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Glossary entries discussed in the handbook are accompanied by page references (bracketed).
ABC: The 'ABC' of resuscitation or life support means to check Airways, Breathing and Circulation.
ACUTE: When applied to a medical condition, this term means 'of severe, sudden, but short duration'. As opposed to CHRONIC.
ADDICTION: In the context of this handbook, the habitual taking of drugs or alcohol due to a physical and/or psychological dependency. [see 'Assessing the severity of a drug problem']
AFEBRILE: Without fever. As opposed to FEBRILE.
AIDS: see AUTOIMMUNE DEFICIENCY SYNDROME.
ALCOHOLISM: Where any physical, mental or social problem caused by alcohol is present. [see 'Alcoholism']
ALLERGY: Sensitivity to a foreign substance, resulting in a physical reaction such as rash or hay fever. [see 'Allergies']
AMBULANT: Able to walk.
ANAEMIA: A decrease in the concentration of red blood cells or of HAEMOGLOBIN in the blood. May cause pallor (paleness) of the skin. [see 'Unsteady balance / Falls']
ANGINA: Cardiac pain due to poor blood supply to the heart. [see 'Heart pain (angina)']
ANOREXIA: Loss of appetite.
ANOXIA: Without oxygen.
ANTI-ANXIETY (medication): Prescribed drugs used to treat anxiety disorders. [see 'Psychiatric drugs', 'The Pams']
ANTIBIOTIC: A drug that destroys bacteria. [see 'Infections']
ANTIBODY: A substance produced by the immune system to fight invading organisms such as viruses. [see 'Bodily fluid contamination', 'Hepatitis (A, B and C)']
ANTIDEPRESSANT (medication): Prescribed drugs used to treat depression. [see click86, click88, 'Depression']
ANTIPSYCHOTIC (medication): Prescribed drugs used to treat psychosis. [click86, click87]
ANXIETY: A state of tension affecting the mind and the body. Anxiety can range from acute (short term) to chronic (long term). [see 'Psychiatry', 'Anxiety disorders']
APERIENT: A laxative (to move the bowels).
APPENDICITIS: Inflammation of the appendix, a hollow finger-like projection of the colon. [see 'Abdominal / Stomach pain']
ARREST: Used in a medical sense, this means a cessation of bodily activity (for example, cardiac arrest means that the heart has stopped beating and respiratory arrest means cessation of breathing).
ARTHRITIS: Inflammation of a joint. See also INFLAMMATION.
ASTHMA: A lung disease characterised by difficulty in breathing and by coughing and wheezing. [see 'Asthma', Chest pain', 'Coughing', 'Coughing up blood', 'Medical guidelines', 'Medications: Asthma']
ATAXIA: A jerky unsteadiness of the limbs and body due to disease in a particular part of the brain.
AURA: A visual disturbance occurring prior to an epileptic fit.
AUTOIMMUNE DEFICIENCY SYNDROME: Commonly referred to as AIDS, it implies loss of immune system function. Due to late stage HIV infection. [see 'HIV / AIDS']. See also HUMAN IMMUNODEFICIENCY VIRUS (HIV).
BACTERIA: Microscopic organisms that cause infection and which can reproduce themselves.
BASELINE BLOOD TEST: Basic tests done in initial stages of a medical investigation. [see 'Bodily fluid contamination']
BCG: The 'Bacille Calmett-Guerin' (tuberculosis or TB) vaccination. [see 'The Mantoux test']
BRONCHIAL: Of the larger airways of the lungs.
BRONCHITIS: Infection of the larger airways of the lungs. [see 'Coughing', 'Coughing up blood', 'Unsteady balance / Falls']
CAROTID: The large artery beside the larynx which is ideal for emergency checking of the pulse. [see 'The ABC of life support (2)']
CAT: see CRISIS ASSESSMENT TEAM.
CHRONIC: Long term. As opposed to ACUTE.
CIRRHOSIS: Condition of the liver where it becomes shrunken, hardened and fails to function normally. [see 'Alcoholism', 'Hepatitis (A, B and C)']
COGNITION: The area of more sophisticated mental functioning (intelligence, judgment, insight, memory and so on).
COMA: A persistent state of unconsciousness. [see 'Alcoholism', 'Drowsiness', 'Vomiting of blood']
CONCUSSION: Loss of consciousness due to severe head injury.
CORONER: A magistrate appointed to investigate the cause of death in certain situations, for instance a sudden unexpected death. [see 'Encountering death']
CPR: Cardio-Pulmonary-Resuscitation (active combined resuscitation of the heart and lungs). See 'The ABC of life support (2)'.
CRISIS ASSESSMENT TEAM (CAT): A community based emergency psychiatric service. [see 'Accessing psychiatric services']
DELIRIUM TREMENS (the DTs): A serious state of delirium due to alcohol withdrawal. Due to overactivity of the nervous system. [see 'Alcoholism', 'Examples of drug withdrawal']
DELUSION: A false idea or belief held by a person that cannot be corrected by reasoning.
DEMENTIA: Partial or total loss of personality and other significant mental functions, due to mental deterioration, but without psychosis. [see 'Psychiatry']
DEPENDENCY: Describes an ongoing need for a substance to prevent unpleasant symptoms. May be psychological or physical. [see 'Accessing the severity of a drug problem', 'Aggression']
DEPERSONALISATION: A subjective experience where there is a feeling of being disconnected from the body or from the immediate environment. [see 'Anxiety disorders']
DEPRESSION: An unpleasant, unhappy state of mind and body with significant impairment of memory, concentration and other mental processes. Physical activity is also slowed. [see 'Psychiatry', 'Depression', 'Grief', 'Suicidal behaviour']
DERMATITIS: Inflammation of the skin. [see 'Skin rashes and burns']
DETOXIFICATION: Removal over time of toxic (drugs/alcohol etc.) substances from the body. [see 'Drug use: treatment options', 'Drug and alcohol problems: medical assistance', 'Detoxification', 'The "detox" request']
DIABETES: A disease with abnormally high blood sugar. Due to lack of insulin. [see 'Drowsiness', 'Unsteady balance / Falls', 'Aboriginal health']
DIABETIC: A patient with diabetes. [see 'Unsteady balance / Falls']
DIAGNOSIS: Determination of the cause and severity of a disease.
DISASSOCIATION: See DEPERSONALISATION.
DISORIENTATION: Inability to recognise time or surroundings or identify oneself or another person. [see 'Confusion']
DRUG WITHDRAWAL: The process where a toxic substance (drug) is naturally removed from the body. Subjectively unpleasant. [see 'Assessing the severity of a drug problem', Drug use: treatment options', 'Drug and alcohol problems: medical assistance', 'Detoxification', 'Examples of drug withdrawal']
DUPEYTRON'S CONTRACTURE: Deformity of the hand, with the fingers in a claw-like position. [see 'Alcoholism']
DYSPNOEA: Difficulty in breathing.
ECG: Electrocardiogram. An electrical recording of activity of the heart. May indicate either angina or a heartbeat rhythm problem.
ECT: Electroconvulsive Therapy. Used in the treatment of severe depression.
EEG: Electro-encephalogram. An electrical recording of brain activity.
EMPHYSEMA: A lung disease with loss of lung tissue. Occurs in cigarette smokers. [see 'Coughing']
EPILEPSY: The occurrence of convulsions (involuntary bodily movements) due to abnormal electrical discharges in the brain. [see 'Alcoholism', 'Detoxification', 'Major fit / Epilepsy', 'Unsteady balance / Falls', 'Diarrhoea'] See also FITS.
EPISTAXIS: Bleeding of the nose.
FEBRILE: The presence of fever. As opposed to AFEBRILE.
FEVER: A temperature above the normal level of 37 degrees Celsius. [see 'Coughing up blood', 'HIV / AIDS']
FISTULA: A site where one bodily organ has formed an abnormal opening into another.
FITS: (1) The occurrence of epilepsy. See EPILEPSY. (2) The street name for hypodermic syringes.
FRACTURE: A broken bone. [see 'Chest pain', 'Broken bones (1)']
GALLSTONES: A common disease where firm 'stones' accumulate in the gall bladder. [see 'Abdominal / Stomach pain']
GASTRITIS: Inflammation of the lining of the stomach, with pain and/or vomiting. [see 'Cautionary advice']
GASTRO-ENTERITIS: Inflammation of the stomach and intestine, with vomiting and/or diarrhoea.
GENERIC: When used in regard to health care, implies nonspecialised, or not specifically related to, a particular group, service, company etc. [see 'Psychiatric drugs', 'Medications']
HAEMATEMESIS: Vomiting of pure blood or blood mixed with stomach contents. [see 'Vomiting of blood']
HAEMATOMA: Medical name for a well demarcated 'bruise'. [see 'Alcohol-related brain injury']
HAEMATURIA: Blood in the urine. [see 'Coughing up blood']
HAEMOGLOBIN: A complicated iron-containing protein and found in red blood cells. It carries oxygen to the tissues. See also ANAEMIA.
HAEMOPTYSIS: Coughing up of blood. [see 'Coughing up blood']
May be difficult to distinguish from HAEMATEMESIS.
HAEMORRHAGE: Loss of blood from the body, either internally or externally. [see 'Encountering death', 'Drowsiness', 'Bleeding', 'Cautionary advice']
HALLUCINATION: A false sensory perception of one or more of the senses (vision, hearing, taste, smell, touch). [see 'Accsesing psychiatric services', 'Psychiatric drugs', 'Drugs and their street names', 'Stimulants', 'Hallucinogenic drugs']
HEART ATTACK: A general term referring to an acute affliction of the heart. Usually refers to ACUTE MYOCARDIAL INFARCTION, but may be used to describe acute onset of a disturbance to heartbeat rhythm. [see 'Chest pain', 'Drowsiness', 'Major fit / Epilepsy', 'Medical guidelines']
HEART DISEASE: Any disease affecting the heart. [see 'Medical guidelines']
HEART FAILURE: Where the heart fails to perform its job of pumping blood to the lungs and to the remainder of the body. [see 'Coughing', 'Heart medication']. See also 'The ABC of life support (2)'.
HEPATITIS: Inflammation of the liver; usually due to toxic substances such as alcohol or to viral infections such as the Hepatitis C virus. [see 'Bodily fluid contamination', 'Hepatitis (A, B and C)', 58, 'Bleeding']
HERNIA: The abnormal protrusion of the contents of one part of the body into another.
HIV: see HUMAN IMMUNODEFICIENCY VIRUS.
HOSPICE: A small hospital for the terminally ill. [see 'The homeless: death and dying']
HUMAN IMMUNODEFICIENCY VIRUS: A virus which infects the human immune system, impeding its operation. [see 'Body fluid contamination', 'HIV / AIDS', 'The Mantoux test', 'Bleeding', 'Drugs and their street names']
HYPERGLYCAEMIA: A blood sugar level above normal, which is indicative of diabetes. Compare to HYPOGLYCAEMIA.
HYPERTENSION: Blood pressure above normal; sometimes inaccurately used to describe stress.
HYPERVENTILATION: Breathing at a rate above normal, and often due to anxiety. [see 'Anxiety disorders']
HYPOGLYCAEMIA: A low blood sugar level. Usually due to an excessive insulin dose. Compare to HYPERGLYCAEMIA.
HYPOTENSION: Low blood pressure. [see 'Unsteady balance / Falls']
HYPOTHERMIA: A low body temperature, which may be life threatening. [see 'Encountering death']
INCONTINENCE: Loss of control of the bladder and/or bowel.
INFECTION: Invasion of the body by harmful organisms that cause disease. [see 'Infections'.]
INFLAMMATION: The body's reaction to injury. Signs of inflammation are redness, heat, swelling and tenderness. See also ARTHRITIS.
INSOMNIA: Inability to sleep. [see 'Depression', 'The Pams']
INSULIN: A substance produced by the pancreas; needed to convert sugar to energy. Lacking in diabetics. [see 'Unsteady balance / Falls']
INTRAVENOUS: Within the vein, as with injections into a vein. [see 'Indicators of drug use']
ISCHAEMIA: Lack of blood supply to an area of the body. For example, cardiac ischaemia, which may cause angina. If severe, cardiac ischaemia may cause a heart attack.
JAUNDICE: Yellow discolouration of the skin and eyes due to liver disease. [see 'Assessing the severity of a drug problem', 'Hepatitis (A, B and C)']
KORSAKOFF'S SYNDROME: Sufferers show amnesia and confabulation (filling in gaps in memory by guessing); due to the end stage of alcoholism. Connected with the Alcohol Related Brain Injury Syndrome (see 'Alcohol-related brain injury).
LUNG CLOT: see PULMONARY EMBOLUS.
MANIA: An elated, overactive state of mind and body, with restlessness and euphoria. [see 'Mania']
MANIPULATION (medical): Manual movement of a body part to more acceptable position.
MANTOUX TEST: A skin test given to assist in the diagnosis of tuberculosis. [see 'The Mantoux test']
MENINGITIS: Inflammation of the meninges, a collection of three protective membranes surrounding the brain. [see 'Headache / Head pain']
MIGRAINE: A headache with specific characteristics and due to disturbances to the blood vessels in the head. [see 'Headache / Head pain']
MORBIDITY: (1) Description of the outcomes of disease. (2) The relative incidence of a particular disease in a specific locality.
MUNCHAUSEN SYNDROME: An aberrant condition involving fabrication of an illness to attract medical attention. Sufferers seek numerous medical consultations with different doctors.
NAUSEA: An unpleasant sick feeling in the stomach area.
NEBULISER: A device powered by an air pump which converts a liquid to a fine spray for inhalation. Often used by asthma sufferers.
NEURITIS: Inflammation of neural tissue. [see 'Alcoholism']
NEUROSIS: A mental condition with many variations, but most commonly with anxiety due to various causes such as stress or previous difficult life experiences. The personality is usually not severely affected.
NIGHT SWEATS: Excessive night-time sweating May indicate serious disease, for example TB. [see 'The Mantoux test']
OEDEMA: Fluid in the tissues.
OESOPHAGUS: The part of the digestive tract between mouth and stomach. Synonymous with the gullet.
ORIENTATION: The ability of a person to reliably establish their position regarding time, place and persons. [see 'Confusion']
OVERDOSE: Administration of an excessive amount of a drug or substance into the body. [see 'Drug overdose', 'Overdose indicators']
PALLIATIVE CARE: Care aimed at minimising pain and suffering without aiming to effect a cure. [see 'The homeless: death and dying']
PALPITATIONS: Awareness of the heartbeat; not necessarily due to heart disease.
PANCREAS: A gland that lies behind the stomach. It produces insulin. [see 'Alcoholism']
PANCREATITIS: Inflammation of the pancreas organ. [see 'Alcoholism']
PARALYSIS: Loss of movement of any part of the body due to nerve damage. [see 'Neck or back injury']
PARANOIA: A form of schizophrenia involving delusions, hallucinations, fear of persecution, and undue suspicion of others. [24, 33, 128]
PATHOLOGICAL: Related to an abnormality or disease.
PEDICULOSIS: Infestation of the skin by the pediculosis louse. Also known as scabies. [see 'Skin rashes and burns']
PEPTIC: Related to stomach acid, as in 'peptic ulcer'. See also STOMACH ULCER.
PELVIC INFLAMMATORY DISEASE: An infection of all or part of the female reproductive tract. [see 'Abdominal / Stomach pain']
PERSONALITY DISORDER: A behavioural disorder that is not due to anxiety, mood disturbance or psychosis. [see 'Psychiatry', 'Personality disorders']
PHLEBITIS: Inflammation of a vein.
PHOBIA: An irrational fear of a situation, person or object. [see 'Anxiety disorders']
PNEUMONIA: Infection of the lung tissue. [see 'Coughing', 'Coughing up blood', 'Unsteady balance / Falls']
PNEUMOTHORAX: Condition with increase in air pressure in the chest cavity resulting in collapse of the lung. [see 'Chest pain']
PROGNOSIS: The likely final medical outcome of an illness, in terms of time and condition.
PSYCHOSIS: An extreme derangement of the mind, due to mental illness, with total loss of judgment, memory and insight. It may be a temporary, intermittent or permanent condition. [see 'Psychiatry', 'Acute (short term) psychosis', 'Chronic (long term) psychosis, 'Schizophrenia', 'Depression', 'Psychiatric drugs']
PSYCHOSOMATIC: Bodily symptoms associated with a nervous complaint or psychological disorder. [see 'Depression', 'Grief']
PSYCHOTHERAPY: Counselling treatment for mental illness. [see 'Greif']
PULMONARY: Of the lungs or bronchial system.
PULMONARY EMBOLUS: Lodgment of an embolus (mobile blood clot) in the lung tissue. [see 'Chest pain']
PULSE: The rhythmic expansion of an artery which can be felt.
PUNCTURED LUNG: See PNEUMOTHORAX.
RAPPORT: The situation whereby a facilitative and empathic understanding develops between the health care worker and his/her client/patient [see 'Communicating effectively'].
RESUSCITATION (cardiac): See CPR.
SCABIES: An inflammatory skin condition due to the pediculosis louse. See PEDICULOSIS.
SCHIZOPHRENIA: A nervous disorder characterised by disturbances to normal thought processes. [see 'Schizophrenia', 'Depression', 'Suicidal behaviour', 'Anxiety disorders']
SEPSIS: Infection.
SEXUALITY ISSUES: See 'Young women: sexuality issues'.
SHOCK: (1) A state of dangerously low blood pressure. [see 'Vomiting of blood'] (2) A state of mental distress.
SIGN (of illness): An observable indication of illness.
SINUS: (1) Facial sinus: A cavity in the skull bones. (2) An abnormal opening in a body organ, e.g. skin sinus (an opening in the skin that is discharging).
SPLEEN: A richly perfused organ in the upper left abdominal area which is unfortunately prone to trauma. It is part of the immune system.
SPUTUM: Phlegm (secretions coughed up from the lungs).
STERNUM: The middle chest bone where ribs from each side of the body meet.
STEROID: A group of chemical substances produced by the adrenal glands. May have anabolic (body building), or anti-inflammatory, or other properties. [see 'Asthma', 'Medications: Asthma', 'Skin rashes and burns']
STOMACH ULCER: An ulcer within the lining of the stomach. Synonymous with peptic ulcer. See also PEPTIC and ULCER.
STROKE: The result of damage to part of the brain; usually associated with weakness, numbness or paralysis. [see 'Unsteady balance / Falls']
SYMPTOM: A specific feeling or physical manifestation due to an illness. [see 'The medical consultation format']
SYNDROME: A group of symptoms due to a particular disease.
TETANUS: A serious bacterial infection beginning in unclean wounds, and at risk of causing paralysis.
THIAMINE: Vitamin B1. An important vitamin needed for the heart and brain; often low in alcoholics. [see 'Alcohol-related brain injury', 'Liver / Liver failure / Alcoholism']
TOLERANCE: A process where the body adapts to administration of a foreign substance, resulting in the need for more of the drug to achieve the same effect. [see 'Assessing the severity of a drug problem']
TRANSFERENCE: The unconscious tendency to transfer to another person significant feelings and attitudes that are your own and which are excessive.
TUBERCULOSIS: A serious bacterial infection of the lungs or (sometimes) of the kidneys. Also referred to as 'TB'. [see 'Coughing', 'Coughing up blood', 'The Mantoux test']
ULCER: Loss of the surface tissue layer of an organ (e.g. skin, stomach lining, cornea) is known as ulceration. See also STOMACH ULCER.
URGENCY (of symptoms): Sudden involuntary urges to pass urine, etc.
UROLOGICAL: Of the bladder, kidneys or urinary system.
VIRUS: An infective particle much smaller than a bacteria. Requires 'host' cells (for example human cells) to reproduce. Not destroyed by antibiotics.
WHEEZE: Breathing characterised by a whistling noise. Usually due to asthma. [see 'Asthma']
WITHDRAWAL: See DRUG WITHDRAWAL.
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