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160 Cards in this Set

  • Front
  • Back
A
assessment
A&W
alive and well
CC
chief complaint
c/o
complains of
Dx
diagnosis
FH
family history
HEENT
head,eyes,ears,nose,throat
H&P
history and physical
Hx
history
HPI
PI
history of present illness
present illness
IMP
impression
L&W
living and well
NAD
no acute distress
NKA
NKDA
no known allergies
no known drug allergies
O
objective information
OH
occupational history
P
plan
PE
Px
physical examination
PERRLA
pupils equal round and ractive to light and accommodation
PH
PMH
past history
past medical history
ROS
SR
review of systems
systems review
R/O
rule out
S
subjective information
SH
social history
Sx
symptom
UCHD
ususal childhood diseases
WNL
within normal limits
acute
sharp
having sever symptoms and a short course
chronic
condition developing slowly and persisting over a period of time
benign
mild
noncancerous
malignant
harmful
cancerous
degeneration
gradual deterioration
diagnosis
determination of the presence of a disease
etiology
study of the cause of a disease
exacerbation
increase in severity of a disease with aggravation of symptoms
remission
period in which symptoms and signs stop
febrile
relating to a fever
idiopathic
condition occurring without a clearly identified cause
localized
limited to a definite area
systemic
relating to the whole body rather than one part
malaise
feeling of unwellness
morbidity
sick
diseased state
mortality
state of being subject to death
prognosis
prediction of the likley outcome of a disease
progressive
pertaining to the advance of a conditon
prophylaxis
process or measure that prevents disease
recurrent
to occur again
sequela
disorder or condition, usually resulting from a previous disease or injoury
sign
objective evidence of disease
syndrome
combination of symptoms and signs that give a distinct clinical picture
noncontributory
not involved in bringing on the condition or result
unremarkable
not significant
CCU
coronary care unit
ECU
emergency care unit
ER
emergency room
ICU
intensive care unit
IP
inpatient
OP
outpatient
OR
operating room
PAR
post anesthetic recovery
post-op
postop
postoperative (after surgery)
pre-op
preop
peroperative (before surgery)
RTC
return to clinic
RTO
return to office
BRP
bathroom privileges
CP
chest pain
DC
D/C
discharge
discontinue
ETOH
ethyl alcohol
L
left
R
right
pt
patient
RRR
regular rate and rhythm
SOB
shortness of breath
Tr
treatment
Tx
treatment
traction
VS
vital signs
T
temperature
P
pulse
R
respiration
BP
blood pressure
Ht
height
Wt
weight
WDWN
well-developed and well-nourished
y/o
y.o.
year old
#
number (#2)
pound (140#)
cc
cubic centimeter
cm
centimeter
g
gm
gram
kg
kilogram
L
liter
mg
milligram
ml
mL
milliliter
mm
millimeter
cu mm
cubic millimeter
fl oz
fluid ounce
gr
grain
gt
drop
gtt
drops
dr
dram (1/8 ounce)
oz
ounce
lb
#
pound
qt
quart
drug form:
tab, tablet
oral, by mouth (PO)
drug form:
cap, capsule
sublingual, under tongue (SL)
buccal, in the cheek
drug form:
suppository
vaginal, in vagina (PV)
rectal, in rectum (PR)
drug form:
fluid
inhalation, by nose
inhalation, by mouth
drug form:
parenteral
injections:
intradermal, in skin (ID)
intramuscular, in muscle (IM)
intravenous, in vein (IV)
subcutaneous, in skin (SC, SQ)
drug form:
cream
lotion
ointment
topical, applied to skin
drug form:
other
transdermal, absorption of drug through unbroken skin
drug form:
implant
reservoir, imbedded in the body, provides continual infusion
ā
-a-
before
ac
before meals
am
before noon
bid
twice a day
d
day
h
hour
hs
at hour of sleep
noc
night
-p-
after
pp
after meals
pc
after meals
pm
afternoon
prn
as needed
q
every
qd
every day
qh
every hour
q2h
every 2 hours
qid
four times a day
qod
every other day
STAT
immediately
tid
three times a day
wk
week
yr
year
AD
right ear
AS
left ear
AU
both ears
ad lib
as desired
amt
amount
aq
water
bilateral
C
Celsius
centigrade
-c-
with
F
Fahrenheit
murmur
NPO
nothing by mouth
OD
right eye
OS
left eye
OU
both eyes
per
by
through
po
per os
by mouth
PR
through rectum
per rectum
PV
through vagina
per vagina
qns
quantity not sufficient
qs
quantity sufficient
Rx
recipe
prescription
Sig
label
instruction to the patient
-s-
without
-ss-
one-half
wa
while awake
x
times or for
(x6 six times)