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Ferguson Flash Cards

SOAP METHODS, BODY PLANES, TYPES OF HEALTH RECORDS, ABBREVIATIONS

TermDefinition
NPO Nothing by mouth
IM Intramuscular
PMHx Patient medical history
Consult Note Provides an opinion on a more challenging problem.
Discharge Summary Describes when and why the patient was admitted; documents a longer stay.
Pathology Report Provides reasons for test, what was seen on test, and an assessment.
Anesthesiologist A physician with special training in pain sedation and pain control
Supine Lying down on back
Lateral Out to the side
SOAP The process of collecting subjective history, gathering objective data, formulating an assessment, and developing an action plan is repeated in every health care visit across all disciplines of medicine.
Created by: Latanza Ferguson
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