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SOAP/Health Rec
Introduction to Health Records and the SOAP method
Term | Definition |
---|---|
SOAP Method | Subjective, Objective, Assessment, and Plan |
symptom | something a patient feels |
chronic | it has been going on for awhile now |
acute | it just started recently or is a sharp, severe symptom |
PERRLA | pupils are equal, round, and reactive to light and accomodation |
PCP | primary care physician |
transverse | divides the body from top to bottom |
sagittal | divides the body from left to right |
diagnosis | what the health care professional thinks the patient has |
palpation | to feel |