p: An abbreviation meaning "after". (post)
PAC: An abbreviation for premature atrial contraction.
pacemaker: Specialized tissue within the heart that initiates excitation impulses; an electronic device used to stimulate cardiac contraction when the electric conduction system of the heart is malfunctioning, especially in complete heart block. An electronic pacemaker consists of a battery-powered pulse generator and a wire that transmits the electric impulse to the ventricles.
pacemaker site: The site in any part of the electric conduction system where excitation impulses arise.
palate: The roof of the mouth.
pallor: Paleness of the skin.
palpation: Feeling a part of a patient's body with the hand to assess the consistency of the parts beneath, in physical diagnosis.
palpitation: A sensation,felt under the left breast, of the heart's "skipping a beat," caused by premature ventricular contraction.
palsy: Paralysis.
pancreas: An intra-abdominal gland that secretes insulin and important digestive enzymes.
papillary muscle: Protrusions of the myocardium into the ventricular cavities to which the chordae tendineae are attached.
para-: A prefix meaning "beside".
paracentesis: The draining of fluid from the peritoneal cavity by means of a needle or catheter inserted through the abdominal wall.
paradoxal respiration: The situation in which attempts to inhale cause collapse of a portion of the chest wall instead of expansion. It is seen in flail chest.
paralysis: Loss of motor function.
paramedic: A highly trained medical professional who can assist physicians to deliver emergency, and now primary care. A health care professional with two years of college training and an associates degree in Paramedic Emergency Medicine. Many states now license these medical professionals.
paranoia: A mental disorder characterized by abnormal suspicions or other delusions (often of persecution or grandeur).
paraplegia: The loss of both motion and sensation in the legs and lower part of the body, most commonly caused by damage to the spinal cord.
parasympathetic nervous system: A subdivision of the autonomic nervous system, involved in control of involuntary, vegetative functions, mediated largely by the vagus nerve through the chemical acetylcholine.
parenchyma: The substance of a gland or solid organ.
parenteral: The administration of a medication or fluid by means other than through the digestive tract, e.g., intravenous, intramuscular.
paresis: Weakness.
paresthesia: An abnormal sensation, often of the pins-and-needles variety, indicating disturbance in nerve function.
parietal lobe: The portion of the brain containing sensory areas and areas of muscle control.
parietal pleura: The membrane lining the inside of the chest wall and the pericardium.
paroxysm: A sudden and intense recurrence of symptoms.
paroxysmal nocturnal dyspnea (PND): A severe shortness of breath occurring at night after several hours of recumbency, during which fluid pools in the lungs. The patient is forced to sit up to breathe. It is caused by left heart failure.
parturition: The act of giving birth.
patch: A connection between a telephone line and radio communications system, enabling a caller to get "on the air" by dialing into a special phone.
patella: The small, flat bone that protects the knee joint; the knee cap.
patent: Open, unobstructed.
pathogenic: Capable of causing a disease process.
pathognomonic: A symptom or sign that is sufficiently characteristic of a disease process to make a diagnosis possible on the basis of that finding alone.
pathologic: Indicative of or caused by a morbid condition.
pc: An abbreviation meaning "after meals".
PCO2: The symbol for the partial pressure of carbon dioxide in a gas. A waste gas produced by cellular metabolism.
peak flow: A useful measurement of airway function. The test is performed by having the patient forcefully exhale into a meter. The resulting number (liters per minute) correlates well with airway function. Often the best of three readings is used. Very accurate and useful for asthma patients.
pedal: Pertaining to the foot.
pediatrics: A medical specialty devoted to the diagnosis and treatment of diseases of children.
PEEP: An abbreviation for positive end-expiratory pressure.
pelvic girdle: The large bone that arises in the area of the last nine vertebrae and sweeps around to form a complete ring.
pelvis: The lower bony structure of the trunk.
peptic ulcer: An ulcer produced by acidic gastric juice acting on the wall of the stomach.
percussion: Striking a part of a patient's body with short, sharp blows in order to produce a sound that will indicate the condition of the structures within.
percutaneous: Through the skin.
perfusion: The flow of blood through tissues.
pericardial cavity: A potential space between the two layers of the pericardium, the outer (parietal) pericardium and the inner (visceral) epicardium. Normally this space contains only a small amount of lubricating fluid.
pericardial effusion: Excess fluid within the pericardial sac.
pericardial tamponade: An accumulation of excess fluid or blood in the pericardial sac that interferes with heart action.
pericardium: A double-layered sac containing the heart and the origins of the superior vena cava, inferior vena cava, and pulmonary artery.
perineum: The region between the genitalia and the anus.
periodic breathing: Cheyne-Stokes respiration.
periorbital: The region around the eyes.
periosteum: Dense, fibrous tissue covering bone.
peripheral: Pertaining to an outside surface.
peripheral vascular resistance (PVR): The resistance to blood flow in the systemic circulation depending on the degree of constriction of the network of blood vessels making up the peripheral vascular system.
peripheral vasoconstriction: Dilation of peripheral blood vessels, causing a decrease in blood pressure and warm, flushed skin.
peristalsis: Successive waves of muscular contraction and relaxation proceeding uniformly along a hollow tube, such as the esophagus or intestines, which propel the contents of the tube forward.
peritoneal cavity: Abdominal cavity.
peritoneum: The membrane that lines the abdominal cavity.
peritonitis: Inflammation of the peritoneum.
pertinent negative: Symptom or sign that the patient DOES NOT have but might be expected to have, given the chief complaint.
petit mal seizure: A type of epileptic attack seen in children, characterized by momentary loss of awareness without loss of motor tone.
pH: A measure of the hydrogen ion (H+) concentration, hence the acidity or alkalinity of a fluid.
phalanx: Any bone of a finger or toe.
pharmacology: The science that deals with the study of drugs in all their aspects.
pharyngeal: Pertaining to or situated near the pharynx.
pharynx: The portion of the airway between the nasal cavity and the larynx, consisting of the nasopharynx, oropharynx, and laryngopharynx.
phenobarbital: A barbiturate sedative-hypnotic drug.
phenylephrine: A pure alpha (sympathetic) agent (trade name: Neo-Synephrine).
pheochromocytoma: A small tumor usually located near the adrenals or near the organ of Zuckerkandle. This tumor is capable of being triggered by stimulants to release life threatening amounts of norepi and epi. The tumor can be excised if located. Until removed, patients are often placed on alpha and or beta blockers.
phlebitis: Inflammation of the wall of a vein, some times caused by an IV line, manifested by tenderness, redness, and slight edema along part of the length of the vein.
phobia: An abnormal and persistent dread of some specific thing.
physiologic action: An action caused by a drug when given in the concentrations normally present in the body (applies only to drugs that are derived from normal body chemicals, e.g., epinephrine).
physiology: The study of body functions.
pia mater: Innermost layer of the meninges.
piggyback: Adding solution to an infusion set by inserting a needle connected to another infusion set.
pill: A drug shaped into a ball or oval to be swallowed, often coated to disguise an unpleasant taste.
pinna: The outer portion of the ear leading to the ear canal.
pitting edema: Severe edema that renders the tissue boggy and capable of being indented by moderate pressure.
pituitary: The master gland of the body, located in the brain behind the eyes. It influences the secretions of all other glands.
PJC: An abbreviation for premature junctional contraction.
placenta: A vascular organ attached to the uterine wall, supplying oxygen and nutrients to the fetus; also called the afterbirth.
placenta previa: A delivery in which the placenta is the presenting part. It may result in exsanguinating hemorrhage.
plantar: Relating to the sole of the foot.
plasma: The fluid portion of the blood from which the cells have been removed.
platelet: A small, cellular element in the blood that plays an important role in blood clotting.
pleura: The membrane lining the outer surface of the lungs (visceral pleura), the inner surface of the chest wall, and the thoracic surface of the diaphragm (parietal pleura).
pleural cavity: A potential space between the parietal and visceral pleurae.
pleural effusion: An excessive accumulation of fluid in the pleural space.
pleural space: A potential space between the two layers of the pleura.
pleuritic pain: Chest pain that is sharp and made worse by deep inhalation, coughing, or laughing. It is characteristic of pleural inflammation, pneumonia or chest wall pathology. Be very careful as 10% of all AMIs can present with this!
PMI: An abbreviation for point of maximal impulse.
PNC: An abbreviation for premature nodal contraction.
PND: An abbreviation for paroxysmal nocturnal dyspnea. A classic situation where CHF patients will awaken acutely with shortness of breath ~2 hours after laying down. This is due to shifts of peripheral edema back into the blood stream and then into the lungs.
pneumonia: An infectious disease of the lungs. The infection and pus are located in the small airways and alveloli of the affected area.
pneumothorax: Air in the pleural cavity. While abnormal, does not threaten life unless it becomes a tension pneumothorax.
PO: An abbreviation meaning "by mouth".
PO2: The symbol for the partial pressure of oxygen in a gas.
point of maximal impulse (PMI): The palpable beat of the apex of the heart against the chest wall during ventricular contraction. It is normally palpated in the fifth left intercostal space in the midclavicular line.
poly-: A prefix meaning "many" or "much".
polydipsia: Excessive thirst and/or excessive intake of fluids.
polyphagia: Excessive hunger and eating.
polyuria: Excessive urination.
popliteal: The area or space behind the knee joint.
positive end-expiratory pressure (PEEP): The application of slight positive pressure at the end of exhalation for the purpose of preventing small airways from collapsing.
posterior: Situated in back of or on the dorsal surface.
postictal: Referring to the period after the convulsive state of a seizure.
postmortem: After death.
postpartum: After delivery.
potassium (K+): A monovalent cation required for the proper functioning of muscle, particularly the electric conduction system of the heart.
potentiation: Enhancement of the effect of one drug by another.
powder: A drug that has been ground into powder form.
P-QRS-T: The ECG representation of one cycle of depolarization and repolarization of the atria and ventricles.
precordial: Referring to the general area over the heart and left lower thorax.
precordial thump: A sharp blow to the midsternum delivered in an attempt to terminate ventricular tachycardia or stimulate the heart to beat in asystole.
preeclampsia: The condition that precedes eclampsia, or toxemia of pregnancy, characterized by proteinuria, hypertension and edema.
preinfarction angina: Unstable angina.
premature atrial contractions (PACs): Extra atrial contractions followed by ventricular contractions with normal or abnormal QRS complexes, caused by ectopic foci in the interatrial conduction pathways.
premature infant ("preemie"): Infant born before the eighth month of gestation or weighing less than 2 kg (5 1/2 lb).
premature junctional contractions (PJCs): Also called premature nodal contractions; extra ventricular contractions with normal or abnormal QRS complexes caused by ectopic foci in the AV junction.
premature ventricular contractions (PVCs): Extra ventricular contractions caused by ectopic foci in the His-Purkinje system of the ventricles and characterized on the ECG by bizarre, widened QRS complexes.
prenatal: Before birth.
presenting part: The part of the baby that comes out first during delivery.
primipara: A woman in her first pregnancy; also called "primip".
Prinzmetal's angina: Also called variant angina. Angina pectoris caused by coronary artery spasm rather than by a fixed lesion. Patients may have ST segment elevation that occurs with pain and then normalizes (becomes isoelectric) when the pain terminates. While patients can respond to nitro, Ca++ channel blockers like Niphedipine may work better.
P-R interval: The period of time between the beginning of the P wave (atrial depolarization) and the onset of the QRS complex (ventricular depolarization), signifying the time required for atrial depolarization and passage of the excitation impulse through the AV junction.
prn: An abbreviation meaning "as needed".
procainamide: A drug used to suppress ventricular, atrial and junctional dysrhythmias (trade name: Pronestyl).
prognosis: The probable outlook for recovery from disease.
prolapsed cord: A delivery in which the umbilical cord appears at the vaginal orifice before the head of the infant.
prone: Lying flat with the face downward.
prophylaxis: Measures to prevent the occurrence of a given disease or abnormal state.
propranolol: A drug used to suppress life-threatening dysrhythmias. It is also sometimes used in the treatment of hypertension and angina (trade name: Inderal).
prostate: A gland at the base of the male bladder that often becomes enlarged later in life, causing obstruction to urine flow.
prosthesis: An artificial part made to replace a natural one.
prostration: Collapse.
protocol: A standard routine.
proximal: Closer to a point of reference, usually the heart or midline.
pruritus: Itching.
psychosis: A mental disorder causing disintegration of personality and loss of contact with reality.
psychosomatic: Pertaining to bodily manifestations of any disorder of the mind.
pubis: One of the two bones that form the anterior portion of the pelvic ring.
puerperium: The convalescent period following the birth of a baby.
pulmonary: Referring to the lungs or related structures.
pulmonary arteries: The arteries that carry blood poor in oxygen from the right ventricle to the lungs.
pulmonary circulation: The flow of blood from the right ventricle through the pulmonary arteries and all of their branches and capillaries in the lungs, and thence back to the left atrium through the venules and pulmonary veins; also called the lesser circulation.
pulmonary edema: Congestion of the pulmonary air spaces with watery serum and foam, often secondary to left heart failure.
pulmonary embolism: Obstruction of a pulmonary artery or arteries by solid, liquid, or gaseous material swept through the right heart into the blood vessels of the lungs.
pulmonary veins: The vessels that carry oxygenated blood from the lungs to the left atrium.
pulmonic valve: The valve between the right ventricle and the pulmonary artery.
pulsatile: Characterized by rhythmic beating.
pulse: The expansion and contraction of an arterial wall caused by ventricular systole and diastole.
pulse deficit: The difference in heart rate between that measured by palpating the apex of the heart and that obtained by palpating a peripheral artery.
pulse pressure: The difference between the systolic and diastolic blood pressures, indicative of stroke volume.
pulse rate: The heart rate determined by counting the number of pulsations per minute palpated in any superficial artery.
pump failure: An inability of the heart to maintain cardiac output, resulting in congestive heart failure and cardiogenic shock.
pupil: The small opening in the center of the iris.
Purkinje network: A system of fibers in the ventricles that conducts the excitation impulse from the bundle branches to the myocardium.
PVC: An abbreviation for premature ventricular contraction.
PVR: An abbreviation for peripheral vascular resistance.
P wave: The first wave of the ECG complex, representing depolarization of the atria.
qd: An abbreviation meaning "every day".
qh: An abbreviation meaning "every hour".
q2h: An abbreviation meaning "every two hours".
qid: An abbreviation meaning "four times a day".
QRS complex: Deflections of the ECG produced by ventricular depolarization.
Q-T interval: The period between the onset of the QRS complex and the end of the T wave, representing ventricular depolarization and repolarization.
quadrant: A term used to designate one quarter of the abdomen.
quadriplegia: Paralysis of both arms and legs.
quinidine: A drug used to treat various atrial and ventricular dysrhythmias.
Q wave: The first negative wave or deflection of the QRS complex not preceded by an R wave.
raccoon sign: Also called "coon's eyes"; bilateral, symmetric, periorbital ecchymoses seen with some skull fractures.
radial: Pertaining to the wrist.
radioactive: Having the property of emitting ionizing radiation.
radius: The bone on the thumb side of the forearm.
rales: Abnormal breath sounds produced by flow of air through constricted, edematous, or fluid-filled small airways.
rape: Sexual intercourse that is inflicted forcibly on another person, against that person's will or while they are unconscious.
receptor: A specialized area in a tissue that initiates certain actions upon specific stimulation.
rectum: The distal 1/3 portion of the large intestine. Water and potassium are reabsorbed from this area.
recumbent: Lying down.
red blood cell: Erythrocyte; a cell that carries oxygen.
reduce: To restore a part to its normal position, as in a dislocation or fractured bone.
reflex: An involuntary muscular action in response to some stimulation.
regression: In psychiatry, a return to an earlier or former state.
regurgitation: A passive, retrograde flow of liquid, ie. gastric contents from the stomach into the pharynx and mouth (to be distinguished from the active process of vomiting).
relative refractory period: The stage of ventricular diastole during which the cardiac muscle is recharging (repolarizing) to a resting state following depolarization. During this phase of the refractory period, the heart can be stimulated to contract prematurely.
renal: Pertaining to the kidney.
repeater: A miniature transmitter that picks up a radio signal and rebroadcasts it, thus extending the range of a radio communications system.
repolarization: The electric process of recharging depolarized muscle fibers back to the resting state.
respiration: The act of breathing; the exchange of oxygen and carbon dioxide among the tissues, lungs, and atmosphere.
respiratory arrest: Cessation of breathing.
respiratory failure: Failure of the respiratory system to maintain an arterial PO2 greater than 60 torr and PCO2 less than 50 torr.
resting potential: The electric charge of the muscle fibers during the resting, polarized state.
resuscitation: The act of reviving an unconscious person by any means.
retention: An inability to void.
retina: The lining of the back of the eye that receives visual images and transmits then through the optic nerve to the brain.
retractions: Drawing in of the intercostal muscles and the muscles above the clavicles in respiratory distress.
retro-: A prefix meaning "located behind".
retrograde: Moving or flowing in a backward direction. Moving in a direction opposi