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Chapter 2
Definition and Terms
Term | Definition |
---|---|
RRR | regular rate and rhythm |
(S)OAP | Subjective: what the patient says |
S(O)AP | Objective: what test reveal |
SO(A)P | Assessment: the analysis of the subjective and objective information; performed by health care provider |
SOA(P) | Plan: the course of action for the patient |
HEENT | head, eyes, ears, nose, and throat |
CC | Chief complaint |
marked | it really stands out |
Febrile | to have fever |
PMHx | past medical history |