Brainywizard

Abrasion - Scrape of the skin due to something abrasive Acute - New, usually of rapid onset and of concern (opposite of chronic) Ambulate - To walk from place to place Anterior - Located towards the front of the body Artery - Blood vessel carrying blood away from the heart Ausculate - Listening with a stethoscope Benign - Normal, of no danger to healthy Bony Tenderness - Pain elicited by pressing on a bone, rather than soft tissue Bradycardia - ...

Strengths - Fast learner, Attentive, Organized, Able to work at a fast pace and well under pressure Weaknesses - Sometimes I forget to ask for help - But I realize it is OK to defer to team members when it is necessary. Why Medicine - I want to be able to help people while practicing and studying medicine. I believe health is one of the most important aspects of a persons life. If you are healthy you will be able to live an enjoyable life. Why a scribe - Working in the Eme...

AAA - Abdominal Aortic Aneurysm A Fib - Atrial Fibrillation Abd - Abdomen, Abdominal Abx - Antibiotics AMA - Against Medical Advice AMS - Altered Mental Status ASA - Acetylsalicylic Acid (Aspirin) BID - Twice Daily Bilat LE - Bilateral Lower Extremities BM - Bowel Movement BP - Blood Pressure CA - Cancer, Carcinoma CABG - Coronary Artery Bypass Graft, "open heart surgery" CAD - Coronary Artery Disease, "heart d...

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the...

High blood pressure layman's - Hypertension Hypertension (abbv) - HTN High cholesterol layman's - Hyperlipidemia Hyperlipidemia (abbv) - HLD Diabetes layman's - Diabetes mellitus Diabetes mellitus (abbv) - DM "I only take pills for my diabetes" - NIDDM (Type 2) "I take insulin for my diabetes" - IDDM (Type 1) Heart disease layman's - Usually coronary artery disease Coronary artery disease (abbv) - CAD Heart failure layman's -...

What are the 3 types of dispositions? - Discharge, Admit, Transfer What does HPI stand for? - history of present illness What does ROS stand for? - review of systems The HPI and ROS are considered what type of information? - subjective The physical exam is what type of information? - objective If a physician told you a patient's abdomen was non tender, where would you document this? - PE What section focuses directly on the chief complaint? - HPI If som...

* What medical term describes the surgical removal of the gallbladder? - cholecystectomy What does "PHI" stand for? Expand the abbreviation. - Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. - False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you record into the chart? - craniotomy A patient's PCP is on v...

Which of the following would belong in a psychiatric exam? - Affect Certain words or phrases act as "red flags" to grab your provider's attention to let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered "red flags"? - nocturia in a 65 year old male What does LBBB stand for? - Left Bundle Branch Block What does URI stand for? - Upper Respiratory Infection What does IDDM stand for? -...

y/o - Year(s) Old WNL - Within Normal Limits UTI - Urinary Tract Infection UTD - Up to Date US - Ultrasound URI - Upper Respiratory Infection UA - Urinalysis T-Spine - Thoracic spine Tx - Treatment TM - Tympanic Membrane TID - Three Times a Day TIA - Transient Ischemic Attack T&A - Tonsillectomy & Adenoidectomy STEMI - S/T Elevation Myocardial Infection Sx - Symptoms s/p - status post (after) SOAP - ...

What are the 5 vital signs? - Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation The HPI and ROS are what type of information? - subjective The Physical Exam is what type of information? - objective What is the difference between the HPI and ROS? - HPI focuses on details related to the pt's chief complaint. ROS is a head-to-toe checklist of symptoms, including the chief complaint, associated sx, and all other complaints from the pt What does di...