AM/PM, ASAP with Line Above It – EOB
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ad lib
answer
as desired
question
AM/am
answer
morning
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ASAP
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as soon as possible
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bid
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twice daily
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PM/pm
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afternoon
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prn
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as needed
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PTA
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prior to admission
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qd
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everyday
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qid
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four times a day
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qod
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every other day
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#(1,2,3)x/week or month
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(number of times) once, twice, three times, a week or month
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c with a line above it
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with
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EOB
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edge of bed or explanation of benefits
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S with a line over the top
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without
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EOM
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extra ocular movement
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down arrow
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decrease
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dx
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diagnosis
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CGA
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contact guard assist
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/
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per
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C/O
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complains of
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STM
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short-term memory
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NPO
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nothing by mouth
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WFL
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within functional limits
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tx
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treatment
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noc
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night or bedtime
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PMH
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previous medical history
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DOB
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date of birth
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UE
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upper extremity
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A&O x4
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alert & oriented to person, place, time, situation
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fx
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fracture
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B circled
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bilateral
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I circled
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independent
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D circled
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dependent assistance
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A circled
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assistance
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SOB
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shortness of breath
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p with a line over it
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after
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SOC
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start of care
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PLOF
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prior level of function
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WBAT
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weight bearing as tolerated
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tid
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three times a day
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LE
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lower extremities
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I&O
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intake & output
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LOS
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length of stay
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R circled
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right
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L circled
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left
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pt.
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patient
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PT
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physical therapy
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STAT
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immediately
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US
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ultrasound
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NWB
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non-weight bearing
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LTC
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long-term care
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up arrow
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increase
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AFO
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ankle foot orthosis
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AE
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above elbow
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WFL
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within functional limits
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WNL
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within normal limits
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HEP
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home exercise program
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DME
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durable medical equipment
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w/c
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wheelchair
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AAA
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abdominal aortic aneurysm
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a with a line above it
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before
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abd
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abduction
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ABG
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arterial blood gas
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add
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Adduction
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ADHD
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attention deficit hyperactivity disorder
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ADD
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attention deficit disorder
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AIDS
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Acquired Immunodeficiency Syndrome
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AK
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above knee
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AKA
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above knee amputation
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ALS
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amyotrophic lateral sclerosis
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AMA
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against medical advice
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ant.
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anterior
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appt.
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appointment
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A/P
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anterior/posterior
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ARF
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acute renal failure
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ASCVD
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atherosclerotic cardiovascular disease
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ASHD
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Arterial Sclerotic Heart Disease
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ASIS
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anterior superior iliac spine
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BE
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below elbow
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Bi-PAP
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Bi-level Positive Airway Pressure
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BK
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below knee
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BKA
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below knee amputation
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BM
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bowel movement
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BP
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blood pressure
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BRP
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bathroom privileges
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c with a line over it
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with
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CA
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cancer
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CABG
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coronary artery bypass graft
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CAD
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coronary artery disease
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CAT
answer
computerized axial tomography
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cath.
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catheter; catheterization
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CBC
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complete blood count
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c-diff
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C. difficile bacteria
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CF
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cystic fibrosis
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chemo
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chemotherapy
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CHF
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congestive heart failure
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CHI
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Closed head injury
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CMC
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carpometacarpal
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CNS
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Central nervous system
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CO2
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Carbon Dioxide
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COPD
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Chronic obstructive pulmonary disease
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CP
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cerebral palsy
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CPAP
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continuous positive airway pressure
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CPM
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continuous passive motion (machine)
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CPR
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cardiopulmonary resuscitation
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CRF
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chronic renal failure
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CSF
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cerebrospinal fluid
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CT
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computed tomography
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CTR
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carpal tunnel release
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CVA
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cerebrovascular accident
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CXR
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chest x-ray
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DDD
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degenerative disc disease
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DIP
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Distal Interphalangeal
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DJD
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degenerative joint disease
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DM
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diabetes mellitus
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DNR
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do not resuscitate
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DTR
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deep tendon reflex
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DVT
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Deep Venous Thrombosis
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ECG and EKG
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electrocardiogram
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ECHO
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echocardiogram
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EEG
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electroencephalogram
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EMG
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electromyogram
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ENT
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ear, nose, throat
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ESRD
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end stage renal disease
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EtOH
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Ethanol (Alcohol use/abuse)
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FBS
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fasting blood sugar
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FTT
answer
failure to thrive
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F/U
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follow up
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GB
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gallbladder
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GERD
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Gastro esophageal reflux disease
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GI
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Gastrointestinal
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GSW
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Gun Shot Wound
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H/A
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Headache
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HEENT
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head, eyes, ears, nose, throat
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HIV
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Human immunodeficiency virus
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H&P
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history and physical
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HR
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heart rate
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HTN
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Hypertension
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hx
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history
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I&D
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incision and drainage
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IM
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intramuscular
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IV
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Intravenous
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LLQ
answer
left lower quadrant
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LMN
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lower motor neuron
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LOC
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loss of consciousness
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LP
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lumbar puncture
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LUQ
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left upper quadrant
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MCP
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metacarpophalangeal
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MD
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muscular dystrophy; medical doctor
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meds.
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medications
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mets.
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metastases
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MI
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myocardial infarction
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MRA
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magnetic resonance angiogram
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MRI
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Magnetic resonance imaging
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MRSA
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Methicillin-resistant Staphylococcus aureus.
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MS
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multiple sclerosis
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MVA
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motor vehicle accident
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NC
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nasal cannula
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NG
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nasogastric (tube)
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NKA
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no known allergies
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NKDA
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no known drug allergies
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NOS
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not otherwise specified
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N/V
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nausea and vomiting
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O2
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oxygen
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OA
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osteoarthritis
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ORIF
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open reduction internal fixation
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p with a line above
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after
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PCA
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patient controlled analgesia; personal care attendant
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PDD
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Pervasive Developmental Disorder
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PEG
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percutaneous endoscopic gastrostomy
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peri.
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perineal
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PET
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positron emission tomography
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PIP
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Proximal interphalangeal (joint)
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PNS
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peripheral nervous system
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PO
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by mouth; orally
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postop
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postoperative (after surgery)
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preop
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pre-operative
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PSIS
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posterior superior iliac spine
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PVD
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peripheral vascular disease
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RA
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rheumatoid arthritis
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RBC
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red blood cell count
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RLQ
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right lower quadrant
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R/O
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rule out
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RSD
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reflex sympathetic dystrophy
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RTC
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return to clinic
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RTO
answer
return to office
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RUQ
answer
right upper quadrant
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Rx
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prescription
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s with line above it
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without
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SCI
answer
spinal cord injury
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SDH
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subdural hematoma
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SLE
answer
systemic lupus erythematosus
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S/P
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status post
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S/S
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signs and symptoms
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sx
answer
symptoms
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Sz
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seizure
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TB
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tuberculosis
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TBI
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traumatic brain injury
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TEDS
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thromboembolic disease stockings
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TEE
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transesophageal echocardiogram
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THA
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total hip arthroplasty
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THR
answer
total hip replacement
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TIA
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Transient Ischemic Attack
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TKA
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total knee arthroplasty
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TKR
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total knee replacement
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tPA
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tissue plasminogen activator
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TPN
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total parenteral nutrition
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tx
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Treatment
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UA
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urinalysis
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UMN
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upper motor neuron
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URI
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upper respiratory infection
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UTI
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Urinary Tract Infection
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VC
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vital capacity
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VRE
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vancomycin resistant enterococcus
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WBC
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white blood cell count
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wt.
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weight
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y.o.
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year old
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yr.
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year
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CCU
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coronary (cardiac) care unit
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ECF
answer
extended care facility
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ED
answer
emergency department
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ER
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Emergency Room
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HH
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home health
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ICU
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intensive care unit
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IP
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Inpatient
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LTAC
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Long Term Acute Care
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MICU
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medical intensive care unit
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NICU
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neonatal intensive care unit
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OP
answer
outpatient
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OR
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operating room
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PACU
answer
post anesthesia care unit
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PICU
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pediatric intensive care unit
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RCF
answer
Residential Care Facility
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SICU
answer
surgical intensive care unit
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SNF
answer
skilled nursing facility
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SNU
answer
skilled nursing unit
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SBA
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stand by assist
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Mod I (circled I)
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modified independence
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Min/Mod/Max A (circled A)
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minimal/moderate/maximal assistance
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x1 and x2 (after circled A)
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assistance of number of people. (assistance of 1 person. assistance of 2 people.)
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AAROM
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active assistive range of motion
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ADLs
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activities of daily living
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AFO
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ankle foot orthosis
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amb.
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ambulation; ambulated
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AROM
answer
active range of motion
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ATNR
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asymmetrical tonic neck reflex
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BADLs
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basic activities of daily living
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CHT
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Certified Hand Therapist
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COTA
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certified occupational therapy assistant
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COTA/L
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certified occupational therapy assistant/Licensed
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CST
answer
Craniosacral therapist
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D/C
answer
discontinue; discharge
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ELOS
answer
Estimated Length of Stay
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e-stim
answer
electrical stimulation
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eval.
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evaluation
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ext.
answer
extension
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F
answer
Fair (muscle grade)
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FIM
answer
Functional Independence Measure
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flex.
answer
flexion
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ft.
answer
foot; feet
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FWB
answer
full weight bearing
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G
answer
good (muscle grade)
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HOB
answer
head of bed
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HOH
answer
Hand over Hand, or hard of hearing
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IADLs
answer
instrumental activities of daily living
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IEP
answer
Individualized Education Plan
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KAFO
answer
knee ankle foot orthosis
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LOS
answer
length of stay
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MMT
answer
manual muscle testing
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N
answer
normal (muscle grade)
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NDT
answer
neurodevelopmental treatment
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NMES
answer
neuromuscular electrical stimulation
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OOB
answer
out of bed
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OTR/L
answer
occupational therapist registered/ licensed
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OTS
answer
occupational therapy student
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P
answer
poor (muscle grade)
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PAM
answer
physical agent modality
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PNF
answer
proprioceptive neuromuscular facilitation
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POC
answer
plan of care
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PTA
answer
physical therapist assistant
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PWB
answer
partial weight bearing
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rehab
answer
rehabilitation
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SI
answer
sensory integration
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SLP
answer
speech language pathologist
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SOAP
answer
Subjective, Objective, Assessment, Plan
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STG
answer
short term goal
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STNR
answer
symmetrical tonic neck reflex
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TDWB
answer
touch down weight bearing
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TENS
answer
transcutaneous electrical nerve stimulation
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TTWB
answer
toe touch weight bearing
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2* (* = degree symbol)
answer
secondary; due to
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1* (* = degree symbol)
answer
primary
