HIM FPX 4610 Assessment 1 Progress Note: The Skin
HIM FPX 4610 Assessment 2 History and Physical (H&P): The Nervous System
Patient History and Physical (H&P) Template
Number | Common Term | Medical Term or Abbreviation |
Example 1 | The large bone in the upper part of the leg | Femur |
Example 2 | Excision or removal of a tendon | Tendonectomy |
Example 3 | Ears, nose, throat | ENT |
1. | High cholesterol | Hypercholesterolemia |
2. | Double vision | Diplopia |
3. | Blood in stool | Hematochezia |
4. | Chest pain | Angina/ Angina Pectoris |
5. | Magnetic resonance imaging scan | MRI |
6. | Headache | Cephalgia |
7. | Gallstones in the bladder | Cholelithiasis |
8. | IBS | Irritable Bowel Syndrome |
9. | Past medical history | PMH |
10. | Seeing only from half of the eye | Hemianopsia |
11. | Vomiting | Emesis |
12. | High blood pressure | Hypertension/HTN |
13. | Shortness of breath | SOB |
14. | Surgical removal of gallbladder | Cholecystectomy |
15. | Review of systems | ROS |
References in APA Format
“Medical terminology allows all medical professionals to understand each other and communicate effectively. When everyone understands what a condition, medicine, or procedure is, they are able to fulfill their roles accordingly, whether that is delivering medicine or billing for a medicine” (October 2017).
Allied Health Resources: Medical Terminology Resources (2023).
Https://edcc.ibguides.com/ahe
Ehrlich A., Schroeder C., Ehrlich L., & Schroeder (2021). Medical Terminology for Health
Professions 9e ISBN: 978-0-3575-1369-9
Henderson B., & Dorsey J.L. (2019). Medical terminology for dummies.
John Wiley & Sons.
MedlinePlus (, gov) Appendix A: Word Parts and What They Mean
https://medlineplus.gov
The Importance of Medical Terminology in the Healthcare Field (2017).
https://climb.pcc.edu
