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