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| A&P AAA AB ABG AC AC ACLS ACLS ADA ADLs AFB A-fib AFO AIDS AKA ALL AMA ARDS ASA ASCAD ASHD AV AV AVM BKA BP BPD BPH BSO BUN C&S CA CBAG CBC CC CCE CCU CF CHF CLL CMC CMV CNS CO2 COPD CPAP CPD CPR C-section CSF C-spine CTR CVA CVA CVS D&C DC DDD DIP DISH DJD DM DNR DOB DTRs DVT e.g. EBL ECG/EKG ED or ER EDC EF EFW EGA EGD EKG, ECG ENT EOMI ESWL ET etc. FCD fem-fem- fem-pop- FEV FL FVC G GE GE GERD GI GU GYN H&H H&P HC HCTZ HEENT HIV HMD HNP HPI I&D i.e. IAC ICU IDDM IJ ILD IM IOL IP IT ITP IUGR IV IVC JV pulse JVD JVP KCI K-wire L&D lab LAD LAO lap LCA LFT LGA LIMA LLL LLQ LMP LOC LP LR LS L-spine LUQ LV MCL MCP MDI meds MI MS MSAFP MTP NAD NC/AT NG NICU NKDA NPO NSVD O&P O.D. O.S. O2 OB OMB OR ORIF OT P P&A PCL PDA PE PE PERRLA PFT Phen-fen PICU PID PIP PMH PMI PND PSA PT PT PTCA PTI PTSD PVC PVD RA RAD RAO RBC/rbc RCA REM RLQ ROM ROM ROS RPR RSD RSV RUQ SAB SG SI SICU SIDS SLE SMA SMA SOAP SOB subq SVC T&A TAB TAH TB temp THA TIA tib-fib TKA TMJ TMs TPN T-spine TURBT TURP TVH UA URI UTI VBAC V-tach WBC/wbc | auscultation and percussion abdominal aortic aneurysm abortion/abortus arterial blood gas abdominal circumference acromioclavicular advanced cardiac life support anterior cruciate ligament American Diabetes Association activities of daily living acid-fast bacillus atrial fibrillation ankle-foot orthosis or ankle-foot orthotic acquired immune deficiency syndrome above-knee amputation acute lymphocytic (or lymphoblastic) leukemia against medical advice adult respiratory distress syndrome acetylsalicylic acid (aspirin) arteriosclerotic coronary artery disease/atherosclerotic coronary artery disease arteriosclerotic/atherosclerotic cardiovascular disease atrioventricular arteriovenous arteriovenous malformation below-knee amputation blood pressure biparietal diameter benign prostatic hypertrophy bilateral salpingo-oophorectomy blood urea nitrogen culture and sensitivity cancer or carcinoma coronary artery bypass grafting complete blood count chief complaint clubbing, cyanosis, and edema coronary care unit cystic fibrosis congestive heart failure chronic lymphocytic leukemia carpometacarpal (joint) Cytomegalovirus central nervous system carbon dioxide chronic obstructive pulmonary disease continuous positive airway pressure cephalopelvic disproportion cardiopulmonary resuscitation cesarean section cerebrospinal fluid cervical spine carpal tunnel release costovertebral angle cerebrovascular accident cardiovascular system/surgery dilatation and curettage OR dilation and curettage discontinue or discharge degenerative disc (OR disk) disease distal interphalangeal (joint) diffuse idiopathic skeletal hyperostosis degenerative joint disease diabetes mellitus DO NOT RESUSCITATE date of birth deep tendon reflexes deep venous thrombosis for example estimated blood loss electrocardiogram emergency department OR emergency room estimated date of confinement ejection fraction estimated fetal weight estimated gestational age esophagogastroduodenoscopy echocardiogram ears, nose, and throat extraocular movements (or muscles) intact extracorporeal shock-wave lithotripsy endotracheal (tube) et cetera (and so forth) fibrocystic disease femoral-femoral femoral-popliteal forced expiratory volume femur length forced vital capacity gravida (# of pregnancies) gastroenterology gastroesophageal gastroesophageal reflux disease gastrointestinal genitourinary gynecology hemoglobin and hematocrit history and physical head circumference hydrochlorothiazide head, eyes, ears, nose and throat human immunodeficiency virus hyaline membrane disease herniated nucleus pulposus history of present illness incision and drainage that is internal auditory canal intensive care unit insulin-dependent diabetes mellitus internal jugular interstitial lung disease intramuscular intraocular lens interphalangeal iliotibial idiopathic thrombocytopenic purpura intrauterine growth retardation intravenous inferior vena cava jugular venous jugular venous distention jugular venous pressure potassium chloride Kirschner wire labor and delivery laboratory left anterior descending (artery) left anterior oblique laparotomy or laparoscopic left coronary artery/circumflex artery liver function test large for gestational age left internal mammary artery left lower lobe left lower quadrant last menstrual period loss of consciousness lumbar puncture lactated Ringer's lumbosacral (spine) lumbar spine left upper quadrant left ventricle medial collateral ligament metacarpophalangeal (joint) metered dose inhaler medications myocardial infarction multiple sclerosis maternal serum alpha fetoprotein metatarsophalangeal (joint) no acute distress normocephalic, atraumatic nasogastric (tube) neonatal intensive care unit no known drug allergies nothing by mouth (can be written n.p.o.) normal spontaneous vaginal delivery ova and parasites right eye left eye oxygen obstetrics obtuse marginal branch operating room open reduction, internal fixation occupational therapy para (# of living children) percussion and auscultation posterior-anterior OR posteroanterior posterior cruciate ligament patent ductus arteriosus OR posterior descending artery pulmonary embolism/embolus physical examination pupils equal, round, reactive to light and accommodation pulmonary function test phentermine-fenfluramine pediatric intensive care unit pelvic inflammatory disease proximal interphalangeal past medical history point of maximal impulse (or intensity) paroxysmal nocturnal dyspnea prostate-specific antigen prothrombin time physical therapy percutaneous transluminal coronary angioplasty partial thromboplastin time post-traumatic stress disorder premature ventricular contraction peripheral vascular disease rheumatoid arthritis right anterior descending (artery) right anterior oblique red blood count/red blood cell right coronary artery rapid eye movement right lower quadrant range of motion rupture of membranes review of systems rapid plasma reagin reflex sympathetic dystrophy respiratory syncytial virus right upper quadrant spontaneous abortion Swan-Ganz (catheter) sacroiliac (joint) surgical intensive care unit sudden infant death syndrome systemic lupus erythematosus panel of laboratory tests superior mesenteric artery Subjective, Objective, Assessment, Plan shortness of breath subcutaneous or subcutaneously superior vena cava tonsillectomy and adenoidectomy therapeutic abortion total abdominal hysterectomy tuberculosis temperature total hip arthroplasty transient ischemic attack tibial-fibular total knee arthroplasty temporomandibular joint tympanic membranes total parenteral nutrition thoracic spine transurethral resection of the bladder tumor transurethral resection of the prostate total vaginal hysterectomy urinalysis upper respiratory infection urinary tract infection vaginal birth after cesarean ventricular tachycardia white blood count/white blood cell |
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