Medical Terminology and Abbreviations (2024) PDF

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VA BEACH CAMPUS PTH 105 – Unit 2 - Medical Terminology and Abbreviations (2024) Root words for Body Parts and Organs Diagnostic Suffixes Hemato = blood Abdom...

TIDEWATER COMMUNITY COLLEGE PTA PROGRAM VA BEACH CAMPUS PTH 105 – Unit 2 - Medical Terminology and Abbreviations (2024) Root words for Body Parts and Organs Diagnostic Suffixes Hemato = blood Abdomino = abdomen -cele = hernia, tumor, protrusion Alveolo = alveolus Angio =vessel -coniosis = abnormal condition of Arthro =joint dust Arterio =artery -crine = secretion Broncho = bronchus -emia = blood Cardio = heart -ectasis = expansion, dilatation Cephalo = head -ia = condition Cerebro = cerebrum -itis = inflammation Chondro = cartilage -listhesis = to slip, slide Colo = colon -lysis = breakdown, destruction Costo = rib -malacia = softening Cranio = skull -megaly = enlargement Dermo = skin -oma = tumor Encephalo = brain - osis = abnormal condition Entero = small intestine -pathy = disease Gastro = stomach -plegia = paralysis Hepato = liver -paresis = weakness Mast = breast -ptosis = falling Myo = muscle -rhexis = rupture Myelo = spinal cord -sclerosis = hardening Naso = nose -spasm = constriction Nephro, Renal = kidney -trophy = development Neuro = nerve Ophthalmo = eye Osteo = bone Oto = ear Operative/Test Suffixes Phlebo = vein Pneumo, Pulmon= lung -centesis = puncture Psycho = mind -cision = cutting Thoraco = chest -ectomy = excision Vaso = vessel -desis = fixation, binding -gram = record Symptomatic Suffixes -graphy = process of recording -opsy = process of viewing -algia = pain -pexy = suspension, fixation -genic = origin -plasty = surgical -osis = increase, abnormal condition correction/repair of -penia = deficiency, decrease -rhaphy = suture -pnea = breathing -scopy = inspection, examination -section = cut -stomy = creation of an opening -tomy = incision into General Suffixes...ac, al, an, ar, ary, eal, ic, ine, ior, ous, tic = pertaining to...ation = process, condition...coccus = berry shaped bacteria (plural - cocci)...cyte = cell...gen = to produce...genesis = producing, forming...gnosia = knowledge (agnosia – lack of knowledge)..ist = specialist...logy = study of...metry = measurement...motor = movement...plasm = formation, growth, development...poiesis = formation...somatic = pertaining to the body...stasis = stop, control Prefixes ab... = away from hemi... = half a, an... = without, not hyper... = above, excessive, beyond ante... = before hypo... = beneath, below, deficient anti... = against mal... = bad bi... = two, both meta... = after, behind co, con... = together, with neo... = new contra... = against, opposite para, par... = beside, around, near dia... = through, complete peri... = around, about dys... = bad, difficult, painful pre... = before, in front of ec... = out pro... = in front of, before, forward ecto... = outside retro... = backward, behind, back of em, en... = in semi... = half endo... = within sub... = under, beneath, below epi... = upon, at, in addition to super, supra... = above, beyond, superior ex... = out, away from, over sym, syn... = with, together, beside trans... = across, over Plural Endings Singular Plural Examples a ae vertebra - vertebrae um a ovum - ova us i nucleus - nuclei is es diagnosis - diagnoses ex, ix ices matrix - matrices ma mata carcinoma - carcinomata Miscellaneous : Cutaneous : pertaining to the skin CHARTING ABBREVIATIONS a.c. Before meals (ante cibum) ad lib As desired (ad libitum) AMA Against medical advice BP Blood Pressure cc Cubic centimeter CC Chief complaint CCU Coronary care unit c/o Complains of/ Complaint(s) of CSF Cerebrospinal fluid D/C Discharge, Discontinue DNR Do not resuscitate DOB Date of birth DOE Dyspnea on exertion Dx Diagnosis F/u Follow-up FUO Fever of unknown origin HEENT Head, eyes, ears, nose, throat h/o History of HOB Head of bed H&P History and physical HPI History of present illness HR Heart rate Hx History I&O Intake and output ICU Intensive care unit IM Intramuscular IV Intravenous L&W Living & Well NAD No apparent distress Neg Negative NKA No known allergies NPO Nothing by mouth (nulli per os) NS Normal saline OOB Out of bed PE Physical examination PERRLA Pupils equal, round, react to light and accommodation (eyes) PMH Past medical history po By mouth (per os) pt Patient r/o Rule out R/T Related to Tx Treatment, prescription SH Social history SOB Short of breath s/p Status post stat Immediately (statim) Sx Symptoms TPR Temperature, Pulse, Respiration 3  VS Vital signs w/c Wheelchair WFL Within functional limits WNL Within normal limits x Times y/o, yo Year(s) old 2. SYMBOLS > greater than < less than + plus, positive - minus, negative ↑ increase ↓ decrease → leads to 1° primary, primarily 2° secondary to, due to ♂ male – added the symbol ♀ female – added the symbol // parallel bars (+) Positive (-) Negative 3. TIME RELATED ABBREVIATIONS d day (die) h hour (hora) q every (quaque) w/wk week bid/BID twice a day (bis in die) tid/TIDthree times a day tiw/TIW three times a week qh/QH every hour (quaque hora) qd/QD once per day (quaque die) qid/QID four times a day (quater in die) qod/QOD every other day ac before meals (ante cibum) hs at bedtime (hora somni - hour of sleep) pc after meals (post cibum) prn/PRN as necessary, as needed (pro re nata) before (ante) with (cum) without (sine) , post after (post) except 4 4. DIAGNOSTIC/SURGICAL ABBREVIATIONS AEA Above elbow amputation (transhumeral amputation) AF Atrial fibrillation AKA (TFA) Above knee amputation (transfemoral amputation) ALS Amyotrophic lateral sclerosis (Lou Gehrig’s disease) ASD Atrial septal defect ASHD Arteriosclerotic heart disease AV Atrioventricular BEA Below elbow amputation (transradial amputation) BKA (TTA) Below knee amputation (transtibial amputation) CA Cancer CABG Coronary artery bypass graft CAD Coronary artery disease CF Cystic fibrosis CHD Coronary heart disease CHF Congestive heart failure CHI Closed head injury COPD Chronic obstructive pulmonary disease CP Cerebral palsy CVA Cerebrovascular accident CVD Cardiovascular disease DDD/DJD Degenerative disc disease/Degenerative joint disease (osteoarthritis) DM Diabetes mellitus DVT Deep vein thrombosis FUO Fever of unknown origin Fx Fracture HA Headache HBV Hepatitis B virus HNP Herniated nucleus pulposus HTN Hypertension IDDM Insulin dependent diabetes mellitus LBP Low back pain LLD Leg length discrepancy MD Muscular dystrophy- (also stands for Medical Doctor) MI Myocardial infarction MS Multiple sclerosis OA Osteoarthritis ORIF Open reduction internal fixation PVC Premature ventricular contraction PVD Peripheral vascular disease RA Rheumatoid arthritis SCI Spinal cord injury SLE Systemic lupus erythematosus TB Tuberculosis TBI Traumatic brain injury TKA/TKR Total knee arthroplasty/total knee replacement THA/THR Total hip arthroplasty/total hip replacement THI Traumatic head injury TIA Transient ischemic attack 5  Trach Tracheostomy (opening for a breathing tube) OST Open Surgical Tracheotomy (incision into trachea for biopsy or removal of foreign body) TSA/TSR Total shoulder arthroplasty/total shoulder replacement URI Upper respiratory infection UTI Urinary tract infection VSD Ventricular septal defect 5. BODY SYSTEMS ANS Autonomic nervous system CNS Central nervous system CSF Cerebrospinal fluid C/S Cervical spine GI Gastrointestinal GU Genitourinary LS Lumbosacral L/S Lumbar spine PNS Peripheral nervous system T/S Thoracic spine TMJ Temporomandibular joint 6. DIAGNOSTIC TESTS CBC Complete blood count CT scan Computed axial tomography (CAT scan) EEG Electroencephalogram EKG/ECG Electrocardiogram EMG Electromyogram HCT Hematocrit MRI Magnetic resonance imaging UA Urinalysis UGI Upper GI 7. PHYSICAL THERAPY RELATED ABBREVIATIONS Rehab Team DPT Doctor of Physical Therapy COTA Certified occupational therapy assistant OT Occupational therapy OTR Registered occupational therapist PT Physical therapy, physical therapist PTA Physical therapist assistant SLP Speech & language pathologist SPTA Student physical therapist assistant SPT Student physical therapist GPTA Graduate physical therapist assistant GPT Graduate physical therapist pt Patient DO Doctor of Osteopathy MD Medical doctor 6 Exercise AAROM Active assistive range of motion AROM Active range of motion BAPS Biomechanical Ankle Platform System HEP Home exercise program PNF Proprioceptive Neuromuscular Facilitation PRE Progressive Resistive Exercise PROM Passive range of motion Reps Repetitions (of exercise) ROM Range of Motion RROM Resistive range of motion SLR Straight leg raise SLS Single leg stance Ther Ex (TE) Therapeutic exercise UBE Upper body ergometer (arm bike) Documentation, Evaluation, and Billing LTG Long term goal (aka expected outcomes) POC Plan of care STG Short term goal (aka anticipated goals) SOAP Subjective, objective, assessment, and plan - the format of a note TA Therapeutic Activity (functional, multiple joint movements – transfers, lunges, squats, reaching, jumping, machines (UBE, leg press) TE Therapeutic Exercise (single joint, non-functional exercises – mat for ROM, strength, flexibility – quad set, SLR x 4, hams stretch) NM Neuromuscular Re-education (balance and fall prevention, postural ed, core strengthening, PNF contract relax) GT Gait Training MT Manual Therapy (massage, joint mobs, MFR) Sides of body Ant Anterior (B) Bilateral Inf Inferior Lat Lateral (L) Left Med Medial Post Posterior (R) Right Sup Superior (U) Unilateral Body Parts LE Lower extremity UE Upper extremity 7 Levels of Assistance (A) Assistance DEP Dependent (I) Independent Max Maximal Min Minimal Mod Moderate Mod (I) Modified Independent CG Contact Guard (S) Supervision SBA Standby Assist Total (A) Total Assist Direction of movement Abd Abduction Flex Flexion DF Dorsiflexion ER External rotation Add Adduction Ext Extension PF Plantarflexion IR Internal rotation Inv Inversion Ev Eversion Pron Pronation Sup Supination SB/LF Side bend/lateral flexion ROT Rotation Weight bearing status FWB Full weight bearing NWB Non weight bearing PWB Partial weight bearing WBAT Weight bearing as tolerated TDWB Touch down weight bearing TTWB Toe touch weight bearing PT Treatments Amb Ambulation BAPS Biomechanical ankle platform system CPM Continuous passive motion CPT Chest PT CST Craniosacral Therapy E-stim Electrical stimulation FES Functional electrical stimulation HP/MHP Hot Pack/Moist Hot Pack HVPC High volt pulsatile current (previously known as HVGS) ICP Intermittent compression pump ICT Intermittent cervical traction IFC Interferential current 8  IPPB Intermittent positive pressure breathing IR Infrared MED Minimal Erythemal Dose MET Muscle Energy Technique MFR Myofascial Release MH Moist heat MMT Manual Muscle Test Mobs Joint mobilization NMES Neuromuscular electrical stimulation NDT Neurodevelopmental treatment TENS Transcutaneous electrical nerve stimulation TPs/TPR Trigger points/Trigger point release US Ultrasound UV Ultraviolet WP Whirlpool Miscellaneous ADL Activities of daily living BBA Balanced Budget Act CPT Central procedure treatment (billing codes) DME Durable medical equipment (walkers, wheelchairs, crutches, etc) DRG Diagnostic related group (for categorizing diagnoses in hospitals) DTR Deep Tendon Reflex HCFA Health Care Financing Administration (Medicare reimbursement) HIPAA Health Insurance Portability and Accountability Act HMO Health Maintenance Organization IADL Instrumental activities of daily living ICD-10 International Classification of Diseases (diagnosis code for billing) PHI Protected Health Information PPO Preferred Provider Organization PPS Prospective Payment System QA/QI Quality Assurance/Quality Improvement SNF Skilled nursing facility UCR Usual and customary rate W/C Wheelchair 9