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Interpreting Medical Terminology – Skin Progress Note Template

Interpreting Medical Terminology – Skin Progress Note Template

Number Medical Term Common Term
Example 1 Gastritis Inflammation or infection of the stomach
Example 2 Esophagogastroduodenoscopy A procedure used to examine the throat, stomach, and small intestine through a scope  
1. Integumentary Relating to the skin, including its structures and functions. It encompasses the skin’s role in protection against pathogens and regulation of body temperature and sensation.
2. Erythematous This refers to skin that appears red due to the dilation of blood vessels. Erythematous patches or areas indicate inflammation or irritation.
3. Macules Flat, discolored spots on the skin that are typically smaller than 1 centimeter in diameter. Macules may vary in color and can be a result of various skin conditions or disorders.
4. Actinic keratosis A common skin condition characterized by rough, scaly patches or lesions caused by prolonged exposure to ultraviolet (UV) radiation, typically from the sun.
5. Bilateral Describing a condition or symptom that affects both sides of the body or a paired organ simultaneously.
6. Excitation This refers to skin irritation or inflammation that causes discomfort, itching, or redness. Excitation can result from various factors, including allergic reactions or exposure to irritants.
7. Fissuring The development of cracks or splits in the skin’s surface. Fissures may occur due to dryness, trauma, or underlying skin conditions such as eczema or psoriasis.
8. Subcutaneous Pertaining to tissues or structures located beneath the skin. The subcutaneous layer, also known as the hypodermis, contains fat tissue and blood vessels, providing insulation and cushioning.
9. Lipomas Noncancerous growths or tumors composed of adipose (fat) tissue. Lipomas are typically soft to the touch and moveable under the skin. They are usually benign and may not require treatment unless they cause symptoms or cosmetic concerns.
10. Sebaceous cysts Closed sacs or cysts beneath the skin’s surface are filled with oily, semi-solid material called sebum. Sebaceous cysts often develop due to blockages or disruptions in the sebaceous glands’ ducts and can vary in size.
11. Liquid nitrogen A cryogenic substance is used in cryotherapy to freeze and destroy abnormal or unwanted tissue, such as warts, actinic keratosis, and certain skin lesions. Liquid nitrogen is extremely cold and rapidly freezes tissues upon contact.
12. Biopsy A medical procedure involving the removal of a sample of tissue from the body for examination under a microscope. Biopsies are performed to diagnose or rule out various conditions, including cancer, infections, and inflammatory disorders.
13. Pathology report A document generated by a pathologist detailing the findings of microscopic examination of tissue samples obtained from a biopsy or surgical procedure. Pathology reports provide diagnostic information regarding the nature and characteristics of diseases or abnormalities present in the sampled tissue.
14. Neosporin An over-the-counter topical antibiotic ointment is used for the prevention and treatment of minor skin infections, cuts, scrapes, and burns. Neosporin contains a combination of antibiotics, including neomycin, polymyxin B, and bacitracin.
15. Cortisone 10 intensive cream A topical corticosteroid cream containing hydrocortisone, a synthetic form of the hormone cortisol. Cortisone 10 intensive cream is used to relieve itching, inflammation, and discomfort associated with various skin conditions, such as eczema, dermatitis, and allergic reactions.
16. Radial aspect This refers to the side of the arm or forearm that is located closer to the radius bone. The radial aspect of the arm is typically on the thumb side, while the ulnar aspect is on the little finger side.
17. Ulnar aspect This refers to the side of the arm or forearm that is located closer to the ulna bone. The ulnar aspect of the arm is typically on the little finger side, while the radial aspect is on the thumb side.
18. Superficial Pertaining to or located near the surface of the skin or a bodily structure. Superficial injuries or wounds affect only the outermost layers of tissue and do not penetrate deeper structures.
19. Linear Describing a shape, pattern, or arrangement that is straight, elongated, or aligned in a continuous line. Linear features on the skin may include scratches, scars, or lesions that follow a straight or elongated path.
20. Sensations This refers to perceptions or feelings experienced by the skin, such as touch, pressure, temperature, and pain. Sensations are mediated by sensory receptors located throughout the skin and transmitted to the brain for interpretation.

 References

Chabner, D. (2017). The language of medicine (11th ed.). St. Louis, MO: Saunders.

MedlinePlus. (2023). Medical encyclopedia. https://medlineplus.gov/encyclopedia.html

National Cancer Institute. (2023). NCI dictionary of cancer terms. https://www.cancer.gov/publications/dictionaries/cancer-terms

Tintinalli, J. E., Ma, O. J., Yealy, D. M., Meckler, G. D., Cline, D. M., Thomas, S. H., & Cydulka, R. K. (2021). Tintinalli’s emergency medicine: A comprehensive study guide (9th ed.). McGraw-Hill Education.

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Question 

translate into common terms the medical terms contained in a progress note for a patient with a skin condition. Spell all medical and common terms correctly on the provided template.

Interpreting Medical Terminology - Skin Progress Note Template

Interpreting Medical Terminology – Skin Progress Note Template

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Introduction
In this first assessment, you will begin your exploration of the structure of medical terminology. The first step is to review how to build a medical term. Then you will examine the skin and musculoskeletal systems; in particular, we will focus on the diagnosis and treatment of the integumentary, or skin system. The skin is the largest organ of the body with a total area of about 20 square feet. The skin protects us from microbes and the elements, helps regulate body temperature, and permits the sensations of touch, heat, and cold. Your suggested resources address the three layers of skin, skin conditions, diseases, treatment, and diagnostic studies.