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CH 2. Health Records

Word Parts, Terms and/or abbreviations

QuestionAnswer
In the S.O.A.P method, the provider gathers all the necessary data and information for an Assessment. What two terms is this also known as? The diagnosis and/or differential diagnosis
What is the medical term for 'to feel' ? Palpation pal-PAY-shun
What is the abbreviation for: pupils are equal, round, and reactive to light and accommodation? PEERLA
True or False. The subjective section of a health record includes previous medical problems or surgeries. True
True or False. The term Febrile (FEH-brail) means to Not have a fever. False
Before beginning any procedure/surgeries the environment has to be complete what? Sterile
Referring to Body Planes; what 3 dimensions are especially important in radiology? Sagittal, Coronal, and Transverse
What health provider specializes in the study of the causes and distribution of diseases in populations to enhance public health? Epidemiologist EP-ih-DEE-mee-AWL-uh-jist
________ play a vital role in helping organize and document a patient's medical history. Health Record
Under abbreviations for symptoms and or exam findings, what is the definition for NOS? Not otherwise specified
Created by: awillis9
 

 



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