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Types of Health Rec.

Medical Terms & Abbreviations

TermDefinition
SOAP Subjective, Objective, Assessment & Plan.
Noncontributory Not related to the specific problem.
Malaise Not feeling well.
Lethargic A decrease in level of consciousness in a medical record this is generally an indication that the patient is really sick.
Percussion To hit something & listen to the resulting sound or feel for the resulting vibration drums are a percussion instrument.
Prophylaxis Preventive treatment.
Contralateral Opposite side.
Ipsilateral Same side.
(B) Bilateral(both sides).
Sig Instructions short for signa, from latin, for label.
Ad lib As desired.
Created by: FutureNurseNique
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