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Medical Terminology (Chapter 2)

Terms

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A
assessment
A & W
alive and well
CC
chief complaint
c/o
complains of
Dx
diagnosis
FH
family history
HEENT
head, eyes, ears, nose, throat
L & W
living and well
NAD
no acute distress
NKA, NKDA
no known allergies, no known drug allergies
O
objective information
OH
occupational history
P
plan (recommendation, disposition)
PE, Px
physical examination
PERRLA
pupils equal, round, and reactive to light and accommodation
PH, PMH
past history, past medical history
ROS, SR
review of systems, systems review
R/O
rule out
S
subjective information
SH
social history
Sx
symptom
UCHD
unusual chilhood diseases
WNL
within normal limits
acute
sharp; having severe symptoms and a short course
chronic
a condition developing slowly and persisting over a period of time
benign
mild or noncancerous
malignant
harmful or cancerous
degeneration
gradual deterioration of normal cells and body functions
degenerative disease
any disease in which there is deterioration of structure or function of tissue
diagnosis
determination of the presence of a disease based on an evaluation of symptoms, signs, and test findings (results) (dia = through; gnosis = knowing)
etiology
study of the cause of a disease (etio = cause)
exacerbation
increase in severity of a disease with aggravation of symptoms (ex = out; acerbo = harsh)
remission
a period in which symptoms and signs stop or abate
febrile
relating to a fever (elevated temperature)
idiopathic
a condition occuring without a clearly identified cause (idio = one's own)
localized
limited to a definite area or part
systemic
relating to the whole body rather than only a part
malaise
a feeling of unwellness, often the first indication of illness
marked
significant
morbidity
sick; a diseased state
mortality
the state of being subject to death
prognosis
foreknowledge; prediction of the likely outcome of a disease based on the general health status of the patient along with knowledge of the usual course of teh disease - often noted in one word (e.g., Prognosis: good)
progressive
pertaining to the advance of a condition as signs and symptoms increase in severity
prophylaxis
a process or measure that prevents disease (pro = before; phylassein = guard)
recurrent
to occur again; describes a return of symptoms and signs after a period of quiescence (rest or inactivity)
sequela
a disorder or condition, usually resulting from a previous disease or injury
sign
a mark; objective evidence of disease that can be seen or verified by an examiner
syndrome
a running together; combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease (e.g., menopausal syndrome)
noncontributory
not involved in bringing on the condition or result
unremarkable
not significant or worthy of noting

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