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197 Cards in this Set
- Front
- Back
Wheezing |
Hight pitched sound heard in the lungs with asthmatics or lung disease |
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vertigo |
Room-spinning dizziness (not lightheaded) |
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Ulcerations |
Blisters or open-sores |
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Tachypnea |
Increased breathing rate |
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Trismus |
Inability to open the jaw to do pain |
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Tachycardia |
Fast Heart rate (HR > 100bpm) |
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Syncope |
"Passing out", loss of consciousness or fainting |
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Supine |
Body position lying face up |
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Superior |
Higher or the body, nearer to the head |
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Streptococcal Pharyngitis |
Strep Throat |
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Small Bowel Obstruction |
Physical blockage of the small intestines |
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Sinusitis |
Infection/inflammation of the nasal sinuses |
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Sepsis |
Dangerous infection of the blood |
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-scopy (suffix) |
Viewing with a scope (e.g. colonoscopy) |
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Rhonchi |
Rattling noise of mucous in the lungs |
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Rhinorrhea |
Clear nasal discharge, "runny nose" |
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Rales |
Crackles; wet crackling noise in the lungs |
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Purulence/Purulent |
Pus/Pus-like |
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Pulmonary |
Relating to the lungs |
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Proximal |
Nearer to the trunk of the body |
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Prone |
Body position lying flat, face down |
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Posterior/Dorsal |
Rear or backside of the body |
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Pneumonia |
Bacterial infection of the lungs |
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Pharyngitis |
Throat infection |
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Palpitation |
To beat rapidly, irregularly, or forcibly (usually relating to the heart) |
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Peritoneal signs |
Guarding/rebound/rigidity: PE finding indicating a rupture in the abdomen |
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Palpation |
Examine by touch |
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Pallor |
Pale Skin |
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Myalgia |
Muscular pain, "muscle aches" |
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Melena |
Black tarry stool |
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Otitis Media |
Infection inner ear (behind the eardrum) |
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Otitis externa |
Infection of the outer ear (ear canal) |
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Meningitis |
Dangerous infection of the outer lining of the brain |
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Medial |
Nearer to the midline |
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Lethargic |
Septic, very sick, about to die |
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Lateral |
Farther from the midline(a line that can be traced from nose to belly-button) |
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Laceration |
Splitting of the skin due to trauma (a cut due to something sharp) |
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-itis (suffix) |
Inflammation (e.g. appendicitis) |
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Ischemia |
Lack of blood supply |
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Inferior |
Lower on the body, farther from the head |
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Infarct |
Area of dead tissue after a lack of blood supply |
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ICD-10 |
A system to classify and code diagnoses, symptoms, and procedures |
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Hypoxia |
Low oxygen saturation of the body, not enough oxygen in the blood |
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Hypotension |
Low blood pressure |
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Hypertension |
High blood pressure |
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Hyperlipidemia |
High cholesterol |
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Hernia |
Protrusion of an organ through the wall of the cavity that normally contains it |
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Hepatomegaly |
Enlarged liver |
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Hemorrhage |
Excessive or profuse bleeding |
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Hemoptysis |
Coughing up gross amounts of blood |
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Hematuria |
Blood in the urine |
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Hematemesis |
Gross amounts of blood in the vomits |
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Grossly |
Obviously; a lot; wholly |
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Febrile |
The state of having a fever (Temperature of more than 100.4) |
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Exudates (tonsillar) |
Pus-pockets on the tonsils |
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Erythema/Erythematous |
Redness/Red |
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Epistaxis |
Nose bleed |
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Epilepsy |
Seizure disorder |
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Emesis |
Vomiting |
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Edema |
Swelling |
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-ectomy (suffix) |
Surgical removal (e.g. tonsillectomy)
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Ecchymosis |
A bruise |
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Dysuria |
Painful urination |
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Dyspnea |
Difficulty breathing |
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Distal |
Farther from the trunk of the body |
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Diffuse |
Spread out (not localized) |
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Diaphoresis |
Sweating |
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Dialysis |
Process of removing waste from the blood for people with renal failure |
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Conjunctivitis |
Infection of the outer layer of the eye |
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Cellulites |
Infection of skin cells |
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Chronic |
Long-standing, constant. Opposite of acute |
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Catheter |
Tube inserted into vessels or body cavities to permit injection or withdrawal of fluids or to keep a passage open |
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Bronchiolits |
Infection of the bronchioles (Smaller air-tubes in the lungs) |
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Bronchitis |
Infection of the bronchi (upper airway) |
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Bradycardia |
Slow heart-rate (HR<60bpm) |
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Benign |
Normal, of no danger to health |
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Auscultation |
Listening to sounds arising within organs (as the lungs) |
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Appendicitis |
Dangerous infection of the appendix |
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Anterior |
Located towards the front of the body |
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Afebrile |
Without a fever (Temperature of less than 100.4) |
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Acute |
New, usually of rapid onset and of concern, opposite of chronic |
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Antipyretic |
Medication used to reduce a fever |
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Abscess |
Collection of pus underneath the skin |
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Abrasion |
Scrape of the skin due to something abrasive
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Abd |
Abdomen, Abdominal |
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Abx |
Antibiotics |
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A fib |
Atrial fibrillation |
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AOM |
Acute Otitis Media (new ear infection) |
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A/P |
Assessment and Plan |
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ASA |
Acetylsalicylic Acid (aspirin) |
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BID |
Twice Daily |
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Bilat LE |
Bilateral Lower Extremeties |
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BM |
Bowel Movement |
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BP |
Blood Pressure |
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c(with a line on top) |
With |
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CA |
Cancer, Carcinoma |
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CABG |
Coronary Artery Bypass Graft |
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CAD |
Coronary Artery Disease |
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CBC |
Complete Blood Count (bloodwork to look for infection or anemia) |
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CHF |
Congestive Heart Failure |
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CP |
Chest Pain |
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c/o |
Complains of |
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COPD |
Chronic Obstructive Pulmonary Disease |
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CRF |
Chronic Renal Failure |
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C-section |
Caesarean Section |
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C-spine |
Cervical spine |
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CT or CAT |
Computerized Assisted Tomography |
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CTA |
Clear to auscultation |
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CV |
Cardiovascular |
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CVA |
Cerebrovascular Accident |
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CXR |
Chest X-ray |
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DM |
Diabetes Mellitus |
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DOE |
Dyspnea on Exertion |
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DP/PT (pulse) |
Dorsalis Pedis/ Posterior Tibialis |
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DVT |
Deep Vein Thrombosis |
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Dx |
Diagnosis |
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EKG/ECG |
Electrocardiogram |
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EOMI |
Extraocular Movements Intact |
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EtOH |
Alcohol |
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FHx |
Family History |
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F/U |
Follow-up (i.e. Follow-up in 3 days for a re-evaluation) |
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Fx |
Fracture |
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GERD |
Gastroesophageal Reflux Disease |
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GI |
Gastrointestinal |
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G/P/Ab |
Gravida/Para/Abortion |
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GU |
Genitourinary |
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HA |
Headache |
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HEENT |
Head, Ears, Eyes, Nose, Throat |
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HIPAA |
Health Insurance Portability and Accountability Act |
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HLD |
Hyperlipidemia |
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HPI |
History of Present Illness |
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HTN |
Hypertension (high blood pressure) |
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Hx |
History |
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H&H |
Hemoglobin and Hematocrit |
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I&D |
Incision and Drainage |
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IDDM |
Insulin Dependent Diabetes Mellitus |
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IUP |
Intrauterine Pregnancy |
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LLE |
Left Lower Extremity |
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LLQ |
Left Lower Quadrant |
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LNMP |
Last Normal Menstrual Period |
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LOC |
Loss of Consciousness |
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L-spine |
Lumbar spine |
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LUE |
Left Upper Extremity |
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LUQ |
Left Upper Quadrant |
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MI |
Myocardial Infarction |
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N/A |
Not applicable |
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NAD |
No Acute Distress, No Acute Disease |
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NIDDM |
Non-Insulin Dependent Diabetes Mellitus |
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NKDA |
No known Drug Allergies |
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nl/nml |
Normal |
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NSAID |
Non steroidal Anti-inflammatory Drug
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NSR |
Normal Sinus Rhythm |
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N/V/D |
Nausea/Vomiting/Diarrhea |
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O2 Sat |
Oxygen Saturation (a.k.a. SaO2 or SpO2 or Pulse Ox or Sat) |
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OB/GYN |
Obsterics and gynecology |
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OD |
Overdose |
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OM |
Otitis Media (inner ear infection) |
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OP |
Oropharynx (mouth and throat) |
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ORIF |
Open Reduction and Internal Fixation (orthopedic surgery) |
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PCP/PMD |
Primary Care Physician/Primary Medical Doctor |
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PE |
Physical exam/ Pulmonary Embolism |
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PERRL |
Pupils are Equal, Round, and Reactive, to Light |
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PO |
Per Os (by mouth) |
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prn |
As needed |
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Pt |
Patient |
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PTA |
Prior to Arrival -or- Peritonsillar Abscess |
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PVD |
Peripheral Vascular Disease |
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q |
every |
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QD |
Every Day |
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QHS |
At every Bedtime |
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QID |
Four times a day |
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RLE |
Right Lower Extremity |
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RLQ |
Right Lower Quadrant |
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ROM |
Range of Motion |
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ROS |
Review of System |
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RRR |
Regular rate and rhythm (normal heart sounds) |
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RUE |
Right Upper Extremity |
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RUQ |
Right Upper Quadrant |
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Rx |
Prescription |
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r/o |
Rule Out |
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SOB |
Shortness of Breath |
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SOAP |
Subjective, Objective, Assessment, and Plan |
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s/p |
Status Post (after) |
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Sx |
Symptoms |
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T&A |
Tonsillectomy and Adenoidectomy (tonsils and adenoids removal surgery) |
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TIA |
Transient Ischemic Attack |
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TID |
Three Times a Day |
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TM |
Tympanic Membrane (Ear Drum) |
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Tx |
Treatment |
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T-spine |
Thoracic spine |
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UA |
Urinalysis |
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URI |
Upper Respiratory Infection |
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US |
Ultrasound |
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UTD |
Up to date |
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UTI |
Urinary Tract Infection |
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WNL |
Within Normal Limits ( normal, not of concern) |
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y/o |
Year(s) Old |