Medical Records & Abbreviations Flashcards by N E | Brainscape

Q

A & O

A

Alert and Oriented

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Q

AC

A

before meals (Ante Cibum)

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Q

(B)

A

Bilateral

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Q

BID

A

twice a day (Bis In Die)

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Q

BMI

A

Body Mass Index

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Q

BP

A

Blood Pressure

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Q

CC

A

Chief Complaint

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Q

c/o

A

complains of

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Q

CTA

A

Clear to Auscultation (listening to sounds of heart, lungs, or organs)

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Q

d/c

A

discontinue

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Q

DC

A

discharge (leave medical facility

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Q

DNR

A

Do Not Resuscitate

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Q

Dx

A

Diagnosis

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Q

DDx

A

Differential Diagnosis

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Q

ER

A

Emergency Room

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Q

f/u

A

Follow Up

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Q

FH/FHx

A

Family History

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Q

h/o

A

History Of

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Q

H & P

A

History & Physical

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Q

HPI

A

History of Present Illness

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Q

HR

A

Heart Rate

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Q

Ht

A

Height

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Q

i/o

A

Intake and Output (fluids)

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Q

ICU

A

Intensive Care Unit

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Q

IM

A

Intramuscular

Q

IV

A

Intravenous

Q

(L)

A

Left

Q

L & D

A

Labor & Delivery

Q

N & V

A

Nausea & Vomiting

Q

NAD

A

No Acute Distress

Q

Wt

A

Weight

Q

WDWN

A

Well Developed, Well Nourished

Q

VS

A

Vital Signs

Q

Tx

A

Treatment

Q

TID

A

three times a day (Ter In Die)

Q

T

A

Temperature

Q

SH/SHx

A

Social History

Q

SC

A

Subcutaneous

Q

Rx

A

therapy or prescription

Q

RRR

A

Regular Rate and Rhythm (heart)

Q

RR

A

Respiratory Rate

Q

ROS

A

Review of Symptoms

Q

(R)

A

Right

Q

QHS

A

at bedtime (Quaqua Hora Smoni)

Q

QD

A

once a day (Quaque Die)

Q

pt

A

patient

Q

PRN

A

as needed (Per Re Nata)

Q

Pre-op

A

Pre-operative care

Q

PR

A

rectal (Per Rectum)

Q

Post-op

A

post-operative care

Q

PO

A

by mouth (Per Os)

Q

PMH/PMHx

A

Past Medical History

Q

PE

A

Physical Exam

Q

PERRLA

A

Pupils equal, round & reactive to light and accommodation

Q

PC

A

after meals (Post Cibum)

Q

PACU

A

Post-Anesthesia Care Unit

Q

OR

A

Operating Room

Q

NPO

A

nothing by mouth (Nil Per Os)

Q

NKDA

A

No Known Drug Allergies

Q

NICU

A

Neonatal Intensive Care Unit