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CH. 2
Introduction to Health Records
| Term | Definition |
|---|---|
| SOAP | Subjective, Objective, Assessment, Objective |
| Oriented | A patient who is aware of who they are, where they are at, and the current time. |
| Unremarkable | A different way of saying normal |
| Auscultation | To listen |
| Sequela | A problem resulting from an injury or disease |
| Impression | Another way of saying assessment |
| Morbidity | The risk for being sick |
| Etiology | The cause |
| Palliative | Treating the symptoms, but not getting rid of the cause |
| Prophylaxis | Preventative treatment |