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Feb 8, 2024 · Medical conditions and procedures. While care should always be taken when using acronyms in notes, it is particularly important for medical conditions, as the same acronym can mean different conditions depending on the specialty.
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Medical Terminology Information Sheet: Medical Chart Organization: • Demographics and insurance • Flow sheets • Physician Orders • Visit notes • Laboratory results • Radiology results • Consultant notes • Other communications Types of Patient Encounter Notes: • •History and Physical o PE Physical Exam
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PMD private medical doctor PMHx past medical history p.o. orally pos; (+) positive PP postpartum preg pregnant p.r.n. as required; as needed pt. patient q every q.d. every day q.h. every hour q.i.d. four times a day q.n.s. quantity not sufficient q.s. quantity sufficient
- Medical Terms
- Medical Prefixes and Suffixes
- Medical Root Words
- Medical Abbreviations and Acronyms
The charts providers use for making notes are often filled with this kind of medical terminology. You might even know some of them by a different name. 1. Abrasion: A cut or scrape that typically isn’t serious. 2. Abscess: A tender, fluid-filled pocket that forms in tissue, usually due to infection. 3. Acute: Signifies a condition that begins abrup...
Medical terminology follows the same structural rules all language does, including use of prefixes and suffixes. You may be familiar with some of these from words outside the realm of medicine. 25. A-, an-: Lack of or without. 26. -ation: Indicates a process. 27. Dys-: Abnormal, difficult, or painful. 28. -ectomy: Surgical removal of something. 29....
Some medical root words are intuitive simply based on your experiences. If you’re an athletic person, for example, you probably know cardiovascular exercise is any activity that gets your heart rate pumping. 43. Cardi/o: Related to the heart. 44. Derm/a/o, dermat/o: Pertaining to the skin. 45. Encephal/o: Related to the brain. 46. Gastr/o: Related ...
There are many more medical acronyms and abbreviations than what’s listed below. But unless you’re planning to become a doctor or another type of provider, this condensed lineup should get you up to speed. 55. ALS: Advanced life support. 56. Bl wk: Blood work. 57. BMI: Body mass index, a measure of body fat based on height and weight. 58. BP: Blood...
Meaning # broken bone (fracture) A&E: accident and emergency: a.c. before meals: a.m., am, AM: morning: AF: atrial fibrillation: AMHP: approved mental health professional: APTT: activated partial thromboplastin time (a measure of how long it takes your blood to clot) ASQ: Ages and Stages Questionnaire (a set of questions about children's ...
Use this list of common medical abbreviations and terminology used by doctors, medical specialists, RNs, PAs, and other health-care professionals to help you read and decipher the information on your prescriptions and doctors' medical notes.
When in doubt, always check with the organization or individual who authored the abbreviation in question to verify the author’s intended meaning. About Medical Abbreviations The use of certain abbreviations can be dangerous and lead to patient injury or death. Examples of error-prone medical abbreviations include:
