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  2. Medical diagnosis - Wikipedia

    en.wikipedia.org/wiki/Medical_diagnosis

    The first recorded examples of medical diagnosis are found in the writings of Imhotep (2630–2611 BC) in ancient Egypt (the Edwin Smith Papyrus). [16] A Babylonian medical textbook, the Diagnostic Handbook written by Esagil-kin-apli ( fl. 1069–1046 BC), introduced the use of empiricism , logic and rationality in the diagnosis of an illness ...

  3. 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 ...

  4. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    Another example is the DART system, organized into Description, Assessment, Response, and Treatment. [2] Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.

  5. List of medical abbreviations - Wikipedia

    en.wikipedia.org/wiki/List_of_medical_abbreviations

    For example, both bid and b.i.d. may be found in the list. It generally uses the singular form of an abbreviation (not the plural) as the headword . This list uses significant capitalization for headwords (the abbreviations) and their expansions.

  6. Case report - Wikipedia

    en.wikipedia.org/wiki/Case_report

    In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence. Some case reports also contain a literature review of other reported cases.

  7. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

  8. List of abbreviations for diseases and disorders - Wikipedia

    en.wikipedia.org/wiki/List_of_abbreviations_for...

    Acronyms Diseases and disorders BA Bronchial Asthma: BBS Bardet-Biedl syndrome BBS Bashful bladder syndrome (see paruresis) : BEB Benign essential blepharospasm

  9. List of medical tests - Wikipedia

    en.wikipedia.org/wiki/List_of_medical_tests

    A medical test is a medical procedure performed to detect, diagnose, or monitor diseases, disease processes, susceptibility, or to determine a course of treatment. The tests are classified by speciality field, conveying in which ward of a hospital or by which specialist doctor these tests are usually performed.