Chapter 4 Symptomatic and Diagnostic Terms
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General Signs and Symptoms of Abdominal Diseases
General signs and symptoms of abdominal diseases Dr. Förhécz Zsolt Semmelweis University 3rd Department of Internal Medicine Faculty of Medicine, 3rd Year 2018/2019 1st Semester • For descriptive purposes, the abdomen is divided by imaginary lines crossing at the umbilicus, forming the right upper, right lower, left upper, and left lower quadrants. • Another system divides the abdomen into nine sections. Terms for three of them are commonly used: epigastric, umbilical, and hypogastric, or suprapubic Common or Concerning Symptoms • Indigestion or anorexia • Nausea, vomiting, or hematemesis • Abdominal pain • Dysphagia and/or odynophagia • Change in bowel function • Constipation or diarrhea • Jaundice “How is your appetite?” • Anorexia, nausea, vomiting in many gastrointestinal disorders; and – also in pregnancy, – diabetic ketoacidosis, – adrenal insufficiency, – hypercalcemia, – uremia, – liver disease, – emotional states, – adverse drug reactions – Induced but without nausea in anorexia/ bulimia. • Anorexia is a loss or lack of appetite. • Some patients may not actually vomit but raise esophageal or gastric contents in the absence of nausea or retching, called regurgitation. – in esophageal narrowing from stricture or cancer; also with incompetent gastroesophageal sphincter • Ask about any vomitus or regurgitated material and inspect it yourself if possible!!!! – What color is it? – What does the vomitus smell like? – How much has there been? – Ask specifically if it contains any blood and try to determine how much? • Fecal odor – in small bowel obstruction – or gastrocolic fistula • Gastric juice is clear or mucoid. Small amounts of yellowish or greenish bile are common and have no special significance. • Brownish or blackish vomitus with a “coffee- grounds” appearance suggests blood altered by gastric acid. -
Heart Failure
Heart Failure Sandra Keavey, DHSc, PAC, DFAAPA Defined Heart failure (HF) is a common clinical syndrome resulting from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood. HF may be caused by disease of the myocardium, pericardium, endocardium, heart valves, vessels, or by metabolic disorders Epidemiology-Magnitude Heart failure disproportionately affects the older population. Approximately 80% of all cases of heart failure in the United States occur in persons aged 65 years and older. In the older population, heart failure accounts for more hospital admissions than any other single condition. Following hospitalization for heart failure, nearly half are readmitted within 6 months. Epidemiology-Prevalence Prevalence. About 5.1 million people in the United States have heart failure. One in 9 deaths in 2009 included heart failure as contributing cause. About half of people who develop heart failure die within 5 years of diagnosis. 25% of all heart failure patients are re-admitted to the hospital within 30 days. 50% of all heart failure patients are re-admitted to the hospital within 6 months. Systolic vs Diastolic There are two common types of heart failure Systolic HF Systolic HF is the most common type of HF Now referred to as HFrEF Heart Failure reduced Ejection Fraction The heart is weak and enlarged. The muscle of the left ventricle loses some of its ability to contract or shorten. Diastolic HF Diastolic HF is not an isolated disorder of diastole; there are widespread abnormalities of both systolic and diastolic function that become more apparent with exercise. -
Insurance Coverage of Medical Foods for Treatment of Inherited Metabolic Disorders
ORIGINAL RESEARCH ARTICLE © American College of Medical Genetics and Genomics Open Insurance coverage of medical foods for treatment of inherited metabolic disorders Susan A. Berry, MD1, Mary Kay Kenney, PhD2, Katharine B. Harris, MBA3, Rani H. Singh, PhD, RD4, Cynthia A. Cameron, PhD5, Jennifer N. Kraszewski, MPH6, Jill Levy-Fisch, BA7, Jill F. Shuger, ScM8, Carol L. Greene, MD9, Michele A. Lloyd-Puryear, MD, PhD10 and Coleen A. Boyle, PhD, MS11 Purpose: Treatment of inherited metabolic disorders is accomplished pocket” for all types of products. Uncovered spending was reported by use of specialized diets employing medical foods and medically for 11% of families purchasing medical foods, 26% purchasing necessary supplements. Families seeking insurance coverage for these supplements, 33% of those needing medical feeding supplies, and products express concern that coverage is often limited; the extent of 59% of families requiring modified low-protein foods. Forty-two this challenge is not well defined. percent of families using modified low-protein foods and 21% of families using medical foods reported additional treatment-related Methods: To learn about limitations in insurance coverage, parents expenses of $100 or more per month for these products. of 305 children with inherited metabolic disorders completed a paper survey providing information about their use of medical foods, mod- Conclusion: Costs of medical foods used to treat inherited meta- ified low-protein foods, prescribed dietary supplements, and medical bolic disorders are not completely covered by insurance or other feeding equipment and supplies for treatment of their child’s disorder resources. as well as details about payment sources for these products. -
Medical Terminology Abbreviations Medical Terminology Abbreviations
34 MEDICAL TERMINOLOGY ABBREVIATIONS MEDICAL TERMINOLOGY ABBREVIATIONS The following list contains some of the most common abbreviations found in medical records. Please note that in medical terminology, the capitalization of letters bears significance as to the meaning of certain terms, and is often used to distinguish terms with similar acronyms. @—at A & P—anatomy and physiology ab—abortion abd—abdominal ABG—arterial blood gas a.c.—before meals ac & cl—acetest and clinitest ACLS—advanced cardiac life support AD—right ear ADL—activities of daily living ad lib—as desired adm—admission afeb—afebrile, no fever AFB—acid-fast bacillus AKA—above the knee alb—albumin alt dieb—alternate days (every other day) am—morning AMA—against medical advice amal—amalgam amb—ambulate, walk AMI—acute myocardial infarction amt—amount ANS—automatic nervous system ant—anterior AOx3—alert and oriented to person, time, and place Ap—apical AP—apical pulse approx—approximately aq—aqueous ARDS—acute respiratory distress syndrome AS—left ear ASA—aspirin asap (ASAP)—as soon as possible as tol—as tolerated ATD—admission, transfer, discharge AU—both ears Ax—axillary BE—barium enema bid—twice a day bil, bilateral—both sides BK—below knee BKA—below the knee amputation bl—blood bl wk—blood work BLS—basic life support BM—bowel movement BOW—bag of waters B/P—blood pressure bpm—beats per minute BR—bed rest MEDICAL TERMINOLOGY ABBREVIATIONS 35 BRP—bathroom privileges BS—breath sounds BSI—body substance isolation BSO—bilateral salpingo-oophorectomy BUN—blood, urea, nitrogen -
Robust Regression Analysis of GCMS Data Reveals Differential Rewiring of Metabolic Networks in Hepatitis B and C Patients
Article Robust Regression Analysis of GCMS Data Reveals Differential Rewiring of Metabolic Networks in Hepatitis B and C Patients Cedric Simillion 1,2, Nasser Semmo 2,3, Jeffrey R. Idle 2,3,4, and Diren Beyoğlu 2,4,* 1 Interfaculty Bioinformatics Unit and SIB Swiss Institute of Bioinformatics, University of Bern, Baltzerstrasse 6, 3012 Bern, Switzerland; [email protected] 2 Department of BioMedical Research, University of Bern, Murtenstrasse 35, 3008 Bern, Switzerland; [email protected] (N.S.); [email protected] (J.R.I.) 3 Department of Visceral Surgery and Medicine, Department of Hepatology, Inselspital, University Hospital of Bern, 3010 Bern, Switzerland 4 Division of Systems Pharmacology and Pharmacogenomics, Samuel J. and Joan B. Williamson Institute, Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, 11201 New York, NY, USA * Correspondence: [email protected]; Tel.: +41-31-632-87-11 Received: 11 September 2017; Accepted: 5 October 2017; Published: 8 October 2017 Abstract: About one in 15 of the world’s population is chronically infected with either hepatitis virus B (HBV) or C (HCV), with enormous public health consequences. The metabolic alterations caused by these infections have never been directly compared and contrasted. We investigated groups of HBV-positive, HCV-positive, and uninfected healthy controls using gas chromatography-mass spectrometry analyses of their plasma and urine. A robust regression analysis of the metabolite data was conducted to reveal correlations between metabolite pairs. Ten metabolite correlations appeared for HBV plasma and urine, with 18 for HCV plasma and urine, none of which were present in the controls. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Signs and Symptoms
Signs and Symptoms Some abnormal heart rhythms can happen without the person knowing it, while some may cause a feeling of the heart “racing,” lightheadedness, or dizziness. At some point in life, many adults Rapid Heartbeat – Tachycardia have had short-lived heart rhythm When the heart beats too quickly changes that are not serious. (usually above 100 beats per minute), the lower chambers, or Certain heart rhythms, especially ventricles, do not have enough time those that last long enough to af - to fill with blood, so they cannot ef - fect the heart’s function, can be fectively pump blood to the rest of serious or even deadly. the body. When this happens, some Palpitation or Skipped Beat people have symptoms such as: Although it may seem as if the Skipping a beat Slow Heartbeat – Bradycardia heart missed a beat, it has really had an early heartbeat — an extra If the heartbeat is too slow (usually Beating out of rhythm below 60 beats per minute), not beat that happens before the heart Palpitations has a chance to fill with blood. enough blood carrying oxygen Fast or racing heartbeat Therefore the squeeze is empty flows through the body. The symptoms of a slow heartbeat are: and results in a pause. Shortness of breath Fatigue (feeling tired) Fluttering Chest pain A fluttering sensation (like butter - Dizziness Dizziness flies in the chest) is usually due to Lightheadedness extra or “skipped beats” that occur Lightheadedness Fainting or near fainting one right after the other, or may be Fainting or near fainting caused by other kinds of abnormal heart rhythms. -
Adverse Reactions to Foods 2003
AAAAI Work Group Reports Work Group Reports of the AAAAI provide further comment or clarification on appropriate methods of treatment or care. They may be created by committees or work groups, and the end goal is to aid practitioners in making patient decisions. They do not constitute official statements of the AAAAI but serve to bring attention to key clinical or even controversial issues. They contain a bibliography, but typically not one as extensive as that contained within a Position Statement. AAAAI Work Group Report: Current Approach to the Diagnosis and Management of Adverse Reactions to Foods October 2003 The statement below is not to be construed as dictating an exclusive course of action nor is it intended to replace the medical judgment of healthcare professionals. The unique circumstances of individual patients and environments are to be taken into account in any diagnosis and treatment plan. This statement reflects clinical and scientific advances as of the date of publication and is subject to change. Prepared by the AAAAI Adverse Reactions to Foods Committee (Scott H. Sicherer, M.D., Chair and Suzanne Teuber, M.D., Co-Chair) Purpose: To provide a brief overview of the diagnosis and management of adverse reactions to foods. Database: Recent review articles by recognized experts, consensus statements, and selected primary source documents. Definitions “Adverse food reaction” is a broad term indicating a link between an ingestion of a food and an abnormal response. Reproducible adverse reactions may be caused by: a toxin, a pharmacological effect, an immunological response, or a metabolic disorder. Food allergy is a term that is used to describe adverse immune responses to foods that are mediated by IgE antibodies that bind to the triggering food protein(s); the term is also used to indicate any adverse immune response toward foods (e.g., including cell mediated reactions). -
Chapter 15 ENDOCRINE and METABOLIC IMPAIRMENT
Table of Disabilities - Chapter 15 - Endocrine and Metabolic Impairment April 2006 Chapter 15 ENDOCRINE AND METABOLIC IMPAIRMENT Introduction This chapter provides criteria used to rate permanent impairment resulting from endocrine disorders and disorders of metabolism. The endocrine system is composed of the hypothalamic-pituitary axis, the thyroid gland, the parathyroid glands, the adrenal glands, the islet cell tissue of the pancreas and the gonads. Common endocrine disorders and disorders of metabolism assessed within this chapter include: • hyperthyroidism • hypothyroidism • hyperparathyroidism • hypoparathyroidism • hyperadrenocorticism (e.g. Cushing’s disease) • hypoadrenalism (e.g. Addison’s disease) • diabetes mellitus • hyperlipidemia • metabolic bone disease (e.g. osteoporosis). Also assessed within this chapter are hypothalmic-pituitary axis disorders and Paget’s disease of the bone. The pituitary gland, influenced by the hypothalmus, releases several hormones which control the activity of other endocrine glands or directly effect tissues of the body. The hormones released include: • thyrotropin (TSH) controls activity of the thyroid gland • corticotropin (ACTH) controls the activity of the adrenal glands • luteinizing hormone (LH) and follicle-stimulating hormone (FSH) control the activity of the gonads • growth hormone (GH) • prolactin • antidiuretic hormone (ADH) • oxytocin. Veterans Affairs Canada Page 1 Table of Disabilities - Chapter 15 - Endocrine and Metabolic Impairment April 2006 Disorders of the hypothalmic-pituitary axis may affect one or several of these hormones. Each affected hormone may result in permanent impairment. Paget’s disease of the bone is a non-metabolic bone disease; however, for assessment purposes, this condition is rated by using the criteria contained within Table 15.3. A rating is not given from this chapter for conditions listed below. -
Arrhythmia What Is It?
Arrhythmia What is it? Most of us have felt our heart race or skip a beat. It’s fairly normal every once and a while. But for some people, it’s a sign of arrhythmia – a disorder of your heart rate or rhythm – that needs to be checked out by a specialist. If you have an arrhythmia (there are multiple types), your heart either beats: • too fast • too slow or • with an irregular pattern Did You Know? This change in your heart rhythm is usually caused by a “glitch” Our heart beats an average of in your heart’s electrical activity, which tells the heart when to 70 to 80 times a minute and contract and pump blood to the body. Your heart doesn’t beat over 100,000 times a day! It’s with the regularity of a Swiss watch, and many factors can cause no wonder millions of people an irregularity. notice palpitations such as skipping a beat, fluttering or a Some of these factors include: racing heart. • having had a heart attack • having heart failure • blood chemistry imbalances • abnormal hormone levels • alcohol, caffeine and other substances or medicines • a variety of inherited abnormalities 8 Tips for Staying Heart Healthy with Arrhythmias Living with an arrhythmia varies tremendously from one person to the next. It will depend on the type of arrhythmia you have, how serious it is and the recommended treatment. Some people can take a single medication to correct their heart’s rhythm; others undergo electrophysiology studies or require a pacemaker or implantable defibrillator. No matter what kind of arrhythmia you have, there are things you can do to keep your heart healthy and ticking as it should. -
Metabolic Liver Diseases Presenting As Acute Liver Failure in Children
R E V I E W A R T I C L E Metabolic Liver Diseases Presenting as Acute Liver Failure in Children SEEMA A LAM AND BIKRANT BIHARI LAL From Department of Pediatric Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India. Correspondence to: Prof Seema Alam, Professor and Head, Department of Pediatric Hepatology, Institute of Liver and Biliary Sciences, New Delhi 110 070, India. [email protected] Context: Suspecting metabolic liver disease in an infant or young child with acute liver failure, and a protocol-based workup for diagnosis is the need of the hour. Evidence acquisition: Data over the last 15 years was searched through Pubmed using the keywords “Metabolic liver disease” and “Acute liver failure” with emphasis on Indian perspective. Those published in English language where full text was retrievable were included for this review. Results: Metabolic liver diseases account for 13-43% cases of acute liver failure in infants and young children. Etiology remains indeterminate in very few cases of liver failure in studies where metabolic liver diseases were recognized in large proportion. Galactosemia, tyrosinemia and mitochondrial disorders in young children and Wilson’s disease in older children are commonly implicated. A high index of suspicion for metabolic liver diseases should be kept when there is strong family history of consanguinity, recurrent abortions or sibling deaths; and history of recurrent diarrhea, vomiting, failure to thrive or developmental delay. Simple dietary modifications and/or specific management can be life-saving if instituted promptly. Conclusion: A high index of suspicion in presence of red flag symptoms and signs, and a protocol-based approach helps in timely diagnosis and prompt administration of life- saving therapy. -
Lesson 1 Revised
Name _____________________________________________Date ______________ Period ___ Medical Terminology Exercises in Etymology Throughout its history, the English language has become enriched by borrowings from other languages, particularly Latin, Greek, and French. As the French language itself is a modified form of Latin, many of these borrowed words ultimately come from Greek, since many words from this language had passed into Latin. One such French word is migraine . The word is derived from Latin hemicrania , which borrowed from the Greek hemikrania , pain on one side of the head, from the prefix hemi-, half, and kranion, skull. The ancient Greeks used to smear poison on their arrowheads for use in hunting, and this poison was called toxicon pharmakon ( toxon, bow, archery ; pharmakon , drug); thus, the meaning of the modern word toxic. A toxicologist is one skilled in the study of poisons, while a toxophilite is a lover ( philos ) of archery. The suffix –osis indicates an abnormal condition : neurosis, psychosis ( psych , mind). When affixed to a combining form indicating an organ or part of the body, it usually indicates a non-inflammatory diseased condition: nephrosis, gastrosis ( gaster , stomach). Following the combining form CYT-, cell, it means an abnormal increase in number of the type of cell indicated: leukocytosis, erythrocytosis . Following the combining form for an adjective, it indicates the abnormality characterized by the meaning of the adjective: stenosis: narrowing of a passage; sclerosis : hardening of tissues; cyanosis : bluish discoloration of a part. There are a few words ending in –osis that have specialized meanings: anastomosis : a surgical or pathological connection between two passages; exostosis : a bony growth arising from the surface of a bone; aponeurosis : a sheet of tissue connecting muscles to bones; symbiosis : the living together in close association of two organisms of different species; antibiosis : the association between two organisms when one is harmful to the other.