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Flashcards in PRF report format Deck (22)
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1
Q

List abbreviation for

A
PC
HPC
S/E
CVS
RS
GIT
GUS
CNS
LOC
PMH
MEDs
ALL
FH
SH
O/E
CVS
RS
GIT
GUS
CNS
LOC

IMP
DD
PLAN

2
Q

What does S/E stand for

A

Systemic Enquiry question to ask patient before examination

3
Q

What does S/E CVS stand for and what things to ask

A

systemic enquiry cardiovascular system
ask patient what usual before examination
? SOB, Palpitation, Oedema

4
Q

What does S/E RS stand for

and what things to ask

A

S/E systemic enquiry
RS Respiratory system
ask patient what usual before examination
asthma TB COAD COPD Smoker

5
Q

What does S/E GIT stand for and what things to ask

A

S/E systemic enquiry
GIT Gastrointestinal Tract
ask patient what usual before examination
? weight loss gain B/O reg

6
Q

What does S/E GUS stand for and what things to ask

A

S/E systemic enquiry
GUS Genitourinary system
ask patient what usual before examination
? urine problems catheter prostatism dysuria

7
Q

What does S/E CNS stand for and what things to ask

A

S/E systemic enquiry
CNS central nervous system
ask patient what usual before examination
? headaches dizziness visual distrub

8
Q

What does S/E LOC stand for and what things to ask

A

S/E systemic enquiry
LOC locomotion
ask patient what usual before examination
? joint pain FROM

9
Q

what does PMH

A

past medical history

10
Q

what does ALL

A

Allergies

11
Q

what does FH

A

family history

12
Q

what does SH

A

Social history

jobs ? exercise

13
Q

what does O/E stand for

and what things to document

A

On Examination
Eg obese 48yom cold sweaty A-pyrexia
J.A.C.Ci.Oe.L

14
Q

what does O/E CVS stand for

and what things to document

A

O/E on examination
CVS cardiovascular system
hr,bp jvp H/s
pps palpable

15
Q

what does O/E RS stand for

and what things to document

A

O/E on examination
RS respiratory system
B/S bilat basal creps bronch breathing

16
Q

what does O/E GIT stand for

and what things to document

A

O/E on examination
GIT gastrointestinal tract
eg abdo soft epigastric tenderness B/S hernia liver palable

17
Q

what does O/E GUS stand for

and what things to document

A

O/E on examination
GUS Genitourinary system
pud colour pain

18
Q

what does O/E CNS stand for

and what things to document

A

O/E on examination
CNS central nervous system
A/Ox4 PERRL CNs

19
Q

what does O/E LOC stand for

and what things to document

A

O/E on examination
LOC locomotion
FROM NAD

20
Q

what does IMP stand for

and what things to document

A

IMP impression

55yof chest pain anxious drugs alcohol

21
Q

what does DD stand for

and what things to document

A

DD diagnosis

IM OD

22
Q

what does Plan stand for

and what things to document

A

PLAN

take to hospital