Chapter 2- Health Care Records Flashcards

0
Q

CC

A

Chief complaint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

A&W

A

Alive and well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

C/o

A

Complaints of

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Dx

A

Diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

FH

A

Family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

HEENT

A

Head eyes ears nose and throat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

H&P

A

History and physical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HPI, PI

A

History of present illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hx

A

History

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NAD

A

No acute distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

P

A

Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PE, Px

A

Physical examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

PH

A

Past history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

WNL

A

Within normal limits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute

A

Sharp, intense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Chronic

A

Persist over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Benign

A

Mild or non cancerous

17
Q

Malignant

A

Harmful or cancerous

18
Q

Degeneration

A

Gradual deterioration of normal cells

19
Q

Etiology

A

Study of the cause of a disease

20
Q

Exacerbation

A

Increase in the severity of a disease

21
Q

Remission

A

A period in which symptoms stop

22
Q

Febrile

A

Relating to a fever

23
Q

Malaise

A

Feeling of uneasiness or discomfort

24
Q

Unremarkable

A

Common

25
Q

CCU

A

Coronary care unit

26
Q

ECU

A

Emergency care unit

27
Q

ICU

A

Intensive care unit

28
Q

BRP

A

Bathroom privileges

29
Q

CP

A

Chest pain

30
Q

DC

A

Discharge

31
Q

L

A

Left

32
Q

R

A

Right

33
Q

pt

A

Patient

34
Q

SOB

A

Shortness of breath

35
Q

Tr, Tx

A

Treatment

36
Q

Y/o

A

Years old

37
Q

WDWN

A

Well developed and well nourished

38
Q

P.o.

A

By mouth

39
Q

PR

A

Through rectum

40
Q

PV

A

Through vagina