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Medical Terminology
General Assessment Terms SOAP
| Term | Definition |
|---|---|
| impression | another way of saying assessment |
| diagnosis | what the HCP thinks the patient has DX |
| differential diagnosis | a list of conditions the patient may have based on the symptoms exhibited and the results of the exam DDX |
| benign | safe |
| malignant | dangerous, problem |
| degeneration | to be getting worse |
| remission | to get better or improve; not cured |
| idiopathic | no known specific cause; it just happens |
| localized | stays in certain part of the body |
| systemic/generalized | all over the body (most of it) |
| prognosis | chances of getting better or worse |
| occult | hidden |
| lesion | diseased tissue |
| recurrent | to have again |
| sequela | problem resulting from a disease or injury |
| pending | waiting for |