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Chap 2

Introduction Health Records

TermDefinition
SOAP method Subjective, Objective, Assessment, Plan
Lethargic A decrease in level of consciousness
Unremarkable Normal
Etiology The cause
Prophylaxis Preventative treatment
Anatomical Position A person standing face forward, arms at the side with palms forward
Sagittal Plan Divides the body into right & left
Chief complaint The main reason for patient's visit
Past medical history Any of the patient's past surgeries
Social history A record of habits like smoking, drinking, drug abuse & sexual practices that impact health
Created by: TramNguyen
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