Definitions & Abbreviations
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| CVA | Cerebrovascular Accident -OR- Costovertebral Angle
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| Grossly | Wholly, Obviously, A lot
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| HTN | Hypertension
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| LNMP | Last Normal Menstrual Period
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| Sx | Symptoms
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| PE | Pulmonary Embolism -OR- Physical Exam
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| Abrasion | A scrape to the skin due to something abrasive
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| HA | Headache
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| MI | Myocardial Infarction
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| Ischemia | Lack of blood supply
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| Pruritic | Itchy
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| Chronic | Constant, long standing
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| Epistaxis | Nose bleed
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| Edema | Swelling
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| Dz | Disease
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| CABG | Coronary Artery Bypass Graft
"open heart surgery"
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| Hemorrhage | Excessive or profuse bleeding
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| Tachycardia | Fast heart rate, >100 bpm
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| Purulent | Pus-like
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| ROM | Range of Motion
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| Cerebrovascular Accident (CVA) | "stroke" - brain damage due to lack of blood supply to the brain
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| SOB | Shortness of Breath
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| CAD | Coronary Artery Disease
"heart disease"
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| Bradycardia | Slow heart rate, <60 bpm
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| Rhinorrhea | Clear nasal discharge
"runny nose"
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| Sepsis | Dangerous infection of the blood
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| Laceration | Splitting of the skin due to trauma; a cut due to something sharp
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| DM | Diabetes Mellitus
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| Syncope | Loss of consciousness; fainting
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| Deep Vein Thrombosis (DVT) | A blood clot in a deep vein, usually in the extremities
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| Acute | New, usually of rapid onset and of concern
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| DVT | Deep Venous Thrombosis
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| HEENT | Head, Eyes, Ears, Nose, Throat
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| Benign | Normal, of no danger to health
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| Diaphoresis | Sweating
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| CXR | Chest X-Ray
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| NTG | Nitroglycerin
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| HPI | History of Present Illness
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| BID | Twice daily
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| Dysuria | Painful urination
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| LOC | Loss of consciousness
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| Emesis | Vomiting
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| pt | Patient
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| CP | Chest Pain
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| Erythema | Redness
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| Dyspnea | Difficulty breathing
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| UTI | Urinary Tract Infection
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| Melena | Black, tarry stool
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| STEMI | ST elevated Myocardial Infarction; real-time ongoing death of heart tissue due to ischemia
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| ABx | Antibiotics
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| Cardiomegaly | Enlarged heart
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| MVA/MVC | Motor Vehicle Accident/Motor Vehicle Collision
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| RUQ | Right Upper Quadrant
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| N/V/D | Nausea/Vomiting/Diarrhea
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| Ecchymosis | Bruising
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| Vertigo | Condition of dizziness
"room spinning"
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| Myalgia | muscular pain/aches
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| Hypoxia | lack of oxygen in the blood; low oxygen saturation of the body
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| Infarct | Area of dead tissue after a lack of blood supply
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| FHx | Family History
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| NKDA | No Known Drug Allergies
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| s/p | Status Post (after)
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| Pulmonary Embolism (PE) | Blocking of a pulmonary artery due to a blood clot
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| Transient Ischemic Attack (TIA) | "minor stroke" - where neurological function is regained quickly with time
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| Myocardial Infarction (MI) | Death of cardiac muscle due to ischemia
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| Ambulate | to walk from place to place
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| Anterior | located towards the front of the body
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| Artery | Blood vessel carrying blood away from the heart
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| Cholecystitis | Inflammation of the cholecyst (gallbladder)
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| COPD | Chronic Obstructive Pulmonary Disease
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| Coronary Artery | Artery that supplies heart tissue with blood
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| Distal | Farther from the trunk of the body
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| Febrile | Elevated body temperature, fever, indicative of infection
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| Hematemesis | Very large amounts of blood in the vomit
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| Hematuria | Very large amounts of blood in the urine
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| Hemoptysis | Coughing up very large amounts of blood
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| Hepatomegaly | Enlarged liver
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| Hypertension | High blood pressure
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| Hypotension | Low blood pressure
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| Inferior | Lower on the body, farther from the head
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| Lateral | Farther from the midline
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| Medial | Nearer to the midline
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| Oriented x3 | Oriented to person, place, and time
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| Pallor | Pale skin
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| Posterior/Dorsal | Rear/backside of the body
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| Proximal | Nearer to the trunk of the body
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| Rales | Crackles; wet crackling noise in the lungs
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| Rhonchi | Rattling noise of mucous in the lungs
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| Superior | Higher on the body, nearer to the head
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| Supine | Body position lying face up
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| Tachypnea | Increased breathing rate
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| Vein | Blood vessel carrying blood towards the heart
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| Wheezing | High pitched sound heard in the lungs with asthmatics or lung disease
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| AAA | Abdominal Aortic Aneurysm
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| A Fib | Atrial Fibrillation
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| Abd | Abdomen
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| AMA | Against medical advice
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| AMS | Altered mental status
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| ASA | Acetylsalicylic Acid (aspirin)
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| Bilat LE | Bilateral lower extremities
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| BM | Bowel movement
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| BP | Blood pressure
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| CA | Cancer
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| CT or CAT | Computerized assisted tomography
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| CHF | Congestive heart failure
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| CPR | cardiopulmonary resuscitation
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| C-section | Caesarean section
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| C-spine | Cervical spine
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| CSF | cerebrospinal fluid
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| c/o | complaints of
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| DKA | diabetic ketoacidosis
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| DNR | do not resuscitate
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| DOE | dyspnea on exertion
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| Dx | diagnosis
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| EKG/ECG | electrocardiogram
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| EtOH | alcohol
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| Fx | fracture
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| GI | gastrointestinal
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| G/P/Ab | Gravida/Para/Abortion
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| GSW | gun shot wound
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| GU | genitourinary
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| Hx | history
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| H&H | hemoglobin & hematocrit
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| H&P | History of present illness and physical exam
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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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| IVDA | IV drug abuse
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| JVD | jugular vein distension
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| LLE | left lower extremity
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| LLQ | left lower quadrant
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| LP | lumbar puncture
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| L-spine | lumbar spine
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| LUE | left upper extremity
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| MCA | motorcycle accident
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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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| Nml, nl | normal
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| NSAID | non steroidal anti-inflammatory drug
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| NSR | normal sinus rhythm
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| O2 Sat | oxygen saturation
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| OD | overdose
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| PCP | primary care physician
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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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| PTA | prior to arrival
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| PUD | peptic ulcer disease
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| qd | every day
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| qh | every hour
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| qhs | at every bedtime
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| q2h | every two hours
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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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| ROS | review of system
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| RUE | right upper extremity
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| Rx | prescription
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| r/o | rule out
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| TIA | transient ischemic attack
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| TID | three times a day
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| TM | tympanic membrane
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| T-spine | thoracic spine
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| Tx | treatment
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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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| WNL | within normal limits
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| RVR | rapid ventricular response
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