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chapter 2

TermDefinition
chief complaint the main reason for the patients visit
history of present illness story of the patient problem
review of systems individual body systems in order to discover any symptoms in order to discover any symptoms
past medical history significant past illnesses,like high blood pressure,asthma,or diabetes
past surgical history any past surgeries
family history illnesses that run in patients family
social history record of habits like smoking.drinking,drug abuse . etc
pharmacist trained in preparing and dispensing medications
pharmacy technician trained to assist a pharmacist with pharmacy related tasks
patient service handles administrative tasks and coordinates patient care
medical transcriptionist converting the voice recorded dictations of health care providers into text format
pathologist physician with special training in both evaluatining the causes and effects of disease
medical Labatory technician trained in performing Labatory testing on bodily fluids
phlebotomist trained in the removal of blood from the body for diagnostic or therapeutic purposes
radiologist a physician specially trained in evaluatiing images of the body to diagnose illness or injury
radiology technician trained to perform radiologist testing or adminster radiation therapy under the direction
utopographer trained in performing ultrasound imaging on a patient
physician a skilled health care provider who attends and graduated medical school
pediatrician a physician with special training in caring for children
surgeon a physician qualified to treat patients surgically, that is, by means of operation or invasive procedure
anesthesiologist a physician with special training in pain sedation and pain control
physician assistant a midlevel health care provider who works under the license of a supervisor physician, requires postgraduate training
HPI history of present illness
ROS review of systems
PE physical exam
PCP primary exam
NKDA primary care provider
PT physical exam
Y/O primary care provider
H/O no known drug allergies
PCP patient
F/U years old
Created by: kemarria
 

 



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