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116 Cards in this Set
- Front
- Back
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A
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ASSESSMENT
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A&W
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Alive and Well
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CC
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chief complaint
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c/o
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complains of
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Dx
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diagnosis
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FH
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family history
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HEENT
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head, eyes, ears, nose, and throat
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H&P
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history and physial
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HPI, PI
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history of present illness,
present illness |
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Hx
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history
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IMPO
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impression
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L&W
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living and well
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NAD
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no acute distres
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NKA, NKDA
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no known allergies,
no known drug allergies |
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O
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object information
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OH
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occupational history
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P
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plan (recommendation, disposition)
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PE, Px
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physical examination
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PERRLA
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pupils equal,
round, and reactive to light and accomodation |
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PH, PMH
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past history, past medical hisotry
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R/O
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rule out
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ROS, SR
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review of systems, systems review
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S
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subjective information
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SH
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social history
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Sx
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symptom
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UCHD
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usual childhood diseases
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WNL
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within normal limits
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acute
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sharp, having intesne, often severe symptoms and a short course
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chronic
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a conditon that develops slowly and persists over a period fo time
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benign
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mild or noncancerous
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malignant
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harmful or cancerous
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degeneration
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gradual deterioration of normal cells and body functions
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degenerative disease
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any disease in which deterioration of the structure or function of tissue occurs
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diagnosis
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determination of the preesence of a disease based on an evaluation of symptoms, signs, and test findings (results) (dia = through; gnosis= knowing)
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etiology
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study of the cause of a disease
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exacerbation
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increase in the severity of a disease, with aggravation of symptoms
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remission
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a period of which symptoms and signs stop or abate
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ferile
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relating to a fever (elevated temperature)
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idiopathic
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a condition occuring w/o a clearly identified cause
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localized
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limited to a definite area or part
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systemic
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relating to the whole body rather than to only a part
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malaise
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a feeling of uneasiness or discomfort;
often the first indication of illness |
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marked
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significant
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morbidity
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sick; a diseased state
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mortality
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the state of being subject to death
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prognosis
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foreknowledge; prediction of the likely outcome of a disease based on the generla health status of the patient along with knowledge of the usual course of the disease; often noted in one word (eg. prognosis: good)
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progressive
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pertaining to the advance of a conditon as the signs and symptoms increase in severity
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prophylaxis
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a process or measure that prevents disease
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recurrent
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to occur again; describes a return of symptoms and signs after a period of quiescence (rest or inactivity)
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sequela
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a disorder or condition usually resulting form a previous disease or injury
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sign
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a mark; objective evidence of disease that can be seen or verified by an examiner
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symptom
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subjective evidence or disease that is perceived by the patient and often noted in his or her own words
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syndrome
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a running together; combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease (eg. menopausal syndrome)
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noncontributory
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not involved in bringing on the condition or result
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unremarkable
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common; not out of the ordinary or significant
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CCU
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coronary (cardiac care unit)
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ECU
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emergency care unit
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ER
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emergeny room
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ICU
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intensive care unit
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IP
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inpatient
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OP
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outpatient
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OR
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operating room
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PACU
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postanesthetic care unit
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PAR
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postanesthetic recovery
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post-op or postop
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postoperative (after surgeery)
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pre-op
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preoperative (before surgery)
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RTC
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return to clinic
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RTO
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return to office
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BRP
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bathroom privileges
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CP
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chest pain
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DC or D?C
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discharge or discontinue
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ETOH
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ethyl alcohol
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pt
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patient
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RRR
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regular rate and rhythm
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SOB
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shortness of breath
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Tr
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treatment
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Tx
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treatment or traction
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VS
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vital signs
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T
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temeprature
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P
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pulse
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R
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respiration
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BP
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blood pressure
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Ht
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height
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Wt
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weight
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WDWN
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well-developed and well-nourshed
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y/o or y.o.
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year old
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#
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number or pound; if used before a numeral, it means number (eg. #2 = number 2); if used after a numeral, it means pound (eg., 150 # = 150 lbs)
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C
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Celsius, centigrade
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F
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Fahrenheit
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cc
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cubic centimeter
1 cc = 1 mL |
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cm
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centimeter
2.5 cm = 1inch |
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g or gm
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gram
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kg
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kilgram
1kg = 1000 g = 2.2 lb |
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L
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liter
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mg
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milligram
1mg = 0.0001 g |
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mL or ml
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milliliter
1 mL = 0.001 L |
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mm
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millimeter
1 mm = 0.001 of a litir |
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cu mm or mm^3
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cubic millimeter
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fl oz
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fluid ounce
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gr
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grain
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gt
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drop
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gtt
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drops
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dr
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dram
1 dram = 1/8 ounce |
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oz
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ounce
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mg
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milligram
1mg = 0.0001 g |
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mL or ml
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milliliter
1 mL = 0.001 L |
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mm
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millimeter
1 mm = 0.001 of a litir |
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cu mm or mm^3
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cubic millimeter
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fl oz
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fluid ounce
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gr
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grain
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gt
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drop
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gtt
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drops
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dr
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dram
1 dram = 1/8 ounce |
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oz
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ounce
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lb or #
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pound
1lb = 16 ounces |
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qt
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quart
1 qt = 32 ounces |
