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P
pacemaker
battery-powered implantable device that electrically stimulates the heart to contract and pump blood throughout the body in cases where the heart's electrical system is dysfunctional
palliation
relieving symptoms and maintaining comfort through either the use of surgery, radiation, or chemotherapy
palliative
something that helps manage symptoms of, but does not cure, a disease
papule
small (less than 1 centimeter), circumscribed, elevated skin lesion that is pointed, flat topped, dome shaped, smooth, or eroded
paraneoplastic
disorders that occur due to the remote effects of cancer, such as through the mechanism of hormonal or antibody production
paresthesias
unusual sensory symptoms of tingling, numbness, or other abnormal feelings of sensation
Parkinson's disease
condition in which cells that produce dopamine degenerate, causing tremor, muscle stiffness, and loss of motor function
pathology
field concerned with examination of tissues removed for the purposes of diagnosing disease and guiding patient care
PCP (primary care physician)
large subset of physicians who do not provide specialized care, including internists, pediatricians, and general practitioners
peak expiratory flow
measurement of the ability to blow air out of the lungs that is used to diagnose asthma
pelvic muscle exercises
pelvic muscle exercises intended to improve pelvic muscle tone and prevent leakage associated with stress urinary incontinence; Kegel exercises
percutaneous nephrolithotomy (PCN)
manual extraction of kidney stones "through the skin"

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pericardial effusion
accumulation of fluid between the pericardium and the heart
pericardiocentesis
surgical puncuture of the pericardial space in order to drain fluid
pericarditis
inflammation of the tissues of the pericardium
pericardium
thin membranous covering of the outer surfaces of the heart
perineal prostatectomy
procedure to remove the prostate that uses a perineal incison, which allows easier visualization of the bladder/urethral anastomosis, quicker recovery, tissue spare, and blood conservation
peripheral nerves
nerves outside the brain and spinal cord
peripheral nervous system
peripheral nerves and muscular structures
periurethral bulking injections
procedure in which injected implants are used to "bulk up" the area around the neck of the bladder, allowing it to resist increases in abdominal pressure, which can push down on the bladder and cause leakage
pes cavus
highly arched feet
pes planus
flat feet
petechiae (pe tek' ee)
small, pinpoint red or brown spots that represent escape of blood from the vessels into the surrounding skin
phalanx (pl., phalanges)
small bones of the foot that make up the toes; the first toe having two, the proximal phalanx (hallux) and the distal phalanx; the other four toes having three phalanges each: proximal, middle, and distal

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phleboliths
small stones, or calcium deposits, that form within veins, causing congestion
photophobia
visual aversion to light, as experienced with migraine headache
plain film
basic x-ray with no contrast agents
plantar fascia
band of connective tissue that anchors the calcaneus to the front of the foot in order to support the arch
plantar fasciitis
inflammation of the plantar fascia, often occurring with, or caused by, a heel spur
plantar warts
warts that occur on the sole or plantar surface of the foot
plantarflex
downward motion of a body part
plaque
broad, elevated patch of skin, frequently formed by papules joining together; lesion that occurs in the "white matter" of the brain due to demyelination; in atherosclerosis, a mixture composed of cholesterol, other fatty substances, fibrous tissue, and calcium that collects in the lining of an arterial wall
platelets
coagulating blood cells
polyps
small fingerlike outgrowths of tissue from the linings of various tubular organs that are usually benign
polysomnography
sleep study, in which numerous physiological monitors are attached to the patient to record nighttime breathing, brain activity, and physical activity
porcine valve
valve made of tissue from a pig that is used to replace a diseased heart valve

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positive airway pressure
technique for treating obstructive sleep apnea in which forced air, fed through a mask, is pumped into the nose and mouth, and which keeps the airway open during sleep
post-void residual (PVR) volume
diagnostic test that measures how much urine remains in the bladder after urination
posterior chamber
space between the iris and the lens
prophylactic
medications or treatments that are preventative in the treatment of disease
prostaglandin
various oxygenated unsaturated cyclic fatty acids of animals that have a variety of hormonelike actions, e.g., to control blood pressure or smooth muscle contraction
prostate
muscular, walnut-sized gland that surrounds part of the urethra and secretes seminal fluid, a milky substance that combines with sperm (produced in the testicles) to form semen
prostatectomy
surgical removal of the prostate; See also suprapubic prostatectomy, retropubic prostatectomy, radical retropubic prostatectomy, perineal prostatectomy.
prostatic stent
wire device that expands after placement, pushing prostate tissue away from passageway and allowing for easier urination
prostatitis
inflammation of the prostate
prostatron (TUMT, or transurethral microwave thermotherapy)
microwaves used to open passageways, allowing for easier urination
ptosis
drooping of the eyelids due to weakness of the muscles that normally keep the lids open
pubovaginal sling
surgical procedure in which tissue or synthetic material is placed under the bladder neck to support and immobilize it, improving sphincter function and continence by decreasing bladder neck movement
pulmonary embolus
blockage in the lung, namely a blood clot
pupil
opening in the center of the iris through which light enters the eye
pustule
raised lesion on the skin that contains pus
pyelonephritis
inflammation of the kidney, usually due to a bacterial infection
pyuria
presence of pus in the urine, usually an indication of kidney or urinary tract infection

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Q

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R
radiation
anti-cancer therapy or treatment using high-energy rays beamed to the tumor site to destroy cancer cells
radiation oncologist
physician trained in the use of radiation therapy for the treatment of cancer
radical retropubic prostatectomy
removal of the entire prostate through an abdominal incision that allows the surgeon to spare nerve tissue and analyze lymph nodes
radiculopathy
irritation and inflammation of one of the nerve roots in the vicinity of the spinal column
rectocele
herniation of the rectum into the vagina
REM (rapid eye-movement sleep)
stage of sleep that is characterized by significantly decreased muscle tone, rapid eye movements, and dreaming; stage 5 sleep
respiratory system
group of body organs responsible for carrying oxygen from the air to the bloodstream and for expelling carbon dioxide as a waste product
restless legs syndrome
common neurological disorder that causes pulling, tearing, and jerking sensations in the legs when a person is at rest
retina
multilayered, light-sensitive tissue that contains a variety of nerve cells (neurons) that process visual information
retinal vessels
central retinal artery and central retinal vein
retrograde ejaculation
discharge of semen into the bladder rather than through the urethra and out of the body
retropubic prostatectomy
surgical procedure using an abdominal incision in order to incise the prostatic capsule and remove obstructing tissue
rheumatoid arthritis
chronic inflammatory disease that causes the body's immune system to attack the joints
rhinitis
inflammation of the mucous membranes lining the nose, often caused by allergies to pollen, dust, and other airborne substances
rigidity
stiffness in the limbs or body due to dysfunction of the basal ganglia and related structures
rods
photoreceptor cells in the retina that are primarily responsible for peripheral vision and vision in dim light

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S
SA node (sinoatrial node)
small area of specialized heart tissue located in the right atrium that conducts impulses through the right and left atria, signaling these chambers to contract and pump blood into the ventricles
scales
layers of skin cells (fine and barely visible, thick and silvery, waxy, or large and adherent) accumulated on top of the skin due to abnormal formation and shedding of the top layers
scar
permanent fibrous skin changes, often elevated and thickened, that follow some sort of damage; pink to purple in hue, eventually fading to shiny white
sciatic nerve
large nerve in the lumbar-sacral spinal region that is composed of multiple nerve roots that supply the lower extremities
sclera
tough white tissue that encases the entire eyeball, except for the part covered by the cornea
seizure
abnormal electrical discharge of brain cells (neurons) that results in a transient disturbance in brain function
SEP (somatosensory evoked response)
measures function of the central nervous system, including pathways from the extremities
serotonin
important neurotransmitter (communicates information chemically between brain cells) that is involved in pain sensation and emotional perceptions
sesamoiditis
inflammation of the sesamoid bones
sesamoids
bones contained within a ligament that provide strength and leverage to the ligament; two in the foot, located under the ball
sexually transmitted disease (STD)
infection spread through sexual intercourse or genital contact
shinsplints
injury or inflammation of the posterior tibial muscle and tendon caused by overstretching or improper/excessive use
silhouette sign
observance of one type of tissue over another; x-ray

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sling procedures
surgical methods for treating urinary incontinence involving the placement of a sling, made of either a synthetic material or tissue obtained from the person undergoing the procedure
small bowel
fourteen-foot section of the gastrointestinal tract, consisting of the duodenum, the jejunum, and the ileum, which empties into the beginning of the large bowel (the cecum) at the ileocecal valve
spasticity
stiffness of the body involving the limbs that results from dysfunction of the corticospinal tracts
s-phase
laboratory study to determine the percentage of cells preparing to divide, where low s-phase suggests less activity and biological aggressiveness, and high s-phase suggests increased activity and biological aggressiveness
sphincter
ring of muscle fibers located around an opening in the body that regulates the passage of substances through the opening
spinal stenosis
narrowing of the spinal canal due to disc disease, bony changes, ligamentous thickening, and congenital factors
spirometry
medical testing procedure which measures the amount of air entering and leaving the lungs
squamous cell carcinoma
second most common skin cancer that originates in the squamous cell
squamous cells
flat cells that make up most of the epidermis
statins
drugs that inhibit the manufacture of cholesterol by the liver; used to treat high cholesterol, or hypercholesterolemia

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status epilepticus
seizures that continue for more than 20 minutes without an intervening period of responsiveness
stenosis
condition that develops when any of the four major valves that regulate blood flow through the heart and lungs thickens, becomes damaged, or is diseased
stereotactic biopsy
biopsy technique that relies on computer guidance to exactly locate and biopsy the tumor
stress test
test that monitors the heart during exercise in order to identify the presence of heart disease or the risk of developing cardiac problems during strenuous activity; also, diagnostic test that requires patients to lift something or perform an exercise to determine if there is urine loss when stress is placed on bladder muscles
stress urinary incontinence
involuntary loss of urine during periods of increased abdominal pressure, such as laughing, sneezing, coughing, or lifting
stroke
medical event that occurs when a blood clot blocks the blood and oxygen supply to the brain; brain attack
subarachnoid hemorrhage
bleeding in the area surrounding the brain, usually caused by a ruptured cerebral aneurysm
subcutaneous fat
third layer of skin, located below the dermis and composed mainly of fat cells and blood vessels
suprapubic prostatectomy
incising the bladder to remove obstructing prostatic tissue through a suprapubic incision below the navel
surgeon
physician who has been educated and trained in diagnosis and preoperative, operative, and postoperative management
suture
(n.) a stitch; (v.) to stitch
synovial fluid
viscous substance that lubricates joints in the body and allows two adjacent cartilage caps to glide upon one another with minimal friction
systemic
involving the entire body or multiple body systems
systolic pressure
arterial pressure measured as the heart contracts

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T
T cell
type of white blood cell that regulates the immune response; T lymphocyte
talus
most superior bone of the foot that provides the primary connection between the leg and the foot and that articulates with the calcaneus to make up the subtalar joint
tarsal tunnel syndrome
entrapment and compression of the tibial nerve that causes pain, burning, and tingling on the sole of the foot
TEE
See transesophageal echo.
telangiectasia (tel an'je ek ta' zha)
dilatation of tiny blood vessels in the skin that usually appear as fine red lines, sometimes in a meshlike pattern
tendon
structure formed when a muscle condenses into a smaller complex before it attaches to a bone
tensilon test
diagnostic test that is used to confirm myasthenia gravis
testosterone
sex hormone that stimulates development of male sex characteristics and bone and muscle growth; produced by the testicles and, in small amounts, by the ovaries
theophylline
bronchodilator drug, taken orally, that widens the airways in the lungs; used to prevent apnea and to treat chronic obstructive pulmonary disease
thrombocytopenia
decreased number of platelets in the blood
thyroid stimulating hormone (TSH)
hormone that stimulates hormonal secretion of the thyroid gland; thyrotropin
TIA
See transient ischemic attack.

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tibialis posterior dysfunction
condition in which the tibialis posterior muscle and tendon weaken and tear often, causing muscle imbalance
tibialis posterior
muscle in the leg that condenses to become a tendon in the foot; contributes to the arch of the foot and works with the Achilles tendon to allow people to stand on their toes with their heels off the ground
tinnitus
ringing in the ears or head noises
tinea
fungal infection of the skin, hair, or nails caused by one of several types of fungi
titration
process of determining the proper concentration of a dissolved substance needed to produce a desired effect; in positive airway pressure, the proper amount of air pressure needed to prevent airway collapse (occlusion)
torticollis
involuntary turning of the neck to one side, seen in disorders of the basal ganglia
toxoplasmosis
common parasitic disease that presents as swollen "glands" (enlarged lymph nodes); when disease occurs in immunosuppressed people, it may cause encephalitis or brain abscesses
trabecular meshwork
connective tissue between the anterior chamber of the eye and the venous sinus; aqueous humor filters through the fibers into the bloodstream
transesophageal echo (TEE)
diagnostic procedure in which a transducer is passed down into the esophagus to a location behind the heart, where sound waves are sent and delivered to image the heart
transient ischemic attack (TIA)
neurological symptoms that result from transient interruption of blood flow to the brain
transient urinary incontinence
temporary episodes of urinary incontinence that are alleviated after the cause of the episode is identified and treated, such as a bladder infection
transurethral needle ablation (TUNA)
destruction of prostate tissue with thermal energy that is passed through a needle
transurethral resection of the prostate (TURP)
common treatment for benign prostate hypertrophy, in which the inside of the prostate (urethra) is cored out to make the passage of urine easier
tremor
uncontrollable shaking
trigeminal neuralgia
disorder of the fifth cranial nerve that causes episodes of intense, stabling electric shock-like pain in the areas of the face where the nerve is distributed - jaw, lips, eyes, nose, scalp, and forehead
tuberous sclerosis
genetic disorder that causes benign tumors to form in many different organs, but primarily in the brain, eyes, heart, kidney, skin, and lungs
tumor
abnormal mass of tissue that results from excessive cell division, either benign or malignant; large and deep solid growth of skin or subcutaneous fat

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U
ulcer
area of skin loss involving the whole thickness of the skin, caused by infection, trauma, or cell death
ultrasonic lithotripsy
use of high-frequency ultrasound waves to destroy kidney stones gradually, which are then passed naturally by the patient or removed by grasping forceps
underactive bladder
bladder contraction of inadequate magnitude and/or duration that prohibits the bladder from emptying normally; See also overflow incontinence.
unilateral
appearing on one side of the body
ureteroscopy
flexible, fiberoptic instrument resembling a long, thin telescope that is inserted through the urethra and bladder up to the ureter for observation and often for retrieval of kidney stones
urge or urgency
strong desire to void
urge UI
involuntary loss of urine associated with a sudden and strong urge to void
urinalysis
group of physical and chemical tests done on a sample of urine to check for various disorders, including those of the kidneys and urinary tract
urinary incontinence (UI)
involuntary loss of urine sufficient enough to be a problem
urinary tract infections (UTIs)
infections caused by bacteria that invade the urinary system and multiply, leading to an infection
urodynamic tests
diagnostic tests to examine the bladder and urethral sphincter function

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V
vaportrode
type of cautery electrode that vaporizes prostatic tissue in order to expand the prostatic channel and make urination easier
varicocele embolization
outpatient procedure in which the varicocele is closed off (occluded) by means of a balloon catheter (flexible tube with a tiny detachable balloon), steel coil, and/or sclerosing (vessel-hardening) solution
varicocelectomy
cutting away of a varicocele
vascular
related to blood vessels
vas deferens
tubes that connect the epididymes to the prostate gland
vasectomy reversal
See vasovasostomy.
vasoepididymostomy
microsurgery that uses a microscopic camera and very small operative tools to remove blockage in the epididymis and to reattach the epididymis to the vas deferens
vasovasostomy
reconnection of the severed ends of the vas deferens, which restores the flow of sperm through the vas deferens; vasectomy reversal
ventricles
right and left lower chambers of the heart

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VER (visual evoked responses)
measures function of the central nervous system, including the pathway from optic tract
vertebrae (s., vertebra)
bones that make up the spinal column
vertebral arteries
paired arteries located behind the carotid areries that supply the back of the brain and the brainstem
vertigo
dizziness or imbalance of equilibrium that usually causes a spinning sensation
vesica sling procedure
See sling procedures.
vesicle
small, sharply circumscribed, elevated, fluid-filled bumps in the skin measuring less than 0.5 centimeters; small blisters
vestibular system
parts of the nervous system that control equilibrium and balance and that coordinate head and eye movement
vitiligo
minimal or widespread appearance of white patches on otherwise normal skin due to loss of pigment
vitreous body
chamber located between the lens and the retina
vitreous humor
transparent, colorless, gelatinous mass that fills the vitreous body

W
warfarin
drug used to prevent blood clots
wheals
solid, distinct elevations in the skin formed by localized swelling, ranging in color from white to dark pink; welts
white matter
lipid-rich myelinated portion of the brain and spinal cord
Wilson's disease
rare genetic disorder that causes progressive liver, neurologic, and psychiatric disorders that are - if untreated - always fatal

X
xerosis
dry skin

Y

Z
zonules
small fibers that change the shape of the eye’s lens for accommodation

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