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Acute
New Onset, likely concerning
Acute on chronic
New exacerbation of a chronic condition
Chronic
Long-standing, constant
Fluctuating
Symptoms that are always present but changing in severity, never fully resolving
intermittent
Symptoms that completely resolve at times, but continue to return repeatedly
Paroxysmal
Occasional, sporadic, transient
Resolved
Gone, no longer existing
Transient
Resolving spontaneously after onset
FHx
Family History
HIPAA
Health insurance Portability and Accountability Act
HPI
History of present illness
pt
Patient
r/o
rule out
ROS
Review of System
S/p
Status post (symptom after something)
SHx
Social History
Tx
Treatment
UTD
Up to date
WNL
Within Normal Limits
Sx
Symptoms
Dx
Diagnosis
BMP
Basic metabolic panel
CXR
Chest X-ray
CBC
Complete blood count
CMP
Comprehensive metabolic panel
CT/CAT
Computerized assisted tomography
EKG/ECG
Electrocardiogram
H&H
Hemoglobin and hematocrit
UA
Urinalysis