TWISTING TERMS

· AAA repair (cardio)
· absence seizure (sometimes pronounced with French intonation, "ab-sonse" seizure)
· acathisia/akathisia
· acetabulum (ortho)
· acidophilus milk
· acneiform/acneform
· ACOG - American College of Obstetrics & Gynecology
· actinic keratosis
· adenotonsillectomy
· adenovirus
· adhesiolysis/adhesiolytic
· Adson maneuver
· adventitious sounds (lungs)
· aeration
· air-bone gap
· algologist - specialist in pain management
· aliquot
· "alk phos" - alkaline phosphatase
· alkylating therapy (lymphocytic leukemia)
· allergic shiners (circles under eyes due to allergies)
· allodynia
· alveolar ridge
· amaurosis fugax
· ameliorate
· ampulla of Vater
· anasarca (edema)
· androgen ablation
· aneuploid (cell)
· angiomas (cherry)
· anion gap
· anisakiasis
· ankle-arm index
· anovulatory
· anserine bursitis
· antalgic gait
· antecubital fossa
· antiglomerular basement membrane test
· antimicrosomal antibodies
· antiphospholipid syndrome
· Apgar score
· aphthous lesion
· apophysis/apophysitis
· appendix testis
· applanation
· Archimedes' spiral
· arcus senilis
· Arnold-Chiari malformation
· arteriolar narrowing
· arteriosclerotic retinopathy
· arthritide (pronounced arthridity)
· arthritides (pl. of arthritis)
· arthrokinematics
· arylsulfatase
· arytenoids
· ascites (tense)
· Asherman syndrome
· Ashman beats/phenomenon (cardio)
· asterisk sign
· Athabascan (nationality)
· atlantoaxial (range of motion)
· atopy
· attenuation
· aural (ear)
· Auralgan drops - for ears
· avulsion/evulsion
· Azmacort™ (triamcinolone) [s/l "asthma court," "asthmacort"]
· azotemia
· balanoposthitis
· ball valve effect - urinary
· ballottable
· ballottement test
· "bands" - band cells, immature neutrophils (related to WBC)
· Barany [Bárány] sign/symptom; test (caloric test)
· bas-fond fundus
· base excess
· basophilia
· "basos" - basophils (related to WBC)
· Bayonet opposed midshaft
· BCG Tice strain
· beam-hardening artifact (CT scan)
· Bernhardt disease/paresthesia (syn. meralgia paresthetica)
· beta-adrenergic
· bifascicular
· bile salt metabolism
· biliary stent
· bioprosthesis
· Biopty gun
· bird-like facies
· birefringent microscope
· Bjerrum scotomata
· blebs
· blue velvet syndrome
· bougie à boule (bulb-tipped bougie)
· boutonniere deformity
· BRAT diet (bananas, rice, applesauce, toast)
· branchial cleft cyst
· bronchiolitis obliterans
· Brudzinski sign
· brux, bruxism
· bucket-handle meniscus tear
· buffered diluent
· bulbocavernous reflex
· burst and taper of steroids
· BUS (female genitalia)
· buttress splint, screw
· CABG (sounds like "cabbage" when dictated)
· café au lait spots (sounds like "cafay oh lay" when dictated)
· calcium-channel blocker
· caliceal stone
· capital femoral epiphysis
· capitular fluctuates
· CAPS-free diet (caffeine, alcohol, pepper, spicy foods)
· Castleman disease
· catamenial
· cauda equina
· Cawthorne exercises, maneuvers (for vertigo)
· celiac sprue
· cerclage/cerclage wire
· chamber platelet count
· chandelier sign (OB-GYN)
· Charcot-Marie-Tooth disease
· cherry angioma
· chevron incision/procedure
· Childress test
· choanae
· cholesteatoma
· chromopertubation
· claudication
· clostridium difficile (shortened usually to "C-Diff")
· clue cell (OB-GYN)
· COAG waveform desiccation
· cobblestoning (ophth - can also apply to GI tract)
· cogwheel rigidity
· cold cup biopsy
· Colles' fracture
· compensated CHF
· comorbidities
· cone biopsy
· cor pulmonale (sounds like cor pulmonalay when dictated)
· coracoacromial ligament
· CRAB diet (carrots, rice, apples, and bananas)
· cracker test
· crepitus/crepitations (joints and lungs reference)
· cricopharyngeal
· cruciferous/cruciform
· cul-de-sac
· curvilinear
· cushinagoid
· cut/blend setting (GI - snare cautery)
· cystitis cystica
· Cytobrush technique (OB-GYN)
· de Quervain disease, fracture, tendinitis, tenosynovitis, thyroiditis
· deafferentation
· debulking surgery
· deep venous thrombophlebitis
· dehiscent
· dermatochalasis
· descensus
· desquamated
· diaphragmatic pinchcock
· diaphyseal
· Dientamoeba fragilis trophozoites
· "diff" - differential (estimate of the percentage of types of white blood cells in total WBC [white blood count]); on dictation, "CBC with diff" - CBC with differential.
· diphtheroids
· disequilibrium
· Dix-Hallpike [or Hallpike-Dix] maneuver (for paroxysmal postional nystagmus)
· doll's gaze/doll's upward gaze
· DOT physical (Department of Transportation)
· double-crush syndrome (ortho)
· dowager's hump
· drop metastasis
· DSHS form (Department of Social and Health Services)
· Dupuytren contracture
· dysconjugate
· dysdiadochokinesia
· dysgeusia
· dyshidrotic
· dyslipidemia
· dyspareunia (OB-GYN)
· ectocervix
· ectropion
· effaced
· efficacious
· efflux
· egophony
· Ehlers-Danlos syndrome
· electrodesiccation
· empty-can test (PT)
· empty sella syndrome (sounds like empty cellar)
· en bloc (sounds like "on block" when dictated)
· encopresis
· end-plate sclerosis
· endemic
· endosteal
· "eos" - eosinophils (related to WBC)
· epididymides
· epileptiform
· "epis" - epithelial cells
· EPS exam (expressed prostatic secretions)
· Eritrean (Nationality - Greek)
· eschar
· escutcheon
· EtOH (ethyl alcohol, ethanol)
· evanescent
· Evitrean (Nationality - African)
· excrescence
· exogenous
· extrapyramidal
· eyegrounds
· facet joints
· facies
· fat pad impingement syndrome
· faucial pillars (pertains to throat)
· fibrinogen
· fifth disease
· filiform wart
· Finkelstein maneuver
· fontanelle
· foramen ovale [s/l "foramen o'valley" or "foramenal valley"]
· four-pillow orthopnea (can be any number other than four as well)
· Fresnel lens
· fulguration
· fundoplication
· funduscopic
· fusiform (swelling)
· gadolinium
· galactorrhea
· gastrocnemius
· Gatorade (sports drink)
· gauntlet cast
· genu varum
· gibbous
· gimping, gimpy-type gait
· Gleason score
· glycosylated hemoglobin
· Guillain-Barré syndrome (GBS) - pronounced ghee-lan bar-ray or ghee-yan bah-ray
· guttate (drop shaped)
· gutter splint
· Guyon canal
· gynecomastia
· hairy cell leukemia
· Hallpike-Dix [or Dix-Hallpike] maneuver (for paroxysmal postional nystagmus)
· hamulus
· Harrington rod
· Hashimoto thyroiditis
· HCTZ - stands for hydrochlorothiazide
· hebdomadal period (weekly period of time)
· Heberden nodes
· Helicobacter pylori [H. pylori]
· hematochezia
· heparinization
· hepatic flexure
· hepatitis core antibody
· Hoffmann sign
· Homans sign
· home O2 (oxygen) [s/l "homo 2," "homo-2"]
· homonymous hemianopsia
· hordeolum
· host disease (graft vs. host disease)
· hot biopsy (GI)
· HSGYV - heat, steam, gum, yawn, Valsalva (things to do for plugged ears)
· Hyfrecator
· hymenal ring
· hyperacusis
· hyperechogenic/hyperechogenicity
· hypersplenism
· hyphae
· iatrogenic
· ileal loop urinary diversion
· impetigo
· incremental
· indices
· induration
· insufflation
· intention tremor
· international unit (IU)
· micro-international unit (µIU, mcIU)
· milli-international unit (mIU)
· interossei (plural of interosseus)
· intervertebral neural foramen
· in toto
· intractable nausea and vomiting
· introitus
· ipecac
· ischial tuberosity
· isoechoic
· IV push
· J point depression
· Jamar dynamometer
· Jendrassik maneuver
· Jobst® stocking
· K-wire (Kirschner wire) - 0.035, 0.045, 0.062 [inches, outside diameter] - (See United American Medical, for example)
· kappa light chain excretion
· Kegel exercise
· keloid
· Kerley('s) [s/l "curly"] A, B, or C lines. For P.J. Kerley, British radiologist; see Dorland's, Stedman's, Tabers, and/or CMT for additional information.
· Kernig sign
· Kiesselbach syndrome
· Klinefelter syndrome
· L&I (Labor and Industries - refers to Workers' Compensation claims)
· labyrinthitis
· Lachman sign
· lactated Ringer solution
· lacunar infarct
· LAT (lidocaine, adrenaline [epinephrine], tetracaine) - topical anesthesia
· latissimus dorsi
· L-dopa (clinical name for levodopa [USP])
· lead-pipe rigidity
· LET (lidocaine, epinephrine, tetracaine; liposome-encapsulated tetracaine) - topical anesthesia
· leukocyte esterase
· Lhermitte sign
· lichen planus
· lichen sclerosus et atrophicus
· lichenification
· Lichtenstein maneuver
· ligamentous rhomboid
· limbus
· Lisfranc strain
· Lister tubercle
· logorrhea (talks too much)
· loofah pad
· loupe magnification
· loquacious
· lumbar lordosis
· Lyme titer
· Lyme disease
· lymphedema
· "lymphs" - lymphocytes (related to WBC)
· maceration
· macular skin rash
· Mallampati score/classification (related to airway assessment; prediction of difficult intubation)
· Marcus Gunn pupil
· marsupialization
· masseters
· matricectomy
· meatal stenosis
· medial collateral ligament
· medicamentosa rhinitis
· meibomian
· menarche (age when menstruation starts)
· meningioma
· meralgia (pain in the thigh; see meralgia paresthetica)
· meralgia paresthetica (syn. Roth [or Rot] disease; Bernhardt disease; Roth-Bernhardt [or Rot-Bernhardt] disease/syndrome). See Stedman's, Dorland's, Taber's, and/or Pyle's Current Medical Terminology for additional information
· micro-international unit (µIU, mcIU)
· micturition
· migraineur (person who has migraines)
· milli-international unit (mIU)
· mirror biopsy
· mittelschmerz
· mnemonic
· monofilament
· "monos" - monocytes (related to WBC)
· Monsel solution
· morning-water brash
· mortise and callus
· Morton neuroma
· movie sign (orthopedics)
· MRSA (sounds like mersa)
· Mumford procedure
· Murphy sign (abdomen)
· musculotendinous
· myelodysplastic
· nadir count (chemotherapy)
· nasogastric decompression
· navicular
· nebulizer (asthma)
· needle aspiration
· nephrotic range proteinuria
· neural foramen (pl. foramina)
· neurapraxia
· neutrophils - mature white blood cells (see polymorphonuclear neutrophils ["polys," PMNs])
· Nissen fundoplication
· "nitro paste" or "nitropaste" - jargon; nitroglycerin ointment
· nitroglycerin
· nonmotile sperm
· nonsecretory islet cell carcinoma
· normal-pressure hydrocephalus
· normoactive (bowel tones/sounds)
· normocephalic/atraumatic (HEENT exam)
· normochromic, normocytic anemia
· normotensive (blood pressure)
· NSAID (stands for nonsteroidal anti-inflammatory drug)
· nuchal (neck muscles)
· nuclear sclerosis (ophth)
· nucleated pulposus (ortho)
· Nylen-Barany [Nylen-Bárány] maneuver/test
· O&P (ova and parasites)
· obviate
· odynophagia
· olecranon
· oligoclonal band
· OMT - osteopathic manipulation therapy
· onycholysis
· opticokinetic
· orbicularis oculi
· organophosphate
· orthopnea
· os naviculare
· ossicle
· osteal (bony)
· osteochondritis dissecans
· osteophytes
· ostial (pertains to ostium [opening])
· ostiomeatal
· ostiomeatal complex (not osteomeatal; see ostial); definition
· oxalate
· packed cells
· palisading
· palmomental reflex
· Pancof® (s/l "pancough") - Pancof® HC and Pancof® XR search help: pan cough
· pancytopenia
· papilledema
· paraneoplastic syndrome
· parenteral gold
· paronychia
· parous os (OB-GYN)
· paroxysm
· peau d'orange (sounds like "poh da ronge" when dictated)
· PEG tube
· perfusion
· perle [s/l "pearl"] - a liquid-filled soft gelatin capsule; for example, Tessalon® perles (each perle contains 100 mg benzonatate) vitamin E perles
· perimenopausal
· pessary
· pheochromocytoma (s/l fetal or feto chromocytoma)
· phimosis
· picogram
· pie-crusting compartmental release
· pilonidal
· piriformis
· plafond
· plate thickness skin graft
· ploidy
· PMNs (polymorphonuclear neutrophils ["polys"])
· polymorphonuclear neutrophils ("polys," PMNs)
· "polys" - polymorphonuclear neutrophils (PMNs)
· postherpetic neuralgia
· presbycusis
· protein electrophoresis
· proteinuria
· prothrombin time (also partial thromboplastin time)
· protoporphyrin
· pseudogout
· pseudopelade of Brocq (derm)
· psoas sign
· pterygoid [wing-shaped]; related to region of the sphenoid bone
· pterygoid nerve, muscle, plate, process, canal, fissure, fossa, hamulus, lamina, notch, plexus
· pulmonary capillary wedge pressure
· purpuric
· pyramidal
· rabbiting (slang for person who constantly twitches their nose due to a cold, allergic rhinitis, etc.)
· raccoon eyes
· Raji cell assay
· RAST test (allergy)
· Raynaud phenomenon
· rebound tenderness
· recalcitrant
· red reflex
· renin-mediated hypertension
· reperfusing
· respirophasic
· restless leg syndrome
· rhinitis medicamentosa
· Rockport shoes
· rolfing
· Romberg sign
· R on T phenomenon
· Roth-Bernhardt [or Rot-Bernhardt] disease/syndrome (syn. meralgia paresthetica)
· Roth disease (syn. meralgia paresthetica)
· Roth spots
· Rowasa enema
· rugated
· Rule of Nines (formula for determining percentage of body surface which has been burned)
· saccades
· salvage chemotherapy
· Samsoon-Young modified Mallampati classification for airway assessment
· scalene
· scarlatina
· sciatic notch
· scleral icterus
· semiovale (This almost sounds like Seminole valley when dictated!)
· sequelae
· sequestration
· seropositive rheumatoid arthritis
· shotty (not shoddy) lymph nodes
· sick sinus syndrome
· sling and swathe - for shoulder immobilization (photo)
· small-branch retinal vein occlusion
· Spansule (trademarked dosage form; sustained-release capsule)
· Speed sign
· spray and stretch (hamstrings exercise)
· sprue
· Spurling maneuver
· squamocolumnar junction (OB-GYN)
· squat fly exercise
· stained spun sediment
· status asthmaticus
· steatorrhea
· stocking distribution peripheral neuropathy
· straight-laced, high-top, leather orthopedic shoes
· subcapital fracture
· subcarinal
· subserosal fibroid
· subtalar
· suction curettage
· sugar-tong splint
· sustention tremor (a.k.a. postural tremor)
· sweat chloride test (for cystic fibrosis)
· sympathectomy
· syndesmosis
· TAC (tetracaine, adrenaline [epinephrine], cocaine) - topical anesthesia; prepared by pharmacist
· T-cell subset
· Tagalog (Ethnicity - a language)
· tail of Spence
· tandem Romberg
· tangential (psych)
· tardive
· tear lake
· telangiectasis
· tenaculum
· tendinitis
· tendinous
· tenesmus
· tense ascites
· tertiary
· thallium stress test
· thelarche
· thenar eminence
· third spacing of fluids
· tidal breathing
· tinea versicolor
· Tinel sign
· TNTC (too numerous to count)
· tonoclonic
· tonus (muscle)
· torque
· torticollis
· transsphenoidal
· trapezia (plural of trapezium)
· trapezius muscle (pl. trapezius muscles NOT trapezia)
· trigeminy
· trigone
· triradiate cartilage
· trismus
· tubotympanics
· tubulovillous polyp
· tussive syndrome
· twig-vein occlusion
· Tzanck prep/preparation/test/cells (sounds like "zank" on dictation)
· umbo
· uncinate
· Unna boot
· upstrokes
· urobilinogen
· urolithiasis
· uterosacral ligament
· valproic acid level (Depakote level)
· Valsalva maneuver
· variegated
· vasomotor rhinitis
· venous lake
· Veress needle (not Verres) - See: AAMT BOS, p. 362. Named for its inventor [1938], Dr. Janos Veress of Hungary
· vermilion border (red margin of upper/lower lip)
· vertiginous
· vibrissae
· villoglandular
· violaceous
· vitiligo
· vitreous detachment
· volar
· von Willebrand factor, disease
· Waddell sign
· water brash
· wbc (white blood cell)
· WBC (white blood count)
· Weber-Rinne testing
· Westergren sedimentation rate
· white-coat hypertension (elevation of BP due to visiting physician)
· wire-guided excisional biopsy
· wolffian
· wry neck
· Xanax/Zantac - sound alike drugs: Xanax (anxiety), Zantac (stomach problems)