Chapter 2 Test Flashcards

1
Q

SOAP

A

S - subjective
O - objective
A - assessment
P - plan

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2
Q

acute

A

just started recently or is a sharp severe pain

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3
Q

chronic

A

has been going on for a while

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4
Q

exacerbation

A

getting worse

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5
Q

abrupt

A

all of a sudden

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6
Q

febrile

A

to have a fever

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7
Q

afebrile

A

to not have a fever

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8
Q

malaise

A

not feeling well

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9
Q

progressive

A

more and more each day

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10
Q

symptom

A

something a patient feels

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11
Q

noncontributory

A

not related to a specific problem

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12
Q

lethargic

A

decrease in level of conciousness

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13
Q

genetic/hereditary

A

runs in the family

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14
Q

alert

A

able to answer questions, responsive, interactive

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15
Q

oriented

A

being aware of who you are, where you are, and the current time

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16
Q

marked

A

really stands out

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17
Q

unremarkable

A

normal

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18
Q

auscultation

A

to listen

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19
Q

percussion

A

to hit something and listen to the resulting sound or feel the vibration

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20
Q

palpation

A

to feel

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21
Q

impression

A

assessment

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22
Q

diagnosis

A

what the health care professional thinks the patient has

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23
Q

differential diagnosis

A

list of conditions the patient may have based on symptoms and results of exams

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24
Q

benign

A

safe

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25
malignant
dangerous; a problem
26
degeneration
to be getting worse
27
remission
to get better or improve
28
idiopathic
no known specific cause
29
localized
stays in one part of the body
30
systemic/generalized
all over the body
31
prognosis
chances of things getting better or worse
32
occult
hidden
33
lesion
diseased tissue
34
reccurent
to have again
35
sequela
a problem resulting from a disease or injury
36
pending
waiting for
37
pathogen
organism that causes the problem
38
morbidity
risk for being sick
39
mortality
risk for dying
40
etiology
the cause
41
prophylaxis
preventative treatment
42
disposition
what happened to the patient at the end of the visit
43
discharge
to send home, unload; fluid coming out of a part of the body
44
palliative
treating the symptoms, but not actually getting rid of the cause
45
observation
watch, keep an eye on
46
reassurance
to tell the patient a problem is not serious/dangerous
47
supportive care
treat the symptoms and make the patient feel better
48
sterile
extremely clean, germ free conditions
49
proximal
closer in the center
50
distal
farther away from the center
51
lateral
out to the side
52
medial
toward the middle
53
ventral/antral/anterior
the front
54
dorsal/posterior
the back
55
cranial
toward the top
56
caudal
toward the bottom
57
superior
above
58
inferior
below
59
prone
lying down on belly
60
supine
lying down on back
61
contralateral
opposite side
62
ipsilateral
same side
63
CCU
coronary care unit
64
ECU
emergency care unit
65
ER
emergency room
66
ED
emergency department
67
ICU
intensive care unit
68
PICU
pediatric intensive care unit
69
NICU
neonatal intensive care unit
70
SICU
surgical intensive care unit
71
PACU
post anesthesia care unit
72
L&D
labor and delivery
73
OR
operating room
74
post-op
after surgery
75
pre-op
before surgery
76
(R)
right
77
(L)
left
78
(B)
bilateral
79
VS
vital signs
80
T
temperature
81
BP
blood pressure
82
HR
heart rate
83
RR
respiratory rate
84
Ht
height
85
Wt
weight
86
BMI
body mass index
87
I/O
intake/output
88
Dx
diagnosis
89
DDx
differential diagnosis
90
Tx
treatment
91
Rx
prescription
92
H&P
history and physical
93
Hx
history
94
CC
chief complaint
95
HPI
history of present illness
96
ROS
review of systems
97
PMHx
past medical history
98
FHx
family history
99
NKDA
no known drug allergies
100
PE
physical exam
101
Pt
patient
102
y/o
years old
103
h/o
history of
104
PCP
primary care provider
105
f/u
follow up
106
SOB
shortness of breath
107
HEENT
heads, eyes, ears, nose, throat
108
PERRLA
pupils are equal, round, and reactive to light and accomodation
109
NAD
no acute distress
110
CV
cardiovascular
111
RRR
regular rate and rhythm
112
CTA
clear to auscultation
113
WDWN
well developed well nourished
114
A&O
alert and oriented
115
WNL
within normal limits
116
NOS
not otherwise specified
117
NEC
not elsewhere classified
118
PO
per os (by mouth)
119
NPO
nil per os (nothing by mouth)
120
PR
per rectum
121
IM
intramuscular
122
SC
subcutaneous
123
IV
intravenous
124
CVL
central venous line
125
PICC
peripherally inserted central catheter
126
Sig
label
127
BID
twice a day
128
TID
three times a day
129
Q
every
130
QD
daily
131
QID
four times daily
132
QHS
at night
133
AC
before meals
134
PC
after meals
135
prn
as needed
136
ad lib
as desired