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Med scribe > Introduction > Flashcards

Introduction Flashcards

1
Q

AAA

A

Abdominal aortic aneurysm

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2
Q

A fib

A

Atrial fibrillation

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3
Q

Abd

A

Abdomen, abdominal

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4
Q

Abx

A

Antiobiotics

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5
Q

AMA

A

Against medical advice

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6
Q

AMS

A

Altered mental status

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7
Q

BID

A

Twice daily

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8
Q

ASA

A

Acetylsalicylic acid (aspirin)

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9
Q

Bilat LE

A

Bilateral lower extremities

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10
Q

BM

A

Bowel movement

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11
Q

BP

A

Blood pressure

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12
Q

CA

A

Cancer, carcinoma

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13
Q

CABG

A

Coronary artery bypass graft (open heart surgery)

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14
Q

CAD

A

Coronary artery disease (heart disease)

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15
Q

CT or CAT

A

Computerized assisted technology

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16
Q

CHF

A

Congestive heart failure

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17
Q

COPD

A

Chronic obstructive pulmonary disease

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18
Q

CP

A

Chest pain

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19
Q

CPR

A

Cardiopulmonary resuscitation

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20
Q

C-section

A

Caesarean section

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21
Q

C-spine

A

Cervical spine

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22
Q

CSF

A

Cerebrospinal fluid

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23
Q

CVA

A

Cerebrovascular accident or costovertebral angle

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24
Q

CXR

A

Chest X-ray

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25
Q

C/o

A

Complains of

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26
Q

DKA

A

Diabetic ketoacidosis

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27
Q

DM

A

Diabetic mellitus

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28
Q

DNR

A

Do not resuscitate

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29
Q

DOE

A

Dyspnea on exertion

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30
Q

DVT

A

Deep vein thrombosis

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31
Q

Dx

A

Diagnosis

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32
Q

Dz

A

Disease

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33
Q

EKG/ECG

A

Electrocardiogram

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34
Q

EtOH

A

Alcohol

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35
Q

FHx

A

Family history

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36
Q

Fx

A

Fracture

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37
Q

GI

A

Gastrointestinal

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38
Q

G/P/Ab

A

Gravida/para/abortion

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39
Q

GSW

A

Gun shot wound

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40
Q

GU

A

Genitourinary

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41
Q

HA

A

Headache

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42
Q

HEENT

A

Head, ears, eyes, nose, throat

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43
Q

HPI

A

History of present illness

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44
Q

HTN

A

Hypertension

45
Q

Hx

A

History

46
Q

H&H

A

Hemoglobin and hematocrit

47
Q

H&P

A

History of present Illness and physical exam

48
Q

I&D

A

Incision and drainage

49
Q

IDDM

A

Insulin dependent diabetes mellitus

50
Q

IUP

A

Intrauterine pregnancy

51
Q

IVDA

A

IV drug abuse

52
Q

JVD

A

Jugular vein distension

53
Q

LLE

A

Left lower extremity

54
Q

LLQ

A

Left lower quadrant

55
Q

LNMP

A

Last normal menstrual period

56
Q

LOC

A

Loss of consciousness

57
Q

LP

A

Lumbar puncture

58
Q

L-spine

A

Lumbar spine

59
Q

LUE

A

Left upper extremity

60
Q

LUQ

A

Left upper quadrant

61
Q

MCA

A

Motorcycle accident

62
Q

MI

A

Myocardial infarction

63
Q

MVA/MVC

A

Motor vehicle accident/collision

64
Q

N/A

A

Not applicable

65
Q

NAD

A

No acute distress, no acute disease

66
Q

NIDDM

A

Non-insulin dependent diabetes mellitus

67
Q

NKDA

A

No known drug allergies

68
Q

Nmr or nl

A

Normal

69
Q

NSAID

A

Non steroidal anti-inflammatory drug

70
Q

NSR

A

Normal sinus rhythm

71
Q

NTG

A

Nitroglycerin

72
Q

N/V/D

A

Nausea/vomiting/diarrhea

73
Q

O2 sat

A

Oxygen saturation

74
Q

OD

A

Overdose

75
Q

PCP

A

Primary care physician

76
Q

PE

A

Pulmonary embolism or physical exam

77
Q

PERRL

A

Pupils are equal, round and reactive to light

78
Q

PO

A

Per os (by mouth)

79
Q

pm

A

As needed

80
Q

pt

A

Patient

81
Q

PTA

A

Prior to arrival

82
Q

PUD

A

Peptic ulcer disease

83
Q

Qd

A

Every day

84
Q

Qh

A

Every hour

85
Q

Qhs

A

At every bedtime

86
Q

Q2h

A

Every 2 hours

87
Q

QID

A

Four times a day

88
Q

RLE

A

Right lower extremity

89
Q

RUQ

A

Right upper quadrant

90
Q

ROM

A

Range of motion

91
Q

ROS

A

Review of system

92
Q

RUE

A

Right upper extremity

93
Q

RUQ

A

Right upper quadrant

94
Q

Rx

A

Prescription

95
Q

r/o

A

Rule out

96
Q

SOB

A

Shortness of breath

97
Q

s/p

A

Status post (after)

98
Q

Sx

A

Symptoms

99
Q

TIA

A

Transient ischemic attack

100
Q

TID

A

Three times a day

101
Q

TM

A

Tympanic membrane

102
Q

T-spine

A

Thoracic pine

103
Q

Tx

A

Treatment

104
Q

UA

A

Urinalysis

105
Q

URI

A

Upper respiratory infection

106
Q

US

A

Ultrasound

107
Q

UTD

A

Up to date

108
Q

UTI

A

Urinary tract infection

109
Q

WNL

A

Within normal limits

Med scribe (1 decks)

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