Vocab Words
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| Subjective | How a patient experiences and personally describes the problem as well as personal and family medical history
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| Objective | The patient's physical examination, any labatory findings, and imaging studies performed.
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| Assessment | Could be a diagnosis, which is known as a differential diagnosis.
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| Plan | A course of action consistent with assessment. A plan could be a treatment with medication or a procedure.
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| Malalse | Not feeling well
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| Lethargic | A decrease in a level of consciousness in medical records, this is generally an indication that the patient is really sick.
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| Auscultation | To listen
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| Alert | Able to answer questions, responsive, interactive
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| Idiopathic | No known specific cause, it just happens
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| Sequela | A problem resulting from diseases or injury
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