obstructive auditory tube
otosclerosis
hardening of the bony tissue of the middle ear
tinnitus
sensation of noises (ringing, buzzing, whistling, booming) in the ears
vertigo
sensation of irregular or whirling motion either of oneself or of external objects
audiometry
testinng the sense of hearing
cochlear implants
surgicallt implanted device allowing sensorineural hearing-impaired persons to understand speech
ear thermometry
measurement of the temperature of the tympanic membrane by detection of infrared radiation from the eardrum
otoscopy
visual examination of the ear with an otoscope
tunning fork test
test of ear conduction using vibration source (tunning fork)
AD
right ear
AOM
acute otitis media
AS
left ear
EENT
eyes, ears, nose, and throat
ENG
electronnystagmography--a test of the balance mechanism of the inner ear by assessing eye movement s (nystagmus is rapidly twitching eye movement)
ENT
ears, nose, and throat
HEENT
head, eyes, ears, nose, and throat
PE tube
pressure-equalizing tube---a polyethylene ventilating tube placed in the eardrum
SOM
serous otits media