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Subjective vs. objective: - Feeling vs. fact Pain vs. tenderness - Patient's feeling vs. physician's assessment Benign - Normal, nothing of concern Acute - New onset, likely concerning Chronic - Long-standing, not of direct concern Baseline - An individual's normal state of being Auscultati...

Abrasion - Scrape of the skin due to something abrasive. Abscess - Pus underneath the skin Antipyretic - Fever reducing medication Acute - New,Rapid onset Afebrile - W/O a fever (temp less than 100.4) Anterior - Front of the body Appendicitis - Infection of the appendix Auscultation - Listeni...

Chief Complaint - the main reason for the pt's ED visit pain vs tenderness - pt's feelings (subjective) vs physician's assessment (objective) distress - the doctor's judgement of discomfort baseline - an individual's normal state of being What CAN scribes do? - -Document Hx, PE, results, pr...

Past Medical History - PMHx High Blood Pressure - Hypertension (HTN) Abbreviation for Hypertension - HTN High cholesterol - Hyperlipidemia (HLD) Abbreviation for Hyperlipidemia - HLD Thyroid Problem - Usually Hypothyroidism, sometimes Hyperthyroidism Diabetes - Diabetes Mellitus Abbreviation ...

Abrasion - Scrape of the skin due to something abrasive Acute - New, usually of rapid onset and of concern, opposite of chronic Anterior - Located towards the front of the body Benign - Normal, of no danger to health Bradycardia - Slow heart-rate (HR less than 60bpm) Cardiomegaly - Enlarged Hea...

What pt info is gained during triage? - 1) Chief Complaint 2) Vital Signs 3) Level of Acuity What are the 5 vital signs? - 1) Heart Rate 2) Blood Pressure 3) Respiratory Rate 4) Temperature 5) O2 Sat What are some SHx elements? - - Occupation - Living circumstances - Drug use - Alcohol us...

What does "PHI" stand for? Expand the abbreviation - protected health information What medical term describes the surgical removal of the gallbladder? - cholecystectomy T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the c...

What are the 3 types of dispositions? - Discharge, Admit, Transfer What does HPI stand for? - history of present illness What does ROS stand for? - review of systems The HPI and ROS are considered what type of information? - subjective The physical exam is what type of information? - objective ...

Abrasion - Scrape of the skin due to something abrasive. Acute - New, usually of rapid onset and of concern, opposite of chronic. Anterior - Located towards the front of the body. Benign - Normal, of no danger to health. Bradycardia - Slow heart-rate (less than 60bpm) Cardiomegaly - Enlarged He...

* What medical term describes the surgical removal of the gallbladder? - cholecystectomy What does "PHI" stand for? Expand the abbreviation. - Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to th...

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a ...

High blood pressure layman's - Hypertension Hypertension (abbv) - HTN High cholesterol layman's - Hyperlipidemia Hyperlipidemia (abbv) - HLD Diabetes layman's - Diabetes mellitus Diabetes mellitus (abbv) - DM "I only take pills for my diabetes" - NIDDM (Type 2) "I take insulin for my di...

High blood pressure layman's - Hypertension Hypertension (abbv) - HTN High cholesterol layman's - Hyperlipidemia Hyperlipidemia (abbv) - HLD Diabetes layman's - Diabetes mellitus Diabetes mellitus (abbv) - DM "I only take pills for my diabetes" - NIDDM (Type 2) "I take insulin for my di...