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Progress notes are written in a variety of formats and detail, depending on the clinical situation at hand and the information the clinician wishes to record. One example is the SOAP note , where the note is organized into S ubjective, O bjective, A ssessment, and P lan sections.
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
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Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
SAMPLE history is a mnemonic acronym to remember key questions for a person's medical assessment. [1] The SAMPLE history is sometimes used in conjunction with vital ...
Max Gerson (October 18, 1881 – March 8, 1959) was a German-born American physician who developed the Gerson therapy, a pseudoscientific dietary-based alternative cancer treatment that he falsely claimed could cure cancer and most chronic, degenerative diseases.
enzyme replacement therapy: ESA: erythropoiesis-stimulating agent: ESHAP: etoposide, cisplatin, cytarabine, methylprednisolone (chemotherapy regimen for relapsed Non-Hodgkin lymphoma) ESI: epidural steroid injection: ESKD: end-stage kidney disease: ESL: extracorporeal shockwave lithotripsy (also ESWL) (see lithotriptor);
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