Quiz 4 SOAP Note Abbreviations

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25 Terms

1
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Ht or Hgt

height

2
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Wt or Wgt

weight

3
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IBW

ideal body weight

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DOB

date of birth

5
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MRN or MR

medical record number or medical record

6
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CC

chief complaint

7
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HPI

history of present illness

8
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PMH

past medical history

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FH

family history

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SH

social history

11
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ROS

review of systems

12
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PE

physical exam

13
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EtOH

alcohol

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Tob

tobacco

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c/o

complains of

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HX or h/o

history or history of

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VS

vital signs

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s/p

status post

19
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Dx

diagnosis

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Sx

symptoms or surgery

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Tx

treatment or therapy or transplant

22
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BP

blood pressure

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HR

heart rate

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RR

respiratory rate

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NKA or NKDA

no known allergies or no known drug allergies