SOAP Method and General Terms
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| acute | show | Subjective
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| chronic | has been going on for a while | show 🗑
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| show | is getting worse | Subjective
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| show | all of a sudden | Subjective
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| febrile | show | Subjective
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| show | to NOT have a fever | Subjective
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| malaise | not feeling well | show 🗑
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| show | more and more each day | Subjective
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| show | something a patient feels | Subjective
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| noncontributory | not related to this specific problem | show 🗑
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| lethargic | show | Subjective
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| show | it runs in the family | Subjective
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| show | able to answer questions; responsive; interactive | Objective
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| show | being aware of who they are, where they are, and the current time; patient aware of all three is "oriented times 3" | Objective
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| marked | it really stands out | show 🗑
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| unremarkable | show | Objective
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| auscultation | to listen | show 🗑
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| percussion | to hit something and listen to the resulting sound or feel for the resulting vibration | show 🗑
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| show | to feel | Objective
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| show | another way of saying assessment | Assessment
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| show | what health care professional thinks the patient has | Assessment
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| differential diagnosis | a list of condition the patient may have based on the symptoms exhibited and the results of the exam | show 🗑
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| show | safe | Assessment
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| malignant | show | Assessment
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| degeneration | show | Assessment
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| show | to get better or improve; does not mean cure; mostly from discussing cancer | Assessment
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| show | no known specific cause; it just happens | Assessment
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| localized | stays in a certain area of the body | show 🗑
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| systemic/generalized | show | Assessment
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| prognosis | the chances for things getting better or worse | show 🗑
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| occult | show | Assessment
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| lesion | diseased tissue | show 🗑
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| show | to have again | Assessment
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| sequela | a problem resulting from a disease or injury | show 🗑
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| pending | show | Assessment
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| pathogen | show | Public Health
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| show | the risk for being sick | Public Health
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| mortality | the risk for dying | show 🗑
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| show | the cause | Public Health
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| disposition | what happened to the patient at the end of the visit; often used at the end of ED notes to reference where the patient went after the visit(home, ICU, normal hospital bed) | show 🗑
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| discharge | literally, to unload; it has two meanings: 1. to send home (unload the patient from the health care setting to home) 2. fluid coming out of a part of the body (body unloading a fluid) | show 🗑
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| palliative | treating the symptoms, but not actually getting rid of the cause | show 🗑
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| observation | watch, keep an eye on | show 🗑
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| show | to tell the patient that the problem is not serious or dangerous | Plan
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| supportive care | to treat the symptoms and make the patient feel better | show 🗑
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| sterile | show | Plan
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| prophylaxis | preventive treatment | show 🗑
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