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27 Cards in this Set
- Front
- Back
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Subjective vs. Objective |
Feeling vs. Fact |
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Chief Complaint |
The main reason for the patient's ED visit |
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MDM |
Medical Decision Making - The physician's thought process |
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Pain vs. Tenderness |
Patient's feeling vs Physician's assessment |
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Benign |
Normal, nothing of concern |
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Distress |
The doctor's judgment of discomfort |
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Febrile |
The state of having a fever, concerning for infection |
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Acute |
New onset, likely concerning |
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Baseline |
An individual's normal state of being |
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Auscultation |
Listening with a stethoscope |
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Palpation |
The act of pressing on an area |
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Inpatient |
Admitted to the hospital overnight |
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Outpatient |
Seen and sent home the same day |
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ECG or EKG |
Electrocardiogram - test that checks for problems with the electrical activity of the heart |
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LNP or PA |
Nurse Practitioner or Physician Assistant works under the supervision of a physician to diagnose and treat patients. |
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Charge Nurse |
Manages the ED patient flow |
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ED Nurse |
Records medical histories, symptoms, monitors the patient, starts IVs, administers medications, and assists with procedures. |
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RT |
Respiratory Therapist - Administers breathing treatments |
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ED Tech |
Helps the nurse and assists with procedures |
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Unit Secretary |
Places physician's orders, answers calls, pages other specialists, and organizes patient's paperwork |
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Scribe |
Documents the patient's visit on behalf of the physician |
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RR |
Respiratory Rate |
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SaO2 |
Oxygen Saturation |
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H&P |
History and Physical |
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DDx |
Differential Diagnosis |
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Dx |
Diagnosis |
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ROS |
Review of Systems - head to toe list of positives and negatives |
