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MOP ASR

ASR

QuestionAnswer
PE physical exam
Ht height
Ft feet
Wt weight
Lb pound
P pulse
Bp Blood pressure
Pt Patient
S(with a line over) without
Ex exam
Neg negative
EKG electrocardiogram
CBC complete blood cell count
UA urinalysis
IMP impression
RX treatment ordered
Ml milliliters
Ret return
PRN as necessary
MD medical doctor
c(with a line over) with
OC office call
pos positive
CA cancer
TURP transurethral resection of the prostate
Bilateral both sides
hosp hospital
TD temporary disability
adv advise
dc discontinue
am before noon
Pt patient
ER emergency room
R right
PX procedure
Temp temperature
F Fahrenheit
MD medical doctor
yo year old
W white
E emergency
fx fracture
L left
pt patient
DNS did not show
SD state disability
x times
Mo month
P & S permanent and stationery
Yr year
I injection
Mg milligram
IM intra muscular
ofc office
WKs weeks
ARNP Advanced Registered Nurse Practitioner
LBP lower back pain
EMT Emergency Medical Technician
Er emergency room
DEM doctor of emergency medicine
MD medical doctor
FACS Fellow American College of Surgeon
d/c discharge
CMA Certified Medical Assistant
LVN Licensed Vocational Nurse
RNP Registered Nurse Practitioner
RPT Registered Physical Therapist
MT(ASCP Medical Technician (American Society of Clinical Pathologist)
CMT Certified Medical Technician
CPC Certified Professional Coder
CMBS Comprehensive Medical Billing Solutions
PA-C Physician Assistant-Certified
VN Visiting Nurse
ASCP American Society of Clinical Pathologists
HX history
x times
d day
T temperature
F Fahrenheit
A allergy
lt left
PND postnasal drip
Rec recommend
mg milligram
po by mouth
q every
q 8h every eight hours
Dx diagnosis
URI upper respiratory infection
Etiol etiology
CXR chest x-ray
UA urinalysis
Retn return
wks weeks
CC chief complaint
PT patient
WK week
pH hydrogen ion concentration
UA urinalysis
Occ occasional
WBC white blood cell count
Epith epithelial
Alb albumin
rev review
dilat dilate
K35 Kollmann
Brev Brevital
IVP intravenous parallelogram
dx diagnosis
RTO return to office
Dysuria painful urination
oligouria less urination than normal
Nephrectomy Surgical removal of kidney
Calculi Stone
init initial
CO complains of
chr chronic
HA headache
slt slight
ALL allergy
H&P history and physical
PMH past medical history
FUO fever of unknown
PID pelvic inflammatory disease
UTI urinary tract infection
M medication
NYD not yet diagnosed
re ch recheck
approx approximate
d day
R/O rule out
STD sexually transmitted disease
FACS Fellow American College of Surgeon
UGI upper gastrointestinal
Ba barium
BMs bowel movement
WDWN well developed well nourished
Lac laceration
Tr. treatment
DTap diphtheria tetanus and pertussis
inj injection
P&A percussion and auscultation
AP&L anterior posterior and lateral
XR-N x-ray-negative
PO postoperative check
CBC complete blood cell count
RBC red blood cell count
Hgb hemoglobin
AgNo3 silver nitrate
Meds medicine
BUN blood urea nitrogen
RO rule out
ASHD arteriosclerosis heart disease
STAT immediately
PTR patient to return
I&D incession and drainage
R(with circle around it) right
L(with circle around it) left
IV intravenous
hosp hospital
PO postoperative check
Ca carcinoma
OV office visit
PT physical therapy
CCYY-10 current year minus ten years
F/U follow up
tid three times a day
i.e. that is
CT computerized tomography
PC present complaint
PX physical examination
PI present illness
TPR temperature, pulse, respiration
CV cardiovascular
RUQ right upper quadrant
GU genitourinary
GYN gynecology
GB gallbladder
P(with a line over) after
BM bowel movement
CPX complete physical examination
int internal
ext external
adv advice
Created by: atif786