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Hist/phys abbrvs

History and Physical Abbreviations

QuestionAnswer
adl activities of daily living
bp blood pressure
CC chief complaint
C.N.S. Central Nervous System
CPE/PE complete physical exam
DOB date of birth
Dx, diag. diagnosis
F.Hx. family history
N.A.D. no appreciable disease
N.Y.D. not yet diagnosed
P.I. present illness
prog. prognosis
pt. patient
R/O rule out
Rx therapy; prescription
SHx social history
T.P.R., TPR temperature, pulse, respirations
Tx treatment
wt. weight
POMR Problem Oriented Medical Record
SOAP Subjective Objective Assessment Plan
CPP commulative patient profile
S/S Signs and symptoms
EMR Electronic Medical Record
Created by: jasmineruth
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