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169 Cards in this Set
- Front
- Back
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CC
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Chief complaint
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OH
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Occupational History
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PR
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Per rectum (through the rectum)
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BRP
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Bathroom Privileges
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PACU
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PostAnesthetic Care Room
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PH
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Past History also Past Medical History
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D/C
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Discontinue OR Discharge
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Sig:
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Signa (instructions for patient)
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ER
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Emergency Room
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ICU
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Intensive Care Unit
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R/O
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Rule out (in differential diagnoses)
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NPO
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non per os (nothing by mouth)
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L&W
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Living and Well
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BP
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Blood Pressure
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AU
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aures unitas (both ears)
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Sx
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Symptom
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VS
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Vital Signs
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ROS
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Review of Systems
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pt
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Patient
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OD
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Oculus Dexter (right eye)
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Sub-Q
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Subcutaneous (using SC or SQ is discouraged)
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H&P
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History and Physical
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Tx
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Treatment or Traction
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Dx
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Diagnosis
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HPI
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History of Present Illness
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♀
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female
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↓
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decreased
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Febrile
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related to fever, temperature elevation
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Syndrome
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Set of symptoms characteristic of a particular disease or condition
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Chronic
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Developing slowly over time
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Remission
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Period in which symptoms stop
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Etiology
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Study of the cause of a disease
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Malignant
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Cancerous
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Prognosis
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Probable outcome of a disease
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Diagnosis
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Likely disease based on history, exam and testing
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Exacerbation
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Increase in severity with aggravation of symptoms
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Localized
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Limited to a definite area or part
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po
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Per os (by mouth); route of oral medication
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OR
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Operating room; place for surgery
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ad lib
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ad libitum (as desired)
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SOAP
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Parts of progress notes (subjective, objective, assessment, plan)
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Post-op
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Post operative (after surgery)
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#
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Pound if following; number if preceding (15# vs. #1)
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prn
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Pro re nata (as needed)
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parentaral
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By injection
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Pre-op
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Pre operative (before surgery)
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STAT
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Statim (immediately)
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♂
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Male
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s
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sine (without)
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ss
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semis (half)
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qd
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quaque die (once daily)
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d
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die (day
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q.i.d.
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quater in die (4 times daily)
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PR
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per rectum (through the rectum)
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a.m.
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ante meridiem (morning)
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h.s.
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hora somni (bedtime)
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h
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hora (hour)
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Laparotomy
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Incision in the abdomen
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Steat/o
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Fat
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Melan/o
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Black
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Myc/o
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Fungus
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Onych/o
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Nail
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Erythr/o
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Red
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Trich/o
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Hair
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Xer/o
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Dry
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Seb/o
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Oil
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Nevus
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Mole
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Ecchymosis
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Black and blue mark
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Comedo
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Open = blackhead; closed = whitehead
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Furuncle
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Boil
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Pediculosis Pubis
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Pubic lice, crabs
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Seborrheic dermatitis
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"Cradle cap" in infants -- typically around hair, nose
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Pediculosis Capitis
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Head lice
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Urticaria
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hives
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Cicatrix
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scar
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Verruca
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Wart, tumor caused by papilloma virus
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Vesicle
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Small blister
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Pustule
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Pus-filled sac
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Papule
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Solid mass on skin, less than .5cm diameter
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Bulla
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Large blister
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Nodule
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Solid mass greater than 1cm, extends into the skin
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Wheal
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Area of localized skin edema, hive/insect bite
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Macule
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Tiny, flat discolored spot on the skin, up to 1 cm diameter
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Tumor
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Solid mass larger than 1-2cm
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Patch
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Large flat discolored area on the skin, larger than 1 cm diameter
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Plaque
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Solid mass greater than 1cm, limited to skin's surface
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Scabies
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Mite
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Cryosurgery
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Freezing treatment
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Telangiectasia
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Spider angioma; tiny red blood vessels radiating from central arteriole
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Tinea
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Mycosis; fungal infection
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Heterograft
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Xenograft; cross species graft
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Actinic keratoses
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Solar keratoses; thickening in response to sun exposure
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Radiation therapy
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Cancer treatment (using ionizing radiation)
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Petechia
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Purpuric lesion
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Homograft
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Allograft; same species graft
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Laser
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Intense light
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Chemosurgery
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Chemical peel
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Electrosurgery
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Using electricity to destroy tissue (via heat, desiccation, etc)
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Dermatitis
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Eczema
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Urethral stenois
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A narrowed condition of the urethra
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ESWL extracorporeal shock wave lithotripsy
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Use ultrasound to penetrate the body from outside to disintegrate a stone
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Suprapubic catheder
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Indwelling catheter inserted in the bladder through abdominal incision above the pubic bone
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Resectoscope
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Specialized endoscope to remove lesions from the bladder, prostate, and urethra
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Kegel exercises
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Exercises that strengthen the muscles of the pelvic floor to maintain proper organ placement and retain urine
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Occult blood
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"Hidden blood"; indicates bleeding in the kidneys
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Cystometrogram
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A measure of uinary volume, bladder pressure, and capacity
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Peritoneal dialysis
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Method of replacing function fo the kidneys by using peritoneum to filter blood
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Scout film
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Plain x-ray taken to detect obvious pathology before further imaging
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Cystitis
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Inflammation of the bladder
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Incontinence
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Involuntary discharge of urine or feces
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Enuresis
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Involuntary discharge of urine
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Nocturnal euresis
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Bed wetting during sleep
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Hydronephrosis
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Dilation and pooling of urine in the kidney caused by obstruction of outflow of urine
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Adult polycystic kidney disease
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Inherited condition of multiple cysts in the kidney that form gradually in adults
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Nocturia
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Urinating at night
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Oliguria
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Scanty urination
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Dysuria
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Painful urination
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Ketonuria
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Presence of ketone bodies in the urine
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Hematuria
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Blood in the urine
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Pyuria
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Pus, white blood cells (infection) in the urine
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Glyco
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Sugar
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Proteinuria
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Albuminuria; albumin(protein) in the urine
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Uremia
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Azotemia; urea and other nitrogenous waste in the blood, due to kidney failure
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Ren/o
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Nephr/o; regarding the kidney
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Vesic/o
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Cyst/o; regarding the bladder
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Diuretic
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Drug that promotes urination
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Bx
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Biopsy
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Bacteriuria
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Bacteria, nitrite in the urine
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Foley Catheter
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Indwelling catheter inserted into the urethra into the bladder, can remain in place for an extended time
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Urinary diversion
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Divert urine flow, e.g. Neobladder
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Urobilinogen
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Bile pigment, presence in urine suggests gall bladder/liver disease
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Anorchism
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Absence of one or both testicle(s)
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Balanitis
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Inflammation of the glans penis
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Varicocele
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Enlarged, herniated veins near the testis
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TURP
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Transurethral resection of the prostate
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Benign prostatic hyperplasia/hypertrophy
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Enlargement of the prostate gland
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Vasectomy
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Removal of a portion of the vas deferens to produce male sterility
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Peyronie disease
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Buildup of hardened fibrous tissue in the corpus cavernosum causing pain and a defective curvature of the penis, esp during erection
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Vasovasostomy
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Restoration of the function of the vas deferens to regain fertility after a vasectomy
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Phimosis
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Narrowed condition of the prepuce (foreskin) resulting in its inability to be drawn over the glans; may be corrected through circumcision
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BPH
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Benign prostatic hyperplasia/hypertrophy (investigate via TURP)
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Cryptorchism
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Undescended testicle; often requires surgical repair, orchiopexy (crypt = to hide)
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Seminoma
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Testicular cancer
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Erectile Dysfunction
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Can be treated through penile self-injection
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Prostatectomy
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Removal of the prostate, necessary in prostate cancer
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Condyloma Acuminatum
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Genital warts, HPV; Viral STD
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condyloma acuminata
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STD
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removal of a uterine tube and an ovary
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salphingo- oophorectomy
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white vaginal discharge
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leukohhrea
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condition when the baby's head is too big for the birth canal
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CPD (cephalopelvic disproportion)
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presence of more than one nipple on a breast
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polythelia
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implantation of a fertilized egg outside the uterus
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ectopic pregnancy
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most common bacterial STD in North America
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chlamydia
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excisional biopsy
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LEEP (loop electrosurgical excision procedure) - treat precancerous lesions by simultaneous excisional biopsy and treatment of affected tissues
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painful intercourse
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dyspareunia
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surgical repair of a cystocele
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colporrhaphy
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inflammation of entire female pelvic cavity
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PID (pelvic inflammatory disease)
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retroflexion
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backward bend of uterus
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condylomata
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genital warts
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para 2
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woman who has given birth twice
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prolapse
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descent of the uterus from its normal position
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cystocele
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pouching of the bladder into the vagina
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gravida
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a pregnant woman
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rectocele
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protrusion of the rectum into the vagina
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eclampsia
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toxemia of pregnancy
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CIN 2
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cervical dysplasia (cervical intraepithelial neoplasia)
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Primipara
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first delivery
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anteflexion
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forward bend of uterus
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CIS
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cancer (carcinoma in situ)
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