Chapter 2- Health Care Records Flashcards
0
Q
CC
A
Chief complaint
1
Q
A&W
A
Alive and well
2
Q
C/o
A
Complaints of
3
Q
Dx
A
Diagnosis
4
Q
FH
A
Family history
5
Q
HEENT
A
Head eyes ears nose and throat
6
Q
H&P
A
History and physical
7
Q
HPI, PI
A
History of present illness
8
Q
Hx
A
History
9
Q
NAD
A
No acute distress
10
Q
P
A
Plan
11
Q
PE, Px
A
Physical examination
12
Q
PH
A
Past history
13
Q
WNL
A
Within normal limits
14
Q
Acute
A
Sharp, intense
15
Q
Chronic
A
Persist over time
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
Unremarkable
Common
25
CCU
Coronary care unit
26
ECU
Emergency care unit
27
ICU
Intensive care unit
28
BRP
Bathroom privileges
29
CP
Chest pain
30
DC
Discharge
31
L
Left
32
R
Right
33
pt
Patient
34
SOB
Shortness of breath
35
Tr, Tx
Treatment
36
Y/o
Years old
37
WDWN
Well developed and well nourished
38
P.o.
By mouth
39
PR
Through rectum
40
PV
Through vagina
