PMHx Flashcards
Pt says they have high blood pressure
Pt has hypertension (HTN)
Pt says they have high cholesterol
Pt has hyperlipidemia (HLD)
Pt says they have a thyroid problem
Pt has hyperthyroidism or hypothyroidism
Pt says they have Diabetes
Pt has DM Diabetes Mellitus
Pt says I only take pills for my Diabetes
Pt takes NIDDM
Pt says I take shots for my Diabetes
Pt uses IDDM
pt says they have heart disease
Pt has Coronary Artery Disease (CAD)
Pt says they have had a heart attack
Pt has had MI Myocardial infarction and CAD
Pt says they have heart failure
Pt has Congestive Heart failure (CHF)
Pt has an irregular heartbeat
Arrhythmia
pt has murmur
heart murmur
pt has episodes of abnormally fast/racing heartbeat
supraventricular tachycardia (SVT)
Pt says they have asthma
asthma
Pt says they have emphysema/chronic bronchitis
chronic obstructive pulmonary disease (COPD)
Pt says they have a blood clot in the lung
scribe writes Pulmonary embolism (PE)
Pt says they Pneumonia
scribe writes PNA (pneumonia)
Pt says reflux
scribe writes GERD
pt says they have Ulcer
scribe writes gastric ulcer or peptic ulcer disease (PUD)
Pt says they have pancreatitis
scribe writes pancreatitis
Pt says they have Hepatitis
scribe writes They either have Hepatitis A, B, C
Pt says Diverticulitis
scribe writes diverticulitits
Pt says Crohn’s / UC
Crohn’s disease or ulcerative Colitits
Pt says Irratible Bowel
Irratible Bowel Syndrom (IBS)
Pt says they have a bladder infection
UTI
Pt says they have kidney infection
pyelonephritis
pt says they have kidney stones
renal calculi
pt says they are on dialysis
CRF or End state renal disease (ESRD)
Pt says enlarged prostate
Benign prostatic Hypertrophy (BPH)
Gravida (G) means ?
Para (P) means?
Abortus (A) mean?
total number of pregancies
total number of pregnancies reaching gestational vital stage (23 weeks)
total number of miscarriage or abortions
Pt says brain bleed (stroke)
hemorrhagic CVA
Pt says they have had a stroke
Ischemic cerebrovascular accident (CVA)
Pt says they have a mini-stroke
transient ischemic attack (TIA)
Pt says they have seizures
history of seizures
Pt says they are bipolar
bipolar disorder
Pt says they have schizophrenia
Schizophrenia
Pt says “they drink alot”
ETOH abuse or alcholoism
Pt says they do drugs
substance abuse
Pt says they have blood clot in leg
deep vein thrombosis (DVT)
“Buldge in my Aorta”
aortic aneurysm
“bad flow to my legs”
Peripheral vascular disease (PVD)
“numbness in my legs”
Peripheral neuropathy
Pt says low back pain
chronic low back pain
Pt says they bulding/ herniated disk
Degenerative Disk Disease (DDD)
Pt says they have Arthritis
Osteoarthritis (OA) or Rhuematoid Arthritis (RA)
Pt has weak/ fragile bones
Osteoporosis
Pt has cancer
CA or carcinoma of breast, lung, stomach…
“spread to my..”
with metastasis to the…
pt says they have had Chemo
pt has had chemotherapy
pt has had/has radiation
pt has/had radiation therapy
pt says they cut it out
s/p surgical resection
pt says its gone
pt is in remission