HIM 4160 Assessment 2 Revised

Patient History and Physical (H&P) Template Numbe r Common Term Medical Term or Abbreviation Exampl e 1 The large bone in the upper part of the leg Femur Exampl e 2 Excision or removal of a tendon Tendonectomy Exampl e 3 Ears, nose, throat ENT 1. Headache in the back of her head Occipital headache 2. Double vision (Margolin, 2020) Diplopia 3. Able to see only from half of her eye Hemianopia 4. High blood pressure (Nichols et al., 2022, p. 1162) Hypertension (HTN) 5. High cholesterol Hypercholesterolemia (Beheshti et al., 2020, p. 2555) 6. Irregular, rapid heartbeat (Zheng et al., 2020) Arrhythmia 7. IBS Irritable Bowel Syndrome (IBS) 8. Cholelithiasis with cholecystectomy Gallstones with cholecystectomy 9. Diovan 80 mg with hydrochlorothiazide 12.5 mg daily (Nichols et al., 2022, p. 1150) Diovan (Valsartan) with HCTZ (Hydrochlorothiazide) daily 10. Non-smoker Nonsmoker 11. Bilateral vision defects (Nichols et al., 2022, p. 1160) Binocular vision defects 12. Dizziness Vertigo (Nichols et al., 2022, p. 1155) 13. Weakness Paresis 14. Shortness of breath Dyspnea (Nopps et al., 2022, p. 600) 15. Chest pain Angina (in the context of heart-related chest pain) 1

References Beheshti, S. O., Madsen, C. M., Varbo, A., & Nordestgaard, B. G. (2020). Worldwide prevalence of familial hypercholesterolemia: meta-analyses of 11 million subjects. Journal of the 2