CABG and 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


 




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