Medical Transcription Terms

GI and GU

Common Abbreviations:  VCUG (vesicoureterogram, voiding cystourethrogram)
Common Terms:  , angle of His, cystocele, EEA, fistula-in-ano, flexures, Graham patch plication, haustrations, H. pylori, hydroceles, porcelain gallbladder, stigmata, varicocele, vascular load staple
Medications:  amphotericin (fungemia in urine), Carafate (gastritis), liposomal amphotericin B (fungemia urine infection), nadifloxacin (antibiotic for UTI), Oxytrol (overactive bladder), Tagamet (gastritis)
Procedures/Reports:  Colonoscopy and Smear Polypectomy, ]Left Partial Nephrectomy, Revision ColonoscopyRight Percutaneous Nephrolithotomy  
acetylcholine esterase:  test for Hirschsprung's disease
anasarca:  generalized edema with accumulation of serum in the connective tissue
bariatric surgery:  for morbid obesity
Barrett’s esophagus
celiac disease terms:  villi, villous blunting
CRRT:  continuous renal replacement therapy
darbepoetin:  Kidney disease-related and chemotherapy induced anemia.
enteral feedings
Esophagitis:  Grade 1, 2, 3, etc.
Fleet Phospho-Soda
gastroparesis:  a disorder in which the stomach takes too long to empty its contents.
diaphragmatic surface
grade 1 to 2 cystocele
grade 1 esophageal varices
interstitial cystitis
intraabdominal abscesses:  are abscesses (collections of pus) that occur within the abdominal cavity.
junction:  squamocolumnar
Lasix MAG-3 renal scan
neurogenic bladder
NuBasics:  a complete line of nutritional products, including nutritional drinks, nutritional bars, nutritional soups, nutritional juices
orchiopexies
polyclonal hypogammaglobulinemia
pouchitis
Prostatectomy:  Space of Retzius
Renal Surgery Terms:  aortic carrel patch, celiac axis, hockey-stick incision, on the back table, pulsatile perfusion pump, it pinked up immediately, end-to-side anastomosis
Seton
staghorn calculus:  kidney stones; These large stones are formed in the pelvis of the kidney. They are too large to pass into the ureter.
Sutures:  Dexon, Maxon, Prolene
Tenckhoff catheter
Tube feeding:  Dobbhoff tube,
Urine analysis:  bilirubin, blood, glucose, ketones, leukocyte esterase, nitrite, pH, protein, specific gravity, urobilinogen
urine dip-stick test:  pH, specific gravity
VCUG:  test for vesico-ureteral reflux
vesico-ureteral reflux
Zenker's diverticulum:  

A diverticulum is a pouch or sac that is created by herniation of a muscle wall. Zenker’s diverticula (ZD) are pouches that develop in the pharynx just above the upper esophageal sphincter. Food may become trapped there, causing difficulties in swallowing, bad breath, regurgitation, and irritation. ZD generally are categorized as small, intermediate, or large in size. They extend into the left side of the neck 90% of the time due to a slight convex shape of the esophagus to that side and the presence of a potential space there. 

In Zenker’s diverticula, there is a splitting between muscles in the pharynx. Most often this split occurs in an area known as Killian triangle, although other areas are possible as well. The cause of Zenker’s diverticulum are not known, but theories include the following:

  • Abnormal timing during swallowing that causes the cricopharyngeal muscle to close when it should open
  • Incomplete relaxation of the cricopharyngeal muscle
  • Loss of elasticity in the cricopharyngeal muscle
  • cricopharyngeal muscle myopathy or atrophy
  • Central nervous system injury
  • cricopharyngeal muscle spasm caused by gastroesophageal reflux disease (GERD)
  • abnormalities in the upper esophageal sphincter

Zenker’s diverticula occur most often in northern European countries and those whose heritage is northern European, including the US, Canada and Australia. It is rare in Asia. It is one and a half times more common among men than women, and almost always occurs in older individuals. 

Symptoms of Zenker’s Diverticulum

  • Swallowing problems (dysphagia)
  • Regurgitation of undigested food hours after eating
  • Feeling of food sticking in the throat
  • Coughing after eating
  • Aspiration of food and liquid into the airways
  • Unexplained weight loss
  • Bad breath
  • Gurgling noises in the neck

The most dangerous symptom is aspiration, in which food or liquid enters the unprotected airway. If the diverticula spread into a major vessel, obstruction of the esophagus or trachea can occur. They can cause massive bleeding. Very rarely, squamous cell carcinoma within ZD occur. 

Medical Transcription Terms Home Page