Self-care Medical Abbr. Flashcards
CC
Chief Complaint
HPI
History of Present Illness
ROS
Review of System
PMH
Past Medical History
NKDA
No Known Drug Allergies
CP
Chest Pain
SOB
Shortness of Breath
DOE
Dyspnea on Exertion
PND
Paroxysmal Nocturnal Dyspnea / Post Nasal Drip
JVD
Jugular Venous Distension
HJR
Hepato-jugular Reflux
LE edema
Lower Extremity Edema
No c/c/e
No cyanosis/clubbing/edema
No r/r/w
No rales/rhonchi/wheezes
CTAB
Clear to Auscultation
RRR
Regular Rate and Rhythm
S1S2 nl
S1 and S2 (heart sounds) are normal in auscultation
EKG: LAD, RAD, RAE, LAE, LVH, NSR
Echocardiogram: Left/Right Axis Deviation, Right/Left Atrial Enlargement, Left Ventricular Hypertrophy, Normal Sinus Rhythm
LAD
Lymphadenophathy
EOMI
Extra-ocular Muscles Intact
PERRL
Pupils Equally Round and Reactive to Light
CNII-XII intact
Cranial Nerves 2-12 Intact
MMSE
Mini Mental Status Exam
No T/A/D
No Tobacco/Alcohol/IV Drug use