Medical Terminology

Medical Terminology:

Building a Medical Vocabulary: ( Case Study)

Pick 100 medical terms (NOT 100 words) that you learned in class and create a
case study

This is an example of a case study:

HCP224-ONL4 Case Study Assignment ID: 0123 Author Name: Email Address: Cell Phone: (098)765-4321 Affiliation: SJ Medical Hosp

HCP224-ONL4 | Case Study Assignment became increasingly stuck on anticipating the worse as he would sleep during the day inst

HCP224-ONL4 Case Study Assignment Results from 9. blood samples taken revealed 17. Fasting Blood Sugar (FBS) were over 300 mg

HCP224-ONL4 Case Study Assignment Term Glossary: 1. A&O-Alert and Oriented 2. Abdomen - That part of the body lying between t

HCP224-ONL4 Case Study Assignment 30. Insulin - A hormone secreted by the beta cells of the islets of Langerhans of the pancr

HCP224-ONL4 | Case Study Assignment 10. Pt - Patient 11. p.o. - Orally (per os) 12. Surgery - The branch of medicine that tre

HCP224-ONL4 Case Study Assignment ID: 0123 Author Name: Email Address: Cell Phone: (098)765-4321 Affiliation: SJ Medical Hospital of B County Title: More to The Surface Than “Magic” in DM Introduction: Patient (Pt) is a 68-year-old, Asian male and came to the clinic of SJ Medical Hospital for follow up on his 24. hyperglycemia. He has been taking a “magic pill” offered by his coworker that was not required by a 45. prescription (Rx) and does not remember the name of this medicine taken p.o. (orally). Typical 15. diabetes mellitus (DM) symptoms, such as 41. polydipsia and 42. polyuria, persisted even after taking the “magic pill” for two months as he battled multiple episodes of 32. mania and depression. Furthermore, his 3. activity of daily living (ADL) were limited because of his uncontrolled blood sugar causing numbness in 8. bilateral lower extremities. Patient/Past Medical History: Patient has a history of 23. hypercholesterolemia and DM that was diagnosed last year. His date of birth (DOB) is 1/1/71, with a 10. body mass index (BMI) of 36.9, and has concerns with his 2. abdomen due to recent weight gain. He states that this may be from stress along with his dip in physical activity. He is married and lives with his wife along with one out of his three children. Patient does not have any pets but his son is pressing for a dog. He is a happy person with a great sense of humor but can be soft spoken. However, his mannerism changed when vocalizing concerns of skin, vision, and possible arthritis that contributes to decreased ADL. Patient is currently on 5. antidiabetics, such as Metformin and Glipizide, but has been noncompliant with his regime. He checks his sugar twice a day, after breakfast and dinner, using his 20. glucometer. Recently, patient was gifted a handheld massager for his birthday by family to unwind from body aches. Family History: Patient’s father passed away years ago from 34. myocardial infarction (MI). His mother just turned 88 and she had two 12. cerebrovascular accident (CVA) in the past. The last one resulted in 22. hemiplegia and she also has a history of 25. hypertension that was diagnosed ten years ago. She now uses a walker and a wheelchair, as needed, if mobility is compromised due to arthritis. Otherwise, patient denies history of any surgery, conditions, or 16. diagnosis (Dx) of any other family members or relatives. Assessment Results: During routine follow ups, patient is 1. alert and oriented (A&O) and vital signs were WNL. He is always quite cheerful but depending on the day, he has pain that differed on a scale of 1-10. He
HCP224-ONL4 | Case Study Assignment became increasingly stuck on anticipating the worse as he would sleep during the day instead of at night. There were concerns of 43. pseudoplegia after patient states he could not move the left side of his body upon taking the “magic pill”. One evening, he was unable to move his 33. metacarpals and 38. phalanges after falling asleep on the sofa. However, he was not certain if he was dreaming but 14. diabetic neuropathy was ruled out. Patient does not want to have 6. arthritis like his mother however the 28. inflammation of his 31. joints convince him it might be in the near future. Use of the massager improved his pain but only if he was home and had access to it. Fears of bone 18. fracture is also another factor for reduced activity. He limits his activities to table tennis and light house work since he gave up his love for carpentry, home demolition, and working on cars. Actions Taken: Patient was previously described as a 26. hypochondriac by his wife, whom accompanied him to his appointments. Noted in his file was a hysterical scene in the emergency department (ED) when he was sure a skin 11. biopsy (Bx) would lead to a 47. tumor from the “magic pill” that he had taken. His battle with 50. xerosis fluctuated but results were ultimately 7. benign which helped to eliminate any stressors of diabetic dermopathy. With clear instructions for patient beforehand, blood samples were taken to check his 21. glycosylated hemoglobin (HBA1c) as suspicions of it being abnormal could correlate to his medication noncompliance. Goals explained to the patient and modifications had to be made to decrease chances of mortality. Referrals for 49. vision, diet, and joints and muscles made accordingly. Patient has routine monthly appointments and on track to see both a physical therapist and occupational therapist weekly to increase 44. range of motion (ROM) plus start a routine of physical activity. He obtained his annual 29. influenza and 40. pneumococcal pneumonia 48. vaccinations. Results: Wife shared during one visit that his BMI was always close to mid 30’s due to his love for sweets and late-night snacking but rarely reached for a.q. (water) throughout the day. That has now changed since healthier meals and less junk foods are incorporated. Mentions of the “magic pill” diminished. Upon follow-ups and proper counseling, mania tendencies are gone. Change in lifestyle, therapies, and the addition of his dog aided improvements along with his family support system. Patient moved with family recently to a new house with a space for table tennis. Patient spends lots of time outside with dog but also started working on small projects around the house. Unfortunately, patient was diagnosed with 19. glaucoma by a 37. ophthalmologist as his eyesight was starting to deteriorate. The use of 35. mydriatics with homatropine during routine exams became too hard to handle at times and required either his wife or son to drive him to and from appointments. The aftermath of drops lingered for several days and made daily tasks difficult. Patient describes experiences as having 39. photophobia or even 4. amblyopia.
HCP224-ONL4 Case Study Assignment Results from 9. blood samples taken revealed 17. Fasting Blood Sugar (FBS) were over 300 mg/dL each time. His glycosylated hemoglobin is 12.5. His current regime of Metformin and Glipzide is not adequately treating his diabetes, so he should add 30. insulin. A 46. topical 27. immunosuppressant, corticosteroids, was given which helped subside skin concerns, mostly for the colder months. Lessons Learned: Teachings from this case study presented information of medications that are typically prescribed for diabetics. Additionally, it was helpful to understand appropriate ranges of glycosylated hemoglobin for diabetics and that patients need critical exams. Two main ones are annual eye and foot exams. Uncontrolled 13. diabetes compromises nerves in the eyes and lower extremities first. If patients dismiss annual examinations, they can have eye complications and 36. necrosis of the feet if wounds are left unchecked. Psychological well-being also carries weight when working with patients and their families. Complex information is thrown around and the time to process is different from medical professionals, so giving them time to formulate thoughts and questions will ease confusion, misunderstanding, or even misdiagnosis and treatment (Tx) routes needed. The likelihood of developing psychological disorders or symptoms are common. Overall, maintaining good practices for boundaries as well as compassion is always a big take away. Photos, Consent, References, and Other Information: No production of photos. Consents signed by patient and/or wife, if needed, and on file. Utilized referrals in hospital and within network to improve patient outcomes. Family also played a fundamental role in improvements and adjustment to lifestyle. No other information.
HCP224-ONL4 Case Study Assignment Term Glossary: 1. A&O-Alert and Oriented 2. Abdomen – That part of the body lying between the thorax and the pelvis and containing the abdominal cavity and viscera 3. ADL – Activity of daily living 4. Amblyopia – Reduced vision in one eye; strabismus 5. Antidiabetics – Drugs used to treat diabetes mellitus by lowering the blood glucose levels 6. Arthritis – Inflammation of joints 7. Benign -Not malignant; not recurrent; favorable for recovery 8. Bilateral – Having two sides, or pertaining to both sides 9. Blood – The fluid that circulates through the heart and blood vessels, carrying nutrients and oxygen to the body cells 10. BMI – Body Mass Index 11. Bx or bx – Biopsy 12. Cerebrovascular accident (CVA) – a condition involving the blood vessels of the brain, generally associated with ischemic or hemorrhagic lesions 13. Diabetes – A clinical condition characterized by the excessive excretion of urine 14. Diabetic neuropathy – A disease process of the kidneys associated with diabetes mellitus 15. DM – Diabetes mellitus; a disorder of carbohydrate metabolism characterized by hyperglycemia and glycosuria, resulting in inadequate production or use of insulin 16. Dx – Diagnosis; the art of distinguishing one disease from another; determination of the nature of a cause in disease 17. FBS – Fasting Blood Sugar 18. Fracture – A break or rupture in a bone; the breaking of a part, especially a bone 19. Glaucoma – A group of eye diseases characterized by an increase in intraocular pressure, which causes pathologic changes in the optic disk and typical defects in the field of vision 20. Glucometer – Battery-operated blood glucose unit used by diabetics to monitor their blood glucose levels 21. HBA1c – Glycosylated hemoglobin 22. Hemiplegia – Paralysis of one side of the body 23. Hypercholesterolemia – The most common inherited type of high fat or lipid levels in the blood 24. Hyperglycemia – An increase amount of sugar in the blood 25. Hypertension – Increased blood pressure 26. Hypochondriac – Pertaining to hypochondrium; a person who has morbid anxiety about his or her health but has not attributable cause 27. Immunosuppressant – Pertaining to or inducing immunosuppression, or an immunosuppressive agent 28. Inflammation – A localized protective response elicited by injury or destruction of tissue 29. Influenza – An acute viral infection involving the respiratory tract
HCP224-ONL4 Case Study Assignment 30. Insulin – A hormone secreted by the beta cells of the islets of Langerhans of the pancreas into the blood 31. Joints – The site of junction or union between two or more bones 32. Mania – A phase of bipolar order characterized by expansiveness, elation, agitation, hyperexcitability, and increased speed of thought and speech (flight of ideas); also called manic syndrome, as a combining form, it signifies obsessive preoccupation 33. Metacarpal – Pertaining to the metacarpus, the part of the hand between the wrist and fingers; one of the bones of the metacarpus 34. MI – Myocardial infarction; necrosis of a portion of cardiac muscle caused by an obstruction or blood clot in a coronary artery 35. Mydriatics – An ophthalmic agent that dilates the pupil 36. Necrosis – Death of tissue 37. Ophthalmologist – A physician who specializes in the diagnosis and treatment of eye disease 38. Phalanges – Bones of the fingers and toes 39. Photophobia – Abnormal sensitivity to light, especially of the eyes 40. Pneumococcal pneumonia – Pneumonia caused by Streptococcus pneumoniae (pneumococcus) 41. Polydipsia – Excessive thirst 42. Polyuria – Excessive urination 43. Pseudoplegia – Hysterical paralysis; apparent loss of muscle power without real paralysis 44. ROM – Range of motion 45. Rx – Prescription 46. Topical – Pertaining to a particular surface area, as a topical anti-infective applied to a certain area of the skin and affecting only the area to which it is applied 47. Tumor – A new growth of tissue in which cell multiplication is uncontrolled; neoplasm 48. Vaccinations – The introduction of vaccine into the body for the purpose of inducing immunity 49. Vision – The capacity for sight 50. Xerosis – Any dry condition Other terms: 1. a.q.- Water 2. Bone – the rigid connective tissue constituting most of the skeleton of vertebrates 3. Corticosteroids – A class of drugs that treat various skin disorders 4. Depression – An anxiety disorder can be a build-up, over time, of everyday stress from problems 5. Diabetic – pertaining to or affected with diabetes; a person with diabetes 6. DOB-Date of birth 7. ED – Emergency department 8. Extremities – the upper or lower limbs; hands and feet. 9. Medicine -A drug or remedy; the science of diagnosis and treatment of disease and the maintenance of health; the nonsurgical treatment of disease
HCP224-ONL4 | Case Study Assignment 10. Pt – Patient 11. p.o. – Orally (per os) 12. Surgery – The branch of medicine that treats diseases, injuries, and deformities by manual or operative methods; the place in a hospital where surgery is performed 13. TX – Treatment 14. WNL – Within normal limits 15. Wound – An injury or damage, usually restricted to those caused by physical means