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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 |