Health Care Records Flashcards
1
Q
HPI, PI
A
history of present illness,
present illness
2
Q
bid
A
twice a day
3
Q
Tr
A
treatment
4
Q
RRR
A
regular rate and rhythm
5
Q
PERRLA
A
pupils equal, round, and reactive to light and accommodation
6
Q
#
A
Pound
7
Q
IP
A
inpatient
8
Q
CC
A
chief complaint
9
Q
po
A
per os (by mouth)
10
Q
CP
A
chest pain
11
Q
P
A
pulse
12
Q
pp
A
after meals
13
Q
OD
A
right eye
14
Q
ac
A
before meals
15
Q
g or gm
A
gram
16
Q
IMP
A
impression
17
Q
dr
A
dram
18
Q
OU
A
both eyes
19
Q
VS
A
vital signs
20
Q
NKA,
NKDA
A
no known allergies,
no known drug allergies
21
Q
SOB
A
shortness of breath
22
Q
OP
A
outpatient
23
Q
L&W
A
living and well
24
Q
L
A
Left or Liter
25
Q
per
A
by or through
26
Q
PAR
A
post anesthetic recovery
27
Q
RTO
A
return to office
28
Q
Dx
A
Diagnosis
29
Q
A
A
Assessment
30
Q
qs
A
quantity sufficient
31
Q
RTC
A
return to clinic
32
Q
R/O
A
rule out
33
Q
x
A
times or for
34
Q
qod
A
every other day
35
Q
OH
A
occupational history
36
Q
ROS, SR
A
review of systems,
systems review
