Assessment Flashcards
abd
abdomen
BLE
bilateral lower extremities
BP
blood pressure
BX
biopsy
C
celsius
cc
chief complaint
CDI
clean, dry, intact
CNS
central nervous system
c/o
complains of
CTA
clear to auscultation
CVP
central venous pressure
DBP
diastolic blood pressure
DOE
dyspnea on exertion
Dx
diagnosis
ECF
extracellular fluid
F
fahrenheit
GI
gastrointestinal
GU
genitourinary
GYN
gynecological
h/o
history of
HOH
hard of hearing
H&P
history and physical exam
HR
heart rate
Ht
height
Hx
history
Imp
impressions
I&O
intake and output
ICP
intracranial pressure
LE
lower extremity
LLL
left lower lobe
LLQ
left lower quadrant
LMP
last menstrual period
LOC
level of consciousness
LUL
left upper lobe
LUQ
left upper quadrant
MAE
moves all extremities
NAD
no apparent distress
NKA
no known allergies
NKDA
no known drug allergies
N/V
nausea and vomiting
Neg
negative
P
pulse
PE
physical exam
PERRLA
pupils equally round, react to light and accomodate
PMH
past medical history
RLL
right lower lobe
RML
right middle lobe
R/O
rule out
RUL
right upper lobe
RUQ
right upper quadrant
R
respirations
RR
respiratory rate
RRR
regular rate and rhythm
SBP
systolic blood pressure
SOB
shortness of breath
s/p
status post
s/s
signs and symptoms
Sx
symptom
T
temperature
TPR
temperature, pulse, respirations
VS
vital signs
WNL
within normal limits
wt
weight