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Medical Terminology
Medical Terminology Module 2
Term | Definition |
---|---|
A(n) ______ is a word formed by including the name of the person who discovered or invented what is being described. | Eponym |
Hema/o | Blood |
SOAP: S | Subjective |
SOAP: O | Objective |
SOAP: A | Assessment |
SOAP: P | Plan |
SOAP: The Problem in the Patient's own Words | Subjective |
SOAP: Data Compromising of the Patient's physical exam, lab results, image studies preformed during visit | Objective |
SOAP: Diagnosis, Identification of a problem, list of possibilities for the diagnosis. | Assessment |
SOAP: Course of action consistent with the assessment. Could be treatment with medicine or a procedure | Plan |
Acute | Just started recently, or sharp, severe symptom |
Chronic | Going on for a while |
Exacerbation | Getting worse |
Abrupt | All of the Sudden |
Febrile | Having a fever |
Afebrile | Not having a fever |
Malaise | Not feeling well |
Progressive | More and More each day |
Symptom | Something the Patient feels |
Noncontributory | Not related to this specific problem` |
Lethargic | A decrease in level of consciousness; in a medical record this is generally an indication that the patient is really sick |
Genetic/Hereditary | Runs in family |
Alert | Able to answer questions; responsive; interactive |
Oriented | Being aware of who they are, where they are, and the current time. |
Patient who is aware who they are, where they are, and the current time all at the same time | Orientedx3 |
Marked | It really stands out |
Unremarkable | Normal |
Auscultation | To listen |
Percussion | To hit something and listen to the resulting sound or feel for the resulting vibration; |
Palpation | To feel |
Impression | Another way of saying assessment |
Diagnosis | What the health care professional thinks the Patient has |
Differential Diagnosis | List of Conditions the Patient may have based on the symptoms exhibited and the results of the examination |
Benign | Safe |
Malignant | Dangerous; a Problem |
Degneration | To be getting worse |
Idiopathic | No known specific cause, it just happens |
Localized | Stays in a certain part of the body |
Systemic | All over body (or most of it) |
Generalized | All over body (or most of it) |
Prognosis | The Chances for things getting better or worse |
Occult | Hidden |
Lesion | Diseased Tissue |
Recurrent | To have again |
Sequela | A problem resulting from a disease or injury |
Pending | Waiting for |
Pathogen | The organism that causes the problem` |
Morbidity | The risk for being sick |
Mortality | The risk for dying |
Etiology | The Cause |
Disposition | What happened to the Patient at the end of the Visit; Often used at the end of ED notes to reference with the Patient went after the visit |
Discharge | Literally, to unload; It has two meanings: Fluid coming out of the body To send home |
Palliative | Treating the symptoms; but not actually getting rid of the cause |
Observation | Watch, Keep an eye on |
Reassurance | To tell the Patient that the problem is not serious or dangerous |
Supportive Care | To treat the symptoms and make the Patient feel better |
Sterile | Extremely clean, germ free conditions; |
Prophylaxis | Preventative Treatment |