Chief Complaint - ANS-the reason why the patient came to see the physician.
History of Present Illness - ANS-explanation of the CC to determine the onset of the
illness.
Past,family,and social history - ANS-summary of
...
Chief Complaint - ANS-the reason why the patient came to see the physician.
History of Present Illness - ANS-explanation of the CC to determine the onset of the
illness.
Past,family,and social history - ANS-summary of personal and family health problems
as well as social to include marital status, occupation, use of drugs, etc.
Body Processes necessary for life: - ANS-Body Temperature, Respiration, Heart
Function
Vital Signs of body function: - ANS-temperature, pulse, respiration, blood pressure
Febrile - ANS-presence of fever
afebrile - ANS-absence of fever
intermittent fever - ANS-fluctuating fever that returns to or below baseline
remittent fever - ANS-fluctuating fever that remains elevated and does not return to
baseline
continuous fever - ANS-fever that remains constant; does not fluctuate
axillary temperature - ANS-least accurate; taken under the arm
tympanic temperature - ANS-useful for children; placed in the ear
rectal temperature - ANS-per rectum; most effective
normal adult pulse range - ANS-between 60-100 bpm
apical pulse - ANS-taken over the apex of the heart by auscultation
normal respiration rate - ANS-12-20 per minute (Adults)
apnea - ANS-temporary complete absence of breathing
tachypnea - ANS-respiration rate greater than 40 per minute
bradypnea - ANS-decrease in the numbers of respiration
cheyne stokes - ANS-regular pattern of irregular breathing rateorthopnea - ANS-decrease in numbers of respiration
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