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Chapter 2

Acquiring Medical Language 2nd Edition

acute ah-KYOOT It just started recently or is a sharp, severe symptom.
chronic KRAH-nik It has been going on for a while now.
exacerbation ek-SAS-er-BAY-shun It is getting worse.
abrupt ah-BRUPT All of a sudden.
febrile FEH-brail To have a fever.
afebrile AY-FEH-brail To not have a fever.
malaise mah-LAYZ Not feeling well.
progressive proh-GREH-siv More and more each day.
symptom SIM-tom Something a patient feels.
noncontributory NON-kon-TRIB-yoo-TOH-ree Not related to this specific problem.
lethargic lah-THAR-jik A decrease in level of consciousness.
genetic/hereditary jih-NEH-tik, hah-REH-dih-TEH-ree It runs in the family.
ROS Review of Systems.
PMHx Past Medical History.
FHx Family History.
NKDA No Known Drug Allergies.
PE Physical Exam.
Pt Patient
y/o Years old.
h/o History of.
PCP Primary Care Provider.
f/u Follow up.
SOB Shortness of Breath.
HEENT Head, Eyes, Ears, Nose, and Throat.
PERRLA Pupils are Equal, Round, and Reactive to Light and Accommodation.
NAD No Acute Distress
CV Cardiovascular
RRR Regular Rate and Rhythm
CTA Clear to Auscultation
WDWN Well Developed, Well Nourished
A&O Alert and Oriented
WNL Within Normal Limits
NOS Not Otherwise Specified
NEC Not Elsewhere Classified
PO Per Os (by mouth)
NPO Nil Per Os (nothing by mouth)
PR Per Rectum (anal)
IM Intramuscular
SC Subcutaneous (under the skin)
IV Intravenous
CVL Central Venous Line
PICC Peripherally Inserted Central Catheter
Sig Instructions short for signa, from Latin, for "label". It is the second line on a prescription.
(R) right
(L) left
(B) bilateral (both sides)
VS vital signs
T temperature
BP blood pressure
HR heart rate
RR respiratory rate
Ht height
Wt weight
BMI body mass index (measurement of body fat based on height and weight)
I/O intake/output: the amount of fluids a patient has taken in (by IV or mouth) and produced (usually just urine output)
Dx diagnosis
DDx differential diagnosis
Tx treatment
Rx prescription
H&P history and physical
Hx history
CC chief complaint (the main reason for the visit)
HPI history of present illness (the story of the symptoms)
Created by: sdolic