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Medical Terminology
Medical Terminology Module 2
| Term | Definition |
|---|---|
| A(n) ______ is a word formed by including the name of the person who discovered or invented what is being described. | Eponym |
| Hema/o | Blood |
| SOAP: S | Subjective |
| SOAP: O | Objective |
| SOAP: A | Assessment |
| SOAP: P | Plan |
| SOAP: The Problem in the Patient's own Words | Subjective |
| SOAP: Data Compromising of the Patient's physical exam, lab results, image studies preformed during visit | Objective |
| SOAP: Diagnosis, Identification of a problem, list of possibilities for the diagnosis. | Assessment |
| SOAP: Course of action consistent with the assessment. Could be treatment with medicine or a procedure | Plan |
| Acute | Just started recently, or sharp, severe symptom |
| Chronic | Going on for a while |
| Exacerbation | Getting worse |
| Abrupt | All of the Sudden |
| Febrile | Having a fever |
| Afebrile | Not having a fever |
| Malaise | Not feeling well |
| Progressive | More and More each day |
| Symptom | Something the Patient feels |
| Noncontributory | Not related to this specific problem` |
| Lethargic | A decrease in level of consciousness; in a medical record this is generally an indication that the patient is really sick |
| Genetic/Hereditary | Runs in family |
| Alert | Able to answer questions; responsive; interactive |
| Oriented | Being aware of who they are, where they are, and the current time. |
| Patient who is aware who they are, where they are, and the current time all at the same time | Orientedx3 |
| Marked | It really stands out |
| Unremarkable | Normal |
| Auscultation | To listen |
| Percussion | To hit something and listen to the resulting sound or feel for the resulting vibration; |
| Palpation | To feel |
| Impression | Another way of saying assessment |
| Diagnosis | What the health care professional thinks the Patient has |
| Differential Diagnosis | List of Conditions the Patient may have based on the symptoms exhibited and the results of the examination |
| Benign | Safe |
| Malignant | Dangerous; a Problem |
| Degneration | To be getting worse |
| Idiopathic | No known specific cause, it just happens |
| Localized | Stays in a certain part of the body |
| Systemic | All over body (or most of it) |
| Generalized | All over 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 | The organism that causes the problem` |
| Morbidity | The risk for being sick |
| Mortality | The risk for dying |
| Etiology | The Cause |
| Disposition | What happened to the Patient at the end of the Visit; Often used at the end of ED notes to reference with the Patient went after the visit |
| Discharge | Literally, to unload; It has two meanings: Fluid coming out of the body To send home |
| Palliative | Treating the symptoms; but not actually getting rid of the cause |
| Observation | Watch, Keep an eye on |
| Reassurance | To tell the Patient that the problem is not serious or dangerous |
| Supportive Care | To treat the symptoms and make the Patient feel better |
| Sterile | Extremely clean, germ free conditions; |
| Prophylaxis | Preventative Treatment |
Created by:
McGallonOfSoup
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