Term
| Goes in subjective portion of SOAP note |
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Definition
| History of Present Illness |
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Term
| Name dosage frequency route last dose |
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Definition
| What to ask about medication. |
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Term
Thyroid
Heart disease
Emphysema
Cancer
Hypertension
Asthma
Diabetes
Stroke |
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Definition
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Term
| Surgery date hospital diagnosis complications |
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Definition
| What to ask in surgical history |
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Term
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Definition
| The patient's need for self-determination |
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Term
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Definition
| The ethical principle that means "do good" for the patient. |
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Term
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Definition
| A brief statement telling why the patient is seeking care. |
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Term
| History of Present Illness (HPI) |
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Definition
| Step by step evaluation surrounding the patient's reason for seeking medical care |
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Term
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Definition
| The ethical principle that means "do no harm" to the pateint |
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Term
| Past medical history (PMH) |
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Definition
| A statement of the patient's overall health prior to the onset of the present complaint. |
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Term
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Definition
| Information about the health of family members to identify a possible health risk for the patient; this should include ages (ages at death) and the causes of death. |
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Term
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Definition
| Work, marriage, diet, exercise, sexual and military experiences; use of alcohol, tobacco and illicit drugs. |
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Term
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Definition
| An area where you question the patient about possible complaints for different body systems. |
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Term
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Definition
| A theory that defines the appropriate use of resources as that which results in the greatest good for the greatest number. |
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Term
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Definition
| The ideals, customs, institutions and behaviors regarded by a specific group. |
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Term
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Definition
| Glass thermometer wait time |
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Term
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Definition
| Tympanic thermometer wait time |
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Term
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Definition
| Digital thermometer wait time |
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Term
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Definition
| Average normal temperature with oral thermometer |
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Term
Core Body temperature
Higher than oral by 0.8 C or 1.4 F |
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Definition
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Term
| Lower than oral by about 1 |
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Definition
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Term
| Higher than oral by about 0.4-0.5 C or 0.7 to 0.9 F |
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Definition
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Term
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Definition
| Which temperature method do you not need to document the route on? |
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Term
Chewing increases for up to 20 minutes
Drinking hot liquids increases for up 15 minutes
Smoking increases for up to 30 minutes
Drinking ice water decreases for 15 minutes |
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Definition
| Effects of eating an dsmoking on oral temperatures |
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Term
| Cerumen in canal can give lower readings |
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Definition
| Variable effect on tympanic temperatures. |
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Term
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Definition
| How long does axillary temperatures take? |
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Term
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Definition
| Elevated body temperature |
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Term
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Definition
| Extreme elevation in temperature above 41.1 C or 106 F rectally |
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Term
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Definition
| Abnormally low temperature, below 35 C or 95 F |
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Term
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Definition
| Actual mean oral temperautre of healthy individuals. |
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Term
| Count for 30 seconds and double it |
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Definition
| How should you take the radial pulse |
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Term
| Apical rate by listening at the cardiac apex |
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Definition
| What is a more accurate measurement in atrial fibrillation and in infants? |
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Term
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Definition
| Standard pulse for adults |
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Term
60 to 100 beats/minute
more recently 50-95 beats/minute |
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Definition
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Term
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Definition
| Amount of time it takes for the nail bed to refill after it has been occluded. |
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Term
| No. They can be affected by environmental factors that affect sensitivity and specificity of the test. |
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Definition
| Are capillary refills of greater than 5 seconds (for great toe) or 2 seconds (for finger) always indicative of disease. |
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Term
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Definition
| Norma respiration in adults |
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Term
Sternocleidomastoid muscle
Trapezius |
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Definition
| Common accessory muscles of respiration |
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Term
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Definition
| respiratory rate of >= 20 breaths per minute |
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Term
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Definition
| Respiratory rate of less than 12 breaths per minute |
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Term
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Definition
| Respiratory rate of >= 20 breaths per minute with deep inspirations |
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Term
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Definition
| Measures the percentage of hemoglobin saturated with oxygen. Measure of how much oxygen the blood is carrying as a percentage of the maximum it could carry. |
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Term
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Definition
| Percentage of hemoglobin saturated with oxygen. |
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Term
| One-third to one-half the limb circumference |
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Definition
| Width of blood pressure cuffs in adults |
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Term
| Twice the width (80% limb circumference) not quite enough to encircle the limb |
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Definition
| Length of bladder in blood pressure cuffs in adults |
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Term
| Should cover about two thirds the upper arm or thigh (70% of distance between acromion and olecranon) |
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Definition
| Width of blood pressure cuff in children |
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Term
| Should be 80% - 100% of arm circumference. |
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Definition
| Length of badder in blood pressure cuff in children. |
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Term
| Underestimate blood pressure |
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Definition
| Blood pressure cuff too wide or large |
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Term
| Overestimate blood pressure |
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Definition
| If blood pressure cuff to narrow or small |
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Term
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Definition
| The level at which you first hear two consecutive sounds indicates the systolic pressure, Korotkoff phase 1. |
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Term
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Definition
| Korotkoff sound disappears and then reappears 10 to 14 mmHg lower, Korotkoff phase 2. |
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Term
Widens in systolic hypertension or drop in diastolic pressure.
Narrows with pulsus paradoxus associated cardiac tamponade or other constrictive cardiac events |
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Definition
| Diagnostic Auscultory gap sounds - note in vitals |
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Term
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Definition
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Term
| Prehypertension Blood Pressure |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
done in supine, sitting and standing position
Fall of 20 mmHg in systolic or 10 mmHg in diastolic and/or heart rate rising by >15 bpm.
Seen in hypovolemia and autonomic insufficiency (drop in blood pressure without rise in heart rate) |
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Term
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Definition
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Term
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Definition
Negative in health
The ability of a test to correctly classify an individual as disease-free. |
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Term
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Definition
Positive in Disease
The ability of a test to correctly classify an individual as "diseased" |
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Term
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Definition
| A growth disorder associated with the pituitary tumor. |
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Term
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Definition
| Without fever, denoting apyrexia; having a normal body temperature (36C) 97 F to 100.4 F (38 rectal) |
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Term
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Definition
| A parameter used to provide guidance regarding the appropriateness of weight for height. |
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Term
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Definition
| A sign defined by growth in an infant or child below the 3rd or 5th percentiles on the growth chart. |
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Term
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Definition
| Denoting or relating to fever (temperature greater than or equal to 100.4 F or 38 C) |
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Term
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Definition
| An indicator of a newborn's maturity |
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Term
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Definition
| A measurement that should be obtained on each visit until a child reaches 2 years of age |
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Term
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Definition
| marked by an increased blood pressure. Used to denote a person suffering from high blood pressure. |
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Term
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Definition
| A condition that results from excessive accumulation of cerebrospinal fluid in the brain or ventricular system. |
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Term
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Definition
| Characterized by low blood pressure or causing reduction in blood pressure. |
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Term
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Definition
| Indicating a normal arterial blood pressure. |
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Term
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Definition
| Hypotension occurring when a person assumes an erect position. Systolic blood pressure decrease of at least 20 mmHg or a diastolic blood pressure decrease of at least 10 mmHg with a reflex increase in heart rate within three minutes of standing. |
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Term
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Definition
| The variation in blood pressure occurring in an artery during the cardiac cycle; it is the difference between the cystolic, or maximum, and diastolic, or minimum, pressures. A reading of 30-50 is considered in the normal range. |
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Term
| Respiratory rate (normal range) |
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Definition
| In adults, 12-20 breaths per minute. |
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