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chapter 2
intro to health records
| Term | Definition |
|---|---|
| acute | recently started or a shape, sever pain |
| chronic | has been going on for a while |
| exacerbation | getting worse |
| abrupt | all of a sudden |
| febrile | to have a fever |
| afebrile | to not have a fever |
| malaise | not feeling well |
| progressive | more and more each day |
| symptom | something a patient feels |
| noncontributory | not related to the specific problem |
| lethargic | decreased level of consciousness |
| genetic/ hereditary | runs in the family |
| alert | able to answer questions; responsive |
| oriented | being aware of who he/ she is, where he/ she is, and current time |
| marked | really stands out |
| unremarkable | normal |
| ascultation | to listen |
| percussion | to hit something and listen to the sound or feel the vibration |
| palpation | to feel |
| impression | assessment |
| diagnosis | what the health care professional think you have |
| differential diagnosis | a list of conditions the patient may have based on the symptoms |
| benign | safe |
| malignant | dangerous, a problem |
| degeneration | to be getting worse |
| remission | to get better or improve |
| idiopathic | no known specific cause, it just. happens |
| localized | stays in a certain part of the body |
| systemic/generalized | all over the body, or most of it |
| prognosis | the chances for things getting better or worse |
| occult | hidden |
| lesion | diseased tissue |
| recurrent | to have again |
| sequela | a problem resulting from a disease or injury |
| pending | waiting for |
| pathogen | an organism that causes disease |
| morbidity | risk of being sick |
| morality | at risk of dying |
| etiology | the cause |
| disposition | what happened at the end of a visit |
| discharge | to send home or fluid coming out of a part of the body |
| palliative | treating the symptoms, but not actually getting rid of the cause |
| observation | watch |
| reassurance | to tell the patient that problem is not serious or dangerous |
| supportive care | to treat symptoms and make patient feel better |
| sterile | extremely clean |
| proximal | closer in to center proximal and approximate come from the same word and mean close |
| distal | farther away from center distal and distant come from the same word and mean far |
| lateral | out to the side |
| medial | toward the middle |
| ventral/antral/anterior | the front, ventral means stomach |
| dorsal | the back |
| cranial | toward the top |
| caudal | toward the bottom |
| superior | above |
| inferior | below |
| prone | lying down on belly |
| supine | lying down on back |
| contralateral | opposite side |
| ipsilateral | same side |
| unilateral | one side |
| bilateral | both sides |
| dorsum | the top of the hand or foot |
| plantar | the sole of the foot |
| palmar | the palm of the hand |
| sagittal | divides the body along a hypothetical plane from right to left |
| coronal | divides the body along a hypothetical plane from front to back |
| transverse | divides the body from top to bottom |
Created by:
smith.jay97
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