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Module 1
Chapter 2
Term | Definition |
---|---|
SOAP NOTE= | Subject: experiences the problem Obj: physical exam Asses: Diagnosis Plan: Course of action |
Sub term: exacerbation | Getting worst (eks-AS-er-BAY-shun) |
FEBRILE | (FEH-brail) Have fever |
MALAISE | (mah-LAYZ) not feeling well |
NONCONTRIBUTORY | Not related to the specific problem |
GEN. OBJ. TERM. AUSCULTATION | To listen |
PALPATION | To feel |
(gen. Ass. Term). IMPRESSION | Form of saying assessment |
DIFFERENTIAL DIAGNOSIS | Different conditions that the patient could have altering from their symptoms |
BENIGN | Safe |
MALIGNANT | A big problem; very dangerous |
REMISSION | Not a cure ;but ways to improve |
SEQUELA | Problem resulting from injury or diseases |
DISPOSITION | Used within ED notes, ending |
PALLIATIVE | Treating without getting rid of |
PROPHYLAXIS | Preventative type treatment |