Exercise 26 Medical Terminology Abstracting: ED Female 322228 Authentic Patient Cases Instructions: Access the Edco Solcom application. Use the instructions below to complete the case worksheet, identifying medical terms in order to complete each question. 1. In the History of Present Illness, the patient is being described as not having any pain in this body area even though she has diarrhea. What is the medical term being used? 2. What medical term is being used to describe discharge (or lack of) discharge from the patient’s nose? 3. Locate the Review of Systems (ROS). What abbreviation is used to represent head, ears, eyes, nose, and throat? 4. In the Physical Exam, what term does the physician use to document that the patient’s head is without injury? 5. What abbreviation is used in the physical exam to describe the findings of the patient’s pupils. List the words represented by the abbreviation (the meaning of the abbreviation). 6. What phrase is used to describe the tympanic membranes (TM)? What does it mean? 7. Explain the use of the term “cyanosis” used to describe Extremities. 8. What term (diagnosis) does the physician use to describe the patient’s infection of the stomach and intestines? 9. In the Medical Decision-Making section, the physician lists several “differential diagnoses” (other possible diagnoses that are unlikely or ruled out based on the physical exam findings. List the differential diagnoses: 10. What medical term is used in the Nurse Triage Assessment to describe the patient’s breathing? What does it mean?
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