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soap notes

bio med stuff

TermDefinition
Homeostasis the ability of living organisms to maintain a stable, relatively constant internal environment
Medical History traces humanity's quest to understand and treat illness, evolving from ancient shamanistic practices and plant-based remedies to the scientific
Chief Complaint the concise, primary reason a patient seeks medical care
Physical Signs an objective, observable indication of a bodily condition or disease, detectable by someone other than the patient (like a doctor) through examination, measurement, or testing, such as a fever, rash, swelling, or high blood pressure
Symptoms subjective experiences (like pain, fatigue, nausea) indicating a potential illness, felt and reported by the patient
Diagnosis the process of identifying a disease, condition, or problem by analyzing signs, symptoms, patient history, and test results
Differential Diagnosis creates a list of possible conditions that could explain a patient's symptoms, then systematically rules them out using history, physical exams
Empathy the ability to understand, share, and vicariously experience another person's feelings and perspective
Demeanor their outward behavior, appearance, and mannerisms, reflecting their attitude, mood, or character to others through non-verbal cues like body language, facial expressions, and how they speak.
Tact adroitness and sensitivity in dealing with others or with difficult issues.
Artery a muscular, flexible blood vessel that carries oxygen-rich blood away from the heart to the body's tissues and organs
Vein blood vessels that carry oxygen-poor blood to your heart
Hyper- above, excessive, beyond, or high compared to the normal or expected level
Hypo- a Greek prefix meaning "under," "below," or "deficient," indicating a level or state that is less than normal
-emia a condition of the blood
-itis suffix meaning inflammation of a body part,
Chemical Reaction a process where substances (reactants) transform into new, different substances (products) by breaking and forming chemical bonds, rearranging atoms, and involving energy changes
HIPAA HIPAA (Health Insurance Portability and Accountability Act) is a 1996 U.S. law setting national standards to protect sensitive patient health information
Risk Factor any characteristic, behavior, or situation that increases the likelihood of developing a disease, injury, or other negative outcome
Triage the process of prioritizing patients or tasks based on urgency, especially in healthcare emergencies, to maximize outcomes with limited resources
Immune System the organs and processes of the body that provide resistance to infection and toxins. Organs include the thymus, bone marrow, and lymph nodes.
Mucus a vital, slippery substance lining body passages (nose, lungs, gut) that traps germs, dust, and irritants, protecting organs and moistening tissues
Lymph a watery fluid in the body's lymphatic system
Lymph Nodes small, bean-shaped immune system filters found in clusters (neck, armpits, groin, etc.) that trap and destroy germs, damaged cells, and cancer cells from the body's lymphatic fluid
Cancer is a large group of diseases characterized by the uncontrolled growth and spread of abnormal cells, disrupting normal body functions
Carcinogen any substance or agent that can promote the development of cancer
Inflammation your body's essential defense response to injury or infection
Current History a patient's immediate health status and the detailed story of their "History of Present Illness (HPI)"
Previous History a record of a person's lifelong health, encompassing past illnesses, surgeries, hospitalizations, injuries, immunizations, allergies, and chronic conditions
Social History gathers lifestyle details (job, education, diet, substance use, living situation, relationships, hobbies, travel) to understand personal factors impacting health, identify risks
Family History a record of health conditions and diseases among your blood relatives, often spanning three generations, which helps identify genetic, environmental, and lifestyle risks for conditions like heart disease, diabetes, and certain cancers
Created by: user-2003665
 

 



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