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170 Cards in this Set
- Front
- Back
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F
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Fahrenheit
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FAP
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Familial adenomatous polyposis
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FBS
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Fasting Blood Sugar
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FDLNMP
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First Day of Last Normal Menstrual Period
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Fem-pop
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Femoral popliteal
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FEV1
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Forced expiratory volume in 1 second
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FH or FHx
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Family History
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5-FU
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5-fluorouracil
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Fx
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Fracture
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FSH
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Follicle Stimulating Hormone
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FUO
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Fever of unknown (undetermined) origin
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g or gm
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gram
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Gen
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General (part of review of systems—general patient status)
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GERD
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Gastroesophageal reflux disease
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GI
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Gastrointestinal
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gtt or gtts
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Drop or drops
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GU
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Genitourinary
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GVHD
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Graft versus host disease
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GYN
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Gynecology
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H & H or H/H
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Hemoglobin and Hematocrit
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HA
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Headache
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HAART
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Highly Active Antiretroviral Therapy
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HC
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Hydrocortisone
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hCG
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Human Chorionic Gonadotropin
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Hct
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Hematocrit
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H + P
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History and Physical
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HEENT
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Head, Eyes, Ears, Nose, Throat
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Heme
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Hematologic findings (or blood present—ex: heme (+) stools)
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HIDA
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Scan Hepatobiliary Scan
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HIPAA
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Health Insurance Portability and Accountability Act
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HIV
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Human Immunodeficiency Virus
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Hgb
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Hemoglobin
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HOB
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Head of bed
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HOH
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Hard of Hearing
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HPI
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History of Present Illness
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HRT
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Hormone replacement therapy
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ht.
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Height
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HTN
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Hypertension
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Hx
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History
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I & D
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Incision and drainage
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I & O
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Input and output
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IBD
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Inflammatory bowel disease
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IBS
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Irritable bowel syndrome
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ICD
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Implantable Cardiac Defibrillator
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IDDM
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Insulin Dependent Diabetes Mellitus
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IM
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Intramuscularly or Internal Medicine (check context)
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INH
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Isoniazid
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INR
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International Normalized Ratio
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IRB
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Institutional Review Board
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IS
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Incentive Spirometry
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IVF
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Intravenous fluids
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IVPB
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Intravenous Piggyback
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IVP
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IV Push or Intravenous Pyelogram
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JVD
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Jugular Venous Distension
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KVO
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Keep vein open
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LAD
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Left anterior descending artery
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LDH
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Lactate dehydrogenase
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LE
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Lower extremity
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LFTs
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Liver Function Tests
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LH
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Leutenizing Hormone
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LLE
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Left Lower Extremity
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LLL
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Left Lower Lobe
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LLQ
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Left Lower Quadrant
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LMP
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Last Menstrual Period
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LOC
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Loss of consciousness OR Laxative of choice (check context)
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lt. or a circled “L”
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Left
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LUE
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Left upper extremity
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LUL
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Left upper lobe
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LUQ
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Left upper quadrant
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LV
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Left ventricle
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LVH
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Left ventricular hypertrophy
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MAC
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Mycobacterium Avium Complex
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MAOI
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Monoamine Oxidase Inhibitor
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MAP
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Mean Arterial Pressure
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met or mets
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Metastasis
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MI
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Myocardial infarction
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MOM
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Milk of Magnesia
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MMR
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Measles Mumps and Rubella vaccine
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MMSE
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Mini Mental State (Status) exam
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MRI
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Magnetic Resonance Imaging
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*MS
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Multiple Sclerosis or Morphine Sulfate Mistaken for magnesium sulfate; use complete name
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MSOF
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Multisystem Organ Failure
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MTX
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Methotrexate
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MUE
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Medication Use Evaluation
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MVA
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Motor vehicle accident
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MVP
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Mitral Valve Prolapse
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N/C
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No complaints
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NCAT
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Normocephalic Atraumatic (refers to head)
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Neuro
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Neurology or Neurologic Status
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NIDDM
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Non-insulin dependent diabetes mellitus
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NKDA
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No known drug allergies
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NMT
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Nebulized mist treatment
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noct.
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Night
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N.P. or CRNP
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Nurse Practitioner
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NT/ND
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Non-tender/non-distended (refers to bowel)
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OA
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Osteoarthritis
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OB
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Obstetrics
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OB/GYN
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Obstetrics/Gynecology
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OCD
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Obsessive Compulsive Disorder
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O.D.
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Doctor of Optometry
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*OJ
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Orange juice Mistaken as o.d. or o.s.; use “orange juice”
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OT
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Occupational Therapy
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P
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Pulse
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PACs
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Premature Atrial Contractions
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PAT
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Paroxysmal Atrial Tachycardia
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PCA
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Patient Controlled Analgesia
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PCN
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Penicillin
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PCO2
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Carbon dioxide pressure
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PCWP
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Pulmonary capillary wedge pressure
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PDR
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Physician Desk Reference
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PE
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Physical Exam OR Pulmonary Embolism (check context)
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PEEP
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Positive end expiratory pressure
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PEG
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tube Percutaneous endoscopic gastrostomy tube
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PERRLA
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Pupils equally (round and) reactive to light and accommodation
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PET
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Positron Emission TomographyPFTs
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PHN
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Postherpetic Neuralgia
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PID
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Pelvic Inflammatory disease
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PKU
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Phenylketonuria
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PMH
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Past Medical History
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PMR
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Polymyalgia Rheumatica
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PMS
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Premenstrual Syndrome
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PND
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Paroxysmal Nocturnal Dyspnea
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PONV
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Post operative nausea and vomiting
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Post-op
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Postoperative
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PPD
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Purified Protein Derivative
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Pre-op
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Preoperative
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PR or pr or pro rect
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Per rectum (give rectally)
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PRBCs
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Packed red blood cells
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PSA
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Prostate Specific Antigen
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PSH
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Past surgical history
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PSVT
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Paroxysmal Supraventricular Tachycardia
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Psych or Ψ
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Psychiatric
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PT
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Prothrombin Time OR Physical Therapy (check context)
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PTA
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Prior to Admission (usually in context “medications PTA”)
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PTCA
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Percutaneous Transluminal Coronary Angioplasty
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PTSD
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Post-Traumatic Stress Disorder
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PVD
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Peripheral Vascular Disease
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qs
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as much as is sufficient or needed
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R
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Respirations or right (check context)
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RA
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Rheumatoid Arthritis
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Resp.
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Respiratory
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REM
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sleep Rapid Eye Movement sleep (NREM is non-REM sleep)
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RLE
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Right lower extremity
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Right lower extremity
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Right lower extremity
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RLL
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Right lower lobe
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RLQ
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Right lower quadrant
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r/o
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Rule out
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ROM
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Range of motion
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ROS
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Review of Systems
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RR
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Respiratory Rate
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RRR
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Regular rate and rhythm
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rt. or circled R
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Right
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RT
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Respiratory Therapy
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RUE
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Right Upper Extremity
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RUL
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Right Upper Lobe
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RUQ
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Right Upper Quadrant
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SARS
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Severe Acute Respiratory Syndrome
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sat
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Saturation
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Sed rate
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Sedimentation rate
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SERM
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Selective Estrogen Receptor Modulator
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SGOT
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Serum glutamic oxaloacetic transaminase (also known as AST)
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SGPT
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Serum glutamic pyruvic transaminase (also known as ALT)
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SH or SocHx
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Social History
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SIADH
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Syndrome of Inappropriate Antidiuretic Hormone
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SIDS
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Sudden Infant Death Syndrome
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SJS
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Steven’s Johnson Syndrome
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SLE
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Systemic Lupus Erythematosus
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SPF
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Sun protection factor
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*SSI
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Sliding Scale Insulin Mistaken for Strong Solution of Iodine; write out
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*SSRI
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Selective Serotonin Reuptake Inhibitor Mistaken as sliding scale regular insulin
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