Chapter 2 Flashcards
S. O. A. P
Subjective
Objective
Assessment
Plan
Acute
It just started recently or is a sharp, severe symptom
Chronic
It has been going on for a while now
Exacerbation
It is getting worse
Abrupt
All of a sudden
Febrile
To have a fever
Afebrile
To not have a fever
Malaise
Not feeling well
Progressive
More and more each day
Symptom
Something a patient feels
Noncontributory
Not related to this specific problem
Lethargic
A decrease in level of consciousness
Genetic/hereditary
It runs in the family
Alert
Able to answer questions
Oriented
Beating aware of who’s he or she is, where he or she is, and the current time
Marked
It really stands out
Unremarkable
Another way of saying normal
Auscultation
To listen
Percussion
To hit something and listen to the resulting sound, or feel for the resulting vibration
Palpation
To feel
Impression
Another way of saying assessment
Diagnosis
What the healthcare professional thinks the patient has
Differential diagnosis
A list of conditions the patient may have based on the symptoms exhibited and the results of the exam
Benign
Safe
Malignant
Dangerous, a problem
Degeneration
To be getting worse
Remission
To get better or improve
Idiopathic
No known specific cause
Localized
Stays in a certain part of the body
Systemic/generalized
All over the body (or most of it)
Prognosis
The chances for things getting better or worse
Occult
Hidden
Lesion
Diseased tissue
Recurrent
To have again