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Chapter 19

Chapter 19 Glossary

Auscultation Listening to body organs
Chief Complaint The reason the patient presents for an encounter
Counseling A discussion with a patient and/or family concerning diagnosis, prognosis, risk factors,etc
Critical Care Care provided for a critical illness or injury which acutely impairs one or more vital organ system, and is an imminent or life-threatening condition
Established Patient A patient who has seen a provider of the exact specialty and subspecialty in the same group within the past three years
Family History A review of health status of immediate family, including cause and age of death, if appropriate. Also includes a review of hereditary diseases existing in the family
History of Present Illness A chronological description of the onset and progression of the illness for which treatment is being sought
New Patient A patient who has not been seen by a provider of the exact same specialty and subspecialty in the same group for the past three years
Medical Necessity Reasonable and necessary services to effect cure or a change in the condition for which the patient is being seen
Observation Status The patient's condition requires monitoring but the decision to admit to inpatient status has not been made
Palpation Touching the body during physical examination in which an object is felt to determine size, shape, firmness, or location
Percussion Creating sounds from the body by tapping
Review of Systems A series of questions regarding signs and symptoms that are associated with the patient's chief complaint
Created by: BBracha



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