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Chapter 2
Introduction to Health Records
Term | Definition |
---|---|
SOAP | An acronym that stands for the four general parts of a medical plan. Note: S-Subject, O - Objective, A - Assessment, and P - Plan |
hereditary | It runs in the family |
percussion | To hit something and listen to the resulting sound or feel for the resulting vibration |
palliative | Treating symptoms but not actually getting rid of the cause |
distal | Further away from the center of the body |
PACU | Abbreviation for post-anesthesia care unit. |
(B) | Symbol for bilateral; both sides. |
I/O | Abbreviation for intake/output; pertaining to the amount of fluids a patient has taken in and produced. Commonly found on health records |
PERRLA | Abbreviation of symptoms meaning pupils are equal, round and reactive to light and accommodation. |
NAD | Abbreviation meaning no acute distress; the patient does not display any intense symptoms |