Lesson 5 Flashcards
1
Q
S.O.A.P
A
- Subjective
- Objective
- Assessment
- Plan
2
Q
Subjective
A
- CC- Chief complaint
- HPI - History of Present Illness
- ROS- Review of Systems
- Past History
3
Q
Chief Complaint
A
- Main reason for the visit
4
Q
HPI
A
-The story of the chief complaint
5
Q
ROS
A
- A checklist of symptoms from all body systems
- Everything in HPI goes into the ROS but not everything in ROS goes in HPI
6
Q
Pt
A
- Patient
7
Q
c/o
A
- complains of
8
Q
y/o
A
- year old
9
Q
c
A
- with
10
Q
s
A
- without
11
Q
CP
A
- Chest pain
12
Q
SOB
A
- Shortness of breath
