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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
|
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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) |