Insights

20 pairs of medical terms that are easy to get wrong

One misheard word can change the meaning of a report. These are pairs that look or sound alike and are easily confused, whether by a person or by speech recognition.

Why one word matters

Medico-legal reports are read closely and sometimes relied on in court. A single wrong term can change a diagnosis, a prognosis or the apparent meaning of an opinion. Similar-sounding terms are easy to confuse when audio is unclear, the speaker has a strong accent or a recording has background noise.

Twenty pairs to watch

Hypertension or Hypertensive crisis

High blood pressure compared with a dangerously high reading needing urgent care.

Metastasis or Metastable

The spread of cancer compared with a non-medical word meaning unstable.

Myocardial infarction or Myocardial infraction

A heart attack compared with a wrong word that sounds almost identical.

Neurology or Nephrology

The nervous system compared with the kidneys.

Sepsis or Septicaemia

A life-threatening reaction to infection compared with infection of the bloodstream.

Hypoglycaemia or Hyperglycaemia

Low blood sugar compared with high blood sugar.

Anxiety or Angina

A mental health condition compared with chest pain from reduced blood flow to the heart.

Aneurysm or Arrhythmia

A bulge in a blood vessel wall compared with an abnormal heart rhythm.

Dysphagia or Dysphasia

Difficulty swallowing compared with difficulty with language.

Cervical or Cerebral

Relating to the neck or the cervix compared with relating to the brain.

Ejection fraction or Injection fraction

A measure of how much blood the heart pumps compared with a non-medical phrase.

Polyp or Pulp

An abnormal growth on a lining compared with soft tissue inside a tooth.

Prophylaxis or Paralysis

Preventive treatment compared with loss of movement.

Tinnitus or Tendinitis

Ringing in the ears compared with inflammation of a tendon.

Trauma or Thrombosis

Physical injury compared with a blood clot in a vessel.

Bowel or Bile

The intestine compared with a digestive fluid made by the liver.

Carcinoma or Sarcoma

Cancer of the lining tissues compared with cancer of connective tissue.

Abduction or Adduction

Movement away from the midline compared with movement towards it.

Hyperplasia or Hypertrophy

An increase in the number of cells compared with an increase in their size.

Acute or Chronic

Sudden or short-term compared with long-lasting.

How these errors are caught

Context is the best safeguard. A transcriber who knows the specialty will notice when a word does not fit the sentence and will flag a passage that is unclear for you to confirm instead of guessing. Where a report has been drafted by an AI tool, checking it against the original audio is the most reliable way to find the same kind of slip.

General information only. This article is not legal or clinical advice. Please check current guidance from NHS England and your professional body.

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