CABG Mastectomy And Newbie Terms For Medical Transcriptionists
ACT
antegrade cold cardioplegia
aorta was cross clamped
aortotomies
arterial limb of the bypass tubing
arteriotomy
atrial appendage
bypass cooling
cardiac index
cardioplegic solution
cardiopulmonary bypass
cold and tepid blood cardioplegia
CoSeal
cross clamp
crystalloid quadriplegia
de-airing maneuvers
endoscopic vein harvesting technique
foreshortened aorta
innominate artery
kinking in the grafts
median sternotomy
Morse sternal retractor
Myo/Wires II
nonpedicled technique
pericardial cradle was created
pericardial well
rewarming
side-biting clamp
sinotubular junction
skin bridging technique (vein harvested using)
sternal saw
sternal wires
Tisseel
BREAST AUGMENTATION / REDUCTION / MASTECTOMY TERMS FOR MEDICAL TRANSCRIPTIONISTS:
“postage stamp” dissection
areolar graft
areolar margins
axillary tail of Spence
capsular release
clavipectoralis fascia
cookie cutter
de-epithelialized
dog ear (means a flap of tissue left by the doc after surgery)
expander port
inferior pedicles
inferolateral stab incision
inframammary crease
inframammary fold
lighted breast retractor
lines of Langer
loupe magnification
McGhan Style tissue expander
medial and lateral pillars
Mentor adjustable implant
Mentor Siltex contour profile expander
Mentor smooth surface saline inflatable style implant
moistened laparotomy pads
nipple mound
nipple-areolar complex
nipple-areolar reconstruction
poles of the breast
saline implants
silicone gel implants
Siltex Becker 25 tissue expander
skate flap nipple
Skin flaps were raised using traction and countertraction
standard bra
submuscular flap
subpectoral implant
surgical bra
tailor-tacked
tie-over dressing
tissue expander
MEDICAL WORDS & PHRASES DATABASE (FOR NEW MTs ESPECIALLY):
(two/three/four/five) pillow orthopnea
1:100,000 epinephrine
a. fib = atrial fibrillation
AAA (dictated “triple A” – stands for abdominal aortic aneurysm)
abduction pillow
ablation therapy
ACE inhibitor
ACOG (full form is American College of Obstetrics & Gynecology)
ADA diet (eg. 1800-calorie ADA diet)
ADHD (attention deficit hyperactivity disorder)
adenosine sestamibi
adjuvant 5-FU
Adkin diet
AMA = against medical advice
ampulla of Vater
ANA screen
anasarca
anatomic snuffbox
anion gap (found in the labs section of a report)
ankylosing spondylitis
Apgar score (term found in infant physical exam)
Apley sign
Apligraf
aponeurosis
AAROM = active assisted range of motion
AROM = active range of motion
aromatase inhibitor
artifacts (found in radiology reports)
arytenoids
ascending colon, hepatic flexure, transverse colon, splenic flexure, descending colon
astereognosis
asynclitism
autoclaved instrument
avulsion/evulsion
axial load
axillary nerve palsy
baby aspirin
ballottable
base excess
beta blocker
Bead memory
Berger disease versus Buerger disease (sounds the same – be careful of what you put in)
blood is typed and crossed
boggy prostate
Bovie cautery
bowleg deformity
BRAT diet (bananas, rice, applesauce and toast)
bronchial washings
bucket-handle tear
BUS [Bartholin, urethral, and Skene (glands) ] — occurs in female genitalia exam
C&S = culture and sensitivity (CNS = central nervous system) – sound alike – verify based on
C. diff (Clostridium difficile)
café au lait spots (sounds cafe o lay)
cancellous bone
cath = catheterization or catheter
CD4 count (estimate of the immunologic status of patient)
cerclage
Charcot-Marie-Tooth disease (also peroneal muscular atrophy)
chin tuck technique (for patients with dysphagia/trouble swallowing food)
cholesteatoma
cholesteatoma
cicatrix (means scar)
claudication
clean-catch urine
CLOtest
CO2 insufflation
cogwheel rigidity (seen in Parkinson disease patients)
Colles’ fracture
COX-2 inhibitor
CRAB diet (carrots, rice, apples and bananas)
cushingoid
D&C = dilatation and curettage
de Quervain disease/tenosynovitis/thyroiditis/fracture
dehiscence (bursting/splitting along natural/sutured lines)
diff (as in differential – relating to CBC) Eg. CBC with diff
dig = digoxin
DOT physical (DOT = Department of Transportation)
Dupuytren contracture/amputation/canal/fracture/fascia/sign/suture/tourniquet
ehrlichiosis
en bloc (sounds “on bloc”)
Ensure shakes (nutritional supplem’t)
epileptiform discharges (dictated in EEG reports mostly)
ER/PR positive (relating to breast cancer)
EtOH (ethanol or ethyl alcohol)
facet joint
factor V Leiden mutation
fat pad
FES (functional electronic stimulation)
fifth disease
FLAIR sequence (dict’d in MRIs)
follicular small cleaved lymphoma
foramen ovale
frog pelvis x-ray
gent = gentamicin
Gleason score (tumor grading)
global period of surgery
glycosylated hemoglobin or hemoglobin A1c HbA1c
Ginkgo biloba
Glasgow coma scale (GCS)
glove-stocking anesthesia
gnathic (relating to jaw)
G-tube
Guillain-Barré syndrome (sounds “gee yan bah ray”)
gurney (eg. the patient transferred from gurney)
H. pylori (Helicobacter pylori)
halo vest (type of neck brace)
hammer toe
Harrington rod (ortho files) (instrumentation for spine)
HCTZ – short for hydrochlorothiazide
heart healthy diet
Heberden nodes
hep = hepatitis
hep lock
heparinized
HER-2/neu negative
Hibiclens (antibacterial surgical soap)
HNP versus H&P (sound alike) —- HNP = herniated nucleus pulposus; H&P = history and physical
Hoffmann sign
hospice care
HSGYV – heat, steam, gum, yawn, Valsalva
Humalog Pens
ilium versus ileum (sound alike) —- ilium pertains to the hip bone; ileum pertains to the intestine
in toto
indoluria
INH therapy (for tuberculosis)
insuff = insufflation (as in CO2 insufflation – occurs in op reports)
interferon therapy
intertrigo (dermatitis – relating to skin)
IV push
jamais vu (opposite of deja vu)
Jevity (nutritional supplmn’t)
Jewett staging
kappa light chain excretion
Kernig sign
K-wire (Kirschner wire)
knismogenic (tickling feeling)
lactated Ringer’s solution
latissimus dorsi
Lhermitte sign
Lisfranc strain
lordosis
loupe magnification
Lyme disease
maceration
mask facies (found in Parkinson’s disease patients – expressionless face)
mass effect (its not mass affect)
Mastisol (surgical adhesive)
mechanical soft diet
meibomian
menarche
millicurie (mCi)
Monsel solution
mono = mononucleosis
mortise
MRSA (dictated “MERSA” Expansion is methicillin-resistant Staphylococcus aureus)
muscle belly
nectar-consistency liquids (for patients with dysphagia/aspiration)
needle and sponge counts
neural foramen
nitro paste (written nitroglycerin paste)
normal-pressure hydrocephalus
NSAID (short for nonsteroidal anti-inflammatory drug)
O&P (ova and parasites) – as in stool exam results
os naviculare
pannus versus penis (sound alike) — pannus as in abdominal pannus
peak and trough level (eg. vancomycin peak and trough level)
peau d’orange
PEG tube (percutaneous endoscopic gastrostomy tube)
pessary
PICC line (sounds pic/pik line)
Philadelphia collar (for the neck)
piggyback (as in IV piggyback)
pilonidal
PPI (proton pump inhibitor)
PRAFO (stands for pressure relief ankle foot orthosis)
pressure-relief technique (to prevent pressure ulcers)
psoas muscle
psoas sign
pulsatile
raccoon eyes
radicle versus radical (sound alike) —- radicle refers to arteries/veins —- radical (eg. free radical)
RAST test (related to allergy testing)
red reflex
reperfusing
restless leg syndrome
retic count = reticulocyte count
Roux-en-Y (sounds rou n y)
sats = saturation (eg. O2 sat of 98%)
satting = saturating
sequelae
sickle cell crisis
silicon versus silicone (Note the “e” in the second term – this is what is meant in breast reconstructions)
silastic tape
sliding board technique (rehab technique for patients undergoing rehabilitation)
spider angioma
spherocytosis
split-thickness skin graft
Stanford-Binet Intelligence Scale
staph = staphylococcus
stocking distribution
strep = streptococcus
sugar-tong splint
sulci
syndesmosis
tandem gait
tardive dyskinesia
tenesmus
thallium stress test
tib-fib (tibia-fibula)
tinea versicolor
TNTC (too numerous to count)
trismus (relating to masseter muscles)
toe-touch weightbearing
torticollis
trigone
Tuohy needle
U-drape
uncinate
Unna boot
uncinate process
updraft treatment with albuterol, Combivent, etc
urobilinogen
V tach = ventricular tachycardia
valproic acid level
vanco = vancomycin
Veress needle
verumontanum
vibrissae
vitiligo
von Willebrand factor/disease
Weber-Rinne testing
wet-to-dry dressing
white-coat hypertension
wound VAC
