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Medical Transcription F&P
Chapter 11: Urology/Nephrology
93
Medical
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04/17/2009

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Term
EXCRETORY SYSTEM
Definition
Includes the kidneys, ureters, bladder, and urethra. The system's function is to regulate the composition of the blood by disposing of wastes and excessive amounts of water, electrolytes, and other substances.
Term
KIDNEYS
Definition
Organs in the upper abdomen behind the peritoneal cavity, protected by cushions of fatty tissue.
Term
HILUM
Definition
Well definined indentation of the kidney where an artery, vein, and ureter are attached.
Term
MALE REPRODUCTIVE SYSTEM
Definition
Consists of the paired testes, the penis, the scrotum, the prostate, and the seminal vesicles.
Term
TESTES
Definition
Contains the epididymis and the vas deferens
Term
EPIDIDYMIS
Definition
A coiled tubular structure attached to the testicle
Term

VAS DEFERENS

(SPERMATIC DUCT)

Definition
A tube that conducts sperm to the prostate
Term
PENIS
Definition
Muscular organ of the male reproductive system
Term
SCROTUM
Definition
A cutaneous sac containing the testicles
Term
PROSTATE
Definition
A gland surrounding the urethra just below the bladder
Term
SEMINAL VESICLES
Definition
Small pouchlike glands adjacent to the vas deferens
Term
SPERMATOZOA (S. SPERMATOZOON)
Definition
Product of the testicle. Each one is capable of fertilizing a female ovum and carries the paternal contribution to the genetic makeup of the offspring
Term
ALBUMINURIA
Definition
Proteinuria
Term
ANURIA
Definition
Total cessation of urinary output
Term
AZOTEMIA
Definition
Uremia
Term
BACTERIURIA
Definition
The presence of bacteria in the urine
Term
CASTS
Definition
Plugs of material formed in renal tubules, detected on urinalysis
Term
CONDYLOMA
Definition
Genital wart
Term
CRYSTALS
Definition
Detected on urinalysis
Term
DIURESIS
Definition
An increase in the production of urine by the kidneys as a result of renal or systemic disease, toxic substances, or drugs administered to reduce body water, sodium, or both
Term
DRIBBLING
Definition
Uncontrollable passage of drops of urine, particularly just after voiding
Term
DYSURIA
Definition
Pain with urination
Term
GLYCOSURIA
Definition
The abnormal presence of glucose in the urine
Term
HEMATURIA
Definition
Blood in the urine
Term
HESITANCY
Definition
Difficulty initiating the urinary flow
Term
INCONTINENCE
Definition
Involuntary passage of urine
Term
KETONURIA
Definition
The abnormal presence of ketones in the urine
Term
KUB
Definition
Kidney, ureters, bladder
Term
LUES
Definition
Syphilis
Term
MICTURITION
Definition
Voiding; urination
Term
NEPHRITIS
Definition
Inflammation of the kidney
Term
OCCULT BLOOD
Definition
Blood in the urine in such small amounts as to be undetected by the naked eye
Term
OLIGURIA
Definition
Marked reduction in the volume of urine excreted in 24 hours
Term
pH
Definition
A measure of alkalinity or acidity of the urine
Term
POLLAKIURIA
Definition
Increased frequency of urination without increase in total volume excreted in 24 hours
Term
POLYURIA
Definition
Increase in the 24-hour excretion of urine
Term
PROTEINURIA
Definition
The abnormal presence of protein in the urine
Term
PYURIA
Definition
Pus in the urine
Term
REFLUX
Definition
The backward flow of urine within any part of the urinary tract
Term
UPJ
Definition
Ureteropelvic junction
Term
UREMIA
Definition
Refers to increased levels of urea, creatinine, and other nitrogen-containing waste products because of impairment of kidney function
Term
UVJ
Definition
Ureterovesical junction
Term
CLAP (LAY)
Definition
Gonorrhea
Term
KIDNEY STONE (LAY)
Definition
Renal calculus, nephrolithiasis, or renal lithiasis
Term
PASS WATER, PEE (LAY)
Definition
Urinate, micturate, or void
Term
NOCTURIA
Definition
Being awakened at night by the urge to void
Term
FIRST-VOIDED SPECIMEN
Definition
The first urine passed after arising in the morning
Term
CLEAN-VOIDED SPECIMEN
Definition
Obtained after cleansing the area around the urethral meatus to prevent contamination of the specimen with material from outside the urinary tract
Term
MIDSTREAM SPECIMEN
Definition
One that contains neither the first nor the last portion of urine passed.
Term
CATHETERIZED SPECIMEN
Definition
Obtained by urethral catheter either because the patient cannot void or to prevent contamination of the specimen.
Term
24-HOUR URINE SPECIMEN
Definition
All urine passed by the patient in a 24-hour period
Term
COCA-COLA URINE
Definition
Urine with a smoky brown color that often indicates the presence of hemolyzed blood
Term

RED BLOOD CELLS PER HIGH-POWER FIELD

(RBC/hpf)

Definition
Microscopic hematuria
Term
MICROSCOPIC HEMATURIA
Definition
Indicates either bleeding in some part of the excretory system or contamination of the specimen with blood, possibly menstual
Term

WHITE BLOOD CELLS PER HIGH-POWER FIELD

(WBC/hpf)

Definition
Pyuria
Term
PYURIA
Definition
Usually indicates infection in some part of the urinary tract
Term
CASTS
Definition
Microscopic cylindrical bodies that have been formed by concretion of cells or insoluble material within renal tubules and subsequently excreted in the urine. Casts are always abnormal.
Term
AMORPHOUS SEDIMENT
Definition
General term for ill-defined solid material seen on microscopic examination of the urine
Term
PRERENAL
Definition
Impaired blood supply to the kidney
Term
RENAL
Definition
Parenchymal or intristic; disease of the kidney proper
Term
POSTRENAL
Definition
Obstruction of the outflow of urine from the kidney
Term
ACUTE GLOMERULONEPHRITIS
Definition
An active inflammation in the glomeruli
Term
VASCULITIS
Definition
General term for a group of diseases that involve inflammation of the blood vessels
Term
ACUTE TUBULAR NECROSIS
Definition
Medical condition invloving the death of tubular cells
Term
METABOLIC ACIDOSIS
Definition
Low serum pH
Term
BERGER DISEASE
Definition
IgA neuropathy
Term
PERCUTANEOUS NEPHROSTOMY
Definition
Inserting a drain through the skin into the renal pelvis
Term
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL)
Definition
A procedure that breaks stones into fragments to allow them to pass
Term
VESICOURETERAL REFLUX
Definition
Abnormal back flow of urine from the bladder into the ureters or kidneys
Term
NEPHROSTOMY
Definition
Draining urine from the renal pelvis
Term
INTRAVENOUS PYELOGRAM (IVP)
Definition
X-ray examination of the urinary tract after intravenous injection of contrast material that is quickly excreted in the urine.
Term
PERCUTANEOUS NEPHROLITHOTOMY
Definition
Procedure in which a lodged stone in the renal pelvis or proximal ureter is surgically removed through the skin.
Term
TRANSURETHRAL RESECTION OF THE PROSTATE (TURP)
Definition
Surgical procedure to remove hyperplastic prostatic tissue obstructing the urethra.
Term
VASECTOMY
Definition
Surgical division of the vas deferens in the male to effect sterility.
Term
VOIDING CYSTOURETHROGRAM (VCUG)
Definition
X-ray film of the act of voiding with contrast medium in the urine.
Term
ACID PHOSPHATASE
Definition
Enzyme whose level in the serum is often increased in prostatic carcinoma.
Term
AMORPHOUS SEDIMENT
Definition
Unformed and generally insignificant debris seen in a urine specimen under microscopic examination.
Term
BLOOD UREA NITROGEN (BUN)
Definition
The serum level of urea nitrogen, a waste product of protein metabolism. Elevation indicates an impairment of kidney function.
Term
CATHETERIZED URINE SPECIMEN
Definition
Specimen of urine obtained by passing a sterile catheter into the bladder.
Term
CLEAN-VOIDED SPECIMEN (CLEAN CATCH)
Definition
Obtained after cleansing the area around the urethral meatus to prevent contamination of the specimen with material from outside the urinary tract.
Term
CREATININE CLEARANCE
Definition
A measure of kidney function, calculated from the serum creatinine level and the amount of cretainine excreted in the urine in 24 hours.
Term
E. (ESCHERICHIA) COLI
Definition
Gram-negative bacterium normally found in the intestine and responsible for many urinary tract infections.
Term
ELECTROLYTES, URINARY
Definition
Sodium, potassium, and chloride ions in the urine. Abnormal concentrations could indicate kidney disease.
Term
FIRST-VOIDED SPECIMEN
Definition
The first urine passed after arising in the morning.
Term
MIDSTREAM SPECIMEN
Definition
One that contains neither the first nor the last portion of urine passed.
Term
FTA-ABS
Definition
Fluorescent treponemal antibody absorption test, to detect syphilis.
Term
PROSTATE-SPECIFIC ANTIGEN (PSA)
Definition
Blood test to screen for prostatic carcinoma.
Term
RPR (RAPID PLASMA REAGIN)
Definition
Test for syphilis
Term
SPECIFIC GRAVITY
Definition
The weight of a substance per unit of volume compared to pure water, which by definition has a specific gravity of 1.000. The specific gravity of urine (normally 1.001 to 1.030) is a rough measure of the amount of material dissolved in it.
Term
24-HOUR URINE SPECIMEN
Definition
Consists of all the urine passed by the patient in a 24-hour period.
Term
URINALYSIS (UA)
Definition
A group of standard laboratory examinations of the urine, including determination of pH and specific gravity, chemical testing for sugar, albumin, occult blood, leukocyte esterase, nitrite, acetone, bilirubin, red and white blood cells, crystals, casts, and other materials
Term
URINE CULTURE
Definition
Usually with colony count and sensitivity studies, to identify pathogens.
Term
VDRL
Definition
Venereal Disease Research Laboratory test for syphilis. Abbr. doesn't need to be expanded.
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