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Health Care Records - Q – Common abbreviations used in history & physical & Prog

QuestionAnswer
A assessment
A&W alive and well
CC chief complaint
c/o complains of
Dx diagnosis
FH family history
HEENT head, eyes, ears, nose, and throat
H&P history and physical
HPI, PI history of present illness, present illness
Hx history
IMP impression
L&W living and well
NAD no acute distress
NKA, NKDA no known allergies, no known drug allergies
O objective information
OH occupational history
P plan (recommendation, disposition)
PE, Px physical examination
PERRLA pupils equal, round, and reactive to light and accommodation
PH, PMH past history, past medical history
R/O rule out
ROS, SR review of systems, systems review
S subjective information
SH social history
Sx symptom
UCHD usual childhood diseases
WNL within normal limits
Created by: shachi.pandit
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