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Unit 1: Codes
Term | Definition |
---|---|
BID | take twice a day |
QHS | take at night |
SOAP | Subjectvie, Objective, Assessment, and Plan. Documentation for health care providers. |
CC | Chief complaint (main reason for visit) |
RR | Resporitoty rate |
Tx | Treatment |
L&D | Labor & Delivery |
Pre-op | Before surgery |
HR | Heart rate |
Alert | Pt can answer questions, they are responsive and interactive |
Sequelae | A problem resulting from a disease or injury |
Angi/o | Vessel (example: Angioplasty - performed to open blocked coronary ateries) |
Marked | Really stands out |
Lethargic | Decrease in level of consiciousness; or very sick |
Lou Gehrig's Disease | Lou Gehrig's disease, named after Lou Gehrig, is a nervous system disease that weakens muscles and impacts physical function. |
Parkinson's Disease | Parkinson's disease, named after James Parkinson, is a disease of the central nervous system that affects movement as well as speech. |
Tourettes | Tourettes, named after Georges Gilles de la Tourette, is a nervous system disorder that involves involuntary movements and unwanted sounds. |
Grave's Disease | Grave's disease, named after Robert Graves, is a disorder of the immune system that causes the thyroid gland to produce excessive amounts of the thyroid hormone. |
Asperger's Disease | Aspergers, named after Hans Asperger, is a developmental disorder and is also a form of Autism Spectrum Disorder. |
Pt | Patient |