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HIM Review Abbrevs

HIM shortened list of abbreviations for review

QuestionAnswer
A&P auscultation and percussion
ADLs activities of daily living
BP, B/P blood pressure
Bx biopsy
c/o complains of, complaints
CC chief complaint
CPX complete physical examination
Dx diagnosis
EMR electronic medical record
FH family history
Fx fracture
HPI history of present illness
Hx history
LMP last menstrual period
MRP most responsible physician
MS mental status
OP outpatient, operative procedure
ORTH, ortho orthopedics
PCP primary care physician
PE physical examination
PMH past medical history
R/O rule out
Rx prescription
SOAP subjective, objective, assessment, plan
SOB shortness of breath
STAT immediately
Sx symptom
WD well-developed
WN well-nourished
WNL within normal limits
Created by: JessP
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