It just started recently or is a sharp, severe symptom.

It has been going on for a while now.

not related to this specific problem.

a decrease in level of consciousness.

able to answer questions; responsive; interactive

being aware of who he or she is, and current time.

to hit something and listen to the resulting sound or feel the resulting vibration.

another way of saying assessment

what the health care professional thinks the patient has

differential diagnosis

a list of conditions the patient may have based on the symptoms exhibited and the results of the exam

to get better or improve; most often used when discussing cancer

stays in a certain part of the body

all over the body (or most of it)

the chances for things to get better or worse

a problem resulting from a disease or injury

the organism that causes the problem

what happened to the patient at the end of the visit

to unload; to send home/ fluid coming out of the body

treating the symptoms, but not actually getting rid of the cause

to tell the patient that the problem is not serious or dangerous.

to treat the symptoms and make the patient feel better

extremely clean, germ-free conditions; especially important during medical procedures and surgery.

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Medical Terminology

SOAP Terms

Term	Definition
Acute	It just started recently or is a sharp, severe symptom.
Chronic	It has been going on for a while now.
Exacerbation	It is getting worse.
Abrupt	all of the sudden.
febrile	to have a fever.
afebrile	to not have a fever.
malalse	not feeling well.
progressivee	more and more each day.
symptom	something a patient feels.
noncontributory	not related to this specific problem.
lethargic	a decrease in level of consciousness.
genetic/hereditary	it runs in the family
alert	able to answer questions; responsive; interactive
oriented	being aware of who he or she is, and current time.
marked	it really stands out
unremarkable	another way of saying normal
auscultation	to listen
percussion	to hit something and listen to the resulting sound or feel the resulting vibration.
palpatation	to feel
impression	another way of saying assessment
diagnosis	what the health care professional thinks the patient has
differential diagnosis	a list of conditions the patient may have based on the symptoms exhibited and the results of the exam
benign	safe
malignant	dangerous, a problem.
degeneration	to be getting worse.
remission	to get better or improve; most often used when discussing cancer
idiopathic	no known specific cause
localized	stays in a certain part of the body
systemic/generalized	all over the body (or most of it)
prognosis	the chances for things to get 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
discharge	to unload; to send home/ fluid coming out of the body
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; especially important during medical procedures and surgery.
prophylaxis	preventive treatment

Created by: kasandra0506

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