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154 Terms

1
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A

assessment

2
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A&W L&W

alive and well, living and well

3
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CC

Chief compliant

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c/o

complains of

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Dx

diagnosis

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FH

family history

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HEENT

head,ear, eyes, nose and throat

8
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H&P

history and physical

9
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HPI and PI

history of present illness

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Hx

History

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IMP

impression

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NAD

no acute distress

13
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NKDA

No known drug allergies

14
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O

objective info

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OH

occupational history

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P

Plan

17
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PE;Px

physical examination

18
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PERRLA

pupils equal, round, and reactive to light and accommodation

19
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PH; PMH

past history: past medical history

20
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R/o

rule out

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ROS; SR

Review of systems; systems review 

22
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S

subjective info

23
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SH

social history

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Sx

symptom

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UCHD

usual childhood diseases

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WNL 

within normal limits 

27
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CCU

coronary (cardiac) care unit

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ECU

emergency care unit

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ER

emergency room

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ICU

Intensive care unit

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IP

Inpatient

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OP

outpatient

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OR

operating room

34
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PACU

postanesthesia care unit

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PAR

postanesthesia recovery

36
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post-op 

postoperative 

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RTC

Return to clinic

38
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RTO

return to office

39
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BRP

bathroom priviledge’

40
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CP

chest pain

41
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DC and D/C

Discharge; discontinue 

42
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ETOH

ethyl alcohol

43
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L

left

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R

right

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m

murmur

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Pt

patient

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RRR

Regular rate and rhythm

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SOB

shortness of breath

49
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Tr

Treatment

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Tx

treatment; traction

51
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VS

vital signs

52
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T

temperature

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P

Pulse

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R

respiration

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BP

Blood pressure

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Ht

height

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Wt

weight

58
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WDWN

Well-developed and well-nourished 

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y/o or y.o.

year old

60
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#

number or pound; if before a numeral ( if after the numeral, it means pound the other way its a number)

61
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C

celsius/ centigrade

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F

Fahrenheit

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degree circle 

degree or hour 

64
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arrow up

increased

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arrow down

decreased

66
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circle with a slash on top

none; negative

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cc

cubic centimeter

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fl oz 

fluid ounce 

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gr

grain

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gt

drop

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gtt

drops

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oz

ounce

73
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lb or #

pound; equal to 16 ounces

74
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qt

quart; equal to 16 ounces

75
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a

before

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a.c

before meals

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a.m. 

before noon 

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b.i.d.

twice a day

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d

day

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h

hour

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h.s.

at the hour of sleep

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noc

night

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p

after

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p.c.

after meals

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p.m.

after noon 

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p.r.n 

as needed 

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q

every

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q.d.

every day

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qh

every hour

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q2h

every 2 hour

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q.i.d

four times a day

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qod

every other day

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STAT

immediately

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t.i.d

3 times a day

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wk

week

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yr

year

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AD

right ear 

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AU

both ears

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c with line one top

with

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NPO

nothing by mouth