Health Assessment Flashcards
abn, abnorm
abnormal
amb
ambulatory
A&O x 4
alert & oriented to person, place, time & date
A&P
auscultation & palpation, auscultation & percussion
Asx, ASX
asymptomatic
ausc, auscul
auscultation
A&W
alive & well
BP
blood pressure
CA
chronological age
C&A
conscious & alert
CC, c/o
chief complaint, complains of
DOB, D/B
date of birth
DU
diagnosis undetermined
Dx, diag
diagnosis
Ex, exam
examination
F
female
FH, FHx
family history
FOD
free of disease
F/U, FU
follow up
FUO
fever of unknown origin
h/o
history of
H&P
history & physical
Ht, h
height
Hx, H
history
IBW
ideal body weight
IPPA
inspection, palpation, percussion, auscultation
IQ
intelligence quotient
L&W
living & well
LWD
living with disease
M
male
MA
mental age
MHx, MH
medical history
NAD
no appreciable disease, no apparent distress/disease, nothing abnormal detected
N/C, NC
no complaints
ND
not diagnosed
NDF
no disease found
NED
no evidence of disease
NKA
no known allergies
NKDA
no known drug allergies
norm
normal
NVS
neurological vital signs
NYD
not yet diagnosed
P
pulse
P&A, P/A
percussion & auscultation
palp
palpation
PE, PEx, PX
physical examination
PH
poor health
PH, Px, PHx
past history
PI
present illness
PMH, PMHx
past medical history
PMI
past medical illness
PPHx
previous psychiatric history
prog, prong, Px
prognosis
Pt
patient
R
respiration
R/O, RO
rule out
ROS
review of symptoms
RVC
responds to verbal commands
SOAP
subjective, objective, assessement, plan (problem oriented record)
SOI
severity of illness
SONP
soft organs not palpable
S/S
signs & symptoms
Sx
symptoms, signs
T
temperature
TPR
temperature, pulse & respiration
Tx, treat, tr
treatment
UCHD, UCD
usual childhood diseases
U/O, UO
under observation
VS, V/S
vital signs
WDWN
well developed, well nourished
WNL
within normal limits
wt
weight
X&D
examination & diagnosis
y, yr
year
y/o
years old
YOB
year of birth