Medical Terminology for Emergency Medicine By Atom Larsen and Jennifer Bowman This list is designed as a reference source during your training to become an Emergency Department Scribe. For your training you will not have to memorize every term from this list. However during your subsequent shifts in the ED these terms will come up repeatedly, so the more familiar you are with them, the better. The bolded terms are particularly important and should be committed to memory; physicians across the nation use these terms for both their charting and communication. General Adenopathy Afebrile Ambulatory Arthralgias Auscultation Baseline Body habitus Constitutional Differential Diagnosis Febrile Fundus Hemorrhage Hyperglycemia Hyperkalemia Hypernatremia Hypertension Hypoglycemia Hypokalemia Hyponatermia Hypotension Hypothyroid Infarct Ischemia Malodorous Myalgias Os Swelling of a lymph-node, usually indicative of an infection distally Without fever Able to move about, not confined to a bed Joint aches Listening with the stethoscope The normal state of being for each specific patient The state of the patient’s body, often referring to obesity The general appearance and nature of a patient The diseases that a physician is considering as the reason for the patient’s symptoms Elevated body temperature, fever, indicative of infection The bottom or base of an organ; often referring to the uterus or eye Excessive or profuse bleeding High blood sugar due to diabetes High potassium, concerning for heart arrhythmias High sodium, dehydration High blood pressure (typically >140/90) Low blood-sugar Low potassium, concerning for heart arrhythmias Low sodium, dehydration Low blood pressure (typically <100/65) Low thyroid function Area of dead tissue following prolonged ischemia Localized lack of blood supply Foul-smelling Muscle aches Mouth or orifice; example P.O. means Per Os or by mouth Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 1 of 14 Palpable Polydipsia Rupture Sepsis Able to be touched or easily perceived Persistent thirst or frequent drinking of liquids; possibly indicative of diabetes The breaking-open of a bodily structure Dangerous infection of the blood with pathological microorganisms or their toxins Timing Acute Acute on chronic Chronic Fluctuating Intermittent Paroxysmal Resolved Transient New onset, likely concerning. Opposite of chronic New exacerbation of a chronic condition Long-standing, constant. Opposite of acute Symptoms that are always present but changing in severity, never fully resolving Symptoms that completely resolve at times, but continue to return repeatedly Occasional, sporadic, transient Gone, no longer existing Resolving spontaneously after onset Constitutional Alert Cachectic Combative Dehydrated Distress Elderly Emaciated Ill Inconsolable Malaise Malnourished Morbidly Obese Non-toxic Somnolent Tearful Uncooperative Unkempt Well developed Looking around, awake, attentive Extremely skinny, bony, malnourished Aggressively uncooperative General appearance of lacking water; dry lips, dry mucosa A patient’s inability to tolerate their body-state, due to pain or respiratory failure Appearing old Extremely thin and malnourished, wasting Not appearing healthy When an infant or baby cannot be made to stop crying Generalized discomfort or weakness Poor nutritional state Extremely overweight Appearing stable and at no risk of deterioration Appearing drowsy The state of crying, or being about to cry Does not follow commands or go along with physician requests Poor self hygiene Normal state of mental and body development Neurological Aniscoria Unequal diameter of pupils Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 2 of 14 Aphasic Ataxia Babinski sign Bell’s Palsy Cerebrovascular accident (CVA) Decreased rectal tone Dysarthria Dysphasia Facial asymmetry Finger-nose-finger Fundoscopic Exam Hemiparesis Hemiplegia Moves all extremities (MAEx4) Normal DTRs Oriented x3 Papilledema Paresthesia Post-ictal Pronator drift Romberg's sign Saturday Night Palsy Status epileptcus Strength 5/5 Syncope Tonic Clonic Transient Ischemic Attack (TIA) Vasovagal episode Vertigo Absence of the ability to neurologically generate or understand language. Either inability to create words i.e. expressive aphasia; or inability to understand spoken words i.e. receptive aphasia) Loss of coordination The toes flex upward when sole of foot is stimulated, indicating motor nerve damage. A localized facial nerve dysfunction that causes facial droop and numbness Stroke. Blood supply to the brain is restricted or absent due to hemorrhage or occlusion of a vessel resulting in neurological damage and dysfunction Diminished anal sphincter muscle contraction, indicative of neurological damage Poor mechanical articulation of speech due to abnormal lip, tongue, or cheek motor function Difficulty in neurologically generating or understanding language Drooping of one side of the face indicating neurological damage A test to evaluate cerebellar function Inside of the eye as seen with ophthalmoscope looking for increased cranial pressure Weakness of one half of the body Paralysis of one half of the body The patient moves their arms and legs normally, indicating normal motor function Normal deep tendon reflexes, rated as 2/4 Oriented to person, place, and time Swelling of the optic nerve sheath, as noted with fundoscopic examination Abnormal tactile sensation often described as tingling, numbness, or pinpricking The state of somnolence and decreased responsiveness after a seizure Involuntary turning or lowering of forearm when outstretched Falling to one side when standing with feet together and eyes closed, indicating abnormal cerebellar function or inner ear dysfunction A permanent localized numbness or weakness to a specific nerve’s distal innervation Repetitive seizures without regaining consciousness between them Normal strength of the extremities Loss of consciousness; fainting, “passing out” Description of a Grand-Mal or generalized seizure with stupor and transient LOC Transient “mini-stroke”, neurological function is regained completely with time Stimulation of the vagus nerve resulting in dim-vision, sweaty palms, and syncope. Often occurs after emesis, acute pain, or surprising stimuli Condition of feeling the room-spin Head Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 3 of 14 AT/NC Battles sign Cephalgia Encephalopathy Facial angioedema Fontanel Frontal Meningitis Occipital/Occiput Parietal Raccoon eyes Sinusitis Temporal Atraumatic, Normocephalic. Normal external head inspection Bruising behind the ears, indicative of a basilar skull fracture Headache Disease of the brain Swelling of the face often secondary to an allergic reaction Anatomical feature of an infant’s skull, the “soft-spot” The forehead and the anterior top of the skull Infection of the meninges, the membranes that contain the brain and spinal cord The most posterior part of the skull, the back of the head Location across the posterior top of the skull Brusing around the eyes, indicative of a basilar skull fracture Infection of the sinuses, usually causing sinus pressure The sides of the head, near the temples Eyes Aniscoria Conjunctiva Conjunctival exudate Cornea Diploplia EOMI Flouresceine uptake Fluorescein Fundoscopic exam Fundus of the eye Hyphema Lacrimal Nystagmus Ophthalmalgia Pale conjunctiva Papilledema Periorbital ecchymosis Photophobia Sclera Scleral icterus Stye/hordeolum Subconjunctival hemorrhage Unequal diameter of pupils Thin outer lining of the eye and eyelid Pus in the eyes Transparent frontal aspect of the eye, covering both the iris and pupil Diagnosis of double vision Extra ocular muscles intact Demonstrates the presence of a corneal abrasion Orange/yellow eyedrops used to detect corneal lesions, abrasions, or foreign bodies The use of an ophthalmoscope to look through the pupil and examine the interior surface of the posterior eye Interior surface of eye Blood in anterior chamber of the eye, as seen during the fundoscopic exam Referring to tears Involuntary “shaking” eye movements, rather than normal continuous smooth motion Pain in the eye Pale inner aspect of the eyelid most often due to anemia Swelling of optic disk due to increased intracranial pressure, seen fundoscopically Bruising around the eyes, indicative of trauma Light sensitivity White part of the eye Yellowing of the sclera due to jaundice Small infected bump on the eyelid, usually in between the eyelash hairs Blood in the white part of the eye Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 4 of 14 Sunken eyes Sign of dehydration Ears Auricle Cerumen Labyrinthitis Loss of TM landmarks Otalgia Otitis externa Otitis media Perforated TM Tinnitus TM TM bulging TM dullness TM erythema External portion of the ear Earwax Infection of the deep inner ear, known as the labyrinth. Often causes vertigo The TM is opaque, no longer transparent Ear ache Outer ear infection Middle ear infection Rupture of the eardrum “Ringing in the ears”, the perception of ringing even with no external stimuli Tympanic membrane, the clear membrane inside the ear; ear drum “Outpouching” of the TM, indicative of inflammation Absence of light reflection, indicative of ear infection Redness of the TM, often indicative of infection Nose Epistaxis Nare Purulent nasal drainage Rhinorrhea Septal hematoma Hemorrhage from the nose; nose bleeding Nostril Pus draining from the nose Clear nasal discharge Bruise/swelling of septum (sign of a nose fracture) Throat Tonsillar exudate Tonsillar edema Trismus Secretion pooling Decreased gag reflex Pharyngeal erythema Uvula midline Dry mucosa Sticky/tacky mucosa Peritonsillar abscess Dentition Edentulous Pus on the tonsils, indicating infection of the tonsils Swelling of the tonsils, indicating infection Inability to fully open mouth due to an underlying dental or jaw abscess Poor ability to handle secretions (saliva): drooling at the mouth and gagging Indicative of decreased LOC or brainstem injury Redness of the pharynx, indicating a throat infection Uvula in normal position (not shifted) Dry tongue, mouth, and lips, indicating significant dehydration Sticky tongue, mouth, and lips indicating early dehydration Collection of pus or fluid around the tonsil Teeth Without teeth Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 5 of 14 Gingiva Lingual Malocclusion Odynophagia Oropharynx Nasopharynx Pharyngitis Gums Referring to the tongue Imperfect closure or meeting of opposing teeth, indicative of trauma or jaw fracture Painful swallowing The back of the mouth, where it meets the throat The far back of the nasal canal, where it joins the back of the throat Throat infection Neck Thyromegaly Lymphadenopathy Meningismus Brudzinski Enlarged thyroid Enlarged lymph nodes Stiff neck/Signs of meningitis Hips and knees flex in response to the neck being flexed; sign of meningitis Stiff hamstrings/inability to straighten the leg when hip is flexed; sign of Kernigs meningitis Carotid bruit Whooshing blood flow heard with auscultation (carotid narrowing or plaque) Supple Flexible, not-stiff Vertebral tenderness Bony tenderness directly over the vertebrae Paraspinal tenderness Tenderness of the muscles next to the vertebrae Trachea midline No deviation of trachea (deviates to unaffected side in pnuemothorax) C- spine cervical spine (C1-C7) Cardiovascular Aortic dissection Arrhythmia Bradycardia Bruit Cardiomegaly Cardiomyopathy Extra systoles Friction rub Gallop Irregularly irregular JVD Murmur Myocardial infarction N-STEMI Pericarditis Arterial wall splits apart and threatens the patient’s life due to risk of hemorrhage Disturbance of rhythm in the heartbeat Slow heart rate (HR<60) A whooshing sound heard during auscultation indicative of blockage or aneurysm Enlarged heart Disease of the heart muscle Extra beats of the heart heard during auscultation Described as grating, scratching sound of the heart indicative of pericarditis Three or four sounds, resembling the sounds of a gallop (common in CHF) Heart rhythm for anyone with Atrial Fibrillation Jugular vein distention, sign of heart dysfunction Abnormal heart sound rated on 1-6 scale Death of cardiac muscle due to prolonged ischemia Non ST segment elevation MI (diagnosed by elevated troponin) Inflammation of the pericardium Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 6 of 14 Pulse exam STEMI Tachycardia Carotid, brachial, radial, femoral, popliteal, dorsal pedis (DP) or posterior tibia (PT) ST elevation MI (diagnosed on EKG); active heart attack Fast heart rate (HR>100) Heart Anatomy Aorta Aortic valve AV node Coronary artery LA LV Mitral valve Myocardium Pericardium Pulmonary artery Pulmonary vein Pulmonic valve RA RV SA node Tricuspid valve Artery carrying blood from the heart (LV) to the rest of the body Heart valve between the LV and ascending aorta Atrioventricular node: spreads electricity to the ventricles Artery that supplies the heart with blood Left Atrium: receives oxygenated blood from the lungs, sends it to the LV Left Ventricle: receives blood from the LA, sends it to the rest of the body Heart valve between LA and LV Heart muscle The lining surrounding the heart Artery carrying blood from the heart (RV) to the lungs Vein carrying blood from the lungs to heart (LA) Heart valve between the RV and pulmonary artery Right Atrium: receives blood from the body, sends it to the RV Right Ventricle: receives blood from the RA, sends it to the lungs Sinoatrial node: pacemaker of the heart Heart valve between RA and RV Vasculature Aneurysm Artery Dissection DVT Embolism Hemangioma Stenosis Thrombus Vein Localized ballooning of a vessel due to a weakened vessel wall Blood vessel carrying blood away from the heart, muscular, contractile Blood flow into the wall layers of an artery Deep venous thrombosis; deep clot in the extremity Obstruction of blood vessel by a travelling clot of blood or foreign substance Tumor consisting of blood vessels Narrowing of a body opening or passage Blood clot or blockage Vessel carrying blood towards the heart, soft, compressible Pulmonary Accessory muscle use Asthma Atelectasis Bradypnea Bronchiolitis Struggling for breath using extra muscles Constriction of the airway due to muscular contraction of the bronchioles Collapse of the alveoli in the lungs due to disease or poor inspiration Decreased respiratory rate Inflammation/Infection of the bronchioles (smaller divisions of the bronchi) Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 7 of 14 Bronchitis COPD Croup Dullness on percussion Dyspnea Hemoptysis Hemothorax Hyperventilation Nasal flaring Pulmonary Embolus Pleurisy Pneumothorax Pnuemonia Prolonged expirations Rales Retractions Rhonchi Splinting Sputum Stridor Tachypnea Wheezing Inflammation/Infection of the bronchi Chronic Obstructive Pulmonary Disease Viral infection of the upper airway with a barking cough and often stridor Fluid or mass under area being percussed Difficult and labored breathing, shortness of breath Coughing up gross blood Blood fluid present in the pleural cavity Breathing too fast. A.k.a. Behavioral breathlessness or psychogenic dyspnea Enlargement of nostrils with breathing (sign of respiratory distress) Blockage of the pulmonary artery or one of its branches due to a translocated clot General term for pain with breathing Presence of air or gas in the pleural space; collapsed lung Infiltrate (infection) inside the lung tissue Usually heard in asthmatics Crackles; Wet crackling heard in the lungs due to pneumonia or CHF Visible indentations of the soft tissue surrounding the chest wall (respiratory distress) Sound of mucous rolling around in the bronchioles/bronchi Avoiding deep inspirations due to increased pain with breathing Any mixed matter with the saliva that is passed through the mouth Upper airway noise; common sign in croup Increased respiratory rate High pitched sound heard with asthmatics or lung disease Abdominal Cholecystitis Cholelithiasis Cirrhosis Crohn’s/Colitis Diffuse Distention Diverticulitis Diverticulosis Dunphy's sign Dyspepsia Dysphagia Emesis Epigastric Gastroenteritis Guarding Hematemesis Hematochezia Inflammation of the gallbladder Production of gallstones Inflammation of an organ by degenerative changes, especially of the liver Types of chronic inflammatory bowel disease Generalized; not localized to any specific location Enlarged or swollen due to internal pressure Acute inflammation of the diverticuli pouches Formation of diverticuli; pouches in the colon wall Increased pain with coughing Indigestion Difficulty swallowing Vomiting Upper central region of the abdomen General term for inflammation of the GI tract Tensing of abdominal wall muscles indicative of true abdominal disease Vomiting of blood Bright red blood in the stool Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 8 of 14 Hepatitis Hepatomegaly Hernia Ileus Inguinal McBurney’s point Melena Murphy’s sign Obturator sign Organomegaly Pancreatitis PUD Peritoneal signs Psoas sign Pulsatile mass Rebound Rovsing's sign SBO Scaphoid Splenomegaly Suprapubic Tympany Inflammation of the liver Enlarged liver Contents of body cavity bulge out of the area where they are normally contained Lack of muscular contraction in the intestine leading to disruption of bowel passage Pertaining to the groin region RLQ point tenderness indicative of appendicitis Black tarry stool indicative of an upper GI bleed Pain with palpation of the RUQ during a deep breath, indicative of cholecystitis RLQ on internal rotation of right thigh indicative of appendicitis Enlarged organ Inflammation of the pancreas Peptic Ulcer Disease; ulcers developing in the stomach causing pain and emesis Rebound tenderness, guarding, or rigidity indicative of acute abdominal inflammation RLQ pain with extension of right thigh indicative of appendicitis Strong pulse of midline abdomen, possible aortic aneurysm Pain when releasing hand from abdominal palpation Pain in RLQ with palpation of LLQ indicative of appendicitis Small bowel obstruction; acute blockage of the small intestine Concave, sunken Enlarged spleen Lower central region on the abdomen A bell-like noise when tapping the abdomen Genitourinary Abortions Adnexa Adnexal tenderness Blood at the meatus Cervical os CMT CVA tenderness Dysmenorrhea Dyspareunia Dysuria Ectopic pregnancy Endometriosis Number of terminated pregnancies, spontaneous or induced appendages; in gynecology the ovaries and Fallopian tubes Tenderness of the ovaries during the pelvic exam indicative of ovarian cyst or torsion Blood at the urethral opening of a male; sign of trauma or hematuria The opening of the cervix; always will be closed unless passing tissue from the cervix Cervical Motion Tenderness; elicited by moving the cervix often indicative of PID Costo-vertebral Angle tenderness; tenderness over the kidney’s Painful menstruation Painful intercourse Painful urination Egg developing outside the uterus extremely dangerous due to risk of rupture Presence of functioning endometrial tissue outside of the uterus Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 9 of 14 Epididymitis Foley catheter Frequency G: P: A: Gravid Hematuria Hydronephrosis Nephrolithiasis Ovarian torsion Para PID POC Polyuria Pylonephritis Renal calculi Retention Spotting Straight catheter Testicular torsion Urgency Vaginal vault Inflammation of the epididymis A tube inserted through the urethra to drain urine, often left in place Urinating often The # of times pregnant: The # of live children born: The # of failed pregnancies The state of being pregnant; appearing pregnant Blood in the urine Swelling of the kidney due to acute blockage of the ureter Kidney stones; synonymous with renal calculi Twisting of the ovarian artery or vein Live births; the number of viable offspring born by a woman Pelvic Inflammatory Disease; inflammation of a woman’s reproductive organs Products of Conception; tissue of an aborted fetus Urinating large amounts Infection on the kidneys Kidney stone Inability to urinate Passing very small amounts of blood from the vagina A straight tube inserted to drain urine then immediately removed Twisting of the spermatic cord Abrupt onset of urge to urinate The interior of the vagina Musculoskeletal Arthritis Avulsion fracture Bony tenderness Boxer’s fracture Comminuted fracture Compartment syndrome Compound fracture Costochondritis Deformity Dislocation Fracture Gout Greenstick fracture Impacted fracture Intratrochanteric fracture Maleollous Multiple sclerosis Olecranon Inflammation of the joints Fragment of bone chipped away from the main bone Tenderness of the bone indicative of a fracture 5th metacarpal fracture Splintered and crushed bone broken into multiple fragments Compression of the nerves and blood vessel Open fracture; a fracture that penetrates the skin Inflammation of the rib cartilage Visual abnormality of a bone or anatomical structure Disconnected joint; complete misalignment of the joint Broken bone Type of arthritis; diagnosed by ordering a uric acid level Bone partially breaks and bends Broken bone smashed into another bone Fracture at the proximal end of the femur Boney prominence on each side of the ankle Autoimmune disease affecting t he brain and spinal cord Elbow Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 10 of 14 Osteomylitis Paraspinal tenderness Radiculopathy Sciatica SLR Snuff box Spiral fracture Step-offs Subluxation Tenosynovitis Transverse fracture Vertebral point-tenderness Bone infection Tenderness of the muscles beside the spine; not indicative of a fracture Compressed nerve in the spine Compression of sciatic nerve causing back pain with radiation to posterior leg Straight Leg Raises; maneuver testing for sciatica Triangular indentation of the radial dorsal aspect of the hand Bone is broken in a twisting manner Misalignment of the spine indicative of a spinal fracture Partial dislocation Inflammation of the tendon sheath Perpendicular break across the bone Tenderness directly over the spine (vertebrae), increased likelihood of fracture Integumentary Abrasion Abscess Acne Acne vulgaris Alopecia Anasarca Atrophic Avulsion Cyanosis Debridement Dehiscence Scrape of the skin due to something abrasive A collection of pus beneath the skin Pimples Severe acne Baldness Total body swelling Showing signs of tissue degradation or breakdown A forcible pulling away of a part or structure Blue color of the skin due to lack of oxygen Removal of foreign matter or dead tissue from a wound Splitting apart or separation of skin often used to describe a surgical wound that has re-opened True skin, beneath the epidermis Inflammation of the skin Sweating Somewhat dark in color often indicative of poor circulation Bruising Dry, scaly skin consistent with eczema Skin swollen due to fluid collection Dermis Dermititis Diaphoresis Dusky Ecchymosis Eczematous rash Edema Erythema/Erythemato Redness/Red us Fibrous membrane of connective tissue supporting and separating muscles and Fascia body organs Fluctuance Palpable fluid beneath the skin indicative of infection/pus Folliculitis Inflammation of the hair follicle Gangrene Necrotic skin Raised area with underlying blood which occurs in tissue resulting from Hematoma ruptured blood vessels Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 11 of 14 Herpes simplex Herpes zoster Hirsute Hyperpigmented Hypopigmented Induration Keloid Laceration Lichenified Lymphangitis Macerated Macular Maculopapular rash Mottled Necrotizing fasciitis Pallor Papular Petechial rash Pitting edema Pruritic Psoriasis Purulent Scarlatiniform rash Serosanguinous Subungal Tenting Tinea Turgor Urticarial rash Vesicular rash Vitiligo Wheals Viral skin disease, often affecting the mouth or genital region Shingles; painful red blisters Hairy Darker than the surrounding skin Lighter than the surrounding skin Hardened area of tissue; soft tissue that becomes extremely firm Hypertrophic scar; raised scar Cut in the skin due to trauma Thick skin with very deep lines Inflammation of a lymphatic vessel; appears as red streaking Skin changes often from being wet for a prolonged period; white, soft and wrinkled Small colored spot on the skin Rash that is both red and raised Patchy skin color due to poor blood circulation Rapidly spreading inflammatory infection located in the deep fascia (presence of gas on x ray) Paleness due to anemia or various other causes Raised bumps Red or purple discolorations on the skin that do not blanch (lighten) on applying pressure (a sign of meningitis) Edema that retains an imprint when touched Itchy Autoimmune skin disease. dry, scaly, red, itchy patches of skin Containing pus; pus-like Coarse, sandpaper texture rash (streptococcus infection) Consisting of serum and blood. Beneath nail Slow return of the skin to its normal position after being pinched, a sign of either dehydration or aging, or both Fungal rash Skin elasticity (poor turgor is a sign of dehydration or age) A patchy red, raised rash, consistent with allergic reactions Vesicles; fluid filled blisters (e.g. herpes) Depigmentation of patches of skin Urticaria; red, raised rash, consistent with allergic reactions Kinesiology Abduction Adduction Anatomical Position Anterior Articulation Axilla Draws away from the midline Draws toward the midline To stand erect with arms at the sides and palms of the hands turned forward Situated in front of or directed toward the front Connection between bones; joint Armpit Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 12 of 14 Caudal Cephalad Cervical Deep Distal Dorsiflexion Everted Extension External Flexion Frontal or coronal plane Inferior Internal Inverted Lateral Levator Medial Midline Palmar or Volar Plantar Posterior or Dorsal Pronator Prone Proximal Superficial Superior Supinator Supine Transverse plane Toward the feet Towards the head Pertaining to the neck or to the cervix of the uterus Farther from the surface Farther from the limb root Backward flexion, as in bending backward either a hand or foot Turned outward Straightening out Outside Bending or angulation Divides body into anterior and posterior parts Lower, farther from crown Inside Turned inward Farther from the midline That which raises Nearer to the midline Divides body into left and right Palm side of hand or body Sole of foot Rear or back That which turns palm of hand downward Body position lying face down with forearms and hands turned palm side down Nearer to the limb root Nearer to the surface Upper, nearer to crown of head That which turns palm of hand upward Body position lying face up Right angles to long axis; divides the body into upper and lower parts Psychological Abnormal judgment Affect Anxiety Reaction Auditory Hallucinations Depressed Flat affect Homicidal ideation Non-communicative Odd affect Pressured speech Lack of normal decision making The expressed or observed emotional and social responses Commonly known as an “anxiety attack” Hearing voices, noises, music, or sounds that are not actually real Appearing sad, unhappy Lack of normal interaction, monotone, unemotional Thoughts of killing another person Lacking the desire or ability to communicate Strange interactions, unusual expressions, “weird” Abnormal rate of speech, speaking quickly and urgently Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 13 of 14 Suicidal ideation Tangential thoughts Visual Hallucinations Withdrawn Thoughts of killing oneself Thought processes that do not follow normal or logical progressions Seeing objects, people, or things that do not actually exist Uninterested and non-participatory Copyrighted property of ScribeAmerica, LLC. Revised 7/8/2011 Confidential and Proprietary – Not To Be Disclosed Outside ScribeAmerica Medical Terminology Page 14 of 14
