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  2. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis, a list of other possible diagnoses usually in order of most likely to least likely. The assessment will also include possible and likely etiologies of ...

  3. Differential diagnosis - Wikipedia

    en.wikipedia.org/wiki/Differential_diagnosis

    Machine differential diagnosis is the use of computer software to partly or fully make a differential diagnosis. It may be regarded as an application of artificial intelligence. Alternatively, it may be seen as "augmented intelligence" if it meets the FDA criteria, namely that (1) it reveals the underlying data, (2) reveals the underlying logic ...

  4. List of ICD-9 codes 290–319: mental disorders - Wikipedia

    en.wikipedia.org/wiki/List_of_ICD-9_codes_290...

    This is a shortened version of the fifth chapter of the ICD-9: Mental Disorders.It covers ICD codes 290 to 319.The full chapter can be found on pages 177 to 213 of Volume 1, which contains all (sub)categories of the ICD-9.

  5. Physical examination - Wikipedia

    en.wikipedia.org/wiki/Physical_examination

    With the clues obtained during the history and physical examination the healthcare provider can now formulate a differential diagnosis, a list of potential causes of the symptoms. Specific diagnostic tests (or occasionally empirical therapy ) generally confirm the cause, or shed light on other, previously overlooked, causes.

  6. Medical diagnosis - Wikipedia

    en.wikipedia.org/wiki/Medical_diagnosis

    Radiography is an important tool in diagnosis of certain disorders. Medical diagnosis (abbreviated Dx, [1] D x, or D s) is the process of determining which disease or condition explains a person's symptoms and signs. It is most often referred to as a diagnosis with the medical context being implicit.

  7. Chief complaint - Wikipedia

    en.wikipedia.org/wiki/Chief_complaint

    [citation needed] [1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. [2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance. [3]

  8. Review of systems - Wikipedia

    en.wikipedia.org/wiki/Review_of_systems

    A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).

  9. Gowers's sign - Wikipedia

    en.wikipedia.org/wiki/Gowers's_sign

    Gowers's sign is a medical sign that indicates weakness of the proximal muscles, namely those of the lower limb.The sign describes a patient that has to use their hands and arms to "walk" up their own body from a squatting position due to lack of hip and thigh muscle strength.