The Medical Record 4 Word Scramble
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Question | Answer |
H&P | history and physical |
OH | occupational history |
Hx | history |
ROS | review of systems |
CC | chief complaint |
PE | physical exam |
c/o | complains of |
HEENT | head, eyes, ears, nose, throat |
HPI | history of present illness |
NAD | no acute distress |
Sx | symptom |
PERRLA | pupils equal, round and reactive to light and accomodation |
PMH | past medical history |
WNL | within normal limits |
UCHD | usual childhood diseases |
Dx | diagnosis |
NKA | no known allergies |
NKMA | no known medication allergies |
NKDA | no known drug allergies |
FH | family history |
SH | social history |
IMP | impression |
A | assessment |
R/O | rule out |
P | plan |
SOAP | subjective, objective, assessment, plan |
CCU | coronary care unit |
T | temperature |
ER | emergency room |
P | pulse |
ICU | intensive care unit |
R | respiration |
IP | inpatient |
BP | blood pressure |
OP | outpatient |
Ht | height |
OR | operating room |
Wt | weight |
post-op | after surgery |
yo | year old |
pre-op | before surgery |
# | number or pound |
RTC | return to clinic |
♀ | female |
♂ | male |
BRP | bathroom privilages |
CP | chest pain |
° | degree or hour |
DC, D/C | discontinue or discharge |
↑ | increased |
↓ | decreased |
ETOH | ethyl alcohol |
Tr | treatment or trace |
Tx | treatment or traction |
VS | vital signs |
gr | grain |
gt | drop |
gtt | drops |
dr | dram 1/8 ounce |
c with line over it | with |
s with line over it | without |
Created by:
jhlcc
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