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10 Cards in this Set
- Front
- Back
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PAST MEDICAL HISTORY |
Other significant past illnesses, like high blood pressure, asthma, or diabetes |
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REVIEW OF SYSTEMS |
Description of individual body systems not directly related to the main problem. |
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CHIEF COMPLAINT |
The main reason for a patient's visit |
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PRESCRIPTION |
Provides directions for a medication. |
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CLINIC NOTE |
Documents a visit. |
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DISCHARGE SUMMARY |
Describes when and why the patient was admitted; documents a longer stay. |
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CHRONIC |
It has been going on for awhile now. |
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ACUTE |
It just started recently. |
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SYMPTOM |
Something a patient feels. |
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PROGRESSIVE |
More and more each day. |
