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136 Cards in this Set
- Front
- Back
A
|
Assessment
|
|
_
a |
before
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a.c.
|
before meals
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AD (write out)
|
right ear (write out)
|
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ad lib
|
as needed
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amt
|
amount
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a.m.
|
before noon
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aq
|
water
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AS (write out)
|
left ear
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AU (write out)
|
both eears
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A&W
|
Alive and well
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B with circle around it
|
bilateral
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b.i.d.
|
twice a day
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BP
|
blood pressure
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BRP
|
bathroom priveleges
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C
|
Celsius, centigrade
|
|
_
c |
with
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cap
|
capsule
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CAT
|
Computerized Axial Tomography
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CBC
|
complete blood count
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CC
|
chief complaint
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cc (write out)
|
cubic centimeter
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CCU
|
coronary cardiac care unit
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cm
|
centeimeter
|
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complains of
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c/o
|
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CP
|
chest pain
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CT
|
computed tomography
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cu mm / mm^3
|
cubic millimeter
|
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d
|
day
|
|
DC d/c (write out)
|
discharge or discontinue
|
|
dr
|
dram
|
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Dx
|
diagnosis
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ECU
|
Emergency Care Unit
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ER
|
Emergency Room
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ETOH
|
Ethyl Alcohol
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F
|
Fahrenheit
|
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FH
|
family history
|
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fl oz
|
fluid ounce
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g/gm
|
gram
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gt
|
drop
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gtt
|
drops
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h
|
hour
|
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HEENT
|
head eyes ear nose and throat
|
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H&P
|
History and Physical
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HPI
|
History of present illness
|
|
h.s. (write out)
|
hour of sleep (bedtime)
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Ht
|
height
|
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Wt
|
weight
|
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ICU
|
intensive care unit
|
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IM
|
intramuscular
|
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ID
|
intradermal
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IMP
|
impression
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IV
|
intravenous
|
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JCAHO
|
Joint Commission on Accreditation of Healthcare Organizations
|
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kg
|
kilogram
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L
|
liter
|
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L circled
|
left
|
|
lb
|
pound
|
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L&W
|
living and well
|
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m circled
|
murmur
|
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mg
|
milligram
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mL/ml
|
milliliter
|
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MRA
|
magnetic resonance angiography
|
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MRI
|
magnetic resonance imaging
|
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NAD
|
No acute distress
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NKA
|
no known allergies
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NKDA
|
no known drug allergies
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noc.
|
night
|
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NPO
|
nothing by mouth
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O
|
Objective information
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|
OH
|
occupational history
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OP
|
outpatient
|
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OR
|
operating room
|
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OS (write out)
|
left eye
|
|
OU (write out)
|
both eyes
|
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oz
|
ounce
|
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P
|
plan; pulse
|
|
_
p |
after
|
|
PACU
|
postanesthetical care unit
|
|
p.c.
|
after meals
|
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PE
|
physical examination
|
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per
|
by or through
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PERRLA
|
pupils equal, round, reactive to light and accomodation
|
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PH
|
past history
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p.m.
|
after noon
|
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PMH
|
past medical history
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p.o.
|
by mouth
|
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post-op
|
after surgery
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PR
|
through rectum
|
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pre-op
|
before surgery
|
|
p.r.n.
|
as needed
|
|
pt
|
patient
|
|
PV
|
through vagina
|
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Px
|
physical
|
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q
|
every
|
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q.d. (write out)
|
every day
|
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q.o.d (write out)
|
every other day
|
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qh
|
every hour
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q2h
|
every two hours
|
|
q.i.d.
|
four times a day
|
|
qt
|
quart
|
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R
|
respiration
|
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R circled
|
right
|
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R/o
|
rule out
|
|
ROS
|
review of systems
|
|
RRR
|
regular rate and rhythm
|
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RTO
|
return to office
|
|
RTC
|
return to clinic
|
|
Rx
|
Prescription
|
|
S
|
Subjective information
|
|
_
s |
without
|
|
SC/SQ/sub-q (write out)
|
subcutaneous
|
|
SH
|
Social History
|
|
Sig
|
label; instruction to patient
|
|
SOB
|
shortness of breath
|
|
SR
|
Systems Review
|
|
_
ss (write out) |
one-half
|
|
STAT
|
immediately
|
|
Suppos
|
suppository
|
|
Sx
|
Symptom
|
|
T
|
temperature
|
|
tab
|
tablet
|
|
t.i.d.
|
three times a day
|
|
Tr
|
treatment
|
|
Tx
|
treatment; traction
|
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UCHD
|
usual childhood diseases
|
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US
|
ultrasound (sonography)
|
|
VS
|
vital signs
|
|
wa
|
while awake
|
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WDWN
|
well developed and well-nourished
|
|
wk
|
week
|
|
WNL
|
within normal limits
|
|
x
|
times or for
|
|
x-ray
|
radiology
|
|
y/o y.o
|
year old
|
|
yr
|
year
|