Final exam Flashcards

1
Q

Herniorrhaphy

A

hernia repair

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2
Q

cholecystectomy

A

gallblader removal

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3
Q

Appendectomy

A

appendix removal

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4
Q

partial lobectomy

A

partial lung removal

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5
Q

Tracheostomy

A

Hole in neck

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6
Q

Mastectomy

A

Breast removal

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7
Q

Afib s/p cardiac ablation

A

surgery for Afib

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8
Q

Afib

A

Atrial fibrillation

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9
Q

AICD

A

Automated Implanted Cardiac Defibrillator

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10
Q

Pacer

A

Pacemaker

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11
Q

Angioplasty

A

The balloon surgery

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12
Q

Coronary Stent

A

Inserting a stent into coronary artery

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13
Q

Established Pt.

A

Seen at the clinic/practice within the last three years

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14
Q

Diagnostic Visit

A

A visit where the CC is a new symptom

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15
Q

HM visit

A

a visit where the CC is a routine physical or management of a chronic problem

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16
Q

What is the clinic flow (1-5)

A

Check in, physician evaluaiton, Order/results, Assessment/plan, check out

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17
Q

Quality Measures

A

vitals, CC, height, weight, BMI, smoking status

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18
Q

Vitals

A

O2 sat, BP, HR, respiratory rate

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19
Q

H and P

A

HIstory and physical evaluation performed by the physician

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20
Q

HPI

A

History of present illness

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21
Q

PE

A

Physical Exam

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22
Q

PE (Medical Issue)

A

Pulmonary Embolism

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23
Q

ROS

A

Review of systems

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24
Q

DDX

A

differential diagnoses

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25
Q

SOAP

A

Subjection, Objective, Assessment, Plan

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26
Q

Subjective portion of chart

A

HPI, ROS, part of the PHx

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27
Q

Objective Portion of chart

A

PE, orders, results

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28
Q

Subsections of Past history

A

PMHX, PSHx, SHx, FHx

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29
Q

PMHx

A

Patient Medical History

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30
Q

Hypertension (what is it)

A

High blood pressure

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31
Q

HTN

A

hypertension

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32
Q

Hyperlipidemia (what is it)

A

high cholesterol

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33
Q

HLD

A

hyperlipidemia

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34
Q

Hyper/Hypothyroidism

A

issues with thyroid fxn

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35
Q

DM

A

diabetes mellitus

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36
Q

DM treated with pills

A

NIDDM

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37
Q

NIDDM

A

Non insulin dependent diabetes mellitus

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38
Q

IDDM

A

Insulin dependent diabetes mellitus

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39
Q

DM treated with shots

A

IDDM

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40
Q

CAD

A

Coronary artery disease

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41
Q

Allergy vs Adverse Reaction

A

Allergy is immune response and adverse rxn is a side effect

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42
Q

Age cutoff for genetic risk

A

onset prior to 55 Y/o

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43
Q

Smoking Status (5 of them)

A

Current, former, never, 2nd hand, ecig

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44
Q

Alcohol Use (4 of them)

A

Never, occasionally, daily, chronic

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45
Q

2 factors to document in drug use

A

type of drug and route of admin

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46
Q

Pediatric SHx (6 factors)

A

Caretaker, Daycare, School, Siblings, 2nd hand smoke, Vaccines

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47
Q

New Pt.

A

Not seen at this clinic or practice for at least 3 years

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48
Q

Hx

A

History

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49
Q

Tx

A

Treatment

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50
Q

Dx

A

Diagnoses

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51
Q

MLP

A

Mid level provider

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52
Q

MDM

A

Medical decision making

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53
Q

CC

A

Chief complaint

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54
Q

OP

A

Outpatient

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55
Q

Inpatient

A

A patient who is admitted to the hospital overnight

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56
Q

Palpation

A

when a physician presses on an area

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57
Q

Ausculation

A

Listening with a stethoscope

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58
Q

Baseline

A

normal state of being

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59
Q

Chronic

A

Problem lasting longer than 3 months

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60
Q

Acute

A

New problem within last three months

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61
Q

Benign

A

Normal, or not of concern

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62
Q

Objective

A

Information from the physician

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63
Q

Subjective

A

Info from the Pt.

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64
Q

Osteoporosis

A

Weakening of the bones

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65
Q

RA

A

Rheumatoid Arthritis

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66
Q

OA

A

osteoarthritis

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67
Q

DDD

A

degenerative disc disease

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68
Q

peripheral neuropathy

A

numbness in legs

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69
Q

PVD

A

peripheral vascular disease

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70
Q

Aortic aneurysm

A

bulge in the aorta

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71
Q

DVT

A

Deep vein thrombosis

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72
Q

TIA

A

Transient Ischemic Attack (ministroke)

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73
Q

CVA

A

Cardiovascular accident (stroke)

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74
Q

Hemorrhagic CVA

A

stroke caused by brain bleed

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75
Q

GPA

A

used in OBGYN: G is total pregnancies, P is pregnancies that reached 23 weeks, and A is abortions or miscarriages

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76
Q

BPH

A

Benign Prostatic Hypertrophy

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77
Q

CRF

A

Chronic Renal Failure

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78
Q

ESRD

A

End stage renal disease

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79
Q

Renal calculi

A

Kidney stones

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80
Q

pyelonephritis

A

kidney infection

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81
Q

UTI

A

urinary tract infection

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82
Q

UC

A

ulcerative colitis

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83
Q

IBS

A

irritable bowel syndrome

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84
Q

PUD

A

Peptic ulcer disease

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85
Q

GERD

A

gastroesophageal reflux disease

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86
Q

PNA

A

Pneumonia

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87
Q

COPD

A

chronic obstructive pulmonary disorder

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88
Q

FHx

A

Family history

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89
Q

Tachycardia

A

Episodes of fast heartbeat

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90
Q

SVT

A

supraventricular tachycardia

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91
Q

CHF

A

Congestive Heart Failure

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92
Q

MI

A

myocardial infarction

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93
Q

CABG

A

Coronary Artery bypass graft

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94
Q

Cardiac Catheterization

A

Heart cath to Dx CAD

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95
Q

PE Tubes

A

Pressure equalizing tubes

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96
Q

Adenoidectomy

A

Adenoid removal

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97
Q

Tonsillectomy

A

Tonsil removal

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98
Q

Spinal fusion

A

back fused

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99
Q

Cervical spinal fusion

A

Neck fused

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100
Q

Hardware

A

refers to placement of metal plates/pins

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101
Q

Athroplasty

A

Joint repair

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102
Q

AKA

A

Above knee amputation

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103
Q

BKA

A

below knee amputation

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104
Q

IVC

A

inferior vena cava

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105
Q

PICC

A

peripherally inserted central catheter

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106
Q

AV

A

arterioivenous

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107
Q

craniotomy

A

brain surgery

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108
Q

Cerebral Shunt

A

a shunt to allow passage of fluid in brain

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109
Q

Carotid endarterectomy

A

Cleaning of the neck artery

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110
Q

Dilation and Curretage (D and C)

A

Removal of uterine product

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111
Q

Prostatectomy

A

Prostate removal

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112
Q

Tubal ligation

A

tubes tied femal

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113
Q

Vasectomy

A

sterilization male

114
Q

Salpingo-oophorectomy

A

Ovary and fallopian tubes removed

115
Q

Oophorectomy

A

ovaries removed

116
Q

Hysterectomy

A

Uterus removed

117
Q

Nephrectomy

A

Kidney removal

118
Q

Exploratory Laproscopy

A

Exploratory surgery

119
Q

Bariatric surgery

A

stomach stapled

120
Q

Splenectomy

A

Spleen removal

121
Q

Colostomy

A

Bag to collect stool

122
Q

Partial colectomy

A

partial removal of the colon

123
Q

Advair and Albuterol

A

examples of inhaled asthma Tx which are bronchodilators

124
Q

Pulmicort and symbicort

A

examples of inhaled asthma Tx that are corticosteroids

125
Q

PPL

A

Patient problem list

126
Q

Prednisone

A

Oral steroid Asthma Tx

127
Q

In general the oral asthma tx are

A

steroids

128
Q

in general inhaled asthma tx are

A

steroids or bronchodilators

129
Q

Nebulizer

A

delivers asthma Tx over a course of time

130
Q

INhaler

A

delivers asthma Tx as a puff per dose

131
Q

4 Questions to assess asthma severity

A

Nebulizer? Steroids? Hospitalized? Intubated?

132
Q

PEF

A

Peak expiratory Flow

133
Q

Peak flow monitor

A

measures exhalation speed in L/min

134
Q

Tool to Dx Asthma

A

Peak flow monitor

135
Q

Asthma CC

A

Wheezing, SOB

136
Q

SOB

A

shortness of breath

137
Q

Rhinitis

A

nasal inflammation

138
Q

Asthma risk factors

A

Fhx, obesity, allergies

139
Q

Allergic rhinitis

A

nasal inflammation caused by allergies

140
Q

Asthma Etiology

A

constriction of airway due to inflammation and muscular contraction of bronchioles

141
Q

CAD surgical Tx

A

Angioplasty to Stent to CABG in order of invasiveness

142
Q

CAD non-pharm Tx

A

lower weight, exercise, manage stress/depression, quit smoking, control triple threat

143
Q

CAD Tx Meds

A

ASA, NTG, anticoagulates, Tx of triple threat

144
Q

ASA

A

Aspirin

145
Q

NTG

A

nitroglycerin

146
Q

Anticoagulates

A

Meds to prevent blood clotting (blood thinners)

147
Q

CAD Dx Tool

A

Cardiac Catheterization

148
Q

CP

A

Chest pain

149
Q

Triple Threat

A

The three diseases that cause CAD: DM, HTN, HLD

150
Q

Type 2 DM

A

Can be IDDM or NIDDM. Caused by insulin insensitivity

151
Q

Type 1 DM

A

Always IDDM. Caused by destruction of Beta cells in pancreas

152
Q

ARBs

A

Vasodilator, HTN Tx

153
Q

Cozaar/losartan

A

ARB, HTN Tx

154
Q

ACE Inhibitor

A

HTN Tx

155
Q

Ca Channel Blocker

A

HTN Tx

156
Q

prn

A

as needed

157
Q

normal blood glucose level

A

80-100 mg/dL

158
Q

Orthostatics

A

changes in BP with movement

159
Q

Prognosis

A

Likely course of the disease

160
Q

DDK

A

dysdiaochokinesia: inability to perform RAM

161
Q

RAM

A

rapid alternating movements

162
Q

Rombergs Test

A

Test’s balance

163
Q

Dysmetria

A

lack of coordination

164
Q

Finger to nose, heel to shin

A

test coordination

165
Q

Ataxia

A

loss of control of body movement

166
Q

Ptosis

A

drooping of the upper eyelid

167
Q

DTR

A

deep tendon reflex, measured 0-4+

168
Q

Babinski test

A

tests reflexes

169
Q

Hypoesthesia

A

decreased sensation

170
Q

Aphasia/Dysarthria

A

Speech problems

171
Q

Avulsion

A

body structure forcibly detached from normal point

172
Q

Ecchymosis

A

bruising

173
Q

Fluctuant

A

unstable swelling

174
Q

Induration

A

hardening of tissue

175
Q

Calor

A

increased warmth

176
Q

Purpura

A

purple colored spots on skin

177
Q

Urticaria

A

Hives

178
Q

Pallor

A

unusually pale

179
Q

Cyanotic

A

blue color to skin

180
Q

diaphoretic

A

excessive sweating

181
Q

CVA tenderness

A

costovertebral angle tenderness

182
Q

Homans Sign

A

DVT test

183
Q

CSMT

A

circulation, sensory, motor, tendon: musculoskeletal exam parameters

184
Q

Adnexal tenderness or mass

A

issues with external female genetalia

185
Q

CMT

A

cervical motion tenderness

186
Q

Heme +/-

A

whether or not there is blood in stool

187
Q

Murphys sign

A

Gallbladder test

188
Q

Mcburneys, Psoas, Obturator, Rovsings

A

appendix tests

189
Q

peritoneal signs

A

guarding, rebounding, rigidity

190
Q

Abd regions high to low

A

epigastrium to periumbilical to suprapubic

191
Q

LLQ

A

left lower quadrant: Colon

192
Q

RLQ

A

right lower quadrant: appendix

193
Q

Flanks

A

Lower back: kidneys

194
Q

LUQ

A

left upper quadrant: Pancreas

195
Q

RUQ

A

Right upper quadrant: Gallblader

196
Q

Tachypnea

A

rapid breathing

197
Q

Wheezes, Rales Rhonchi

A

Abnormal breathing sounds

198
Q

Pulse Grading Scale

A

Ability to obtain pulse, 0-4+ where 2+ is normal

199
Q

Extrasystoles

A

extra beats

200
Q

Gallops Murmurs, rubs

A

abnormal heart sounds

201
Q

Bradycardia

A

HR below 60 BPM

202
Q

Paraspinal tenderness

A

pain in the muscles around the spinal column

203
Q

vertebral point

A

tenderness on the spinal column

204
Q

Meningismus

A

symptoms in the neck similar to meningitis

205
Q

Nuchal rigidity

A

inability to move the neck

206
Q

cervical lymphadenopathy

A

swollen lymph nodes

207
Q

FROM

A

full range of motion

208
Q

ROM

A

range of motion

209
Q

Bruit

A

abnormal sound heard over artery

210
Q

JVD

A

Jugular Venous distention

211
Q

thyromegaly

A

enlargd thyroid

212
Q

PTA

A

peritonsillar abscess

213
Q

DMM

A

dry mucus membranes

214
Q

erythema

A

redness

215
Q

OP (in ENT)

A

oropharynx

216
Q

Septal Hematoma

A

collection of blood in septum

217
Q

Boggy turbinates

A

swollen inner nose

218
Q

Nares

A

Nostrils

219
Q

cerumen

A

ear wax

220
Q

TM

A

tympanic membrane

221
Q

Signs of otitis media

A

TM bulging, erythema, rounding

222
Q

Sclera Icterus

A

Yellow sclera (eyes)

223
Q

anisocoria

A

unequal pupils

224
Q

EOMI

A

extra ocular movements intacts

225
Q

PERRL

A

Pupils, equal, round, reactive to light

226
Q

angioedema

A

swelling of the face

227
Q

AT/NC

A

Atraumatic/normocephalic

228
Q

Somnolent

A

sleepy, drowsy

229
Q

NAD

A

no acute distress

230
Q

anicteric sclerae

A

white sclera

231
Q

NML

A

normal

232
Q

Distal pulses

A

pulses read at distal locations from 0-4+

233
Q

SaO2

A

Oxygen saturation, nml 95-100%

234
Q

Respiratory Rate

A

Breaths/min, nml 12

235
Q

HR

A

heart rate, nml 60-100 bpm

236
Q

BP

A

blood pressure nml 80-120/60-80

237
Q

diffuse

A

not centralized to one location

238
Q

cachetic

A

malnourished

239
Q

Onset

A

When the CC began

240
Q

Timing

A

How often the CC occurs

241
Q

Quality

A

how the pt describes the pain/CC

242
Q

Info for prior testing

A

test name, who ordered the test, result

243
Q

US

A

Ultrasound

244
Q

c/o

A

complains of

245
Q

HA

A

Headache

246
Q

XR

A

Xray

247
Q

Components of past history

A

SHx, FHx, PMHx, PSHx

248
Q

LFT

A

liver fxn test

249
Q

polyuria

A

large urination volume

250
Q

polydypsia

A

excessive thirst

251
Q

Focal Weakness

A

impairment in the CNS that results in weakness of a specific body region

252
Q

Syncope

A

fainting with drop in BP

253
Q

myalgias

A

joint/muscle pain

254
Q

dysuria

A

painful urination

255
Q

hematuria

A

blood in urine

256
Q

N/V/D

A

Nause vomiting diarhhea

257
Q

Abd

A

Abdominal

258
Q

CBP

A

Chronic Back Pain

259
Q

AAA

A

abdominal aortic aneurysm

260
Q

Ca

A

Cancer

261
Q

palpitations

A

episode of rapid heartbeat

262
Q

edema

A

swelling

263
Q

BLE

A

bilateral lower extremities

264
Q

epistaxis

A

nosebleed

265
Q

rhinorrhea

A

nasal congestion

266
Q

CVS

A

cardiovascular

267
Q

ENT

A

ears, nose, throat

268
Q

emesis

A

vomiting

269
Q

hemoptysis

A

coughing up blood

270
Q

anaphylaxis

A

severe allergic reaction

271
Q

PO

A

by mouth

272
Q

BID

A

Twice a day

273
Q

dyspneas

A

difficult/labored breathing

274
Q

DOE

A

dypnea upon exertion

275
Q

CXR

A

chest x ray

276
Q

Sx

A

symptoms

277
Q

Hypotensive BP

A

Less than 90/60

278
Q

Normal BP range

A

90-120/60-80

279
Q

Prehypertensive BP

A

121-140/81-90

280
Q

HTN BP

A

140/90 and up

281
Q

Melena

A

Black stool