Case 6

Created by kriedel5 

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aggregating:

crowding or clustering together

ambulating:

walking

blunted:

less sharp; dull

cesarean section:

delivery of a fetus by making an incision in the abdominal wall and uterus

chiropractor:

a practitioner of chiropractic, a conservative science of applied neurophysiology; chiropractic theory is that irritation of the nervous system is the cause of disease

Cloward saddle:

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

contrast medium:

any substance administered internally that has a different opacity from soft tissue, allowing visualization of structures on radiography or CT

contused:

bruised

convex:

having a surface that is rounded an somewhat elevated

curette or curet:

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

Darvocet:

trade name for drug used to treat mild to moderate pain

denies x3:

used in the Social History to refer to the fact the patient denies the use of alcohol, tobacco, or illicit drugs

discrete:

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

diskectomy:

removal of an intervertebral disk

epinephrine:

drug used as a vasoconstrictor, cardiac stimulant, and bronchodilator; generic name

exacerbate:

to worsen or make more severe

facet arthropathy:

disease of abnormality of the joints (facet joints) of the vertebrae

Flexeril:

trade name for drug used to treat muscle spasm

focal degeneration:

main area or center of deterioration

formalin:

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

Gelfoam sponge:

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

gutter:

low area, trough, or groove (posterior gutter: area deep and low in the chest where fluid accumulates when in the erect position)

herniated disk:

rupture of the intervertebral disk cartilage, allowing contents to protrude through it, putting pressure of the spinal nerve roots; can cause pain

ICD Code 540.9:

the diagnosis code for necrotizing acute appendicitis

i.e.:

abbreviation for id est (that is)

intermittent:

periodically stopping and starting again at separated intervals

intervertebral:

located between two adjoining vertebrae

Kantrex:

trade name for an antibiotic

2+ knee and ankle jerks:

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

L1-2:

lumbar spine; denotes disk space between the 1st and 2nd lumbar vertebrae

L2-3:

lumbar spine; denotes disk space between the 2nd and 3rd lumbar vertebrae

L3-4:

lumbar spine; denotes disk space between the 3d and 4th lumbar vertebrae

L4-5:

lumbar spinel denotes disk space between the 4th and 5th lumbar vertebrae

L5-S1:

lumbar spine and sacral spine; denotes space between 5th lumbar vertebrae and 1st sacral vertebra

lamina:

part of the back of the bony arch of each vertebra

laminectomy:

removal of a lamina

lateral recess syndrome:

in spinal anatomy, the lateral recess is within the spinal cord; narrowing of the lateral recess causes compression of the nerve roots, which causes pain the back and legs and difficulty walking

ligamentum flavum:

band of yellow elastic tissue that assists in maintaining or regaining the erect position between 2 adjoining vertebrae (sometimes called yellow ligament)

light touch:

when an examiner 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

lumbosacral:

pertaining to the lumbar region of the spine and the sacrum; low back and pelvis

myelogram:

the record produced by an x-ray of the spinal cord obtained after injection of dye into the spinal cord

nipple retraction:

the inward displacement of the nipple below the level of the surrounding breast tissue

Norflex:

trade name for a drug used to treat muscle spasms

Pap smear:

a smear of cells taken from the vagina or cervix to be studied for evidence of cancer; named for Dr. George N. Papanicolaou, 1883 to 1962

pinprick:

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

pleura:

a serous membrane lining the thoracic or pleural cavity

prone:

lying face downward

radicular pain:

pain along an area of distribution of a specific nerve or nerves caused by pressure on the nerve root; pain may be felt in the low back or legs or, in cervical radicular pain, in one or both arms

rongeur:

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

S1 root:

nerve root exiting from the spinal cord and passing through the vertebra of the sacral spine, 1st vertebra

sacroiliac:

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

scaphoid:

in physical examination of the abdomen, the abdominal wall has a concave, or sunken, contour

scoliosis:

a sideways deviation of the normally straight vertical line of the spine (S-shaped spine)

SICU:

abbreviation for surgical intensive care unit (sometimes dictated sic-u)

spurring:

small projecting outgrowths from any structure; most often pertaining to bony outgrowths

straight-leg raising:

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

subarachnoid space:

space between the arachnoid membrane and the pia mater, 2 of the layers of membranes that cover the brain and spinal cord

Tylenol with codeine:

brand name anti-inflammatory pain reliever with narcotic taken for relief of moderate to severe pain

Vi-Drape:

brand name antibiotic-impregnated transparent plastic sheet used in surgery to cover area surrounding the surgical field

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