Term
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Definition
| Records the details of a patient’s care during a hospital stay |
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Term
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Definition
| Prevention of disease or of a process that can lead to disease. |
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Term
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Definition
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Term
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Definition
| Return of symptoms after a period of quiescence |
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Term
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Definition
| Report filed by a specialist who has been called in to discuss a difficult case with an attending physician |
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Term
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Definition
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Term
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Definition
| Term describing administration of a drug in the cheek |
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Term
| " Plan, recommendation, or disposition ( the “P” portion of the SOAP report)" |
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Definition
| The part of the medical report that outlines strategies to treat the patient’s condition |
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Term
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Definition
| Report that documents the procedures and treatments the patient has undergone |
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Term
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Definition
| Abbreviation for “left ear” |
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Term
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Definition
| Abbreviation for “right ear” |
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Term
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Definition
| Abbreviation for “both ears” |
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Term
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Definition
| Abbreviation for “right eye” |
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Term
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Definition
| Abbreviation for “left eye” |
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Term
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Definition
| Abbreviation for “both eyes” |
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Term
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Definition
| Study of the cause of a disease |
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Term
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Definition
| Occurring without identifiable cause |
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Term
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Definition
| Referring to the body as a whole |
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Term
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Definition
| Referring to a definite area or part |
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Term
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Definition
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Term
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Definition
| condition following as a consequence of a previous disease |
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Term
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Definition
| Not significant or worthy of being noted |
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Term
| Syndrome (e.g. Irritable bowel syndrome) |
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Definition
| "A collection of symptoms and signs associated with a disease process, that, taken as a whole, give a distinct picture of a particular disease " |
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Term
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Definition
| Abbreviation for 4 times a day |
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Term
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Definition
| Abbreviation for 2 times a day |
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Term
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Definition
| Abbreviation for 3 times a day |
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Term
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Definition
| Abbreviation for “as needed” |
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Term
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Definition
| Abbreviation for “immediately” |
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Term
| Diagnosis—the determination of the presence of disease |
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Definition
| "Using the SOAP format in a patient’s chart, the “A” (assessment) includes" |
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Term
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Definition
| "Using the SOAP format in a patient’s chart, the “O”(objective) includes" |
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Term
| " Head, eyes, ears, nose, and throat" |
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Definition
| The abbreviation for HEENT means |
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Term
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Definition
| Examples of UCHD (usual childhood diseases) |
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Term
| “O” (objective) section of the SOAP format |
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Definition
| "Using the SOAP format in a patient’s chart, the VS (vital signs) appear in which part" |
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Term
| “S” (subjective) section of the SOAP format |
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Definition
| "Using the SOAP format in a patient’s chart, the patient’s description of the symptoms being experienced appears in which part?" |
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Term
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Definition
| Applied to the surface of the skin |
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Term
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Definition
| Abbreviation for “by mouth” |
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Term
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Definition
| Abbreviation for “tablet” |
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Term
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Definition
| Abbreviation for “capsule” |
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Term
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Definition
| Term meaning under the tongue |
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Term
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Definition
| Abbreviation for “every other day” |
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Term
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Definition
| Having severe symptoms lasting only a short time |
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Term
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Definition
| A condition that develops slowly and persists over a period of time |
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Term
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Definition
| Abbreviation for “millimeter” |
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Term
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Definition
| Abbreviation for a patient’s chief complaint |
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Term
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Definition
| Abbreviation for “cubic centimeter” |
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Term
| PAR (post-anesthetic recovery) |
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Definition
| Abbreviation for the place in which a patient recovers immediately after surgery |
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Term
| HPI (history of present illness) |
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Definition
| Amplification of patient’s initial complaint that includes the duration and severity of the problem |
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Term
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Definition
| Absorption of medication through unbroken skin |
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Term
| MRI (magnetic resonance imaging) |
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Definition
| The diagnostic imaging technique that uses magnetic fields and radio waves to visualize anatomical structures |
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Term
| "Generic (E.g. Valium—brand name, diazepam—generic name)" |
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Definition
| "Official, common name that refers to a drug’s chemical identity, as opposed to a brand name used by a particular company for marketing purposes." |
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Term
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Definition
| Manufacturer’s name for a specific drug |
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Term
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Definition
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Term
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Definition
| Condition in which the signs and symptoms advance with increased severity |
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Term
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Definition
| acute flare-up of symptoms |
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Term
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Definition
| Abbreviation for “treatment” |
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Term
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Definition
| "In military time, twenty-two hundred hours is " |
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Term
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Definition
| Abbreviation of the term used to denote an evaluation of all body systems |
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Term
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Definition
| Abbreviation that indicates a “differential diagnosis” (used when one or more diagnoses are in questions; a differential diagnosis is a working list of possibilities that a physician uses in the process of diagnosing a specific disease) |
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Term
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Definition
| diagnostic imaging modality which uses a gamma camera |
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Term
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Definition
| "Portion of patient history that records hobbies, interests, and/or tobacco, drug, or alcohol use" |
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Term
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Definition
| Portion of patient history that records the state of health of immediate family members |
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Term
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Definition
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Term
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Definition
| Imaging modality that uses high frequency sound waves instead of ionizing radiation |
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Term
| H&P (history and physical) |
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Definition
| Report that is required before admission for surgery |
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Term
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Definition
| Substance used in imaging procedures to enhance the visualization of internal structures |
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Term
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Definition
| x-ray imaging modality that examines body structures using a computer to construct a series of cross-sectional scans along a single axis |
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Term
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Definition
| Metric unit that measures length |
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Term
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Definition
| Metric unit that measures volume |
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Term
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Definition
| Metric unit that measures weight |
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