Common Medical Documentation Abbreviations & Symbols – Flashcards
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Abdomen
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Abd
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Acute myocardial infarction
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AMI
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Approximate
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~ ~
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At
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@
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Arterial blood gas
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ABG
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Abdominal aortic aneurysm
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AAA
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Adult respiratory distress syndrome
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ARDS
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Against medical advice
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AMA
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Alert and oriented
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A/O
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Anterior
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Ant
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As needed
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prn
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Automated external defibrillator
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AED
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Advanced life support
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ALS
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Blood sugar
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BS
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Bilateral
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bilat
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Basic life support
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BLS
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Cardiopulmonary resuscitation
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CPR
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Chest X-ray
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CXR
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Central Nervous System
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CNS
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Cerebrospinal fluid
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CSF
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Complains/Complaining of
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c/o
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Cubic centimeter
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cc
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Centimeter
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cm
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Chest Pain
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CP
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Chronic Obstructive Pulmonary Disease
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COPD
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Carbon Monoxide
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Co
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Cardiovascular
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CV
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Chief Complaint
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CC
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Cerebrovascular accident
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CVA
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Clear
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cl
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Continuous positive airway pressure
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CPAP
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Cerebral Palsy
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CP
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Central venous pressure
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CVP
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Cancer
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CA
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Congestive Heart Failure
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CHF
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Date of birth
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DOB
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Dead on arrival
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DOA
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Do not resuscitate
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DNR
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Diagnosis
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Dx
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Diabetes Mellitus
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DM
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Ear, Nose, & Throat
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ENT
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Electroencephalogram
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EEG
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Estimated time of arrival
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ETA
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Electrocardiogram
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ECG
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Endotracheal tube
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ETT
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Extremity
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ext
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Fracture
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fx
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Four times per day
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qid
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Gastrointestinal
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GI
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Gram
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g or gm
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Gunshot wound
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GSW
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Gynecological
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GYN
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Genitourinary
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GU
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Headache
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HA or H/A
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Heart rate
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HR
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Heart sounds
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HS
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History & Physical
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H&P
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Head, eyes, ears, nose & throat
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HEENT
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Hemoglobin
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Hgb
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History
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Hx
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Hour
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h or hr
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Immediately
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stat
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Intracardiac
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IC
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Intramuscular
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IM
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Intraosseous
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IO
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Irregular
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irreg
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Intensive Care Unit
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ICU
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Inferior
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Inf
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Intravenous
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IV
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Intravenous push
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IVP
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Joint
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jt
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Jugular venous distention
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JVD
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Kilogram
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kg
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Laceration
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Lac
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Left
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L
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Left Lower Quadrant
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LLQ
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Liters per minute
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LPM or L/min
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Level of consciouness
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LOC
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Less than
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<
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Liter
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L
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Left Ventricular Hypertrophy
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LVH
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Medications
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Med or Meds
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Milliequivalent
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mEq
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Milliliter
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ml
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Moderate
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Mod.
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Milligram
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mg
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Millimeter
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mm
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Minute
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min
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More than
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>
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Nausea & vomiting
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N/V
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No known allergies
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NKA
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Normal range of motion
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NROM
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Nothing by mouth
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NPO
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negative
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-
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Nasogastric
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NG
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No known drug allergies
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NKDA
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Not applicable
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N/A
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Obstetrical
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OB
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Occasional
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Occ
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Orally
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po
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Operating room
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OR
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Overdose
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OD
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Pain
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Pn or Px
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Patient
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Pt
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Palpation
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Palp
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Past medical history
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PMH
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Pelvic Inflammatory Dis.
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PID
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penicillin
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PCN
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Physical Exam
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PE
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Positive
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+
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Posterior
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Post.
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Pounds per square inch
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psi
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premature ventricular contracions
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PVC
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Prior to arrival
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PTA
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Privately owned vehicle
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POV
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Pulmonary Embolism
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PE
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Pupils equal and reactive to light
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PEARL
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Range of motion
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ROM
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Respiratory or Respirations
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Resp
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Right
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R
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Regarding
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re
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Right upper quadrant
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RUQ
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Right lower quadrant
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RLQ
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Rule out
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R/O
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Shortness of breath
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SOB
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Signs and Symptoms
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S&S or S/S
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Sublingual
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SL
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Sudden infant death syndrome
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SIDS
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Superior
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Sup.
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Subcutaneous
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SC or SQ
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Temporomandibular joint
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TMJ
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Three times per day
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tid
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Times (multiply)
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X
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Treatment
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Tx
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Two times per day
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bid
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Therapy or Treatment
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Rx
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To keep open
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TKO
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Transport or Transmit
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Tx
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Transient ischemic attack
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TIA
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Tuberculosis
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TB
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Times
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X
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Unknown
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unk
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Upper respiratory infection
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URI
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Urinary tract infection
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UTI
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Unconscious
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Unc
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Vital Signs
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VS
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Weight
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Wt
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Without
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w/o
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Well-developed/well-nourished
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WD/WN
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Year-old
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y/o
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Within normal limits
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WNL
