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medical terminology
flash cards
| Term | Definition |
|---|---|
| SOAP | Subjective, Objective, Assessment, and Plan |
| Subjective | First step. The data from the patient such as, duration of problem, quality of the problem, and relieving or exacerbating factors of problem |
| Objective | Second step. Collecting data such as physical examination, imaging or lab findings. |
| Assessment | Third step. Formulation of a logical analysis. This could be diagnosing or identifying a problem. Also could include a list of possibilities for the diagnosis (differential diagnosis). |
| Plan | Fourth step. This is the course of action that could include treatments such as medication, and or procedures. |
| Febrile | To have a fever. |
| Afebrile | Does not have a fever. |
| Malaise | Does not feel well. |
| Occult | Hidden. |
| Sequela | A problem resulting from a disease or injury. |