EHS Quiz 2

CC

chief complaint

AMS

altered mental status
- cannot pass AAOx4

AAOx4

awake, alert, oriented x4
ask: person, place, time, purpose

HPI

history of present illness
- start with age and gender

HTN

hypertension

HA

headache

Diabetes

mellitus (DM): sweet
insipidus (DI): salt

c/o

complains of

APP

advanced practice provider

MLP

mid level provider
NP
PA

NPO

nothing per oral

ESI

emergency severity index
ESI I (dying)--> ESI V (not severe)

Main side (core) of ER

ESI I-III

Fast track/Urgent care

ESI IV-V

Emergency Medical Treatment and Labor Act (EMTALA)

federal law that ensures anyone is stabilized and treated regardless of insurance/ability to pay

Vital signs (V/S)

O2Sat
BP
RR
P, HR
T
Pain 1-10/10

MRN

medical record number

EMT-B

basic, no drugs or invasive skills

EMT-I

intermediate, intubation, drugs

Paramedic

ACLS, intubation, drugs

PMH

past medical history

NKDA

no known drug allergy

NKA

no known allergy

H & P

CC
HPI
PMH
Allergies
Medications
FHx
SHx
ROS
PE (V/S, General Appearance, HEENT)

DNR

do not resuscitate

DNI

do not intubate

POC tests

point of care done bedside

DDX

differential diagnosis
-preliminary list of possible diagnosis before performing tests

Dx

diagnosis

DCI

discharge instruction

Anti-emetics

anti-nausea

Antipyretic

fever reducer

Abx

antibiotics

NSAIDs

non steroidal anti inflammatory drugs, OTC

Qd

daily

BID

2x per day

TID

3x per day

QID

4x per day

Qhs

every night

Prn

as needed

IVF

intravenous fluid

IM

intramuscular

SQ

subcutaneous (under the skin)

Nebs

nebulizer
-medication through inhalation

ICU

intensive care unit

MICU

medical intensive care uit

SICU

surgical intensive care unit

TICU

trauma intensive care unit

PCU

pulmonary care unit

PICU

pediatric intensive care unit

NICU

neonatal intensive care unit

IMC

intermediate medical care
-not bad enough for the ICU

SOI

severity of illness

DOE

dyspnea on exertion
SOB

S/S

signs and symptoms
-signs are objective
-symptoms are subjective

AAA

abdominal aortic aneurysm

AKI

acute kidney injury

ARF

acute renal failure

CRF

chronic renal failure

ESRD

end stage renal disease

BIBA

brought in by ambulance

BIBEMS

brought in by emergency medical services

CPAP

continuous positive airway pressure
-one way pressure

BiPAP

bilevel positive airway pressure
-inspiration and expiration

CABG

coronary artery bypass graft

CHF

congestive heart failure

D-Stick, BS, FS

random blood glucose stick

FBS

fasting (6-8hrs) blood sugar

EKG, ECG

electrocardiogram

ETOH

alcohol

FHR

fetal heart rate

FWB

full weight bearing

Fx

fracture

GI

gastrointestinal

GSW

gunshot wound

LBP

lower back pain

MVC

motor vehicle crash

NAD

no acute distress, no acute diagnosis

PID

pelvic inflammatory disease

POC

point of care

PVD

peripheral vascular disease

RUQ

right upper quadrant

LUQ

left upper quadrant

RLQ

right lower quadrant

LLQ

left lower quadrant

Sz

seizure

URI

upper respiratory infection

UTD

unable to detect

OLDCAARTS

HPI details
Onset
Location
Duration
Character
Aggravating/Alleviating factors
Associated symptoms
Radiation
Timing/Temporal pattern
Severity

LMP

last menstrual period

G:P

Gravid (# of pregnancies): P(# of live children)

Upper Urinary Tract Infection

Pyelonephritis: infection of the kidney

Lower Urinary Tract Infection

- Cystitis: "traditional" UTI
- Urethritis: often sexually-transmitted
- Prostatitis: prostate inflammation

Rhinitis

inflammation of the nose

Pharyngitis

inflammation of the pharynx (throat)

Sinusitis

inflammation of the sinuses

Laryngitis

inflammation of the larynx (voice box)

Tracheitis

inflammation of the trachea (windpipe)

Bronchitis

inflammation of the bronchi

Conjunctivitis

viral bacterial infection (pink eye)