Question

) 18response-content-dispo 1/2 Medical Terminology 1600 Mr Jones was admitted to 4 north sp Medical Note for Module 4 an O RIF to the LLE PMH includes a f of the LLE Tibia. Patient was in a MVA on June 4, 2012, has a hx of an Ileostomy in the RLQ , MI and AFib and Osteoporosis c/o Following surgery patient is A+Ox3 some pain, level 6 on a scale of 0-10. Receiving Morphine Sulfate po prm 94h with good relief

Answer 1

s/p - Status Post - it basically means "after" or the patient previously been diagnosed with with something in the past.

ORIF - Open reduction and Internal Fixation - is a type of surgical procedure that is done to repair a serious bone break or a fracture.

LLE - Left Lower Extremity

PMH - Past Medical History - denotes the total health status of a patient prior to the current illness.

fx - Fracture - is a complete or partial break in the continuity of a bone.

MVA - Motor Vehicle Accident - it occurs when a moving vehicle hits either another vehicle or a pedestrian.

hx - History

Illeostomy - It is a surgical construction of an opening into the ileum on the abdominal wall.

RLQ - Right Lower Quadrant

MI -Myocardial Infarction - commonly referred to as heart attack, occurs when there is a sudden blockage or less oxygen supply to the heart muscles and destructs the blood supply to other parts of the body.

AFib - Atrial Fibrillation - is an abnormal heart rhythm occurs with very fast ( rapid) and irregular heart beats in the atrium.

Osteoporosis - It is an age-related disorder characterized by decreased bone mass and loss of normal skeletal microarchitecture leading to increased susceptibility to fracture.

A+Ox 3 - The patient is Awake and Oriented to place, person and time.

c/o - Complaint of - denotes the patient complaints to the present illness.

po - per mouth or per oral - is one of the route of administration of a medication

q4h - Quarter 4th hourly - meaning the medication should be given every 4 hours

pm - post meridian - meaning the medicine should be given in the afternoon

S - Lung Sound

CTA - Clear to Auscultation

BS (+) - Bowel sounds present

Ecchymotic - It is a subcutaneous spot of bleeding also called as bruise and is very similar to hematoma, but in ecchymotic the bleeding spot diameter is larger than 1 centimeter.

CSM (+) - The presence of circulation, sensation and movement

PP - Pulse Pressure

BLE - Both Lower Extremity

CBC - complete Blood Count - is a blood test requested by a doctor to get information about the various cells in the blood to detect disorders.

WBC - White Blood Corpuscles - used to detect any hidden infections

RBC - Red Blood Corpuscles - used to measure the how much oxygen is carrying to cells of the body.

Hgb - Hemoglobin - is an iron- containing oxygen carrier in the red blood corpuscles.

Hct - Hematocrit value - is the ratio of red blood cells volume to the white blood cells.