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| electronic medical record |
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| head, eyes, ears, nose, throat |
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| history of present illness, present illness |
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| methycilin-resistant staphylcoccus aureus |
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| no known allergies, no known drug allergies |
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| plan (recommendation, disposition) |
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| pupils equal, round, and reactive to light and accommodation |
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| past history, past medical history |
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| review of systems, systems review |
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| weight bearing as tolerated |
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| sharp; having severe symptoms and a short course |
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| a condition developing slowly and persisting over a period of time |
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| gradual deterioration of normal cells and body functions |
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| any disease in which there is deterioration of structure or function of tissue |
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| determination of the presence of a disease based on an evaluation of symptoms, signs, and test finding (results) (dia=through; gnosis=knowing) |
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| study of the cause of a disease (etio=cause) |
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| increase in severity of a disease with aggravation of symptoms (ex=out; acerbo=harsh) |
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| a period in which symptoms and signs stop or abate |
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| relating to a fever (elevated temperature) |
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| a condition occurring without a clearly identified cause (idio=one’s own) |
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| limited to a definite area or part |
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| relating to the whole body rather than only a part |
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| a feeling of unwellness, often the first indication of illness |
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| the state of being subject to death |
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| foreknowledge; prediction of the likely outcome of a disease based on the general health status of the patient along with knowledge of the usual course of the disease – often noted in one word (e.g. Prognosis: good) |
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| pertaining to the advance of a condition as signs and symptoms increase in severity |
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| a process or measure that prevents disease (pro=before; phylassein=guard) |
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| to occur again; describes a return of symptoms and signs after a period of quiescence (rest or inactivity) |
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| a disorder or condition, usually resulting from a previous disease or injury |
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| a mark; objective evidence of disease that can be seen or verified by an examiner |
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| a running together; combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease (e.g. menopausal syndrome) |
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| not involved in bringing on the condition or result |
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| not significant or worthy of noting |
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| coronary (cardiac) care unit |
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| inpatient (a registered bed patient) |
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| postoperative (after surgery) |
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| preoperative (before surgery) |
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| ethyl alcohol (alcohol use by patient) |
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| well-developed and well-nourished |
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| number or pound: if before the numeral it means number (e.g. #2 = number 2); if after the numeral it means pound (e.g. 150# = 150 pounds) |
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