SOAP (S)
Subjective- in the pt's own words
SOAP(O)
Objective- results. labs, ekg, scans, any data collected by science to prove the pt's claims
SOAP(A)
Assessment- after having all the data a physician could make a diagnosis or identify the problem
SOAP(P)
Plan- what course of action will take place to help the diagnosis
(A)febrile
(NOT) to have a fever
sequelae
problem resulting from disease or injury
etiology
the cause
Saggital plane
divides body from left to right.
Coronal plane
divides body into front and back from head to foot
Transverse plane
divides body from top to bottom