Discharge Letter recommended by SIGN

1. Hospital
2. Patient's Identification
3. General Practitioner's Name
4. Consultant's Name
5. Ward/Department
6. Date of Admission
7. Date of Discharge
8. Reason for Admission / Transfer
9. Mode of Admission
10. Main Condition
11. Other Active Problems
12. Operations / Procedures
13. Medication on Discharge
14. Allergies
15. Other Plans on Discharge
16. Comment
17. Results Awaited
18. Further letter to follow?
19. Read & Approved
20. Contact Name
21. Signed

Translation from Bulgarian:

MULTIPROFILE HOSPITAL FOR ACTIVE TREATMENT

DISCHARGE LETTER / PHYSICIAN'S REPORT
NAME:
ADDRESS:
MEDICAL FILE:
admitted:
discharged:
FINAL DIAGNOSIS:
TREATMENT:
PAST DISEASES:
ACCOMPANYING DISEASES:
History of disease
On examination: Condition on admission: A man of a visible age corresponding to his actual one, in
impaired general state, well oriented about time and place, takes active position in bed. Head and
neck: n/a (nothing abnormal), no venous congestion. Skin and visible mucous membranes: pale
pink. Respiratory system: symmetrical chest, both lung halves take equal part in breathing, clear
percussion tone, clear vesicular breathing without crepitations/rales. Cardiovascular system: No
pathological deformities in precordium, bradicardic heart rate, about 35 per min., muffled tones,
without pathological noises, BP 115/60 mm Hg. Abdomen: soft, non-painful. Liver and spleen: not
enlarged. Extremities: no oedema, symmetrical peripheral pulsations preserved.

urinanalysis n/a sediment

Laboratory tests:
ESR, Hb, RBC, Htc, WBC, platelets,
time of bleeding time of clotting
ASAT, ALAT, prothrombine time [more names: prothrombin activity, PT Also known as: Prothrombin
Time, Pro Time, Formal name: Prothrombin Time; Related tests: Activated Clotting Time (ACT),
Activated Partial Thromboplastin Time (aPTT or PTT), Prothrombin Consumption Time (PCT),
Fibrinogen, Coagulation Factors by pressure exerted on the eyeball by the examiner's finger.], |
alkaline phosphatase , uric acid INR, CK , CK-Mb, TnI, blood sugar profile, cholesterol, HDL,
triglycerides, sodium, potassium, chlorides, fibrinogen, urobilinogen, Total Protein , Albumins,
Uric Acid ( - ) Cholinesterase
Troponin T, fibrinolytic products, D-dimer. total protein, serum amilase
blood type = blood group
blood gases test: pH ..., pCO2..., pO2 ..., act. HCO3 ..., BE ..., sO2 ........;

LY% ( - %) 51.6 % 20-48(50 - 70 4)

MO% ( - %) 14 % 1.00-11.0
EOS%( - %)0.147%0-6
BASO%( - %)0.352%0-2
GR% ( - %)34%40 -70(20- 50 4)
LY# ( - .)1.92x10^9/L1.100 - 3.800 (1.300 - 7.400 4)
MO# ( - .)0.519x10^9/L0.070 - 0.80
EOS#( - )0.005x10^9/L0.000 - 0.500
BASO#( - )0.013x10^9/L0.000- 0.140
GR# ( - .)1.26x10^9/L2.100 - 6.400 (0.900 - 5.300 4)
RBC ( - .)4.99x10^12/LM(4.4 - 5.9) (3.7 - 5.3)
Hgb ()145g/L(135 - 180) (120 - 160)
Hct ()0.43L/L(0.40-0.53) (0.36-0.48)
MCV (. )86.2fL82.0 - 96.0
MCH (. Hbg . . )29.1pg27.0 - 33.0
MCHC (. Hgb . .)338g/ L300-360
RDW ( . -)14%11.5 - 14.5
Plt (o)184x10^9/L130-360
MPV ( )7.78fL7.5 - 11.0
Pct ( / )1.43ml/L1.0 - 2.5
PDW ( -)21.80.0 - 99.9
St (- )0.020.00 - 0.06
Sg ( )0.390.40 - 0.70 (0.22 - 0.48 4)
Eo ( )00.00 - 0.06
Ba ( )00.00 - 0.02
Mo ()0.180.01 - 0.11
Ly ()0.410.20 - 0.48 (0.40 - 0.68 4)
Pl ()00.00-0.005
- CPC
. - - Troponin T
- fibrinolytic products
- - D- - D-dimer

(GOT)31.2U/l 37 31
(GPT)31.4U/l 42 32
- GT14.8U/l 60 39
71.7U/l - 350, 50 - 170
C-reactive protein (CRP) - C-
APTT -
, - , /APTT -

() carcinoembryonic
antigen (CEA) test
Ca 19-9 tumor marker test is used mainly for pancreatric cancer 19-9

ECG (ICD-9, Procedure 89.52): sinusoid rhythm, indifferent el. position. // SA block, heart rate 35
per min., RBBB (right bundle branch block), negative waves in III, aVF. On discharge: sinus rhythm,
RBBB, negative T wave in III, isoelectric T-wave in aVF.

EchoCG [version 1] (ICD-9, Procedure 88.72): Good acoustic window. Left ventricle: telediastolic
dimension 56 mm, telesystolic dimension 33mm, interventricular septum 9.5/15mm, normal
kinetics, posterior wall of left ventricle 10/15 , normal kinetics. Right ventricle: telediastolic
dimension 28 mm, aortic root 36 mm, aortic valve: three cusps, normal kinetics. Tricuspid valve:
intact. Mitral valve: thin cusps, slightly increased echogenicity of anterior cusp, discordant
movement, normal coaptation, mitral regurgitation 0-1 degree. Doppler: mitral blood flux: Velocity
at p. E = 0.72 m/sec, V at p. A = 0.68 m.sec, Aortic blood flux 1.11 m/sec, peak gradient 5 mm Hg;
no pericardial effusion. The aorta can be followed up to 60 mm above aortic valve - without a
double contour.
Echocardiography [version 2] (ICD-9 Procedure 88.72) Satisfactory acoustic window apically, poor
parasternally. Simpson: EDV (End-Diastolic Volume): 166 , ESV (End-Systolic Volume): 92 ml, SV
(Stroke Volume) 74 ml, EF (Ejection Fraction) 44%, basal hypokinesia of septum, PWLV (posterior
wall of left ventricle) intact kinetics. Aortic root 30 mm, left auricle 49 mm, aortic regurgitation
1st degree, mitral regurgitation 1st degree, tricuspidal regurgitation 1st degree, mitral blood flow
VmaxT. E = 1.55 m/sec, VmaxT. A = 0.37 m/sec, pulmonary PG 33 mm HG, no pericardial effusion.
Carotidal blood flow: absent blood flow in a. carotis dextra; a. carotis sinistra: multiple plaques,
~30% with native calcinosis. Holter ECG: basic sinus rhythm, heart rate drops to 40 beats per min.
during night hours, sinus bradycardia.

Ultrasound of abdomen (ICD-9, Procedure 38.76): Liver not enlarged, with enhanced echogenicity,
with steatosis. Ductus choledochus and vena porta: within norm. Both kidneys with normal size,
preserved parenchyma, without drainage disturbance or calculi.Right kidney: a 14 mm peripelvic
cyst. Spleen: diameter 115 mm, homogenous. Unobstructed paraaortic space.

Radiography (ICD-9, Procedure 87.44) Lungs and heart: n/a (nothing abnormal).

Contrast radiography of gastrointestinal tract (upper part) Esophagus: contrast matter freely passes
through, no defects in filling or along the contour. Stomach: normal position, peristalsis and shape.
No defects in filling or along the contour, the contrast matter does not form any depots. Slightly
increased amount of mucus in the empty stomach - a 17 mm layer. Mucous membranes: normal
outlines. Pylorus: moves the passage properly. B. duodeni: triangular shape, no defects. Contrast
matter fill ups the duodenal arc. No gastro-esophageal reflux at rest or at provocation.

Cardio-vascular stress test - running path (ICD-9, Procedure 89.41): initial heart rate: 88/min, BP
110/80. Reached stress: 10 METS at heart rate of 168/min, BP 180/90. The test was suspended due
to great fatigue and appearance of pain in the chest. ECG did not reveal any significant ST-T
changes. Conclusion: non-informative test.

Med. Tests and diseases online [Lab Tests Online]:

http://www.labtestsonline.org/

A list of diseases (you click on one and explanations follow )

http://www.labtestsonline.org/

Info for Patients about lots of tests

http://www.betterhealth.vic.gov.au/bhcv2/bhcsite.nsf/pages/patient_information?opendocument

Human Anatomy in Pictures

http://www.innerbody.com/htm/body.html
Instant Anatomy: Power Point Lectures on Anatomy with audio
http://www.instantanatomy.net/avlectures.html

Medical Encyclopedia: Russian & English

http://med.claw.ru/

Gray's Anatomy
http://www.bartleby.com/107/

BLOOD TEST RESULTS - NORMAL RANGES

BLOODBOOK.COM
BLOOD TEST REFERENCE RANGE CHART
Test Reference Range (conventional units*)
Acidity (pH) 7.35 - 7.45
Alcohol 0 mg/dL (more than 0.1 mg/dL normally indicates intoxication) (ethanol)
Ammonia 15 - 50 g of nitrogen/dL
Amylase 53 - 123 units/L
Ascorbic Acid 0.4 - 1.5 mg/dL
Bicarbonate 18 - 23 mEq/L (carbon dioxide content)
Bilirubin Direct: up to 0.4 mg/dL
Total: up to 1.0 mg/dL
Blood Volume 8.5 - 9.1% of total body weight
Calcium 8.5 - 10.5 mg/dL (normally slightly higher in children)
Carbon Dioxide Pressure 35 - 45 mm Hg
Carbon Monoxide Less than 5% of total hemoglobin
CD4 Cell Count 500 - 1500 cells/L
Ceruloplasmin 15 - 60 mg/dL
Chloride 98 - 106 mEq/L
Complete Blood Cell Count (CBC)
( ) Tests include: hemoglobin, hematocrit, mean corpuscular
hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular volume, platelet
count, white Blood cell count
Please click each to view an individual test value.
Copper Total: 70 - 150 g/dL
Creatine Kinase (CK or CPK) Male: 38 - 174 units/L
Female: 96 - 140 units/L
Creatine Kinase Isoenzymes 5% MB or less
Creatinine 0.6 - 1.2 mg/dL
Electrolytes Test includes: calcium, chloride, magnesium, potassium, sodium
Please click each to view an individual test value.
Erythrocyte Sedimentation Rate (ESR or Sed-Rate) Male: 1 - 13 mm/hr
Female: 1 - 20 mm/hr
Glucose Tested after fasting: 70 - 110 mg/dL
Hematocrit Male: 45 - 62%
Female: 37 - 48%
Hemoglobin Male: 13 - 18 gm/dL
Female: 12 - 16 gm/dL
Iron 60 - 160 g/dL (normally higher in males)
Iron-binding Capacity 250 - 460 g/dL
Lactate (lactic acid) Venous: 4.5 - 19.8 mg/dL
Arterial: 4.5 - 14.4 mg/dL
Lactic Dehydrogenase 50 - 150 units/L
Lead 40 g/dL or less (normally much lower in children)
Lipase 10 - 150 units/L
Zinc B-Zn 70 - 102 mol/L
Lipids:
Cholesterol Less than 225 mg/dL (for age 40-49 yr; increases with age)
Triglycerides 10 - 29 years 53 - 104 mg/dL
30 - 39 years 55 - 115 mg/dL
40 - 49 years 66 - 139 mg/dL
50 - 59 years 75 - 163 mg/dL
60 - 69 years 78 - 158 mg/dL
> 70 years 83 - 141 mg/dL
Liver Function Tests Tests include bilirubin (total), phosphatase (alkaline), protein (total and
albumin), transaminases (alanine and aspartate), prothrombin (PTT)
Please click each to view an individual test value.
Magnesium 1.5 - 2.0 mEq/L
Mean Corpuscular Hemoglobin (MCH) 27 - 32 pg/cell
Mean Corpuscular Hemoglobin Concentration (MCHC) 32 - 36% hemoglobin/cell
Mean Corpuscular Volume (MCV) 76 - 100 cu m
Osmolality 280 - 296 mOsm/kg water
Oxygen Pressure 83 - 100 mm Hg
Oxygen Saturation (arterial) 96 - 100%
Phosphatase, Prostatic 0 - 3 units/dL (Bodansky units) (acid)
Phosphatase 50 - 160 units/L (normally higher in infants and adolescents) (alkaline)
Phosphorus 3.0 - 4.5 mg/dL (inorganic)
Platelet Count 150,000 - 350,000/mL
Potassium 3.5 - 5.0 mEq/L
Prostate-Specific Antigen (PSA) 0 - 4 ng/mL (likely higher with age)
Proteins:
Total 6.0 - 8.4 gm/dL
 Albumin 3.5 - 5.0 gm/dL
Globulin 2.3 - 3.5 gm/dL

Prothrombin (PTT) 25 - 41 sec

Pyruvic Acid 0.3 - 0.9 mg/dL
Red Blood Cell Count (RBC) 4.2 - 6.9 million/L/cu mm

Sodium 135 - 145 mEq/L

Thyroid-Stimulating Hormone (TSH) 0.5 - 6.0 units/mL
Transaminase:
Alanine (ALT) 1 - 21 units/L
Aspartate (AST) 7 - 27 units/L

Urea Nitrogen (BUN) 7 - 18 mg/dL

BUN/Creatinine Ratio 5 - 35
Uric Acid Male 2.1 to 8.5 mg/dL (likely higher with age)
Female 2.0 to 7.0 mg/dL (likely higher with age)
Vitamin A 30 - 65 g/dL
White Blood Cell Count (WBC) 4,300 - 10,800 cells/L/cu mm

- aerocoly, aerocolia
- talus
- talocrural joint
- vallum
- posterior cranial fossa
- traction (put in traction)
- embolism
- embolus
MRI - magnetic resonance imaging
gestational sac -
- dilation (?)
dilation -
pubic symphysis -
pathoanatomical -
umbilical cord -
- ,
Rouget's bulb ( )
cardiac tamponade -
normostenic build -
- calculus extrusion
puncture -
- lumbar puncture
Pandy Rivalta
inosculation -
febrility -
lymphopenia -
- Erythrocyte Sedimentation Rate
limph nodes -
coalesced nodes -
lymph nodes not attached to skin -
hyperemic -
below the costal margin -
biliary ducts -
anamnestic -
Blackmore tube or balloon tamponade -
- angina pectoris
- hypertonic disease; hypertension
- - Doppler sonography
 - FS fractional shortening
- EF (ejection fraction)
- anterior wall of right ventricle
- - left ventricle posterior wall LVPW
- - interventricular septum
- tricuspid valve

Tissue Doppler Imaging TDI

aneurysm -
- arrhythmia
atherosclerosis -
- cyanosis
diastole -
- systole
mitral valve -
tetralogy of Fallot -
- - telediastolic dimension TDD
- telesystolic dimension TSD

()

2DE two-dimensional echocardiography

1oAVB first degree atrioventricular block
2oAVB second degree atrioventricular block
3oAVB thrid degree atrioventricular block
AF atrial fibrillation
AML anterior mitral leaflet cusp - !!!
ANS autonomic nervious system
AoV aortic value ?
APC atrial premature complex ?
AR aortic regurgitation
ASD atrial septal defect ()
AV Atrioventricular -
CHD congenital heart disease
CHF congenital heart failure
CT chordae tendineae ?
CW continuous wave ?
DE Doppler echocardiography
ECG Electrocardiogram
IVS interventricular septum ()
LA left atrium
LAD left atrial diameter
LRT lower respiratory ?
LRTD lower respiratory tract disease
LV left ventricle
LVD left ventricle diameter
LVFW left ventricle free-wall ?
LVOT left ventricle outflow-tract ?
MR mitral regurgitation
PA pulmonary artery
PAVB partial atrioventricular block -
PDA patent repetition frequency ?
PMI point of maximal intensity ?
PRF pulse repetition valve ?
PV pulmonary valve / ?
PWD pulse-wave Doppler echocardiography ?
RA right atrium
RCC right coronary cusp (aortic valve) ?
RV right ventricle
RVFW right ventricular free-wall ?
SA Sinoatrial ?
TR tricuspid regurgitation
TV tricuspid valve
URT upper respiratory tract
VF ventricular fibrillation
VPC ventricular premature complex ?
VSD ventricular septal defect
VTI velocity / time integral ?
( ) - diluent
expiratory reserve volume,ERV: the maximal amount of gas that can be expired from the resting
end-expiratory level. ?
closing capacity,the volume of gas in the lungs at the time the airways close during respiration; the
closing volume added to the residual volume, usually expressed as a percentage of total lung
capacity.
normal habitus and mental development - ,
caesarean section -
Lung fields: vascular patterns distinctly outlined bilaterally ?-
; enhanced pulmonary pattern?
TELK - - local expert medical commission
EF - ejection fraction -
- FS - fractional shortening
- - heart rate
infective endocarditis -
- - - cardiac-cerebral form
- - permanently reduced capacity for work
- bicycle ergometry
- - pyelonephritis
- - - cerebral vascular disease
- - hypertonic heart
- - ? tracheo-broncheal system
- date of disability
- Directory of medical expertise files
AVD - atrio-ventricular delay; atrio-ventricular discordance; aortic valve disease; atrio-ventricular
defect
parasthesia -
dermatome -
- analgesics
- - nonsteroid anti-inflammatory drugs
(NSAID)
Chronic Obstructive Pulmonary Disease (COPD - -
- MRT - magnetic resonance tomography
follow up check - ; checkup -
spiroid
diaphyseal -
APTT Activated Partial Thromboplastin Time -
Raynaud - ( )
- - . LA - Left Atrium
- - LV - Left Venticle
- - EDD - End-Diastolic (telediastolic) Dimension
- - ESD - End-Systolic Dimension
- - EDV - End-Diastolic Volume
- ESV End-Systolic Volume
- - Ejection Fraction
- aortic valve separation
( )
/ - / ( )
- - midclavicular line
? ???
 () - Endoscopic retrograde
cholangiopancreatography (ERCP)
was cannuled
hydrocalicosis
- papillosphincterotomy
cavotricuspid isthmus (CTI) - -
CTI cardiothoracic index
1 ( 1) - Forced expiratory volume
() forced vital capacity
- intrahepatic biliary paths
keratinization -
mediastinum -
disabled/ impaired - ( )
- HbA1c
(- ) - blood gases test
ketone bodies -
sinus rhythm -
medication - , . medicamentous treatment ()
extracorporeal lithotripsy - -
extracorporeal shock wave lithotripsy ESWL
(, , ) - kidneys, urether, bladder
stroke volume SV -
- enhanced CT?
TnI or TnT - Cardiac-specific Troponin I and T
- - right bundle branch block (RBBB).
- - left bundle branch hemiblock
- apically
hypokinesia -
- aortic root
iv drip -
hyperkalemia -
hyperglycaemia -
- ERCP (Endoscopic Retrograde Cholangiopancreatography)
- GGT - Gamma glutamiltransferasa
GGTP Gamma-glutamyl transpeptidase
- detritus
- bronchial patency
- pleural effusion
focus - foci - ()
, - interstitium, intersticial
- pleural adhesion
/ - apex / base of the lungs

- posterior cranial fossa

cranial -
- functional test
- traction (put in traction)
- embolism
MRI - magnetic resonance imaging
gestational sac -
- dilatation (?)
pubic symphysis -
pathoanatomical -
umbilical cord -
- ,
Rouget's bulb ( )
cardiac tamponade -
normostenic build -
- calculus extrusion
puncture -
inosculation -
febrility -
lymphopenia -
- Erythrocyte Sedimentation Rate
lymph nodes -
coalesced nodes -
lymph nodes not attached to skin -
hyperemic -
below the costal margin -
biliary ducts -
anamnestic -
Blackmore tube or balloon tamponade -
- angina pectoris
- hypertonic disease
- ; Doppler echocardiography
- FS fractional shortening
- EF (ejection fraction)
- - posterior wall of left ventricle
- - interventricular septum
- - telediastolic dimension TDD
- telesystolic dimension TSD
- tricuspid valve
coaptation
aneurysm -
- arrhythmia
atherosclerosis -
- cyanosis
diastole -
- systole
mitral valve -
tetralogy of Fallot - ?

2DE two-dimensional echocardiography

1oAVB first degree atrioventricular block
2oAVB second degree atrioventricular block
3oAVB third degree atrioventricular block
AF atrial fibrillation
AML anterior mitral leaflet cusp - !!!
ANS autonomic nervious system
AoV aortic value ?
APC atrial premature complex ?
AR aortic regurgitation
ASD atrial septal defect ()
AV Atrioventricular -
CHD congenital heart disease
CHF congenital heart failure
CT chordae tendineae ?
CW continuous wave ?
DE Doppler echocardiography
ECG Electrocardiogram
IVS interventricular septum ()
LA left atrium
LAD left atrial diameter
LRT lower respiratory ?
LRTD lower respiratory tract disease
LV left ventricle
LVD left ventricle diameter
LVFW left ventricle free-wall ?
LVOT left ventricle outflow-tract ?
MR mitral regurgitation
PA pulmonary artery
PAVB partial atrioventricular block -
PDA patent repetition frequency ?
PMI point of maximal intensity ?
PRF pulse repetition valve ?
PV pulmonary valve / ?
PWD pulse-wave Doppler echocardiography ?
RA right atrium
RCC right coronary cusp (aortic valve) ?
RV right ventricle
RVFW right ventricular free-wall ?
SA Sinoatrial ?
TR tricuspid regurgitation
TV tricuspid valve
URT upper respiratory tract
VF ventricular fibrillation
VPC ventricular premature complex ?
VSD ventricular septal defect
VTI velocity / time integral ?
( ) - diluent
expiratory reserve volume,ERV: the maximal amount of gas that can be expired from the resting
end-expiratory level. ?
closing capacity,the volume of gas in the lungs at the time the airways close during respiration; the
closing volume added to the residual volume, usually expressed as a percentage of total lung
capacity.
normal habitus and mental development - ,
caesarean section -
Lung fields: vascular patterns distinctly outlined bilaterally ?-

TELK - - territorial expert medical commission

EF - ejection fraction -
- FS - fractional shortening
- - heart rate?
infective endocarditis -
- - - cardiac-cerebral form
- - permanently reduced capacity for work
- bicycle ergometry
- - pyelonephritis
- - - cerebral vascular disease
- - hypertonic heart
- - ? tracheo-broncheal system
- date of disability
- Directory of medical expertise files
AVD - atrio-ventricular delay; atrio-ventricular discordance; aortic valve disease; atrio-ventricular
defect
parasthesia -
dermatome -
- analgesics
- - nonsteroid anti-inflammatory drugs
(NSAID)
Chronic Obstructive Pulmonary Disease (COPD - -
- MRT - magnetic resonance tomography
Magnetic resonance imaging (MRI) (or Nuclear magnetic resonance imaging (NMRI)) -

follow up check - ; checkup -
spiroid
diaphyseal -
APTT Activated Partial Thromboplastin Time -
Raynaud - ( )
- - . LA - Left Atrium
 - - LV - Left Venticle
- - EDD - End-Diastolic (telediastolic) Dimension
- - ESD - End-Systolic Dimension
- - EDV - End-Diastolic Volume
- - Ejection Fraction
/ - / ( )
- - midclavicular line
cavotricuspid isthmus (CTI) - -
1 ( 1) - Forced expiratory volume
() forced vital capacity
- intrahepatic biliary paths
NYHA - New York Heart Association
hilum [hailum] -
- - aortocoronary bypass
PCI - percutaneous coronary interventions
() - thrombo-arterectomy
Rhythm and conduction disorders -
. . - functional class
meningoradicular irritation - -
- - cranial nerves
- loss of sensitivity
- Kernig and Brudzinski Signs
spinal block -
Hessing apparatus -
- post-discharge follow-up
- myoma nodule
sagittal section - ( -) ( )
filmy adhesions -
dense adhesions -
() - fine needle aspiration FNA
surgical (excisional or open) biopsy - (
?)
macrophage -
- expressed
Oriented to person, time and place -
dysmetria -
- vertebrobasilar system
- - chronic carotid and
vertebrobasilar vascular insufficiency
- - meningo-radicular irritation
( ...?) latent paresis test
- cognition
- - Finger-to-nose and heel-to-knee Test
() ultrasound Doppler vasography
- ( ) Resistance Index
- - carotid and vertebrobasilar
vascular insufficiency
- left vertebral artery
- Left middle cerebral artery
PTCA - percutaneous transluminal
coronary angioplasty
aorto-coronary bypass -
Acute lymphocytic leukemia - ()
- Chilaiditi's syndrome
- echogenicity
-
Individual practice for primary medical aid to outpatients;
Individual practice for specialized medical aid to outpatients;
Individual practice for primary medical aid to outpatients;
 Individual practice for primary dental aid to outpatients;
Individual practice for primary dental aid to outpatients;
- () Outpatient
Medical Centre for Specialized Medical Aid
The leg from the knee to the ankle is called the cnemis (nee'mis) or crus[5]. The calf is the back
portion and the shin is the front. SHANK ( )
CEAP (clinical, etiologic, anatomic, and pathophysiologic) classification

1994 .
CEAP. - (C), (E),
(A) (P). ,
,

C
C0 - ;
C1 - , ;
C2 - (. 1);
C3 - , ;
C4 - , - , ,
;
C5 - ;
C6 - (. 2).

- c - , Ep - (), Es - .
- s1-5 - , Ad6-16 - , Ap17-18 - .
P - Pr - , Po - , Pr,o - .

() ...total focal dose Gy Cy

- undifferentiated
low-differentiated
- telegammatherapy. - thyroid gland. -
euthyroid struma. - thyroid carcinoma

FT3 -
FT4 -
sTSH -
TAT -
AntiTPO -
TRAb -
g -
131I- -
-
-
KT -
-
-
-
-
-
-
-
- -
- -
-
-
-
-
-
-
 - - - video-assisted thoracoscopy
- - nteroposterior nteroposterior size
- radiotherapy, x-ray therapy radiation treatment, cobalt therapy, electron beam
therapy, or irradiation
percussion tone
sprain of a ligament -
strain of a muscle - e
malleolus -
tarsal articulation -
- cerebral palsy
-Territorial Expert Commission on Disability
- - Social Aid Agency
amblyopia (lazy eye)-
myopia (shortsightedness) -
auditory nerve -
to be recognized as disabled -
medical intern -
resident (or fellow) -
internship
residency (or fellowship) -
ART Assisted Reproductive Technology -
TTRS twin-to-twin transfusion syndrome - -
PCOS polycystic ovarian syndrome -
OHSS Ovarian HyperStimulation Syndrome
HIFUS - (High Frequency Ultrasound - ).
IUGR (Intrauterine Growth Restriction -
TVT - Tension Free Vaginal Tape ( )

TOT - Transobturator tape ( )

IVS - Intra Vaginal Sling ( )
- stent
stress incontinence -
BSO bilateral salpingo-oophorectomya BSO (bilateral salpingo-oophorectomy -
- )
Extra-uterine pregnancy (EUP -
bilateral tubal ligation (BTL -
cold knife
Loop Electrosurgical Excision Procedure (LEEP)
BSO Bilateral Salpingoopherectomy -
LAVH - Laparoscopic assistant vaginal hysterectomy -

D & C Dilation and Curettage -

FFR fractional flow reserve -
The flow-directed balloon-tipped pulmonary artery catheter (PAC) (also known as the Swan-Ganz or
right heart catheter)
TASH Transcoronary Ablation of Septal Hypertrophy -

Intra Aortic Balloon Pump (IABP
CPR - cardiopulmonary resuscitation -
- coronary artery
otorhinolaryngologist -
- rhythmic heart beat
mild, moderate, severe disease- , ,
slight, moderate, advanced degree - , ,
specific gravity - ( )
SAH (subarachnoid hemorrhage)
- - - deep tendon reflexes?
infant born to a primiparous mother after her first pregnancy the course of which was marked by a
diarrheic syndrome - , ,

was marked by -
- - cow's milk protein allergy
- - gastroesophageal reflux (GER)
- - - conditionally pathogenic micro flora
- Coombs test ( also known as Coombs' test, antiglobulin test or AGT)
- antigliadin antibodies
- hyperechogenicity
( ) staining
- phosphotungstic acid
- siderophages
- intercalary
TTE - transthoracic echocardiogram -
TEE - transesophageal echocardiogram-
PTCA percutaneous transluminal coronary angioplasty -

loop recorders - ( )
AICD automatic implanted cardiac defibrillator

unprotected left main (LM) disease stenosis of the left main (LM) coronary artery -

TASH - Transcoronary Ablation of Septal Hypertrophy
- .; - late degenerative syndrome;
costo-diaphragmal sinus
incidence of disease -
prevalence of disease - ,
Incidence , ;
( ) refers to
the frequency of development of a new illness in a population in a certain period of time, normally
one year. When we say that the incidence of this cancer has increased in past years, we mean that
more people have developed this condition year after year, i.e.:, the incidence of thyroid cancer
has been rising, with 13,000 new cases diagnosed this year.
Prevalence , refers to the current
number of people suffering from an illness in a given year. This number includes all those who may
have been diagnosed in prior years, as well as in the current year. The incidence of a cancer is
20,000 per year with a prevalence of 80,000 means that there are 20,000 new cases diagnosed
every year and there are 80,000 people living in the United states with this illness, 60,000 of whom
were diagnosed in the past decade and are still living with the disease. The number of people cured
of the disease is not included in prevalence.
diagnostication - ;
pulmonologist -
- instinctive; related to right cerebral hemisphere?
- -
, (,
) , (, )
"" , , ""
.
- the studied cohort
case report form - /
blinded trial -
unblinded trial -
lesser / greater curvature - /
spasmolytics -
Echinococcosis, also known as hydatid disease, hydatid cyst, unilocular hydatid disease or cystic
echinococcosis, is a potentially fatal parasitic disease -
cicatrix - ,
exaggerated vesicular breathing -
parenchymous
thinned parenchyma
- - parenchyma-pyelon index (PPI)
- opalescent
mesothelial -
macrophage - macrophages - ()
cytoplasm -
anisokaryosis -
acinic-like -
is rather indicative of - ( )
- mucosa, mucous membrane
mesenchymal -
ureasic test -
exudative -
infiltrative, infiltrating -
Scirrhus: A cancerous tumour which is hard, translucent, of a gray or bluish colour, and emits a
creaking sound when incised. [Sometimes incorrectly written schirrus; written also skirrhus
- Scirrhous Proceeding from scirrhus; of the nature of scirrhus; indurated; knotty; as,
scirrhous affections; scirrhous disease. Alternative forms: skirrhous.
leiomyoma -
antral - ( )
hypochromic -
embolus -
metaplasia -
sinus rhythm - ()
" " ,
,
.
- extemporaneous compounding
, - compounded drug
- magistral ( )
magistral formula.
- relapse, recidive
- relapsing, recidivating
- have almost reached epidemic proportions
- exostosis
coronial files - -
sick leave sheet -

. grow together; knit (the broken bone knitted well - );

accrete; coalesce; concrete; inosculate ( ); ankylose ( ); solder;
anchylose ( ..); coalesce ( ..)
. intergrow; interlock
. adhere; anastomose; set (
sex organs -
PVCU - Portio vaginalis cervicis uteri
CC - canalis cervicalis
parametria - , parametrium - : the connective tissue and fat adjacent to the uterus
Douglas cavity -
pedicle - ( , )
miction and defecation -
- polymicroadeny
filiform pulse
- enhanced peristalsis

gnawing pain - ,
sitting case - ,
normal film (of blood count) - ( )
rigor = chills -
coryza = rhinitis - ,
pleuritic pain [plju'ritik] -
haemoptysis [he'moptisis] -
strangury - painful passing of water -
melaena [me'li:na] -
stress incontinence - ( .)
JVP - jugular venous pressure
SOBOE - short of breath on exertion
MCL - midclavicular line
2 fb - 2 finger breaths - ( )
below the right costal margin -
cardinal manifestations -
postirradiation pericarditis -
The pain is characteristically in the centre of the chest, referred to the back and the trapezium
ridge [tra'pizium] - ? -
L.M.P. - last menstrual period -
E.D.D. - expected date of delivery -
F.M.F.F. - fetal movement first felt ()
F.H.H. - fetal heart heard ()
Pres - Presentation
DGA ( dGA) - days gestational age - ( )
Parity -
Capt. - head presentation ( )
Face presentation: Head presentation of the fetus during birth in which the face is the presenting
part.
C = Capt - head presentation
NE - not engaged
BPD bi-parietal diameter: The diameter of the fetal head as measured from one parietal eminence
to the other
parietal [pa'rai..] /, : parietal bones -
AFP - alphafoetoprotein
FMF - fetal movement felt
girth - ( )
angioedema - Quincke's edema
typhoid fever -
glandular fever -
Erytromycin Estolate [eritro'majsin 'estolejt] -
Gentamicin [']
Tetracyclin [']
Penicillin ['']
AF - atrial fibrillation
Here are some extracts from an article that featured in an American journal -
small particulate material -
coil -
occlusion - ,
admitted to hospital as an emergency -
PR - per rectum
t.d.s. = t.i.d. - 3 times daily -
to take up the correct position -
barium meal examination = barium swallow examination -
The Crosby-Kugler capsule, also called the Crosby capsule, is a device used for obtaining biopsies of
small bowel mucosa needed for the diagnosis of various small bowel pathology
EUA - examination under anesthesia
D & C - dilatation and curettage -
LFTS - lung function tests
hypochondrium -
occipital -
MSU - mid-stream urine
Monospot Test Also known as: Mononucleosis spot test, mononuclear heterophil test, heterophil
antibody test, Mono test Formal name: Heterophil antibody titre
tonometry - estimation of the degree of intraocular pressure
prothombin ratio - /

albumen = albumin
MCV - mean corpuscular volume
MCH - mean corpuscular hemoglobin
MCHC - mean corpuscular hemoglobin concentration
near miss infant death syndrome -

SI - sacroiliac
Visual Analogue Score -
A Visual Analogue Scale (VAS) is a measurement instrument that tries to
measure a characteristic or attitude that is believed to range across a continuum
of values and cannot easily be directly measured. For example, the amount of
pain that a patient feels ranges across a continuum from none to an extreme
amount of pain. From the patient's perspective this spectrum appears
continuous their pain does not take discrete jumps, as a categorization of
none, mild, moderate and severe would suggest. It was to capture this idea of an
underlying continuum that the VAS was devised.
acute backpain referred down R[ight] sciatic nerve distribution - ,

How to read a doctors' prescription:

Dose: mg= milligrams, g= grams, mL= millilitres, cc=cubic centimetres (usually is the same as
mL), gtts= drops, ss= half
Directions: M or Mitte= "give" or "dispense", od= once daily / (can also
mean right eye), bid= twice daily , tid= three times daily. qid= four times daily,
q6h = every 6 hours, AM= every morning, qHS= at bedtime, AC= before meals, PC=after meals, prn=
when needed
Route: PO= by mouth, IV= intravenously, IM=intramuscularly, SC or SQ=subcutaneously, PR=by
rectum, PV=in the vagina, AAA= apply to affected area (usually on skin), ou= each eye, au= each
ear
Duration: x/52 (x is number of weeks), x/12 (x is number of months)

crescendo angina [pectoris] - Angina pectoris that occurs with increasing frequency, intensity, or
duration
"We cross-clamped the aorta." In other words, they'd stanched the flow of blood to the lower half
of his body--probably to clear the abdominal field.
cross-clamp = clamp off
CAVG - coronary artery vein graft
LAD - left anterior descending
RCA - right coronary artery
OM1 - first obtuse marginal
LV - left ventricle/ventricular
CCPg - Current Contents Page
JPg Journal Page

ketotic -
limit suctioning to 15 minutes or less - 15 . -
Valsava's maneuver - , ,
, , - ?
D5W piggy-backed
D5W Dextrose 5% in Water
piggy-back: in clinical medicine, a container of a liquid medicine which mixes in an IV line with
another dilutive liquid (such as normal saline) from a larger container.

uptake of oxygen - /
p.r.n.
p.r.n. | g-sort
. as occasion requires (. pro re nata; as needed)

call the code for cardiac arrest - (,

), "
Nancy ran into the hallway and yelled: "Call a chest team!" Chest team is our code for cardiac
arrest. Different hospitals use different codes, such as "Dr. Heart!", "Code Blue!", and "Code 911!"
friction rub -
dependent edema -
impedance to blood flow - ? //
rales -
crepitant rale, crepitation -
coarse pales -
the patient must be NPO 8 hours prior to the procedure Latin nil per os (nothing by mouth)

viselike pain -
diaphoresis -
mucoid sputum -
bounding pulse Bounding pulse: Is most often classified as a forceful and strong pulse.
CHF: congestive heart failure -
morphine IV push -
Some medications are also given by IV push, meaning that a syringe is connected to the IV access
device and the medication is injected directly (slowly, if it might irritate the vein or cause a too-
rapid effect). Once a medicine has been injected into the fluid stream of the IV tubing there must
be some means of ensuring that it gets from the tubing to the patient. Usually this is accomplished
by allowing the fluid stream to flow normally and thereby carry the medicine into the bloodstream;
however, a second fluid injection is sometimes used, a "flush", following the injection to push the
medicine into the bloodstream more quickly.

stat diagnostic studies: statistic

dispnea = breathlessness = shortness of breath -
Kussmaul's respiration (hyperpnea) -
Cheyne-Stokes respiration - -
adventitious breath sounds - , /
rhonchi (?) - due to obstruction of the large airways with secretion
fine crackles (?) - due to sudden opening of collapsed alveoli
coarse crackles (?) - due to air passing through airways intermittently occluded by
mucus
sputum -
pleural friction rub -
wheeze - caused by rapid vibration of bronchial walls (bronchospasm)
stridor - partial obstruction of larynx or trachea -
thoracentesis -
sputum culture -
pulmonary function test - , -

bronchodilators -
pH measures the acid-base value
acid-base balance - -
inspirations & expirations = ventilation -
Arterial Blood Gases (A.B.G.) - -
flail chest -?
ambulation - ,
postural drainage -
using the incentive spirometer (while splinting) if the patient has had surgery - ?
circumoral cyanosis -
scope - ()
radiopaque dye - ()
impaction of stool -
contrast medium - ( )
gag reflex - ( )
PO intake = peroral - ,
NPO status - nothing per os -
purulent drainage from the operative wound -
Whipple operation - pancreatoduodenectomy - . (
)
sphincter of Oddi -
antacid -
T.P.N - total parenteral nutrition (via central vein)
P.P.N. - peripheral parenteral nutrition (via peripheral vein)
Sengstaken-Blackmore tube -
breakdown of food -
G.E.R.D. - gastroesophageal reflex disease -
Billroth I and II -
bilirubin
ampulla of Vater -
sphincter of Oddi - ?
multiparous -
radiate -
at 1st should be NPO then slowly advanced to clear fluids -

as needed -
the client should be NPO for 3 days -
subcutaneous tissue -
cretinism
exophthalmus [written by mistake exophthalmous] -
bagel ['bejgul] A glazed, ring-shaped roll with a tough, chewy texture, made from plain yeast dough
that is dropped briefly into nearly boiling water and then baked.
digital rectal exam - ( )
ipsilateral internal mammary nodes - ,
skin excoriation - ,
akathisia = a condition of uncontrolled restlessness
p.r.n. or around the clock
(p. 233): STAT page provider ?
Page provider?
Call provider -
Notify provider -
nonopioids -
adjuvants - ,
floss the teeth -
anergy testing - , -
in'tegumentary system - , ()
so that proper medication or intervention is instituted -
(institute - , )
chloride -
fluoride -
bulla: fluid-filled vesicle
wheal: tiny, flattened collection of fluid - /
T.B.S.A. total body surface area - /
pressure ulcers (decubiti) -
decubitus
evaluate and reestablish circulation
Foley catheter -
nasogastric tube -
Curling's ulcer -
Dakin's solution - A dilute aqueous solution of sodium hypochlorite used in cleansing wounds
eschar [eska:] - A dry scab or slough formed on the skin as a result of a burn or by the action of a
corrosive or caustic substance. ( )
on the bony prominences -
donut-shaped cushion -
ACTH adenocordicotropic hormone -
shown are the principal glands (!)
diaphoresis - a classic sign of hypoglycemia
C.V.A. (clinical manifestation of Cohn's syndrome)
acinar cells - ()
acinar carcinoma -
islets of Langerhans -
type I, or insulin-dependent
type II, or non-insuline-dependent
lithotomy (position during vaginal surgery: on back with buttocks at edge of table) - For vaginal
procedures, patients are placed in the "Frog Leg" or Lithotomy Position - feet up in stirrups and
thighs pulled back (toward your head) -.because the surgeon needs easy access through the vagina.
"; =
crepitus (breath noise) - indicative for leakage of air into subcutaneous tissue
articular crepitus
bony crepitus
bony crepitus ( )
serosanguinous drainage - -,
administer p.r.n. -
must prepare for synchronized cardioversion -
. ; ();
Being mentally ill does not mean that a client is incompetent - , ,
,
incompetent adj.
1. Not qualified in legal terms: a defendant who was incompetent to stand trial.
2. Inadequate for or unsuited to a particular purpose or application.
3. Devoid of those qualities requisite for effective conduct or action.
beneficence - to do good for clients
clang associations - a rhythmic speech patterns in which sounds govern the choice of words
impaired sleep or sleep disturbance -
dissociative fugue - an unexpected leaving of one's home to relocate, without recollecting of past
experiences and identity
fugue [fju:g]
..

., .
.
. ; ;
,
alternate activity - ,
alternate -
postural (picture on p. 564) - ,
broad beans - , horse bean
blood-streaked mucus/lymph -
blood-stained mucus/lymph - /
vagal stimulation -
H.R. - heart rate -
hypercarbia ( );

quickening - the first perceivable movement of the fetus, usually at weeks 17-19 -

para -
gravida = pregnant
primigravida -
multigravida -
vertex delivery -
vaginal delivery -
primiparous vs. nulliparous -
a part of the exam that often stumps students - ,
to run agaisnt a stump / to be up a stump / to be stumped for an answer
lipids (as food component)
tofu - ,
finger foods - , (, junk food)
sustained release tablets - ( )
enteric coated - ,
left-sided - , sinistral
gatorate, - Gatorade
A trademark used for a thirst-quenching beverage drunk especially by athletes
gagging and choking - / /
gag reflex - /
choke - ,
flounder filet - /
to flounder through a translation - ; flounder - ,
,
cold cuts - ,
angel food cake - A light sponge cake made of egg whites, sugar, and flour
- lady fingers
RSV respiratory syncytial virus - (. )
evisceration or dehiscence - , (
)
grimacing, splinting ... - ,
prolapse -
ipsilateral ,
recess stenosis -
splinting - rigidity of muscles occurring as a means of avoiding pain caused by movement of the
part. -
use tape-over sheets to apply the strongest restrain (p. 266) ? ()
- ? , twirled ()
postictal state -
seeding stools - Stools should be yellow, soft, and pasty. With breastfeeding, a baby's stools are
usually looser than with bottle-feeding and have seed-like particles -

urethral meatus [mi'aetus] -
globiuyin (p.286) spelling mistake - should be 'globulin'
flatus -
bassinet ['baesi'net] -
. ; ();

.
.
lanugo - soft, fine, downy hair found on newborns
cryptorchidism -
jittery - ,
abnormal=adventitious breath sounds ,
in deference to: Position objects around client ~ visual field impairment - ,
"
DTP - Diphtheria, Tetanus, Pertussis
congenital hip dysplasia -
90th percentile - ,
one of the values of a variable that divides the distribution of the variable into 100 groups having
equal frequencies: Ninety percent of the values lie at or below the ninetieth percentile, ten
percent above it.
One of a set of points on a scale arrived at by dividing a group into parts in order of magnitude. For
example, a score equal to or greater than 97 percent of those attained on an examination is said to
be in the 97th percentile.
OPV oral polio vaccine
to allay fears -
welts (bruises and ~) welt - a ridge or bump on the skin caused by a lash or blow or sometimes by
an allergic reaction, "
deciduous teeth
urticaria = wheals
nits -
cardiac arrhythmia
splinting pillow? A splint pillow is a pillow that you hold to your abdomen for support. You can press
this pillow to your abdomen when you are getting up (since your abdomen will feel vulnerable and
tender)
legs in stirrups - ( )
clammy skin
IV poles
in an ambulatory care setting
in an inpatient setting
urinal ['ju]- , ( bedpan)
snoop - ,
the vellus over the pubis -
compliance with treatment - /
meatal [mi'eital] erythema / (
, - )
addressing the special needs of -
bronchodilator treatment -
hand-foot syndrome with sickle anemia - "-" (-
" , - )
"-" ( "-" -
,
"-" ( "-" -
, ).
"-" 1 ,
/, ,
/ / , .
2 "-" /
/ , . 3
"-" , ,
/ / ,
.
"-" 2 3, Xeloda,
1. 3
"-" Xeloda. Xeloda
, B6 ()
"-",
.
this warrants - , ( ...)
in every subsequent hospital admission -
long-term sequelae - , ,
cataract - lens of the eye is opaque - -
O.U. both eyes
O.S. left eye
O.D. right eye
most likely, the opposite sex had 'cooties' Cootie
cootie
Cootie is also the name of a table game, the object of which is to be the first player to complete a
comic model of an insect from the supplied plastic parts, as determined by the roll of a die. Its
rules are essentially the same as those of the dice game Beetle.
toys that squish - ,
the child tumbles - (), ,
state of mind - / ,
transdermal vs. subcutaneous
dropper
Bartholin's gland
labium majus
labium minus
introitus ,
colostrum is expressed
premature rupture of membranes
multiparous vs. multipara - :
abruption placentae = placental abruption
elective abortion
spontaneous abortion
DTR - deep tendon reflexes
trimester
first-degree relatives: , ,
glucose challenge -
cervical effacement = shortening and thinning

cervical dilatation = widening of the cervical os and canal

optic medication
otic medication
What types of community agencies might you tap to provide a safer home environment for the
client? ; :
clutter (p. 473) , ; , ..
Not charted - not done! !
playpen -
it is very probable that the person will not be rested at bed time - ,
,
BUN blood urea nitrogen - - urea
pyelogram -
arteriogram -
while the client voids, x-rays are taken - ,
casts
UA urinanalysis
azotemia
UTI - urinary tract infection -
E.S.R.F. end-stage renal failure
turbid, foul-smelling outflow - , ( )
tendon attaches muscles to bone
ligament attaches bone to bone ,
radiology (rarely used) = x-ray, radiography
Chest radiography; Serial chest x-ray; X-ray - chest; Chest X-ray
Paget's disease - (Osteitis deformans)
dislocation
strain: injury to the muscle tissue
sprain: injury to ligamentous structures
closed overriding fracture
traction -
motion (not movement!)
cast, a plaster f Paris cast
skin breakdown ,
walker
hip prothesis [without 's' as in prosthesis]
Serum glutamate oxaloacetate transaminase (GOT) and glutamate pyruvate transaminase (GPT)
, GOT or SGOT and GPT, (various liver enzymes: ALT, AST, GGT and ALP) (S)GOT
AST !
- secretion
spinal fluid (liquor)
- hemoculture
- uroculture
- eye fundi
hypovolemic shock -
hypovolemia
infectiologist -
- cardiac rehablitation
- mean gradient (to measure aortic valve stenosis)
- plastic reconstruction
- - tonic-clonic seizures
- confirm
- Erb's area
distal convolute (DCT) - /
- - recessus costodiaphragmaticus, sinus phrenicocostalis
extracorporeal circulation discontinuation - -
mitotic figures -
The GCS (Glasgow Coma Score) is scored between 3 and 15, 3 being the worst, and 15 the
- healing by first intention
health insurance card -
period during pegnancy -
- - venous congestion in the neck
- slow kinetics?
- ascites
- - suprarenal glands
() rough motor functions
()
- - transfontanelle ultrasonography
- Apgar score
nose smear -
- lively; brisk
metacarpal -
metaphysial -
sulcus -
Sylvian sulcus
homeopathist -
sella turcica - ;
- mother's height
- father's height
- ( ) - theoretically calculated height of the baby
- - - neurological and mental development
- discordance between the pathoanatomical and clinical diagnosis
- concordance between the pathoanatomical and clinical diagnosis

Our discordance between clinical and postmortem diagnosis was 19.8% (confidence interval, 12 to
29%).
http://www.medscape.com/viewarticle/405967_4

-postmortem diagnostics
nasion - ( :
)
nasomanometer - (a manometer used in rhinomanometry - measurement of the
airflow and pressure within the nose during respiration; nasal resistance or obstruction can be
calculated from the data obtained)
nasorostral -
nasospinale - ( ,
,http://lord-
yama.deadjournal.com/13097.html)
nasoturbinal - (1 (n.) The nasoturbinal bone.
2 (a.) Connected with, or near, both the turbinal and the nasal bones; as, the nasalturbinal bone,
made up of the uppermost lammelae of the ethmoturbinal, and sometimes united with the nasal.)
?
blue navel - ?
enamel navel - ( "" )
NCF (neutrophil chematotactic factor) - ?
- dextrolateral
according to the prescribed schedule -
() - bony tarsus
- peroneal bone

axial section

mounted autoradiography

frozen section biopsy

vertical profile

vertical section

single scan time

histologic section

microscopic section ()

.. - - clinical stage
radicle compression -
diuresis -
() - articulation capsule
| . vascular pattern
indurated
- coracoid

Wirsung's duct

- Spondylotic
- evidence of
- dot-like lesions
blastema - blastemal
- ( ) daily focal dose
Gracile habitus -
- retention
venous congestion of the neck
- - front axillary line
- mitral opening tone
- diastolic bruit at the apex
- trabeculas
- PAS-positive
- tendrils? tentacles? (streaky) strands!!! (found in original document)
- myxomatous
- stroma
- cytokeratins
hormone receptors or hormonal receptors -
skull base
straightened lumbar lordosis - "
ridge osteophytosis -
Modic 1 , 2 - 1, 2
acetabular -
obturator -
- - diabetic polyneuropathy
preprandial, postprandial - , ()
- protracted
- AFCDx (Arteria Femoralis C... Dextra)
- AFCSin
- ATPSin
- Paranasal sinus radiography
opacified nasal cavity - ?
opacification - ?
transparent -
Denser tissues appear radiopaque (), bright on the film; less dense tissues appear
radiolucent (), dark on the film.
- ( ) Hounsfield Units HU
squamous epithelium -
- - striated muscles
- ( ) - vitality scanner
() - renal needle biopsy (RNB)
- - cardiothoracic index (CTI)
floccule
hypervolemia = fluid overload
adnexa -
polypus -
reflexive
- - . duodeno-gastric reflux
eosinophil -
- open reduction
- had (measles, etc), suffered from ... in (year), or simply a tick against the disease

Abbreviations Commonly Used in the Nursery

Edward F. Bell, MD
Peer Review Status: Internally Peer Reviewed
________________________________________
4WINT - 4 West Intermediate Care Nursery
A/B - apnea/bradycardia spell
A/B/D - apnea/bradycardia desaturation spell
AGA - appropriate for gestational age
ASD - atrial septal defect
ATB - antibiotics
BBT - baby's blood type
BM - bowel movement
Br Milk - breast milk (.67 kcal/cc)
BPD - bronchopulmonary dysplasia
C/S - cesarean section
CHD - congenital heart defect
CHF - congestive heart failure
CMV - cytomegalovirus
CNS - central nervous system
COC - circumoral cyanosis
CPAP - continuous positive airway pressure
CPD - cephalo-pelvic disproportion
CPT - chest physiotherapy
CS - chemstrip
CSF - cerebrospinal fluid
CXR - chest x-ray
DIC - disseminated intravascular coagulation
DR - delivery room
ETT - endotracheal tube
FOC - frontal-occipital circumference
FSBG - fingerstick blood gas
FTP - failure to progress
G-P- - gravida ____para____ (pregnancies; live births)
GBS - group B streptococcus
HCS - hemacombistick
HCT - hematocrit
HFV - high frequency ventilation
HFOV - high frequency oscillating ventilation
HMD - hyaline membrane disease
HMF - human milk fortifier (makes breast milk .8 kcal/cc)
HTN - hypertension
HUS - head ultrasound
IDM - infant of diabetic mother
IMV - intermittent mandatory ventilation
IUGR - intrauterine growth retardation
IVF - in vitro fertilization
IVH - intraventricular hemorrhage
LGA - large for gestational age
LLSB - lower left sternal border
LMD - local medical doctor
LSB - left sternal border
MAP - mean airway pressure
MAS - meconium aspiration syndrome
MBT - mother's blood type
MCL - midclavicular line
MGM - maternal grandmother
NAD - no apparent distress
NC - nasal cannula
NEC - necrotizing enterocolitis
NICU - Neonatal Intensive Care Unit
NNS - neonatal screen
NPCPAP - nasopharyngeal continuous positive airway pressure
NPO - nothing by mouth
NVN - neonatal venous nutrition
PDA - patent ductus arteriosis
PEEP - peak and expiratory pressure
PF - premie formula (.8 kcal/cc)
PFC - persistent fetal circulation
PGE1 - prostaglandin E1
PGF - paternal grandfather
PIE - pulmonary interstitial hypertension
PIH - pregnancy induced hypertension
PIP - peak inspiratory pressure
PIV - peripheral intravenous line
PKU - phenylketonuria, a disease detected on the NNS
PMI - point of maximum intensity
PNP - pediatric nurse practitioner
PPHN - persistent pulmonary hypertension of the newborn
PPS - peripheral pulmonic stenosis
PRBCs - packed red blood cells (concentrated)
PROM - premature rupture of membranes
PTL - preterm labor
PVL - periventricular leukomalacia
RA - room air (21% oxygen)
RCM - right costal margin
RDS - respiratory distress syndrome
ROM - rupture of membranes OR range of motion
ROP - retinopathy of prematurity
RSV - respiratory syncitial virus
SAB - spontaneous abortion
SF - stock formula (.67 kcal/cc)
SGA - small for gestational age
TCM - transcutaneous monitor (PO2, PCO2)
TG - true glucose
TTN - transient tachypnea of the newborn
UAC - umbilical arterial catheter
UVC - umbilical venous catheter
VLBW - very low birth weight baby
VSD - ventricular septal defect
VS - vital signs
From Pat's:
- medium and moderate asphyxia -
- A bag valve mask (also known as a BVM or Ambu bag)
estimated time of delivery
- cardio-respiratory resuscitation
morphological maturity
nasal nasogastric tube
/ - / acid-alkaline status
IV intravenous infusion of humanalbumin
antibiotic injection
- IV intravenous infusion of bioproducts
PKU phenylketonuria
( ) - Multiple Sclerosis (Neuromyelitis Optica,
Devic's Disease)
. differential diagnosis
utr. utriusque - ( )
- () Visual Acuity Dex.
. - stenopeic opening
, - , VOD, VOS vision occuli dextri (?) vision of
the right /left eye
() , - lens, lenses
vitreous body
retina ['retna]
Amblyopia -
" " intraocular pressure
- fibrillar astrocytoma
hereditary diseases
intensity-modulated radiotherapy (IMRT) using positron emission tomography (PET)-guided dose
escalation---
scintigraphy
phthisiology
- squamous cell carcinoma
continuous hyperfractionated accelerated radiotherapy (CHART) ?/
?
bronchus - bronchi -
- necrosis
- adrenal or suprarenal gland
- bronchogenous
carina tracheae (EN) , peron trachal (Fr.)
- lingular bronchus
pinch biopsy
troublesome cough
- : adrenal gland, : hair of the head.
- - diagnostic and treatment acivities
() highly specialized medical activities
- Pylorus: moves the passage properly.
- Cardio-vascular stress test
- suppress symptomatics
// - selective coronary angiography
indicated for
villous adenoma
rectal hemorrhage
rumble
Fixative procedures include tying off the
hemorrhoids with a rubber band (rubber band ligation) or using heat, lasers, or electric current to
create scar tissue (coagulation therapy).
flat feet, hollow feet, club feet - , ,
Golgi tendon organ -
": , , (...)
: (...) ( ) - ,
 "
: () ,
, auscultated fetal heart
"" - " " (
),
(
), , .

= - () - -
- , - (ML or LM)
incomplete right bundle branch block
- rhythmic heart beat
- gas analysis?
- cystolithotripsy
- diverticle
- - Dispensary for Oncologic Diseases
- transitional cell cancer

The TNM staging system

Another method of staging oral carcinomas is referred to as the TNM method. In this method T
describes the tumor, N describes the lymph nodes, and M describes distant metastasis.

TX Primary tumor cannot be assessed

T0 No evidence of primary tumor

Tis Carcinoma in situ

T1 Tumor 2 cm or less in greatest dimension

T2 Tumor more than 2 cm but not more than 4 cm in greatest dimension

T3 Tumor more than 4 cm in greatest dimension. (Lip) Tumor invades adjacent structures (e.g.,
through cortical bone, into deep [extrinsic] muscle of tongue, maxillary sinus, skin)

T4 (Oral cavity) Tumor invades adjacent structures (e.g., through cortical bone, into deep
[extrinsic] muscle of tongue, maxillary sinus, skin)

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastasis

N1 Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimension

N2 Metastasis in a single ipsilateral lymph node, more than 3 cm but not more than
6 cm in greatest dimension; in multiple ipsilateral lymph nodes, none more than 6 cm in greatest
dimension; in bilateral or contralateral lymph nodes, none more than 6 cm in greatest dimension

N2a Metastasis in single ipsilateral lymph node more than 3 cm but not more than 6 cm in greatest
dimension

N2b Metastasis in multiple ipsilateral lymph nodes, none more than 6 cm in greatest dimension

N2c Metastasis in bilateral or contralateral lymph nodes, none more than 6 cm in greatest
dimension

N3 Metastasis in a lymph node more than 6 cm in greatest dimension

MX Presence of distant metastasis cannot be assessed

M0 No distant metastasis
M1 Distant metastasis

For example a patient described as a T2N1M0, has a primary tumor of between 2 and 4 cm, that has
metastasized to a single node on one side, and that node is less than 3cm in size, and there are no
distant metastases present.
Grade

The definitions of the G categories apply to all head and neck sites except thyroid. These are:

G - Histopathological Grading

GX - Grade of differentiation cannot be assessed

G1 - Well differentiated
G2 - Moderately differentiated
G3 - Poorly differentiated
G4 - Undifferentiated

Differentiation: In cancer, refers to how mature (developed) the cancer cells are in a tumor.
Differentiated tumor cells resemble normal cells and tend to grow and spread at a slower rate than
undifferentiated or poorly differentiated tumor cells, which lack the structure and function of
normal cells and grow uncontrollably.

In other words, poorly differentiated tumors are able to cross all boundaries of tissue types
(muscle, soft tissue, etc.), even into bone.

Invasive: Another term comonly used when descirbing disease state is invasive. The lesion is
"focally invasive" for instance. In terms of cancer, the term focal means limited to a specific area.

All of these factors are taken into consideration for your treatment plan.

- accumulation
axcillary -
() - radiopharmaceutical agents
() - radiopharmaceutics
- CENTER OF DIAGNOSTIC IMAGING
- - pyelocaliceal system
() ( ) - mechanical and chemical
treatment
- naso-pharingeal smear
( ?) - overcrossing?
- internal auditory foramen
- centering
stem - ,
Hemorrhagic diathesis -
spike-slow wave activity -
neutrophil stab cell -
neutrophil segmented cell -
- culture
- ascarid - ascarids or Ascaris (a genus of parasitic nematode worms known as the "giant
intestinal roundworms")
- increased intracranial pressure
sensation
suprasylvian location;
lateral sulcus (also called Sylvian fissure or lateral fissure)
compressed
( ) fold, plait
wedged
layer by layer
() seizure
( ) intracranial hypertension syndrome
supine position - prone position -
divide soft tissues?
separate vein?
ecarteur, kind of retractor
retract, retractor ?
- drain - drainage, draining
radiotherapy; radiation therapy
radiological technologist or radiologist assistant, NOT 'technician'
The term "radiological technician" is reserved for vocational workers who fix medical equipments
and is not related with the allied medical professionals known as "Radiologic Technologists".
X-ray machine
Td ( )
TDT/DTaP ( ) , -
MMR ( ) ,
Mantoux
calvaria
convexity
e- - erythemo-exudative pangastritis
- gastric cascade
- epigastrial area
- septate
() - paraaortic
() - proton pump inhibitors
( ) - Lower esophageal sphincter (LES)
- gastric subvolvulus (torsion/rotation of the stomach)
- erythematous
- compress
- Oncological
Hospital
TGT - immunological marker
- 4 . - 4 chemotherapy 4 courses
- sinus histiocytosis
sessions tangential
() - regional lymph nodes
- infiltrating ductal Ca
- immune-histological method
- cardio-cerebral form?
( . 's') bisphosphonates
- FEC stands for Fluorouracil, Epirubicin, Cyclophosphamide
; Ko
monochromaticity
directionality
the widespread introduction - /
modeling /model making of details -
additive
-
- -
- " ", ...
-
- -
-
- -
(AF)
(ASAT)
(ALAT)


(. )



ALAT
ASAT












-


-


-








-
- ()
-


()









RR
- -



-
-
CRP -
--
,

()




PPD ()










. !
- . . , .
- . - !

- "Master physician" ( General Medical Council of UK

)

PERRLA Pupils Equal, Round, Reactive to Light and Accommodation - , ,

NKDA - not known drug allergies

Extraocular movements

tympanic membrane
Heart: RR & R - regular rate and rhythm

() nontender- Relatively insensitive to pressure by palpation; painless.

() tender - painful

() - unique identification number

- Bulgarian Medical Association
continuing medical education
on the subject of

encircling pain?
- Shatski ring
polypectomic loop
Papilloferous
extrahepatic
abscedens (Lat.)
unresectable
, - debridment, debrided (one 'l')
(, .. ) - was transected (with one 's'), severed, ligated
(re: vessel only)
aberrant
interlocking suture
slit
- total parenteral nutrition TPN
- - broncho-obstructive syndrome
- attending physician, hospital physician, resident physician
exudate [eks'judut]
expiratory [eks'pairuturi]
rale [ra:l]
suave [su'a:v] , ( )
fixing solution/agent
 developer
foils

-
- - ?
-