Case 6

Front 1

aggregating

Back 1

crowding or clustering together.

Front 2

ambulating

Back 2

walking

Front 3

arthropathy

Back 3

any joint disease

Front 4

blunted

Back 4

to make less sharp

Front 5

cesarean

Back 5

referring to cesarean section, an incision through the abdominal and uterine walls for delivery of a fetus.

Front 6

chiropractor

Back 6

a practitioner of chiropractic, a conservative science of applied neurophysiology

Front 7

Cloward saddle

Back 7

surgical equipment in which a patient is placed for back fusion, trade name.

Front 8

contrast medium

Back 8

a substance that is introduced into or around a structure and, because of the difference in absorptioon of x-rays by both the dcontrast medium and the surrounding tissues, allows radiographic visualization of the structure.

Front 9

contused

Back 9

bruised

Front 10

convex

Back 10

having a surface that is rounded and somewhat elevated.

Front 11

curette

Back 11

spoon-shaped surgical instrument for removing tissue from a cavity wall or other bodily surface.

Front 12

Darvocet

Back 12

trade name for drug used to treat mild to moderate pain

Front 13

denies x3

Back 13

this phrase, as used in the Social History, refers to the fact that the patient denies alcohol, tobacco, and ilicit drug use.

Front 14

discrete

Back 14

made up of separate and distinct parts or defined by lesions that do not become unified.

Front 15

diskectomy

Back 15

excision of an intervertebral disk

Front 16

discrete

Back 16

made up of separate and dintinct parts or defined by lesions that do not become unified

Front 17

diskectomy

Back 17

excision of an intervertebral disk

Front 18

epinephrine

Back 18

generic drug used as a vasoconstrictor, cardiac stimulant, and bronchodilator; also called adrenaline

Front 19

exacerbate

Back 19

to increase in severity

Front 20

facet

Back 20

a small smooth surface on a bone or other hard anatomic body

Front 21

Flexeril

Back 21

trade name for drug used to treat muscle spasm

Front 22

focal degeneration

Back 22

main area or center of deterioration

Front 23

formalin

Back 23

a powerful disinfectant gas, used in water as a fluid to preserve tissue removed at surgery for pathologic evaluation; same as formaldehyde.

Front 24

Gelfoam sponge

Back 24

trade name for absorbable gelatin sponge; sterile, they are used in surgery to stop the flow of blood.

Front 25

gutter

Back 25

low area, trough, or groove

Front 26

herniated

Back 26

protruding like a hernia; enclosed in a hernia

Front 27

i.e.

Back 27

id es (that is)

Front 28

intermittent

Back 28

periodically stopping and starting again at separated intervals

Front 29

intervertebral

Back 29

located between two adjoining vertebrae

Front 30

Kantrex

Back 30

trade name for antibiotic

Front 31

2+ knee and ankle jerks

Back 31

this phrase refers to the sudden reflex or involuntary movements made when the doctor used a rubber hammer to tap the nees and ankles, part of the neurologic exam; in this case they are graded as 2+, which means average or normal

Front 32

lamina

Back 32

a thin, flate plate or supportive layer part of the structure of a vertebra

Front 33

laminectomy

Back 33

excision of the posterior arch of a vertebra

Front 34

lateral recess syndrome

Back 34

a small hollow or indentation on the side of the fourth ventricle; by way of this recess, part of the fourth ventricle protrudes into the subarachnoid space.

Front 35

ligamentum flavum

Back 35

band of yellow elastic tissue that assists in maintaining or regaining the erect position between two adjoining vertebrae

Front 36

light touch

Back 36

when the doctor lightly strokes a part of the body, such as the extremities, to determine the patient's ability to feel; used in evaluation of the central nervous system

Front 37

lumbosacral

Back 37

pertaining ot the lumbar region of the spine and the sacrum

Front 38

Marcaine

Back 38

Trade name for the local, injectable anesthetic agent bupivacaine

Front 39

myelogram

Back 39

an xray of the spinal cord obtained after injection of dye into the spinal canal

Front 40

Norflex

Back 40

trade name for a drug used to treat muscle spasms

Front 41

PAR

Back 41

abbreviation for postanesthesia recovery, where patients are sent immediately after surgery

Front 42

pinprick

Back 42

when the doctor actually pricks a patient's skin with a sharp point to determine the level of feeling; part of the evaluation of the central nervous system

Front 43

pleura

Back 43

a serous membrane lining the thoracic 9or pleural cavity

Front 44

prone

Back 44

lying face downward

Front 45

radicular

Back 45

of or pertaining to a radical, which would be the cause or root of a morbid process, such as radical surgery

Front 46

retraction

Back 46

to draw back; the condition of being drawn back, such as tissue during a surgical procedure

Front 47

rongeur

Back 47

a surgical instrument used for cutting tough tissue, such as bone.

Front 48

S1 root

Back 48

sacral spine, first vertebra, at the lowest part

Front 49

sacroiliac

Back 49

the sacral and iliac spines-- where they join and the associated ligaments

Front 50

scaphoid

Back 50

literally shaped like a boat, a scaphoid bone

Front 51

scoliosis

Back 51

a sideways deviation in the normally straight vertical line of the spine

Front 52

straight-leg raising

Back 52

the doctor observes the patient's ability to raise the legs; part of the evaluation of the central nervous system

Front 53

subarachnoid space

Back 53

space under the arachnoid membrane, between it and the pia mater