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Medical Transcription F&P
Lesson 12: Obstetrics/Gynecology
106
Medical
Professional
05/03/2009

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Term
ADNEXA (SIN. ADNEXUM)
Definition
Organs adjacent to the uterus-ovaries and tubes.
Term
AMENORRHEA
Definition
Absence of menstruation.
Term
ANOVULATION
Definition
Failure of ovulation to occur at the expected times.
Term
BETHESDA SYSTEM
Definition
A uniform system for reporting findings on Pap (Papanicolaou) smear of the uterine cervix.
Term
BUS
Definition
Bartholin glands, urethra, and Skene glands.
Term
DYSFUNCTIONAL UTERINE BLEEDING
Definition
Irregular, unpredictable menstrual flow (too frequent or too infrequent, too heavy or too light), or amenorrhea, occurring in the absence of pregnancy, infection, or neoplasm.
Term
DYSMENORRHEA
Definition
Pain occurring with menstruation, typically felt low in the pelvis and in the low back, and often severe.
Term
DYSPAREUNIA
Definition
Pain in the vulva, vagina, or pelvis with sexual intercourse.
Term
DYSPLASIA
Definition
Cell abnormalities heralding eventual development of malignancy.
Term
DYSURIA
Definition
Pain in the urethra or vulva with urination.
Term
GRAVIDA
Definition
Pregnant.
Term
HYPERMENORRHEA
Definition
Abnormally high volume of menstrual discharge.
Term
HYPOMENORRHEA
Definition
Abnormally low volume of menstrual discharge.
Term
INTROITUS
Definition
Entrance to the vaginal vault.
Term
IUD
Definition
Intrauterine device. Most intrauterine devices have been removed from the market.
Term
LACTATION
Definition
Producing milk from the breasts.
Term
MECONIUM
Definition
Stool formed in the fetal intestine before birth.
Term
MENARCHE
Definition
The onset of the first menstrual period.
Term
MENOMETRORRHAGIA
Definition
Excessive menstrual bleeding occurring both during menses and at irregular intervals.
Term
MENOPAUSE
Definition
The cessation of regular menstrual periods.
Term
MENORRHAGIA
Definition
Regularly occurring menstrual flow that is excessive in volume and lasts longer than a normal menstrual period.
Term
METRORRHAGIA
Definition
Menstrual bleeding occurring at irregular but frequent intervals.
Term
MITTELSCHMERZ
Definition
Intermenstrual pain due to peritoneal irritation by a small volume of blood escaping from the ovary at the time of ovulation.
Term
OLIGOMENORRHEA
Definition
Infrequent or scanty menstrual bleeding.
Term
PARA
Definition
Live birth.
Term
POLYMENORRHEA
Definition
Menstrual bleeding that occurs with abnormal frequency.
Term
PRIMARY AMENORRHEA
Definition
Failure of menses to start at puberty (by age 14-16).
Term
SECONDARY AMENORRHEA
Definition
Cessation of menses that have been normal in the past.
Term
STD
Definition
Sexually transmitted disease.
Term
PLACENTA (LAY)
Definition
Afterbirth
Term
AMNIOTIC MEMBRANES AND FLUID (LAY)
Definition
Bag of waters
Term
CONTRACEPTION (LAY)
Definition
Birth control.
Term
MENOPAUSE (LAY)
Definition
Change of life.
Term
DYSMENORRHEA(LAY)
Definition
Cramps.
Term
MENSES (LAY)
Definition
Periods.
Term
ECTOPIC PREGNANCY (LAY)
Definition
Tubal pregnancy.
Term
UTERUS (LAY)
Definition
Womb.
Term
MENSTRUAL HISTORY
Definition
Includes age at onset of menses, regularity of cycles, intervals between periods, duration of periods, and date of last normal menstrual period.
Term
FEMALE REPRODUCTIVE HISTORY
Definition
Covers pregnancies, miscarriages, abortions, still-births, normal deliveries, and cesarean births as well as any complications such as hemorrhage or toxemia.
Term
CYSTOCELE
Definition
Bulging of the urinary bladder through the anterior vaginal wall.
Term
RECTOCELE
Definition
Bulging of the rectum through the posterior vaginal wall.
Term
RECTOVAGINAL EXAM
Definition
With the patient in the lithotomy position, the examiner places one finger in the vagina and another in the rectum at the same time.
Term
ANOVULATION
Definition
Failure to ovulate.
Term
HYPERPROLACTINEMIA
Definition
Abnormal elevation of prolactin.
Term
CUL-DE-SAC
Definition
Lowermost part of the pelvic cavity, between the uterus and the rectum.
Term
HYSTERECTOMY
Definition
Removal of the uterus.
Term
OOPHORECTOMY
Definition
Removal of the ovaries.
Term
MYOMECTOMY
Definition
Removal of small or solitary myomas.
Term
FA
Definition
Fluorescent antibody
Term
ELISA
Definition
Enzyme-linked immunosorbent assay method.
Term
CHANDELIER SIGN
Definition
A pain reflex highly suggestive of PID. It is severe tenderness on manipulation of the cervix on palpation of the uterine adenxa.
Term
FITZ-HUGH--CURTIS SYNDROME
Definition
A rare complication of PID.
Term
TZANCK SMEAR
Definition
A stained preparation of material scraped or expressed from a lesion.
Term
CONDYLOMA ACUMINATUM
(PL. CONDYLOMATA ACUMINATA)
Definition
Classic genital wart caused by strands 6 and 11 of HPV.
Term
COLPOSCOPY
Definition
An inspection of the cervix with an illuminated low-power binocular microscope.
Term
NULLIPARITY
Definition
Never having borne a viable child.
Term
FISTULA
Definition
Abnormal passage or communication (typically between the vagina and either the bladder or rectum).
Term
ASC-US
Definition
Abnormal squamous cells of undetermined significance.
Term
LGSIL
Definition
Low-grade squamous intraepithelial lesion.
Term
HGSIL
Definition
High-grade squamous intraepithelial lesion.
Term
CLUE CELLS
Definition
Epithelial cells heavily studded with bacteria.
Term
EXCISIONAL BIOPSY
Definition
Removal of the tumor followed by frozen-section examination before closure of the surgical site.
Term
RADICAL MASTECTOMY
Definition
Removal of the entire breast as well as surrounding and underlying tissues and axillary lymph nodes.
Term
AMNIOCENTESIS
Definition
A procedure to withdraw amniotic fluid through a needle from the uterus of a pregnant woman. The fetal cells and chemicals in the fluid are studied to identify fetal abnormalities.
Term
BASAL BODY TEMPERATURE
Definition
Daily determination of oral temperature on arising is useful in confirming and dating ovulation. Daily graphing of basal body temperature will show a rise of 0.75 to 1.0 degree approximately one day after ovulation.
Term
BIOPSY
Definition
Removal of tissue from the cervix, the endometrium, or another part of the reproductive system for histologic exam to identify infection, neoplasm, or other abnormality.
Term
CESAREAN SECTION (C-SECTION)
Definition
Removal of the fetus (usually term or near-term) surgically through an incision in the abdomen or uterus.
Term
CONIZATION OF THE CERVIX
Definition
Removal of a cone of tissue from the cervix for microscopic examination.
Term
CULDOSCOPY
Definition
Endoscopic inspection of the cul-de-sac (pouch of Douglas). The instrument is introduced vaginally under anesthesia.
Term
DILATATION AND CURETTAGE (D&C)
Definition
Scraping of the endometrium, after stretching of the cervix with graded dilators, to obtain specimen material for the diagnosis of endometrial disease. This procedure, performed under anesthesia (general, spinal, or IV), is also used therapeutically for various endometrial disorders.
Term
HYSTEROSALPINGOGRAM
Definition
A test to assess infertility in which radiopaque dye is injected into the uterus and fallopian tubes, and x-rays are taken to show if the tubes are patent or obstructed.
Term
MAMMOGRAM
Definition
X-ray of the breasts.
Term
MARSHALL-MARCHETTI-KRANTZ (MMK) PROCEDURE
Definition
An operation for urinary stress incontinence, performed retropubically.
Term
SALPINGECTOMY
Definition
Surgical removal of a uterine tube.
Term
TUBAL LIGATION
Definition
Surgical division of the uterine tubes to obtain sterility.
Term
ULTRASOUND
Definition
The use of sound waves to assess tumors of the ovaries, uterus, breast, as well as the fetus in a pregnant woman.
Term
CANDIDA ALBICANS
Definition
A yeastlike fungus capable of causing superficial infection in the mouth (thrush) or vagina and on the skin. AKA monilia.
Term
CHLAMYDIA TRACHOMATIS
Definition
A gram-negative intracellular bacterium that causes sexually transmitted infections of the genital tract and other types of infection.
Term
CHOCOLATE AGAR
Definition
A culture medium containing blood which, when autoclaved, turns chocolate brown. It is used to culture Neisseria gonorrhoeae and Haemophilus influenzae.
Term
COOMBS TEST, DIRECT
Definition
A test to determine whether the patient's red blood cells have become coasted with an antiglobulin. The test is positive in newborns with hemolytic disease due to Rh incompatibility and in others with acquired hemolytic disease.
Term
COOMBS TEST, INDIRECT
Definition
A test to determine whether the patient's serum contains antiglobulin to red blood cells. This test is positive in the mother of an infant with hemolytic disease due to Rh incompatibility and in others with acquired hemolytic disease.
Term
DARK-FIELD MICROSCOPY
Definition
A microscopic technique using special lighting that makes it easier to identify Treponema pallidum, the organism that causes syphilis.
Term
ESTRADIOL
Definition
The principal estrogen secreted by the ovary. Measurement of its level in serum gives an estimate of ovarian function.
Term
FSH (FOLLICLE-STIMULATING HORMONE)
Definition
A hormone secreted by the anterior pituitary gland that stimulates ovulation in women and spermatogenesis in men.
Term
FTA (FLUORESCENT TREPONEMAL ANTIBODY) TEST
Definition
An indirect immunofluorescence test, highly specific for syphilis.
Term
GARDNERELLA VAGINALIS
Definition
A gram-negative organism, formerly called Haemophilus vaginalis, which causes bacterial vaginosis.
Term
HCG, hCG (HUMAN CHORIONIC GONADOTROPIN)
Definition
A hormone produced by the placenta and detected in various blood and urine tests for pregnancy.
Term
HERPES SIMPLEX VIRUS (HSV) TYPE 1
Definition
The herpesvirus that causes cold sores, pharyngitis, conjunctivitis, and some skin infections.
Term
HERPES SIMPLEX VIRUS (HSV) TYPE 2
Definition
The herpesvirus that causes genital herpes.
Term
LUTEINIZING HORMONE (LH)
Definition
A hormone produced by the anterior pituitary gland. In women it stimulates ovulation and formation of the corpus luteum, and in men it stimulates production of androgens in the testicle.
Term
NEISSERIA GONORRHOEAE
Definition
The gram-negative diplococcus that causes gonorrhea.
Term
PAP (PAPANICOLAOU) SMEAR
Definition
Removal of superficial cells from the vagina and cervix for cytologic examination, to judge hormonal effect and to identify abnormal cell changes due to inflammation, infection, dysplasia, or actual malignancy.
Term
BETHESDA SYSTEM
Definition
Includes assessment of the adequacy of the specimen; detection of hormonal effect; identification of inflammatory or degenerative changes in cells; and identification of dysplastic or malignant changes in cells.
Term
RPR (RAPID PLASMA REAGIN)
Definition
Test for antibody to Treponema pallidum. Used in diagnosis of syphilis.
Term
SEMEN ANALYSIS
Definition
Examination of semen to determine the number, shape, and motility of spermatozoa as a part of an infertility evaluation.
Term
SMEAR AND CULTURE
Definition
Microbiologic study of secretions or other materials from the cervix, vagina, urethra, rectum, or from superficial lesions, to identify causes of infection.
Term
SPINNBARKEIT
Definition
When estrogen level is high but the progesterone level is low, a specimen of cervical mucus can be drawn out into strings or strands several centimeters in length.
Term
SPIROCHETE
Definition
A spiral-shaped bacterium. The organisms that cause syphilis and Lyme disease are spirochetes.
Term
STD SCREEN
Definition
Sexually transmitted diseases screen.
Term
STS (SEROLOGIC TEST FOR SYPHILIS)
Definition
A general term referring to any test used to identify syphilis by a serologic method.
Term
THAYER-MARTIN AGAR
Definition
A culture medium containing denatured blood and antibiotics, intended to facilitate the growth of Neisseria gonorrhoeae.
Term
TPI (TREPONEMA PALLIDUM IMMOBILIZATION)
Definition
A diagnostic test for syphilis.
Term
TREPONEMA PALLIDUM
Definition
The spirochete that causes syphilis.
Term
TRICHOMONAS VAGINALIS
Definition
A protozoan parasite that causes vaginitis.
Term
VDRL
Definition
(Venereal Disease Research Laboratory) A serologic test for syphilis.
Term
YEAST
Definition
A one-celled fungus; often used interchangeably with Candida albicans.
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