OCC Medical Terminology M. Willis
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| chir/o | hand
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| crin/o | to secrete
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| dent/i | teeth
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| enter/o | small intestine
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| esthesi/o | sensation
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| ger/o | old age
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| gynec/o | woman
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| immun/o | safe
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| laryng/o | voicebox
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| neur/o | nerve
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| obstetr/o | midwife
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| onc/o | tumor
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| opthalm/o | eye
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| ot/o | ear
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| physi/o | physical
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| radi/o | x-ray
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| allergy and immunology | diagnose, treatment, and prevention of allergy diseasesallergist/immunologist
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| anesthesiology | comprehensive medical management and anesthetic care before, during and after surgery anesthesiologist
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| internal medicine | nonsurgical care centered around prevention diagnosis, and treatment of diseases of adultinternist
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| gastroenterology | diagnosis and management of condition related to the digestive system
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| hematology | diagnosis and treatment of blood disorders
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| chir/o | hand
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| crin/o | to secrete
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| dent/i | teeth
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| enter/o | small intestine
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| esthesi/o | sensation
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| ger/o | old age
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| gynec/o | woman
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| immun/o | safe
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| laryng/o | voicebox
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| neur/o | nerve
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| obstetr/o | midwife
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| onc/o | tumor
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| opthalm/o | eye
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| ot/o | ear
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| physi/o | physical
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| radi/o | x-ray
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| allergy and immunology | diagnose, treatment, and prevention of allergy diseasesallergist/immunologist
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| anesthesiology | comprehensive medical management and anesthetic care before, during and after surgery anesthesiologist
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| internal medicine | nonsurgical care centered around prevention diagnosis, and treatment of diseases of adultinternist
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| gastroenterology | diagnosis and management of condition related to the digestive system
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| hematology | diagnosis and treatment of blood disorders
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| nephrology | nonsurgical treatment of kidney disorders
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| oncology | treatment of tumors and cancer
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| rheumatology | treatment of arthritis and related disorders
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| medical genetics | diagnosis, treatment and prevention of genetic (inherited) disorders, includes research, laboratory testing and counseling
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| neurology | non surgical treatment of diseases of the nervous systemneurologist
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| neurological surgery | surgical and non surgical treatment of diseases of the nervous system and supportive structures, including blood vessels
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| nuclear medicine | use of radioactive substances to diagnose and treat disease; a dual speciality in other fields, such as radiology, internal medicine, neurology and cardiology is common
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| obstetrics and gynecologyOB/GYN | care and treatment of mother and fetus throughout pregnancy, childbirth and immediate postpartum period
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| gynecology | medical and surgical treatment of disorders of the female reproductive and urinary system
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| opthalmology | medical and surgical treatment of the eye including vision care and services
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| orthopedic surgery | medical, surgical and rehabilitatie treatment of disorders of teh musculskeletal system, including the bones, joints, muscles, ligaments, tendons and nerves
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| otolaryngology | medical and surgical treatment of diseases and disorders of the ear, nose, throat and adjoining structures of the head and neckotolaryngologist or ENT physician
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| pathology | study of disease emphasizing examination of tissue for diagnosis, eg, biopsy, autopsy
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| pediatrics | comprehensive medical care of infants, children and adolescents, with emphasis on diease prevention and healthful physical and mental development
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| physical medicine and rehabilitation physiatry | treatment of patients suffering from neruomusculoskeletal disorders caused by illness or injury eg, stroke, spinal cord injury
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| plastic surgery | surgery for restoration, repair, or reconstruction of body structures eg, body contouring, skin grafting
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| prevention medicine | medical care that focuses on prevention of disease and health maintenance; specialty areas include: aerospace medicine, occupational medicine, public health, and general preventative medicine
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| psychiatry | diagnosis, treatment and prevention of mental, emotional and behavioral disorders
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| radiology | use of ionizing & nonionizing imaging modalities, including x-ray, radionuclides, magnetic resonance & ultrasound, to diagnose disease or in therapies that involve imaging guidance, primary fields include diagnostic radiology, radiation oncology & physics
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| surgery | treatment of diseases and trauma requiring an operation, subspecialty area include vascular, pediatric, hand and critical care surgery
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| thoracic surgery | treatment of diseases, deformities, and trauma requiring an operation within the chest, including the heart and lungs
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| urology | surgical and nonsurgical treatment of the male urinary and reproductive system and the female urinary system
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| doctor of chiropractic medicine | DC
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| doctor of dental surgery | DDS
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| doctor of podiatric medicine | DPM
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| doctor of optometry | OD
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| doctor of psychology | Psy.D or PhD
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| ABMS | American Board of Medical Specialties
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| ACP | American College of Physicians
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| ACS | American College of Surgeons
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| AOA | American Osteopathic Association
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| ENT | ear nose throat
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| MD | Doctor of Medicine
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| OD | Doctor of Optometry
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| H&P | History and Physical
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| Hx | History
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| CC | Chief Complaint
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| c/o | complains of
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| HPI (PI) | History of Present Illness (Present Illness)
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| Sx | symptom
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| PMH (PH) | Past Medical History (Past History)
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| UCHD | usual childhood diseases
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| NKA | no known allergies
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| NKDA | no known drug allergies
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| FH | family history
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| SH | social history
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| OH | occupational history
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| ROS (SR) | review of systems (systems review)
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| PE (Px) | physical examination
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| HEENT | head eyes ears nose throat
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| NAD | no acute distress, no appreciable disease
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| PERRLA | pupils equal, round and reactive to light and accommodation
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| WNL | within normal limits
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| Dx | diagnosis
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| IMP | impression
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| A | assessment
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| R/O | rule out
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| P | plan
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| CCU | coronary (cardiac) care unit
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| ECU | emergency care unit
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| ER | emergency room
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| ICU | intensive care unit
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| IP | inpatient (a registered bed patient)
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| OP | outpatient
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| OR | operating room
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| PACU | postanesthetic care unit
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| PAR | postanesthetic recovery
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| post-op | postoperative (after surgery)
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| pre-op | preoperative (before surgery)
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| RTC | return to clinic
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| RTO | return to office
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| BRP | bathroom privileges
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| CP | chest pain
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| *DC, D/C* | discharge, discontinue
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| ETOH | ethyl alcohol
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| L (cirle) | left
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| R (circle) | right
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| pt | patient
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| RRR | regular rate and rhythm
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| SOB | shortness of breath
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| Tr | treatment
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| Tx | treatment or traction
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| VS | vital signs
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| T | temperature
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| P | pulse
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| R | respiration
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| BP | blood pressure
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| Ht | height
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| Wt | weight
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| WDWN | well developed and well nourished
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| y.o. | year old
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| # | number or pound
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| radiography (x-ray) | modality using xrays (ionizing radiation) to produce images of the bodys anatomy to diagnose a condition or impairment
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| computed tomography (CT) | cross sectional xray films in a full circle - computer then calculates and converts the rates of absorption and density of the xrays into a three dimensional picture on a screen
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| nuclear medicine imaging | injected or ingested radioactive isotope (radionuclide) - emits gamma ray
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| magnetic resonance imaging (MRI) | nonionizing imaging technique using magnetic fields and radiofrequency waves
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| sonography | use of high frequency sound waves to visualize body tissues
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| acute | sharp; having intense, often severe sypmtoms and a short cause
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| chronic | a condition developing slowly and persisting over time
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| benign | mild or non-cancerous
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| malignant | harmful or cancerous
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| degeneration | gradual deterioration of normal cells and body functions
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| degenerative disease | any disease in which there is deterioration of structure or function of tissue
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| diagnosis | determination of the presence of a disease based an evaluation of symptoms signs and test findings
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| etiology | cause of a disease
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| exacerbation | increase in severity of a disease with aggravation of symptoms
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| remission | a period in which symptoms and signs stop or abate
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| febrile | relating to a fever
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| gross | large; visible to the naked eye
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| idiopathic | a condition occuring without a clearly identified cause
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| localized | limited to a definite area or part
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| systemic | relating to the whole body rather than only a part
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| malaise | a feeling of unwellness, often the frist indication of illness
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| marked | significant
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| equivocal | vague, questionable
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| morbidity | sick, a state of disease
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| morbidity rate | the number of cases of a disease in a given year; the ratio of sick to well individuals in a given population
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| mortality | the state of being subject to death
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| mortality rate | death rate; ratio of total number of deaths to total number in a given population
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| prognosis | foreknowledge; prediction of the likely outcome of a disease based on the general health status of the patient along with knowledge of the usual course of the disease
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| progressive | the advance of a condition as signs and symptoms increase in severity
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| prophylaxis | a process or measure that prevents diesase
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| recurrent | to occur again; describes a return of symptoms and signs after a period of quiescence (rest or inactivity)
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| sequela | a disorder or condition after, and usually resulting from, a previous disease or injury
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| sign | a mark; objective evidence of disease that can be seen or verified by an examiner
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| symptom | occurrence; subjective evidence of disease that is perceived by the patient and often noted in his or her own words
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| syndrome | a running together; combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease, eg. menopausal syndrome
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| *cc* | cubic centimeter
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| cm | centimeter
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| g or gm | gram
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| kg | kilogram
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| L | liter
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| mg | milligram
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| ml, mL | milliliter
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| mm | millimeter
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| cu mm | cubic millimeter
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| fl oz | fluid ounce
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| gr | grain
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| gt | drop
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| gtt | drops
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| dr | dram
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| oz | ounce
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| lb or # | pound
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| qt | quart
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| tablet / capsule | oral / sublingualby mouth / under the tongue in the cheek
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| suppository | inserted in vagina / rectum
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| fluid | inhalationinhaled through nose or mouth
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| parenteral | by injection (within skin/muscle/vein or under the skin)
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| cream, lotion, ointment | topicalapplied to the surface of the skin
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| other delivery systems | transdermal / implantabsorption of drug through unbroken skin /a drug reservoir imbedded in the body to provide continual infusion of a medication
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| *q.d.* | every day
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| *q.o.d.* | every other day
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| *AS, AD, AU* | left ear, right ear, both ears
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| *OS, OD, OU* | left eye, right eye, both eyes
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| *SC or SQ* | subcutaneus
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| * >,< * | greater than, less than
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| a (with line above) | before
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| a.c. | before meals
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| a.m. | before noon
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| b.i.d. | twice a day
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| d | day
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| h | hour
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| *h.s.* | at hour of sleep (bedtime)
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| noc. | night
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| p (with line above) | after
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| p.c. | after meals
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| p.m. | after noon
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| p.r.n. | as needed
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| q | every
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| * q d * | every day
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| q h | every hour
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| q 2 h | every 2 hours
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| q.i.d. | four times a day
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| *q.o.d.* | every other day
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| STAT | immediately
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| t.i.d. | three times a day
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| wk | week
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| yr | year
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| *AD* | right ear
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| *AS* | left ear
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| *AU* | both ears
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| ad lib. | as desired
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| amt | amount
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| aq | water
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| B (in circle) | bilateral
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| C | celsius, centigrade
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| c (with line above) | with
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| F | fahrenheit
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| m (in circle) | murmur
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| NPO | nothing by mouth
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| *OD* | right eye
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| *OS* | left eye
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| *OU* | both eyes
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| per | by or through
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| p.o. | by mouth
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| PR | through rectum
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| PV | through vagina
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| q.n.s. | quantity not sufficient
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| q.s. | quantity sufficient
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| Rx | recipe, prescription
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| Sig: | label; instructions to patient
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| s (with line over) | without
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| *ss* (with line over) | one-half
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| w.a. | while awake
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| X | times or for (eg X6 - six times)
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| *>* | greater than
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| *<* | less than
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| I, II, III, IV, V, VI, VII, VII, IX, X | uppercase roman numerals
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| 1:00 a.m. | zero one hundred
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| 2:00 a.m. | zero two hundred
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| 2:15 a.m. | zero two fifteen
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