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Health Records

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
Chief Complaint   Reason for the visit  
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History of Present Illness   Story of the patients problem  
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Review of systems   Description of individual body systems in order to discover any symptoms not directly related to the main problem.  
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Past Medical history   Other significant past illnesses, like high blood pressure, asthma, or diabetes  
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Past surgical history   any of the patient's past sugeries  
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Family history   Any significant illnesses that run in the patients family  
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social history   a record of habits like smoking, drinking, drug abuse, and sexual practices that can impact health  
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Alert   Able to answer question; responsive; interactive  
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oriented   being aware of who he or she is, aware he or she is and the current time, a patient who is aware of three is "oriented X3"  
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marked   it really stands out  
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unremarkable   another way of saying normal  
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Created by: jekgetz1
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