HIM FPX 4610 Assessment 1 Progress Note- The Skin HIM FPX 4610 Medical Terminology

HIM FPX 4610 Assessment 1 Progress Note- The Skin HIM FPX 4610 Medical Terminology

 

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Skin Progress Note Template

Number Medical Term Common Term
Example 1 Gastritis Inflammation or infection of the stomach
Example 2 Esophagogastroduodenoscopy A procedure used to examine the throat, stomach, and small intestine through a scope
1 Eczema A rash that often begins on the face, hands, elbows, or knees, accompanied by intense itching.
2 Integumentary Exam An examination of the integumentary system, which includes the skin and its accessory structures (hair, nails, and glands).
3 Oriented x3 Refers to being oriented to person, place, and time.
4 Left radial aspect The area of the left wrist.
5 Right ulnar aspect The area of the right elbow.
6 Erythematous A widespread redness or flushing of the skin.
7 Macules A flat, pigmented lesion measuring less than 1 cm in diameter; examples include freckles, tattoo marks, and flat moles.
8 Bilateral Upper Extremities Refers to both arms.
9 Linear In a straight or line-like manner.
10 Excoriation Refers to scratches, scrapes, or small openings in the skin.
11 Fissuring A groove or crack-like opening or sore.
12 Superficial Pertaining to the surface.
13 Lipoma A benign (non-cancerous) tumor made of fat tissue.
14 Sebaceous Refers to glands found in the dermal (top) layer of skin that produce sebum, an oily secretion.
15 Punch Biopsy A procedure where a surgical instrument removes a core of tissue by rotating its sharp, circular edge.
16 Pathology The study of disease.
17 Cyst A thick-walled, closed sac or pouch containing fluid or semisolid material.
18 Alert Pertaining to the level of consciousness.
19 Actinic Keratosis A precancerous lesion caused by long-term ultraviolet light exposure that can evolve into cancer.
20 Mobile Able to be moved under the skin.

HIM FPX 4610 Assessment 1 Progress Note- The Skin

References

Chabner, D. (2017). The language of medicine (11th ed.). [Capella Bookstore]. Retrieved from https://capella.vitalsource.com/#/books/9780323370813/cfi/6/2!/4/2@0:0

 

 

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