BIO 335 Module 2 Exam Study Guide.
Chief complaint - answerthe main reason for the patient's visit
history of present illness - answerthe story of the patient's problem
review of systems - answerdescription of individual body systems in order to discover any
symptoms not directly related to the...
BIO 335 Module 2 Exam Stu dy Guide. Chief complaint - answer✔✔the main reason for the patient's visit history of present illness - answer✔✔the story of the patient's problem review of systems - answer✔✔description of individual body systems in order to discover any symptoms not directly related to the main problem past medical history - answer✔✔other significant past illnesses, like high blood pressure, asthma, or diabetes family history - answer✔✔any significant illnesses that run in the patient's family Social History - answer✔✔a record of habits like smoking, drin king, drug abuse, and sexual practices that can impact health S - answer✔✔subjective O - answer✔✔objective A - answer✔✔assessment P - answer✔✔Plan Subjective - answer✔✔what the patient say objective - answer✔✔physical exam findings and tests assessment - answer✔✔the analysis of the subjective and objective information Ddx formulated Plan - answer✔✔course of action Medical symptom - answer✔✔noticed by patient, subjective, cannot measured Medical sign - answer✔✔objective and detected physical e xamination Different diagnosis - answer✔✔The other possible alternatives Intesity - answer✔✔rate your pain location - answer✔✔where is the pain Onset and pattern - answer✔✔When did it start, how often Extension and radiation - answer✔✔Pain move to other ar es Duration - answer✔✔how long pain last Character or quality - answer✔✔Descriptions such as sharp dull Precipitating, aggravating - answer✔✔What starts the pain, what makes it worse Associated manifestations - answer✔✔Anorexia, nausea Effect on daily acti vities - answer✔✔Sleep, appetite, focus acute - answer✔✔it just started recently or is a sharp, severe symptom chronic - answer✔✔it has been going on for a while now exacerbation - answer✔✔it is getting worse abrupt - answer✔✔all of a sudden febrile - answ er✔✔to have a fever Afebrile - answer✔✔to not have a fever malaise - answer✔✔not feeling well progressive - answer✔✔more and more each day symptom - answer✔✔something a patient feels noncontributory - answer✔✔not related to this specific problem lethargic - answer✔✔a decrease in level of consciousness; in a medical record, this is generally an indication that the patient is really sick genetic/ hereditary - answer✔✔it runs in the family alert - answer✔✔able to answer questions; responsive; interac tive oriented - answer✔✔being aware of who he or she is, where he or she is, and the current time; a patient who is aware of all three is "oriented x 3" marked - answer✔✔it really stands out unremarkable - answer✔✔another way of saying normal auscultation - answer✔✔to listen
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