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Chapters 2&3 Terms

QuestionAnswer
SUBJECTIVE The section of health records that tells the patient's personal story of his/her health.
CHRONIC It has been going on for a while now.
ACUTE It just started recently or is a sharp, severe symptom..
PALPATION To feel.
ASSESSMENT The diagnosis.
DIFFERENTIAL DIAGNOSIS A list of conditions the patient may have based on the symptoms exhibited and the results of the exam.
PLAN The layout of what the provider recommends to do about the patient's health status.
SYMPTOMS Something a patient feels.
ROS Review of systems (anything else not directly related to the chief complaint).
DISCHARGE SUMMARY Notes/details of when and why a patient was admitted.
HPI History of present illness (the story of the symptoms).
CONSULT NOTE A note from a visit to a specialist/consultant.
SYSTEMIC/GENERALIZED All over the body (or most of it).
DERMIS The layer under the epidermis that is thicker and has fewer cells and more thick fibers to give the skin strength and flexibility.
ADIP/O, LIP/O, STEAT/O Fat.
XERO Dryness.
ERYTHRO Redness.
ANHIDROSIS Not enough sweat.
SEBORRHEA Oily secretion.
XANTHODERMA Yellow skin.
ONYCHOPATHY Nail disease.
EPIDERMIS Outermost layer of skin.
ONYCH/O, UNGU/O Nails.
LEUKO Whiteness.
XANTHO Yellowness.
DERMTODYNIA Painful rash.
URTICARIA Hives
ONYCHOMALACIA Abnormal nail softening.
HYPERTRICHOSIS Too much hair.
Created by: DGarland
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