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Diagnosis and Treatment; Surgery

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Term
Definition
anesthesia   Loss of the ability to feel pain, as by administration of a drug  
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auscultation   Listening for sounds within the body, usually within the chest or abdomen  
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biopsy   Removal of a small amount of tissue for microscopic examination  
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cautery   Destruction of tissue by a damaging agent, such as a harmful chemical, heat, or electric current (electrocautery); cauterization  
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chemotherapy   Use of chemicals to treat disease; the term is often applied specifically to the treatment of cancer with chemicals  
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diagnosis   The process of determining the cause and nature of an illness  
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endoscope   An instrument for examining the inside of an organ or cavity through a body opening or small incision; most endoscopes use fiberoptics for viewing  
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excision   Removal by cutting (suffix: -ectomy)  
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fixation   Holding or fastening a structure in a firm position (suffix: -pexy)  
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grading   A method for evaluating a tumor based on microscopic examination of the cells  
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immunotherapy   Treatment that involves stimulation or suppression of the immune system, either specifically or nonspecifically  
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incision   A cut, as for surgery; also the act of cutting (suffix: -tomy)  
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inspection   Visual examination of the body  
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laser   A device that transforms light into a beam of intense heat and power; used for surgery and diagnosis  
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ophthalmoscope   An instrument for examining the interior of the eye  
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otoscope   Instrument used to examine the ears  
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palliative therapy   Providing relief but not cure; a treatment that provides such relief  
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palpation   Examining by placing the hands or fingers on the surface of the body to determine characteristics such as texture, temperature, movement, and consistency  
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percussion   Tapping the body lightly but sharply to assess the condition of the underlying tissue by the sounds obtained  
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prognosis   Prediction of a disease's course and outcome  
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radiography   Use of x-rays passed through the body to make a visual record (radiograph) of internal structures either on specially sensitized film or digitally; roentgenography  
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remission   Lessening of disease symptoms; the period during which this decrease occurs or the period when no sign of a disease exists  
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sign   Objective evidence of disease that can be observed or tested; examples are fever, rash, high blood pressure, and blood or urine abnormalities; an objective symptom  
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sphygmomanometer   Blood pressure apparatus or blood pressure cuff; pressure is read in millimeters of mercury (mm Hg) when the heart is contracting (systolic pressure) and when the heart is relaxing (diastolic pressure) and is reported as systolic/diastolic  
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staging   The process of classifying malignant tumors for diagnosis, treatment, and prognosis  
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stethoscope   An instrument used for listening to sounds produced within the body (from the Greek root steth/o, meaning "chest")  
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surgery   A method for treating disease or injury by manual operations  
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suture   To unite parts by stitching them together; also the thread or other material used in that process or the seam formed by surgical stitching (suffix: -rhaphy, -rrhaphy)  
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symptom   Any evidence of disease; sometimes limited to subjective evidence of disease as experienced by the individual, such as pain, dizziness, and weakness  
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therapy   Treatment, intervention  
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vital signs   Measurements that reflect basic functions necessary to maintain life  
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acupuncture   Ancient Chinese method of inserting thin needles into the body at specific points to relieve pain, induce anesthesia, or promote healing; similar effects can be obtained by using firm finger pressure at the surface of the body, called acupressure  
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biofeedback   A method for learning control of involuntary physiologic responses by using electronic devices to monitor bodily changes and feeding this information back to a person  
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chiropractic   A science that stresses the condition of the nervous system in diagnosis and treatment of disease; often, the spine is manipulated to correct misalignment; most patients consult for musculoskeletal pain and headaches (from Greek cheir, meaning "hand")  
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holistic healthcare   Practice of treating a person as a whole entity with physical, emotional, social, and spiritual needs; it stresses comprehensive care, involvement in one's own care, and the maintenance of good health rather than the treatment of disease  
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homeopathy   A philosophy of treating disease by administering drugs in highly diluted form along with promoting healthy life habits and a healthy environment (from home/o, meaning "same," and path/o, meaning "disease")  
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massage   Manipulation of the body or portion of the body to calm, relieve tension, increase circulation, and stimulate muscles  
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meditation   Process of clearing the mind by concentrating on the inner self while controlling breathing and perhaps repeating a word or phrase (mantra)  
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naturopathy   A therapeutic philosophy of helping people heal themselves by developing healthy lifestyles; naturopaths may use some of the methods of conventional medicine (from nature and path/o, meaning "disease")  
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osteopathy   A system of therapy based on the theory that the body can overcome disease when it has normal structure, a favorable environment, and proper nutrition  
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osteopaths   Osteopaths use standard medical practices for diagnosis and treatment but stress the identification and correction of faulty body structure (from oste/o, meaning "bone," and path/o, meaning "disease")  
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aer/o   air, gas  
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bar/o   pressure  
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chrom/o, chromat/o   color, stain  
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chron/o   time  
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cry/o   cold  
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electr/o   electricity  
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erg/o   work  
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phon/o   sound, voice  
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phot/o   light  
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radi/o   radiation, x-ray  
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son/o   sound  
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therm/o   heat, temperature  
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-graph   instrument for recording data  
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-graphy   act of recording data  
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-gram   a record of data  
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-meter   instrument for measuring  
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-metry   measurement of  
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-scope   instrument for viewing or examining  
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-scopy   examination of  
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-centesis   puncture, tap  
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-desis   binding, fusion  
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-ectomy   excision, surgical removal  
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-pexy   surgical fixation  
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-plasty   plastic repair, plastic surgery, reconstruction  
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-rhaphy, -rrhaphy   surgical repair, suture  
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-stomy   surgical creation of an opening  
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-tome   instrument for incising (cutting)  
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-tomy   incision, cutting  
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-tripsy   crushing  
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clubbing   Enlargement of the ends of the fingers and toes because of soft-tissue growth of the nails; seen in a variety of diseases, especially lung and heart diseases  
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colic   Acute abdominal pain associated with smooth muscle spasms  
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cyanosis   Bluish discoloration of the skin due to lack of oxygen  
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diaphoresis   Profuse sweating  
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malaise   A feeling of discomfort or uneasiness, often indicative of infection or other disease (from French, meaning "discomfort," using the prefix mal-, meaning "bad")  
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nocturnal   Pertaining to or occurring at night (roots noct/i and nyct/o mean "night")  
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pallor   Paleness, lack of color  
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prodrome   A symptom indicating an approaching disease  
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sequela   A lasting effect of a disease (plural: sequelae)  
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syncope   A temporary loss of consciousness because of inadequate blood flow to the brain, fainting  
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alpha-fetoprotein (AFP)   A fetal protein that appears in the blood of adults with certain types of cancer  
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bruit   A sound, usually abnormal, heard in auscultation  
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facies   The expression or appearance of the face  
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febrile   Pertaining to fever  
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nuclear medicine   The branch of medicine concerned with the use of radioactive substances (radionuclides) for diagnosis, therapy, and research  
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radiology   The branch of medicine that uses radiation, such as x-rays, in the diagnosis and treatments of disease; a specialist in this field is a radiologist  
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radionuclide   A substance that gives off radiation; used for diagnosis and treatment; also called radioisotope or radiopharmaceutical  
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speculum   An instrument for examining a canal  
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syndrome   A group of signs and symptoms that together characterize a disease condition  
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catheter   A thin tube that can be passed into the body; used to remove fluids from or introduce fluids into a body cavity  
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clysis   The introduction of fluid into the body, other than orally, as into the rectum or abdominal cavity; also refers to the solution thus used  
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irrigation   Flushing of a tube, cavity, or area with a fluid  
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lavage   The washing out of a cavity, irrigation  
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normal saline (NS)   A salt (NaCl) solution compatible with living cells, also called physiologic saline solution (PSS)  
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paracentesis   Puncture of a cavity for removal of fluid  
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prophylaxis   Prevention of disease  
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drain   Device for allowing matter to escape from a wound or cavity; common types include Penrose (cigarette), T-tube, Jackson-Pratt (J-P), and Hemovac  
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ligature   A tie or bandage, the process of binding or tying (also called ligation)  
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resection   Partial excision of a structure  
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stapling   In surgery, the joining of tissue by using wire staples that are pushed through the tissue and then bent  
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surgeon   A physician who specializes in surgery  
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1°   primary  
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2°   secondary (to)  
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△   change  
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Ⓛ   left  
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Ⓡ   right  
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↑   increase(d)  
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↓   decrease(d)  
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♂   male  
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♀   female  
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°   degree  
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^   above  
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v   below  
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=   equal to  
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≠   not equal to  
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±   doubtful, slight  
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~   approximately  
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x   times  
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#   number, pound  
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ADL   Activities of daily living  
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BP   Blood pressure  
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bpm   Beats per minute  
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C   Celsius (centigrade)  
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CC   Chief complaint  
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c/o, co   Complains (complaining) of  
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EOMI   Extraocular muscles intact  
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ETOH   Alcohol (ethyl alcohol)  
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F   Fahrenheit  
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HEENT   Head, eyes, ears, nose, and throat  
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HIPAA   Health Insurance Portability and Accountability Act  
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h/o   History of  
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H&P   History and physical  
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HPI   History of present illness  
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HR   Heart rate  
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Hx   History  
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I&O   Intake and output  
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IPPA   Inspection, palpation, percussion, auscultation  
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IVDA   Intravenous drug abuse  
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NAD   No apparent distress  
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NKDA   No known drug allergies  
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P   Pulse  
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PE   Physical examination  
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PE(R)RLA   Pupils equal (regular) react to light and accommodation  
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PMH   Past medical history  
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pt   Patient  
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R   Respiration  
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R/O   Rule out  
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ROS   Review of symptoms  
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T   Temperature  
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TPR   Temperature, pulse, respiration  
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VS   Vital signs  
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WD   Well developed  
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WNL   Within normal limits  
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w/o   Without  
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YO, y/o   Years old, year-old  
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ABC   Aspiration biopsy cytology  
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AFP   Alpha-fetoprotein  
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BS   Bowel sounds, breath sounds  
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bx   Biopsy  
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CAM   Complementary and alternative medicine  
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Ci   Curie (unit of radioactivity)  
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C&S   Culture and (drug) sensitivity (of bacteria)  
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CT   Computed tomography  
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D/C, dc   Discontinue  
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Dx   Diagnosis  
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EBL   Estimated blood loss  
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ICU   Intensive care unit  
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I&D   Incision and drainage  
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MET   Metastasis  
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MRI   Magnetic resonance imaging  
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NCCAM   National Center for Complementary and Alternative Medicine  
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NS, N/S   Normal saline  
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PCA   Patient-controlled analgesia  
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PET   Positron emission tomography  
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PICC   Peripherally inserted central catheter  
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postop   Postoperative  
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preop   Preoperative  
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PSS   Physiologic saline solution  
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RATx   Radiation therapy  
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Rx   Drug, prescription, therapy  
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SPECT   Single-photon emission computed tomography  
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TNM   (Primary) tumor, (regional lymph) nodes, (distant) metastases  
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UV   Ultraviolet  
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AP   Anteroposterior  
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LL   Left lateral  
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PA   Posteroanterior  
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RL   Right lateral  
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AMA   Against medical advice  
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AMB   Ambulatory  
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BRP   Bathroom privileges  
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CBR   Complete bed rest  
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DNR   Do not resuscitate  
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KVO   Keep vein open  
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NPO   Nothing by mouth (Latin, non per os)  
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OOB   Out of bed  
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QNS   Quantity not sufficient  
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QS   Quantity sufficient  
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STAT   Immediately  
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TKO   To keep open  
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