Terminology - Abbreviations
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A | auscultation and percussion
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AC | air conduction
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Acc | accommondation
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AD | right ear; Alzheimer's disease
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ADHD | attention-deficit hyperactivity disorder
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ADLs | activity of daily living
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ANS | autonomic nervous system
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AOM | acute otitis media
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ARMD, AMD | age-related macular degeneration
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AS | left ear; aortic stenosis
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Ast | astigmatism
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AU | both ears
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BC | bone conduction
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BEAM | brain electrical activity mapping
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c/o | complains of; complaints
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CK | creatine kinase (cardiac enzyme); conductive keratoplasty
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CNS | central nervous system
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CP | cerebral palsy
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CSF | cerebrospinal fluid
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CT | computed tomography
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CVA | cerebrovascular accident
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D | diopter (lens strength)
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Dx | diagnosis
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ECCE | extracapsular cataract extraction
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EEG | elecrtoencephalography
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Em | emmetropia
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EMG | electromyograph
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ENG | electronystagmography
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ENT | ear, nose and throat
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EOM | extraocular movement
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EPS | electrophysiology studies
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FH | family history
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ICP | intracranial pressure
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IOL | intraocular lens
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IOP | intraocular pressure
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LASIK | laser-assisted in situ keratomileusis
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LOC | loss of consciousness
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LP | lumbar puncture
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lT | left
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MEG | magnetoencephalography
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mix astig | mixed astigmatism
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MRA | magnetic resonance angiogram, magnetic resonance angiography
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MRI | magnetic resonance imaging
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MS | multiple sclerosis; mental status
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Myop | myopia (nearsightedness)
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NCV | nerve conduction velocity
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NIHL | noise-induced hearing loss
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O.D. | doctor of optometry
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OD | overdose
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OM | otitis media
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OP | outpatient; operative procedure
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OS | left eye
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OU | both eyes
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PE | pressure-equalizing (tube)
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PERRLA | pupils equal round and reactive to light and accommendation
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PET | positron emission tomography
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PNS | peripheral nervous system
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PPV | pars plana vitrectomy
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pt | patient
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qEEG | quanitive electroencephalography
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RK | radial keratotomy
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rt | right
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SICS | small incision cataract surgery
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SLE | slit-lamp examination
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SNS | sympathetic nervous system
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ST | esotropia
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Sx | symptom
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TIA | transcient ischemic attack
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TPR | temperature, pulse, and respiration
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Tx | treatment
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URI | upper respiratory infection
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VA | visual acuity
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VF | visual field
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WD | well-developed
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WN | well-nourished
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WNL | within normal limits
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XT | exotropia
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- | minus, negative
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" | inch
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# | number, following a number, pounds
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% | percent
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@ | at
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' | foot
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+ | plus, positive
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= | equals
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+_ | plus or minus, positive or negative, indefinite
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/ | divided by
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degrees
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x | multiplied by, magnification
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(triangle) | change, heat
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-> | to, in the direction of
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^ | increase(d), up
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(down arrow) | decrease(d), down
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(circle pointing up, right) | male
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(circle pointing downward) | female
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aa | of each
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AHP | administrative health professional
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AP | anteroposterior
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PA | posteroanterior
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BP, B/P | blood pressure
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Bx, bx | biopsy
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CC | chief complaint
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CHIM | Canadian Health Information Managers
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CHIMA | Canadian Health Information Management Association
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CPX | complete physical examination
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D.O., DO | Doctor of Osteopathy
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D.P.M. | Doctor of Podiatric Medicine
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dc, DC, D/C, d/c | discontinue, discharge
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Dx | diagnosis
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ED | emergency department
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EMR | electronic medical record
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EHR | electronic health record
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FH, FHx | family history
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FI | functional inquiry
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Fx | fracture
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G | gravida (pregnant)
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HPI | history of present illness
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Hx | history
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LLQ | left lower quadrant
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LMP | last menstral period
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LUQ | left upper quadrant
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MRP | most responsible physician
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NSAIDs | nonsteroidal anti-inflammatory drug(s)
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0 (with a line through) | NO
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ORTH, ortho | orthopedics
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PAP | papanicolaou (test)
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para 1, 2, 3, and so on | unipara, bipara, tripara, and so on (number of viable births)
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PCP | primary care physician
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PH | medical history
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PHIPA | Personal Health Information Protection Act
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PIPEDA | Personal Information Protection and Electronic Documents Act
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PMH | past medical history
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PMP | previous menstral period
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R/O, r/o | rule out
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RLQ | right lower quadrant
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RUQ | right upper quadrant
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Rx | prescription
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SOAP | subjective,, objective, assessment, and plan
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SOB | shortness of breath
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sono | sonogram
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stat., STAT | imemdiately
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ther | therapy
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U&L, U/L | upper and lower
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UA | urinalysis
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