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From Flashcardlet > Med Term 4 > Flashcards

Med Term 4 Flashcards

1
Q

H&P

A

history and physical - documentation of patient history and physical examination finding

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2
Q

Hx

A

History - record of subjective info regarding the patient’s personal medical history

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3
Q

CC

A

chief complaint

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4
Q

c/o

A

Complains of - patient’s description of what brought him into the doctor

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5
Q

HPI

A

History of present illness

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6
Q

PI

A

present illness

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7
Q

Sx

A

symptom

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8
Q

PMH

A

past medical history

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9
Q

PH

A

past history

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10
Q

UCHD

A

usual childhood diseases

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11
Q

NKA

A

no known allergies

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12
Q

NKDA

A

no known drug allergies

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13
Q

FH

A

family history

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14
Q

A&W

A

alive and well

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15
Q

L&W

A

living and well

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16
Q

SH

A

social history - hobbies, drinking, smoking, drugs

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17
Q

OH

A

occupational history - work habits

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18
Q

ROS

A

review of systems - documentation of the patient’s response to questions organized by a head to tow review of the function of all body systems

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19
Q

SR

A

Systems review

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20
Q

PE

A

physical examination

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21
Q

Px

A

physical examination

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22
Q

HEENT

A

head, eyes, ears, nose, throat

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23
Q

NAD

A

no acute distress, no appreciable disease

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24
Q

PERRLA

A

pupils equal, round, and reactive to light and accomodation

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25
Q

WNL

A

within normal limits

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26
Q

Dx

A

diagnosis

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27
Q

IMP

A

impression

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28
Q

A

A

Assessment

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29
Q

R/O

A

rule out - used to indicate a differential diagnosis when one or more are suspect (each possibility is outlined and either verified or eliminated after further testing)

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30
Q

R

A

plan

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31
Q

Tx

A

treatment

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32
Q

CCU

A

coronary (cardiac) care unit

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33
Q

ECU

A

emergency care unit

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34
Q

ER

A

emergency room

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35
Q

ICU

A

intensive care unit

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36
Q

IP

A

inpatient

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37
Q

OP

A

outpatient

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38
Q

OR

A

operating room

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39
Q

PACU

A

postanesthetic care unit

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40
Q

PAR

A

postanesthetic recovery

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41
Q

post-op

A

postoperative, after surgery

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42
Q

pre-op

A

preoperative, before surgery

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43
Q

RTC

A

return to clinic

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44
Q

RTO

A

return to office

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45
Q

BRP

A

bathroom privileges

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46
Q

CP

A

chest pain

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47
Q

DC

A

discharge, discontinue

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48
Q

ETOH

A

ethyl alcohol

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49
Q

pt

A

patient

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50
Q

RRR

A

regular rate and rhythm

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51
Q

SOB

A

shortness of breath

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52
Q

Tr

A

treatment

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53
Q

VS

A

vital signs

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54
Q

T

A

temperature

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55
Q

P

A

pulse

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56
Q

R

A

respiration

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57
Q

BP

A

blood pressure

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58
Q

Ht

A

height

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59
Q

Wt

A

weight

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60
Q

y.o.

A

year old

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61
Q

WDWN

A

well-developed and well-nourished

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62
Q

acute

A

sharp, having intense, often severe symptoms and a short course

63
Q

chronic

A

a condition development slowly and persisting over time

64
Q

benign

A

mild or noncancerous

65
Q

maligmant

A

harmful or cancerous

66
Q

degeneration

A

gradual deterioration of normal cells and body function

67
Q

degenerative disease

A

any disease in which there is deterioration of structure or function of tissue

68
Q

diagnosis

A

determination of the presence of a disease based on an evaluation

69
Q

etiology

A

cause of a disease

70
Q

exacerbation

A

increase in severity of a disease with aggravation of symptoms

71
Q

remission

A

a period in which symptoms and signs stop or abate

72
Q

febrile

A

relating to a fever

73
Q

gross

A

large, visible to the naked eye

74
Q

idiopathic

A

a condition occurring without a clearly identified cause

75
Q

localized

A

limited to a definite area or part

76
Q

systemic

A

relating to the whole body rather than only a part

77
Q

malaise

A

a feeling of unwellness, often the first indication of an illness

78
Q

marked

A

significant

79
Q

equivocal

A

vague, questionable

80
Q

morbidity

A

sick, a state of disease

81
Q

morbidity rate

A

the number of cases of a disease in a given year, the ratio of sick to well individuals of a population

82
Q

mortality

A

the state of being subject to death

83
Q

morality rate

A

death rate, ratio of total number of deaths to total number in population

84
Q

prognosis

A

foreknowledge, prediction of the likely outcome of a disease based on the general health status of the patient

85
Q

progressive

A

the advance of a condition as signs and symptoms increase in severity

86
Q

prophylaxis

A

a process or measure that prevents diseases

87
Q

recurrent

A

to occur again

88
Q

sequela

A

a disorder or condition after, and usually resulting from, a previous disease or injury

89
Q

sign

A

objective evidence of disease that can be seen or verified

90
Q

symptom

A

subjective evidence of disease that is perceived by the patient

91
Q

syndrome

A

combination of symptoms and signs that give a distinct clinical picture indicating a particular condition or disease

92
Q

cc

A

cubic centimeter

93
Q

cm

A

centimeter

94
Q

g/gm

A

gram

95
Q

kg

A

kilogram

96
Q

L

A

liter

97
Q

mg

A

milligram

98
Q

ml, mL

A

milliliter

99
Q

mm

A

millimeter

100
Q

cu mm

A

cubic millimeter

101
Q

fl ox

A

fluid ounce

102
Q

gr

A

grain

103
Q

gt

A

drop

104
Q

gtt

A

drops

105
Q

dr

A

dram (1/8 ounce)

106
Q

qt

A

quart

107
Q

per os

A

by mouth

108
Q

sublingual SL

A

under the tongue

109
Q

buccal

A

in the cheek

110
Q

PV

A

per vagina

111
Q

PR

A

per rectum

112
Q

ID

A

intradermal, within the skin

113
Q

IM

A

intramuscular, within the muscle

114
Q

IV

A

intravenous, within the vein

115
Q

SC, SQ

A

subcutaneous, under the skin

116
Q

transdermal

A

absorption of drug through unbroken skin

117
Q

a

A

before, ante

118
Q

a.c.

A

before meals, ante cibum

119
Q

a.m.

A

before noon, ante meridiem

120
Q

b.i.d.

A

twice a day, bis in die

121
Q

d

A

day

122
Q

h

A

hour

123
Q

h.s.

A

at hour of sleep (bedtime), hora somni

124
Q

noc.

A

night, noctis

125
Q

p

A

after, post

126
Q

p.c.

A

after meals, post cibum

127
Q

p.m.

A

after noon, post meridiem

128
Q

p.r.n.

A

as needed, pro re nata

129
Q

q

A

every, quaque

130
Q

q d

A

every day, quaque die

131
Q

q h

A

every hour, quaque hora

132
Q

q 2 h

A

every two hours

133
Q

q.i.d.

A

every four hours, quater in die

134
Q

q.o.d.

A

every other day, quaque alter die

135
Q

STAT

A

immediately, statim

136
Q

t.i.d.

A

three times a day, her in die

137
Q

AD

A

right ear, auras dextra

138
Q

AS

A

left ear, auras sinistra

139
Q

AU

A

both ears, auras unitas

140
Q

ad lib.

A

as desired, ad libitum

141
Q

B

A

bilateral

142
Q

c

A

with, cum

143
Q

m

A

murmur

144
Q

NPO

A

nothing by mouth, non per os

145
Q

OD

A

right eye, oculus dexter

146
Q

OS

A

left eye, oculus sinister

147
Q

OU

A

both eyes, oculus unitas

148
Q

q.n.s.

A

quantity not sufficient

149
Q

q.s.

A

quantity sufficient

150
Q

Rx

A

prescription

151
Q

Sig

A

label, instruction to the patient

152
Q

s

A

without, sine

153
Q

ss

A

one half, semis

154
Q

w.a.

A

while awake

From Flashcardlet (133 decks)

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