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Mod A

Unit #3

TermDefinition
ROS review of symptoms
AB abnormal
w/n well nourished
R/O rule out
SOAP subjective, objective, assessment, plan
S without
PI present illness
px prognosis/progress
PMH past medical history
PH past history
LMP last menstrual period
wnl within normal limits
TX treatment
sx symptoms
sob shortness of breath
prn as needed
NVD nausea, vomiting, diahrrea
NKDA no known drug allergies
n/c no complaints
hx history
H history and physical
FU follow up
FH family history
EENT ears, eyes, nose, throat
DX diagnosis
DNR do not resuscitate
C/O complains of
chr chronic
CC cheif complaint
C with
AC acute
P after
Rx prescription
SS one-half
PE physical exam
CA cancer
adm admission
Bx biopsy
CPX complete physical exam
UCD usual childhood diseases
Created by: tbarger
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