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By Author: Henry Ford
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According to definitions from MedicineNet.com (2009) and Medline Plus (2009), the following are definitions of medical terms
1. Afebrile – without fever
2. Amputation – Removal of body extremity through trauma or through surgery
3. Amputation sites – Areas where amputation took place
4. Angina - chest pain occurring when heart muscles fail to get enough blood supply
5. Angiogram – X-ray test that use fluoroscopy to take pictures of blood flow in the artery or a vein
6. Anterior tibia – Front shinbone
7. Anticoagulation – stopping clotting of blood
8. Arterial insufficiency – Lack of enough blood flow in the arteries
9. Bet blocker – drug for management of heart rhythm disorders
10. Bleeding – hemorrhage or flow of blood from the body
11. Brachi - arm
12. Bypass – Alternative passage to divert blood flow
13. Cardiac- heart
14. Cardiac enzymes – Enzymes released when the heart cells are damaged
15. Cardiology – Medicine that deals with heart diseases
16. Cardiomyopathy – inflaming of heart muscles
17. Cerebral ...
... vascular disease – intrinsic vessel disease that an lead to cerebral infarction
18. Coronary angiogram – A special heart x-ray performed using injected contrast dye
19. Creatinine – products from breakdown of creatine phosphate in the muscles
20. Diabetes mellitus type 2 – Glucose intolerance which affect older individuals
21. Diabetic diet – low sugar diet administered to diabetic patients
22. Discharged – allowed to go home form hospital
23. Diuretic – a drug that increased rates of urination
24. Dressing – application to a wound to promote healing
25. Dysfunction - not functioning well
26. Electrolytes – substance with free ions that behave like electrically conductive medium
27. Elevated - Increased
28. endarterectomy – surgical removal of plague in an artery
29. Femoral – located at the thigh
30. Femorofemoral bypass - A surgery that diverts blood flow around the femoral artery blockages thereby enabling blood flow through the legs
31. Fever – prexia or febrile
32. Gangrene – Cell death of necrosis which is mainly characterized by decay of some body tissue which become black
33. Glucose – blood sugar
34. Gout – disease marked by elevated levels of uric acid in blood
35. Graft – a health skin, bone or other tissues that are taken from one part of the body to replaced injured tissues which have been removed from the body
36. Granulating – crystallizing
37. Groin – two creases at the junction between torso and legs on sides of pubic area
38. Ischemic – Decrease in blood supply to a body organ or tissue due constriction of the vessels
39. Left ventricular – chambers of the heart that receives blood from left atrium
40. Lesion – abnormal tissue which has been damaged by trauma
41. Lumbar – adjective pertaining to abdominal segment
42. Medication – prescription of drugs to heal a disease
43. Monitored - watched closely
44. Nitroglycerin – A medication for chronic heart pain
45. Nurse – Health care professional responsibility for treatment, safety and recovery of patients
46. Oral diabetic medication – drugs administered to diabetic patients taken through the mouth
47. Peripheral vascular disease – blood of blood vessels which are outside the heart of the brain
48. Peroneal arteries – posterior tibia arteries at the back of the ankle
49. Phalanges – Finger bones
50. Physician – a medical practitioner or doctor who maintains or restore patient health
51. Posterior tibia – back shinbone below the knee
52. Postop day three – Third day after operation
53. Postoperatively – After operation
54. Profoundaplacity – Reconstructive surgery of femoral artery
55. Purulent drainage – thick with yellow, green and blown discharge that has purgnet foul smell
56. Readmitted – admit again
57. Renal insufficiency – Also called renal failure, its when kidneys cannot sustain normal kidney functions for a health body
58. Reperfusion – Restoration of blood flow to an organ
59. Restarted on anticoagulant – administer anticoagulant medicine
60. Serum - fluid component of clotted blood which has not clotting factors
61. Sinus Rhythm – Normal heart beat
62. Stent – A device used to support body cavity during grafting
63. Tibia - Shinbone
64. Thrombectomy – excision of a thrombus
65. Thrombosis – formation of blood clot in a blood vessel
66. Tylenol – drug for relieving pain and reducing fever
67. Vascular lab – special designed laboratory with equipments to diagnose vascluar system problems
68. Vascular surgery – specialty surgery in the vascular system


Icons
1. AWMI - Anterior Wall Myocardial Infarction
2. BID – two times a day
3. CAD – Coronary Artery Disease
4. CHF – Congestive heart failure
5. CVA – Cerebral Vascular Accident
6. CXR – Chest X-ray
7. DM – Diabetes mellitus
8. Dr.- Doctor
9. Dx - diagnosis
10. FU – Follow up
11. Fx - fracture
12. Hct - Hematocrit
13. Hgb – Hemoglobin
14. HMO – Health Maintenance Organization
15. ICU – intensive care unit
16. Lab - laboratory
17. LAD – Left Anterior Descending Artery
18. LLE – Left Lower Extremity
19. ok - Okay
20. OR – Operation Room
21. Postop – Popst operative
22. Pt - Patient
23. PT – Physical Therapy
24. PTCA - Percutaneous Transluminal Coronary Angioplasty
25. PVD – Peripheral Vascular Disease
26. RBC – Red blood cells
27. S/P – Status post
28. Sx - symptoms
29. WBC – White blood cells
30. WNL – Within Normal Limits

Discharge Summary:
Admitting Diagnosis:
1. worsened cell death of the third and fifth bones of the left foot
2. Insufficient flow of blood outside brain and heart/ lack of enough flow of blood to the arteries
a. Status post surgery passing blood through diverting blood in femoral artery on 3/6/02
b. Left lumbar surgery
c. exploration on the left area around the pubic are
d. Reconstructive surgery of femoral artery and left surgical removal of plague in an artery
3. Glucose intolerance type 2
4. Coronary Artery Disease, status post Anterior Wall Myocardial Infarction 1996
5. Status post Percutaneous Transluminal Coronary Angioplasty of Left Anterior Descending Artery
6. Cerebral vessel disease status post Cerebral Vascular Accident 1997
7. History of elevated levels of uric acid in blood
8. Renal insufficiency with baseline creatine phosphate products of 1.7
9. History of decreased blood supply and inflammation of heart muscles with left ventricular dysfunction
10. Status post left hip fracture 1990
11. Status post Left Lower Extremity arterial bypass transplanted tissue

History: This 64 year old male with type 2 Diabetes Mellitus and Peripheral Vascular Disease, Status post surgery that diverts blood flow around the femoral in early March along with the above surgeries for #3,5 foot bones dead cells on the left foot was followed in the vascular surgery clinic on the 27th of March, with complaints of recurrence of pain in the same foot bones. The patient was promptly sent to the specialty laboratory for detection of diseases of vascular system where it was revealed occluded left back shinbone, front shinbone and posterior shinbone arteries at the back of the ankle. Therefore, plans were made for the patient to be brought to the operation room for removal of #3, 5 toe bones and creation of diversion of blood flow from femoral to peronial.

Physical Findings: Patient was in normal heart beat. He had no fever. Lungs were clear. Chest X-ray was Within Normal Limits and all laboratory work was within normal limits.

Hospital Course: Patient was taken to the Operating room on 27th March where Doctor. Rooter with the assistance of Doctor Moo created a bypass from femoral to peronial artery using tissues obtained from other body parts, followed by removal of the 3rd and 5th toe bones. In addition, an X-ray of the heart was done discovering a formation of blood clot in his previous surgery that diverted blood flow around the femoral artery blockages thereby enabling blood flow through the legs and an excision of blood clot was performed resulting in good blood flow to the left foot. Following this the patient was transferred to the Intensive Care Unit in stable status where he remained for the next few postoperative days being watched closely by heart specialist for any symptoms of Congestive Heart Failure. The patient remained stable after operation and was started on medicine that prevents blood clotting while the patient remained in Intensive Care Unit. On the morning of third day after operation, the patient experienced chest pain requiring enzymes released when heart fails which were slightly raised and heart specialist recommended the patient undergo a special heart X-ray using an arm approach. The X-ray finding showed a 95% mid Left Anterior Descending Artery abnormal tissue. This was supported with a device and restoration of blood flow to the organ was accomplished to the Left Anterior Descending Artery. The patient tolerated the procedure well and was admitted again to intensive care unit in stable status. He was started again on medications to prevent blood clotting and plans were made for the patient to be release from hospital three days later with home health medical specialist on inpatient recovery and safe visits per his health management organization and physical therapy. The patient’s areas where the organ was removed were closely watched and crystallizing well without any thick with yellow, green and blown discharge. The patient remained without fever with his white blood cells level within normal limits and his heart enzymes improved to normal.

Laboratory results: White Blood Cells, Red Blood Cells counts within normal limits, Hemoglobin within normal limits, Hematocrit within normal limits. Ions in blood fluid within normal limits. Blood sugar within normal limits

Diet instructions: Low sugar diet for diabetic patients

Activity: Walking for 10 minute two times a day. Applications on sites where the organ was removed to be changed twice a day. Can take shower. Patient has been instructed to watch for any fever, thick with yellow, green and blown discharge that has pungent smell, flow of blood from the body.

Drug prescription:
Drugs to prevent blood clotting
Blood glucose drugs taken through the mouth
Drugs to increase urine output
Pain relieve drugs
drug for management of heart rhythm disorders
Medication for chronic heart pain

Follow Up: Follow up with specialty surgery in the vascular system in 1 week. Follow up with heart specialist in 2 weeks. Return to Health Management Organization doctor within 1 week for after operation check up.

Condition where released from hospital: Stable and improving.

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