HTHRHSC 2500 Med Term Application 1 Exam Review |100% Correct|

HTHRHSC 2500 Med Term Application 1 Exam Review |100% Correct| The Admission H&P (history and physical exam) starts with a medical history to provide the chronology of a patient's care, including procedures and examinations performed by various health providers during the life of the patient. The physical exam provides a baseline of the patient's current physical condition. The current (chief) complaint documents worsening belly pain accompanied by nausea and vomiting as described by the patient. Nausea and belly pain are _____, which represent subjective evidence of disease that is evaluated or measured by the patient. Jonathan reported one episode of _____. *Ans* symptoms; non-bloody emesis There is a wide variety of shortened forms of words or phrases used in medical records. This means that a health professional needs to learn the accepted shortened formats used in their healthcare organization. Your list of medical terms includes the list of accepted shortened forms for this course. Some shortened forms in the case study include: HEENT (head, eyes, ears, nose, throat); NKDA (no known drug allergies); RRR, no m/g/r (regular rate and rhythm, no murmurs/grunts/rubs auscultated); WBC (white blood count). These are examples of _____ that are a shorthand way to record long and complex medical terms. This patient's pain localized to which area of the abdomen? (You will be learning about anatomic reference systems in Chapter 2.) *Ans* abbreviations; right lower quadrant (RLQ) The physician conducts the examination and orders tests which provide objective evidence of the disease that can be evaluated. This is a sign of the condition. Select all the sign(s) from the list below that were reported in the medical record, even if the patient did not have them. [Check all the apply.] *Ans* cyanosis edema 101.4 temperature The physician documents that the patient has acute appendicitis because this condition has a/an _______________________. *Ans* rapid onset and a severe course with a relatively short duration The physical examination of the abdomen, laboratory data, and diagnostic studies are the methods to determine which one of several diseases can be produc