| Term | Definition |
| afebrile | without fever, denoting apyrexia, having normal body temperature |
| 97-100.4 F (36-38C) (rectal) | afebrile temperature range |
| febrile | denoting or relating to fever |
| 100.4 F, 38C | febrile - temperatures greater than |
| normotensive | indicating normal arterial blood pressure |
| hypertensive | marked by an increased blood pressure. Denoting a person suffering from high blood pressure |
| hypotensive | characterized by low blood pressure or causing reduction in blood pressure |
| orthostatic hypotension | systolic bp decrease of at least 20mmHg or a diastolic bp decrease of at least 10mmHg with reflex increase in HR within three minutes of standing |
| pulse pressure | the variation in bp occuring in an artery during the cardiac cycle. difference between systolic and diastolic pressures |
| 30-50 | normal range for pulse pressure |
| 12-20 | normal range for respiratory rate |
| BP | s.a. -- blood pressure |
| RRR | s.a.--- regular rate and rhythm |
| macule | a flat, circumscribed area that is a change in the color of skin; less than 1 cm in diameter |
| papule | an elevtated, firm circumscribed area; less than 1 cm in diameter |
| patch | a flat, nonpalpable, irregular shaped macule greater than 1 cm in diameter |
| plaque | elevated, firm and rough lesion with flat top surface area greater than 1 cm in diameter |
| wheal | elevated, irregular-shaped area of cutaneous edema; solid, transient, variable diameter |
| nodule | elevated, firm, circumscribed lesion; deeper in dermis than a papule; 1-2 cm in diameter |
| tumor | elevated and solid lesion; may or may not be clearly demarcated; deeper in dermis; greater than 2 cm in diameter |
| vesicle | elevated, circumscribed, superficial, not into dermis; filled with serous fluid; less than 1 cm in diameter |
| bulla | vesicle greater than 1 cm in diameter |
| pustule | elevated, superficial lesion; similar to a vesicle but filled with purulent fluid |
| cyst | elevated, circumscribed, encapsulated lesion; in dermis or subcutaneous layer; filled with liquid of semi-solid material |
| telangiectasia | fine, irregular, red lines produced by capillary dilation |
| scale | heaped=up, keratinized cells; flaky skin; irregular; thick or thin; dry or oily, variation in size |
| lichenification | rough, thickened epidermis secondary to persistent rubbing, itching, or skin irritation; often involves flexor surface of extremity |
| keloid | irregular-shaped, elevated, progressively enlarging scar; grows beyond the boundaries of the wound; caused by excessive collagen formation during healing |
| scar | thin to thick fibrous tissue that replaces normal skin following injury or laceration to the dermis |
| excoriation | loss of the epidermis; linear hollowed-out crusted area |
| fissure | linnear crack or break from the epidermis to the dermis; may be moist or dry |
| erosion | loss of part of the epidermis; depressed, moist, glisteninng; follows rupture of a vesicle or bulla |
| ulcer | loss of epidermis and dermis; concave, varies in size |
| crust | dried serum, blood or purulent exudates; slightly elevated; size varies; brown, red, black, tan, or straw-colored |
| atrophy | thinning of skin surface and loss of skin markings; skin translucent and paper=like |
| SCM | s.a.--sternocleidomastoid |
| TMJ | s.a.---temporomandibular joint |
| AT/NC | s.a.--- atraumatic and normocephalic |
| angular cheilosis | reddish inflammation of the lip or lips and production of fissure that radiate from the angles of the mouth |
| anosmia | loss of the sense of smell. it may be due to lesion of the olfactory nerve, obstruction of the nasal fossae, or functional, without any apparent causative |
| caries | microbial destruction or necrosis of teeth |
| cerumen | the soft, brownish yellow, waxy secretion (a modified sebum) of the ceruminous glands of the external auditory meatus |
| cheilitis | inflammation of the lips or of a lip |
| cholesteatoma | a mass of keratinizing squamous epithelium and cholesterol in the middle ear, usually caused by chronic otitis media, with squamous metaplasia or extension of squamous epithelium inward to line an expanding cystic cavity that may involve the mastoid and erode the surrrounding bone |
| epistaxis | bleeding from the nose |
| epstein pearls | multiple small, white, epithelial inclusion cysts found on the midline of the palate in newborn infants |
| fordyce spots | a condition marked by the presence of numerous small, yellowish-white bodies or granules on the inner surface and vermilion border of the lips; histologically the lesions are ectopic sebaceous glands |
| gingivitis | inflammation of the gingiva |
| koplik's spots | small red spots on the buccal mucous membrane, in the center of each of which may be seen, in a strong light, a minute bluish white speck; they occur early in measles, before the skin eruption, and are regarded as a pathognomonic sign of the disease |
| leukoplakia | white patch of oral mucous membrane that cannot be wiped off and cannot be diagnosed clinically; the spots are smooth, irregular in size and shape, hard, and occasionally fissured. often associated with pip smokin. biopsy may show malignant or premalignant changes |
| otitis externa | inflammation of teh external auditory canal, usually due to bacterial or fungal infection; swimming, cermumen accumulation, foreign body, and trauma may all be predisposing factors |
| otitis media | inflammation/infection of the middle ear, or tympanum |
| pharyngitis | inflammation/infection of the mucous membrane and underlying parts of the pharynx |
| presbycusis | progressive loss of hearing due to aging |
| rhinitis | inflammation of the nasal mucous membrane |
| rhinorrhea | a discharge from the nasal mucous membrane |
| tinnitus | a sensation of noises (ringing, whistling, booming) in the ears |
| tophi | deposits of crystallized monosodium urate in persons with gout |
| torus mandibularis | a bony protuberance on the lingual aspect of the lower jaw in the canine premolar region |
| torus palatinus | a bony protuberance in the midline of the hard palate |
| tympanosclerosis | the formation of dense connective tissue in the middle ear, often resulting in hearing loss when the ossicles are involved |
| SOM | s.a.----serous otitis media |
| T&A | s.a.--tonsillectomy and adenoidectomy |
| TM | s.a.---tympanic membrane |
| ENT | s.a.---ears, nose, throat |
| OM | s.a.----otitis media |
| accommodation | the act or state of adjustment or adaptation; especially change in the shape of the ocular lens for various focal distance |
| anisocoria | condition in which the two pupils are not of equal size |
| aphakia | absence of the lens of the eye |
| aqueous humor | the watery fluid that fills the anterior and posterior chambers of the eye |
| arcus senilis (corneal arcus) | a peripheral corneal opacity associated with deposition of phospholipid and cholesterol granules in older individuals |
| astigmatism | a condition of unequal curvatures along the different meridians in one or more of the refractive surfaces (cornea, anterior or posterior surface of the lens) of the eye, in consequence of which the rays from a luminous point are not focused at a single point on the retina |
| chalazion | chronic inflammatory granuloma of meibomian gland; sometimes related to blockage |
| choroid | the middle vascular tunic of the eye lying between the retina and the sclera |
| ciliar body | a thickened portion of the vascular tunic of the eye between the choroid and the iris; it consists of three parts or zones: orbiculus ciliaris, corona ciliaris, and ciliary muscle |
| cones | phtosensitive, outward-directed, conical processes of a cone cell essential for sharp vision and color vision; the only photoreceptor in the fovea centralis |
| connjunctiva | the mucous membrane investing the anterior surface of the eyeball and posterior surface of the lids |
| conjunctivitis | inflammation of the conjunctiva, commonly called pinkeye |
| cornea | transparent tissue constituting the anterior/outer wall of the eye. the chief refractory structure of the eye |
| depth perception | the visual ability to judge depth or distance |
| diopter | the unit of refracting power of lenses, denoting the reciprocal of the focal length expressed in meters |
| diplopia | condition in which a single object is perceived as two objects |
| drusen | small, bright structures seen in the retina and in hte optic disc |
| ectropion | rolling outward of the marging of an eyelid |
| entropion | infolding of the margin of an eyelid |
| exophthalmos | protrusion of onoe or obth eyeballs; can be congenital and familial, or due to pathology, such as a retroorbital tumor, or thyroid disease |
| farsightedness | an ocular condition in which only convergent rays can be brought to focus on the retina |
| glaucoma | a disease of the eye associated with increased intraocular pressure and excavation and atrophy of the optic nerve; produces defects in the visual field and may result in blindness |
| hemianopia | loss of vision for one half of the visual field of one or both eyes |
| hordeolum(sty) | a suppurative inflammation of a gland or hair follicle of the eyelid |
| hyperopia | farsightedness |
| hyphema | blood in the anterior chamber of the eye |
| iris | the anterior division of the vascular tunic of the eye, a diaphragm, perforated in the center |
| iritis | inflammation of the iris |
| legal blindness | generally, visual acuity of less than 20/200 (6/60) using Snellen test types, or visual field restriction to 20 degrees or less in the better eye --criteria varies |
| myopia | near sightedness |
| night blindness | decreased ability to see in reduced illumination. seen in pts with impaired rod function; often associated with a deficiency of vitamin A |
| nystagmus | oscillation of the eyeballs, either pendular or jerky |
| papilledema | edema of hte optic disc, often due to increased intracranial pressure |
| peripheral vision | vision resulting from retinal stimulation beyond the macula |
| pinguecula | a yellowish accumulation of protein on the conjunctiva |
| presbyopia | the physiologic loss of accommodation in the eyes in advancing age |
| pterygium | triangular patch of hypertrophied bulbar subconjunctival tissue, extending from the medial canthus to the border of the cornea or beyond, with its apex pointing toward the pupil |
| ptosis | drooping of one or both eyelids |
| punctum | the opening in the lacrimal drainage system in the upper and lower eyelids |
| refraction | the act of determinging the nature and degree of the refractive errors in the eye and correction of them by lenses |
| retina | the light sensitive membrane forming the inner most layer of the eyeball |
| retinoblastoma | malignant ocular neoplasm of childhood, usually occuring before the third year of life |
| rods | photosensitive, outward-directed process of a rhodopsin containing rod cell in the external granular layer of the retina; |
| sclera | portion of the fibrous tunic forming the outer enveloped of the eye, except for its anteior one sixth, which is the cornea |
| scleritis | inflammation of the sclera |
| strabismus | a manifest lackc of parallelism of the visual axes of the eyes |
| uveitis | inflammation of the uveal traact: iris, ciliary body, and choroid |
| vitreous body | a transparent jellylike substance filling hte interior of the eye ball behind the lens; it is composed of a delicate network (vitreous stroma) enclosing in it meshes a water fluid |
| EOM | s.a.-- extra-ocular muscles |
| EOMFI | s.a.--- extraocular muscle function intact |
| PERRLA | s.a.-- pupils equally round, reactive to light and accomodation |
| PFFTC | s.a.-- peripheral fields full to confrontation |