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Ferguson Flash Cards
SOAP METHODS, BODY PLANES, TYPES OF HEALTH RECORDS, ABBREVIATIONS
Term | Definition |
---|---|
NPO | Nothing by mouth |
IM | Intramuscular |
PMHx | Patient medical history |
Consult Note | Provides an opinion on a more challenging problem. |
Discharge Summary | Describes when and why the patient was admitted; documents a longer stay. |
Pathology Report | Provides reasons for test, what was seen on test, and an assessment. |
Anesthesiologist | A physician with special training in pain sedation and pain control |
Supine | Lying down on back |
Lateral | Out to the side |
SOAP | The process of collecting subjective history, gathering objective data, formulating an assessment, and developing an action plan is repeated in every health care visit across all disciplines of medicine. |