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CH. 2
Introduction to Health Records
Term | Definition |
---|---|
SOAP | Subjective, Objective, Assessment, Objective |
Oriented | A patient who is aware of who they are, where they are at, and the current time. |
Unremarkable | A different way of saying normal |
Auscultation | To listen |
Sequela | A problem resulting from an injury or disease |
Impression | Another way of saying assessment |
Morbidity | The risk for being sick |
Etiology | The cause |
Palliative | Treating the symptoms, but not getting rid of the cause |
Prophylaxis | Preventative treatment |