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medical history
A record of information about a patient's past and current health. Includes information about the patient's habits, lifestyle, and even the health of their family.
chief complaint
The patient's description of what they feel is their main health problem.
physical signs
Pieces of evidence that indicate an illness that can be observed externally, such as a rash, coughing, or elevated temperature.
symptoms
Any subjective evidence of disease a patient perceives, such as aches, nausea, or fatigue. Symptoms allow the health care provider to narrow down the possible conditions that may be affecting the patient and then run tests to make a diagnosis.
diagnosis
The process of determining which disease or condition explains a person's symptoms and signs.
demeanor
Outward behavior or bearing
tact
Discretion and sensitivity in dealing with others. A doctor might exhibit this when they choose their words carefully so as to not upset a patient when they must deliver bad news.
empathy
The ability to understand and share the feelings of another person.
vital signs
Measurements—specifically pulse rate, temperature, respiration rate, and blood pressure—that indicate the state of a patient's essential body functions.
homeostasis
The maintenance of stable internal physiological conditions (like body temperature or the pH of blood), which enables the optimal functioning of an organism.
triage
The sorting and prioritization of patients based on the urgency of their need for care.
pulse
The rhythmic expansion and recoil of arteries resulting from heart contraction.
respiratory rate
The number of breaths an organism takes per minute.
blood pressure
The pressure that blood exerts upon the walls of blood vessels, especially arteries, usually measured with a sphygmomanometer and expressed in millimeters of mercury.
oxygen saturation
The amount of oxygen in the blood. Measured as a percentage (%) using a pulse oximeter.
body mass index (BMI)
A measure of body fat that is the ratio of the weight of the body to its height.
Routine physical examination
Includes looking, listening, and touching (palpating) the patient, as well as simple tests that evaluate basic functions.
looking
eyes, ears, nose, throat, skin
listening
stomach, heart, lung
touching
check for bumps, lumps, abnormalities
function test
evaluate the input from nervous system
low white blood cells count
body has fewer cells to fight off infections
CBC
a count of each type of cell or cell fragment
high white blood cells count
your body is fighting off an infection
low red blood cells count
your body doesn't have enough healthy red blood cells to carry oxygen
high red blood cells count
there are more red blood cells in your blood stream than normal
low hemoglobin count
your blood doesn't have enough healthy red blood cells
high hemoglobin count
more red blood cells than usual, low oxygen
low hematocrit count
lower of RBE in the body
high hematocrit count
dehydration
low platelets count
excessive bleeding
high platelets count
causes clots
glucose
sugar used for energy, high levels indicate diabetes
blood area nitrogen and creatine
waste products filtered by kidneys, indicates kidney health
electrolytes
minerals in blood, urine, tissues, water balance, moves nutrients and waste, impacts nerves, brain, muscles, etc
telehealth
healthcare services over the internet
telemedicine
online diagnosis and treatment
hormones
signaling molecules
insulin
tells cells to take in glucose
glucagon
tells liver to release stored glucose
type 1 diabetes
develops in childhood or when young, cause is not enough insulin, problem is high blood glucose levels
type 2 diabetes
develops in older people, cause is from unhealthy eating, problem is high blood sugar levels
carbohydrates
sugar and starch, breaks down to become glucose, 1st
lipids
fats, breaks down to become fatty acids, 2nd
proteins
meat, fish, eggs, breaks down to become amino acids, last
nucleic acids
DNA and RNA, nucleotides, not a source of energy
cholesterol
a waxy, fat-like substance your body needs for various functions
LDL
low density lipoprotein, a bad type of cholesterol
HDL
high density lipoprotein, a good type of cholesterol
PHI
protected healthcare information
information to help with treatment, payment, and healthcare operations
what healthcare information can be shared?
primary care physician
a healthcare professional who provides comprehensive and ongoing care for a wide range of health concerns
nurse
a healthcare professional who cares for the sick, injured, and those with disabilities
physician assistance
a licensed healthcare professional who works in collaboration with physicians to provide medical care
dermitologist
a medical doctor who specializes in the diagnosis and treatment of skin, hair, and nail conditions
phlebotomist
a healthcare professional trained to collect blood samples from patients