dgayagas_clinicalnotes_011019.docx - Module 02 Course...

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Module 02 Course Project: Clinical Notes Each question is associated with the clinical notes provided. Refer to these when answering each question. Please type your answer in the “Click here to enter text” space. Patient A – Kay June Salisbury Kay is complaining of lower back pain. What is the medical term used to describe the lower back? Lumbar In the subjective and plan sections of this SOAP note, the abbreviation OTC is used. What does this mean? Over the Counter In the objective section of this SOAP note, the doctor noted that the patient has limited flexion in the lumbar spine. Describe what means to “flex” the spine. Forward bending If Kay had also mentioned during this visit that she has been experiencing neck pain, which medical term could be used to describe this complaint? (Use the appropriate suffix for pain) Cervicalgia The abbreviation ROM is used twice in this SOAP note. What does ROM mean in this context?
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  • Spring '15
  • Spinal disc herniation, Kay, Clinical Notes, plan sections of this SOAP note, objective section of this SOAP note

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