Chapter 2- Health Care Records Flashcards by Grace Bergquist

Q

CC

A

Chief complaint

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Q

A&W

A

Alive and well

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Q

C/o

A

Complaints of

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Q

Dx

A

Diagnosis

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Q

FH

A

Family history

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Q

HEENT

A

Head eyes ears nose and throat

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Q

H&P

A

History and physical

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Q

HPI, PI

A

History of present illness

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Q

Hx

A

History

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Q

NAD

A

No acute distress

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Q

P

A

Plan

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Q

PE, Px

A

Physical examination

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Q

PH

A

Past history

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Q

WNL

A

Within normal limits

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Q

Acute

A

Sharp, intense

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Q

Chronic

A

Persist over time

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Q

Benign

A

Mild or non cancerous

Q

Malignant

A

Harmful or cancerous

Q

Degeneration

A

Gradual deterioration of normal cells

Q

Etiology

A

Study of the cause of a disease

Q

Exacerbation

A

Increase in the severity of a disease

Q

Remission

A

A period in which symptoms stop

Q

Febrile

A

Relating to a fever

Q

Malaise

A

Feeling of uneasiness or discomfort

Q

Unremarkable

A

Common

Q

CCU

A

Coronary care unit

Q

ECU

A

Emergency care unit

Q

ICU

A

Intensive care unit

Q

BRP

A

Bathroom privileges

Q

CP

A

Chest pain

Q

DC

A

Discharge

Q

L

A

Left

Q

R

A

Right

Q

pt

A

Patient

Q

SOB

A

Shortness of breath

Q

Tr, Tx

A

Treatment

Q

Y/o

A

Years old

Q

WDWN

A

Well developed and well nourished

Q

P.o.

A

By mouth

Q

PR

A

Through rectum

Q

PV

A

Through vagina