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28 Cards in this Set
- Front
- Back
ADA
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ADA: American Dietetic Association
The patient was discharged on ADA diet. |
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ADL
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ADL: activities of daily living
The patient presents to physical therapy having problems with ADLs. Note: AMA also means American Medical Association. The context of the report should make this distinction fairly easy. |
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ASA
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ASA: acetylsalicylic acid (aspirin)
He was to take ASA daily for his CAD. |
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AVM
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AVM: arteriovenous malformation
Head CT showed an AVM. |
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CLL
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CLL: chronic lymphocytic leukemia
The primary diagnosis was CLL. |
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CPAP
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CPAP: continuous positive airway pressure
He was put on CPAP for his sleep apnea. |
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CPR
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CPR: cardiopulmonary resuscitation
CPR attempts failed, and the patient was pronounced dead. |
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DC
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DC: discontinue or discharge
The patient was to DC his medications. The patient was DC'd after 10 days. |
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DNR
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DNR: DO NOT RESUSCITATE
The patient was counseled and DNR status was confirmed. Note that the entire phrase is capitalized. Unless client instructs you otherwise, always type it in caps. |
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DT
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DT: delirium tremens
DTs were noted on presentation at the ER. |
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DOB
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DOB: date of birth
They couldn't find her DOB on her patient chart. |
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ESWL
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ESWL: extracorporeal shock-wave lithotripsy
We attempted to destroy the kidney stones with ESWL. |
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GE
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GE: gastroesophageal
GE reflux is also called heartburn. |
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HCTZ
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HCTZ: hydrochlorothiazide
HCTZ was part of his high blood pressure control regimen. |
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H&P
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H&P: history and physical
H&P was recorded in the chart. |
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HPI
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HPI: history of present illness
For review of systems, see HPI. |
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IOL
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IOL: intraocular lens
He had an IOL implant O.D. for cataracts. |
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ITP
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ITP: idiopathic thrombocytopenic purpura
ITP is characterized by small hemorrhages which may be macular or papular. |
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LLL
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LLL: left lower lobe
The patient has LLL pneumonia. |
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LOC
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LOC: loss of consciousness
Despite head trauma, there was no LOC. |
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MDI
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MDI: metered dose inhaler
The patient was given an Albuterol MDI. |
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NKDA
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NKDA: no known drug allergies
Allergies: NKDA. |
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NPO
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NPO: nothing by mouth
(NPO is derived from the Latin nil per os.) She remained NPO on the second postoperative day. Can also be written n.p.o. or npo. |
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Phen-fen
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Phen-fen: phentermine and fenfluramine
Phen-fen is largely discredited as a weight loss regimen. The FDA requested the removal of Phen-fen from the market in 1997. This is also acceptably referred to as fen-phen or Fen-phen. There is acceptable variation to how it is presented. |
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PND
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PND: paroxysmal nocturnal dyspnea
No PND or orthopnea. |
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subq
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subq: subcutaneous (subcutaneously)
She was injected subq. Pronounced sub-Q. Sometimes written subcu. |
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SOB
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SOB: shortness of breath
She had severe SOB and was referred to the ER. |
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TPN
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TPN: total parenteral nutrition
She was started on TPN while in the hospital. |