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