Medical Transcription Ch6 Dalton
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59 terms
Terms | Definitions |
|---|---|
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 and 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 |
diskectoniy | 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 or 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 on 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 refers 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 |
Ll-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 3rd and 4th lumbar vertebrae |
L4-5 | lumbar spine; 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 canal; narrowing of the lateral recess causes compression of the nerve roots, which causes pain in 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 canal |
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 in the normally straight vertical line of the spine (S-shaped spine) |
SICU | abbreviation for surgical intensive care umit (sometimes dictated "sic-u") |
spurring | small projecting outgrowths from any structure; most often pertaining to bony outgrowths |
straight-leg raising or 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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