1
Q
Acute
A
sudden or just started
2
Q
Chronic
A
going on for awhile
3
Q
Abrupt
A
New, all of the sudden
4
Q
Febrile
A
has a fever
5
Q
Afebrile
A
no fever
6
Q
Malaise
A
not feeling well
7
Q
Progressive
A
more over time
8
Q
Exacerbation
A
getting worse
9
Q
Symptom
A
what pt. feels
10
Q
Noncontribuatory
A
not related to problem
11
Q
Lethargic
A
decrease in consciousness
12
Q
Genetic/Hereditary
A
runs in family
13
Q
Alert
A
responsive, interactive
14
Q
Oreinted
A
being aware
15
Q
Ausculation
A
to listen
16
Q
Percussion
A
to hit something and feel vibration
17
Q
Palpation
A
to feel
18
Q
Unremarkable
A
normal
19
Q
marked
A
stands out
20
Q
Impression
A
assessment
21
Q
Diagnosis
A
what pt. has
22
Q
Differential Diagnosis
A
list of things that could be wrong with pt.
23
Q
Benign
A
safe
24
Q
Malignant
A
dangerous
25
Degeneration
getting worse
26
Etiology
cause
27
Idiopathic
no known cause
28
Remission
to improve
29
Recurrent
to have again
30
Morbidity
risk for being sick
31
Mortality
risk of dying
32
Prognosis
chances of getting better or worse
33
Localized
stays in certain area
34
Systemic/Generalized
all over body
35
Occult
hidden
36
Pathogen
organism causing problem
37
Lesion
diseased tissue
38
Sequela
problem resulting from disease or injury
39
Pending
waiting for
40
Disposition
what happened to pt. at end of visit (ex. went home)
41
Discharge
1. to send home or 2. fluid coming out of body
42
Prophylaxis
preventive treatment
43
Pallaitive
just treating symptoms
44
Observation
watch
45
Reassurance
telling pt. problem isn't serious
46
Supportive Care
treat symptoms and pt's quality of life
47
Sterile
germ-free conditions
48
Coronal Plane
posterior and anterior
49
Sagittal Plane
L and R halves
50
Transverse Plane
superior and inferior halves
51
Cranial
towards head
52
Caudal
towards tail (bottom)
53
Supine
laying on back
54
Prone
laying on belly
55
Ipsilateral
same body side
56
Contralateral
opposite body sides
57
Plantar/Palmar
sole of foot/ palm of hand
58
Dorsum
top of foot and back of hand
59
PACU
post-anesthesia care unit
60
SICU
surgical ICU
61
ECU
emergency care unit
62
A&O
alert and orientated to person, place, and time (a&o x3)
63
CTA
clear to auscultation
64
NAD
no acute distress
65
NOS
not otherwise specified
66
PERRLA
pupils equal, round, reactive to light and accomodation
67
RRR
regular rate and rhythm
68
CVL
central venous line
69
IM
intramuscular
70
PO
by mouth
71
PR
by rectum
72
SC
subq
73
AC
before meals
74
PC
after meals
75
QHS
at bedtime
76
PRN
as needed
77
QD, BID, TID, QID
1-4 times a day
78
HPI
history of present illness
79
ROS
review of systems
80
FHx
family history
81
H&P
history and physical
82
PMHx
past medical history
83
VS
vital signs
84
I&O
intake/output
