Med Term Chpt 2 Word Scramble
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| Term | Definition |
| SOAP method | subjective, objective, assessment, plan |
| subjective | what the patient says |
| objective | what the test reveal, body images, provider observations |
| assessment | the analyisis of the subjective and objective information, performed by the health care provider |
| plan | the course of action for the patient |
| acute | occurs recently, or sharp severe symptoms |
| chronic | a problem that occurs for a while |
| abrupt | occurs suddenly |
| febrile | has a fever |
| afebrile | does not have a fever |
| malaise | not feeling well |
| progressive | worsening of symptoms |
| exacerbation | worsening of a condition |
| symptom | what the patient feels |
| noncontributory | patient's symptom is not related to the current problem |
| lethargic | a decrease in level of consciousness |
| genetic/hereditary | it runs in the family |
| alert | patient can answer questions, responsive, interactive |
| oriented | patient knows who they are, where they are, and what time it is (current date/time) |
| auscultation | to listen (with a stehoscope) |
| percussion | to hit or strike and then listen for the sound, the returned sound indicates the condition of the body |
| palpation | to feel something, how something feels can indicate it's condition, be it normal or abnormal |
| unremarkable | normal |
| marked | it stands out |
| impression | another word for assessment |
| diagnosis | using the subjective and objective data to determine the patient's condition |
| differential diagnosis | based on the subjective and objective data, the health care profession CANNOT yet determine the diagnosis |
| benign | not cancerous |
| malignant | cancerous |
| degeneration | getting worse |
| etilogy | the cause |
| idopathic | no known cause |
| remission | no longer having the symptoms of a disease, usually used when referring to cancer |
| recurrent | to have again |
| mobidity | risk of being sick or diseased |
| mortality | risk for dying |
| prognosis | chance of getting better or worse |
| localized | one area |
| system/generalized | over a large area of body system |
| occult | hidden |
| pathogen | organism that causes the disease |
| lesion | diseased tissue |
| sequelae | result of disease or injury |
| pending | waiting for |
| dispostion | where the patient went at the conclusion for the visit |
| discharge | to send home, fluid coming out of a part of the body |
| prophylaxis | preventative treatment |
| palliative | relieve symptoms, but not cure |
| observation | to watch |
| reassurance | actions that make the patient feel better |
| supportive care | treat symptoms to make the patient feel better |
| sterile | extremely clean, germ-free conditions |
| proximal | pertaining to the trunk of the body-closer to the |
| distal | pertaining to the trunk of the body-further away |
| lateral | away from the center of the body |
| medial | closer to the center of the body |
| ventral, antral, anterior | front of the body |
| dorsal/posterior | back of the body |
| superior | above |
| inferior | below |
| cranial/caudal | head/tail |
| supine | lying on the back |
| prone | lying on the belly |
| ipsilateral | same side |
| contralateral | opposite side |
| unilateral/bilateral | one side/two sides |
| plantar/palmar | sole of the foot, palm of hand |
| dorsum | top/back (hand/foot) |
| coronal plane | divides anterior and posterior |
| sagittal plane | divides body right and left |
| transverse plane | divides body top and bottom |
| chief complaint/ CC | main reason for the patient's visit |
| history of present illness/ HPI | story of the patient's problem |
| review of systems /ROS | description of individual body systems in order to discover andy symptoms not directly related to the main problem |
| past medical history /PMHx | other significant past illnesses |
| past surgical history / PSHx | any of the patient's past surgeries |
| family history | any significant illnesses that run in the patient's family |
| social history | a record of habits like smoking, drinking, drug abuse.. |
| I/O | fluid input/output |
| H&P | history and physical |
| PE | physical exam |
| PCP | primary care provider |
| f/u | follow up |
| h/o | history of |
| PERRLA | pupils equal, round and reactive to light and accommodation |
| NOS | not otherwise specified |
| RRR | regular rate and rhythm |
| CTA | clear to auscultation |
| A&O | alert and oriented |
| NAD | no acute distress |
| PO | by mouth (per os) |
| NPO | nothing by mouth (nil per os) |
| IV | intravenous |
| SC | subcutaneous |
| CVL | central venous line |
| IM | intramuscular |
| PR | per rectum (anal) |
| prn | as needed |
| QID | 4x's a day |
| QD | every day |
| AC | before meals |
| TID | 3xs a day |
| BID | 2sx a day |
| PC | after meals |
| QHS | at night |
Created by:
cynmur1110
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