Chapter 2 Test Flashcards
SOAP
S - subjective
O - objective
A - assessment
P - plan
acute
just started recently or is a sharp severe pain
chronic
has been going on for a while
exacerbation
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 a specific problem
lethargic
decrease in level of conciousness
genetic/hereditary
runs in the family
alert
able to answer questions, responsive, interactive
oriented
being aware of who you are, where you are, and the current time
marked
really stands out
unremarkable
normal
auscultation
to listen
percussion
to hit something and listen to the resulting sound or feel the vibration
palpation
to feel
impression
assessment
diagnosis
what the health care professional thinks the patient has
differential diagnosis
list of conditions the patient may have based on symptoms and results of exams
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 one part of the body
systemic/generalized
all over the body
prognosis
chances of things getting better or worse
occult
hidden
lesion
diseased tissue
reccurent
to have again
sequela
a problem resulting from a disease or injury
pending
waiting for
pathogen
organism that causes the problem
morbidity
risk for being sick
mortality
risk for dying
etiology
the cause
prophylaxis
preventative treatment
disposition
what happened to the patient at the end of the visit
discharge
to send home, unload; fluid coming out of a part of the body
palliative
treating the symptoms, but not actually getting rid of the cause
observation
watch, keep an eye on
reassurance
to tell the patient a problem is not serious/dangerous
supportive care
treat the symptoms and make the patient feel better
sterile
extremely clean, germ free conditions
proximal
closer in the center
distal
farther away from the center
lateral
out to the side
medial
toward the middle
ventral/antral/anterior
the front
dorsal/posterior
the back