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59 terms

Case 6

STUDY
PLAY
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