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19 Cards in this Set

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Enlagement

-megaly

Pertaining to

-ar or -ac

Within

Intra

Process; disease from a specific cause

-ism

After; behind

Post-

Nerve

Nero/o

Action; condition

-iono

Condition; abnormal condition; process

-osis

Change is to -es

-is

Larynx

Laryng/o

Mind

Psych/o

Tonsil

Tonsill/o

Around

Peri-

Lung; air

Pneumon/o

CC - Chief Complaint

A statement in the patients own words as to the symptoms and they duration which lead the patient to seek medical attention

Usually documented in the patient's History and Physical report.

DS - DIscharge Summary

A report completed by the physician which summarizes the patients stay in the hospital.

Dx, DX - Diagnosis (sing.), diagnosis (pl)

Disease diagnosed from the physicians observation of the patients symptoms and medical history.

H&P - History and Physical Examination

This is a report completed by the physician which documents the patients medical history and Physical Examination completed during an episode of care.

PE

Physical Examination