SOAP note abbreviations -Jill W's list
Help!
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| ā | show 🗑
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| A | show 🗑
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| show | assist
🗑
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| show | active
🗑
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| show | abdominal aortic aneurysm
🗑
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| AAROM | show 🗑
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| abd/add | show 🗑
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| ABG | show 🗑
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| abn | show 🗑
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| show | before meals
🗑
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| show | acromioclavicular joint
🗑
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| ACL | show 🗑
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| ADA | show 🗑
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| show | activities of daily living
🗑
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| show | at discretion
🗑
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| afib | show 🗑
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| AFO | show 🗑
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| AIDS | show 🗑
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| show | anterior inferior iliac spine
🗑
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| A/K | show 🗑
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| show | above knee amputation
🗑
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| show | arthroscopic knee surgery
🗑
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| A-line | show 🗑
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| ALS | show 🗑
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| AKFO | show 🗑
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| show | morning, before noon
🗑
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| AMA | show 🗑
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| show | ambulation
🗑
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| show | amount
🗑
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| show | autonomic nervous system
🗑
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| show | anterior
🗑
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| show | anterior-posterior
🗑
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| show | appointments
🗑
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| APTA | show 🗑
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| show | adult respiratory distress syndrome
🗑
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| AROM | show 🗑
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| ASAP | show 🗑
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| show | anterior superior iliac spine
🗑
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| assist. | show 🗑
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| show | asymmetrical tonic neck reflex
🗑
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| AVM | show 🗑
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| show | aortic valve replacement
🗑
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| show | axillary crutches
🗑
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| (B) (circled B) | show 🗑
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| show | Balanced Budget Act of 1997
🗑
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| BBB | show 🗑
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| b/c | show 🗑
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| show | twice a day (star this one)
🗑
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| show | bilateral
🗑
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| show | twice a week
🗑
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| show | below knee
🗑
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| BKA | show 🗑
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| BLE | show 🗑
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| BM | show 🗑
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| show | base of support
🗑
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| BP | show 🗑
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| BPM, bpm, b.p.m. | show 🗑
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| BR | show 🗑
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| B/S, B.S. | show 🗑
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| show | breath sounds, bowel sounds
🗑
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| BUE | show 🗑
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| show | blood urea nitrogen
🗑
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| c (with a line over it) | show 🗑
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| CA | show 🗑
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| show | coronary artery bypass graft
🗑
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| CAD | show 🗑
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| show | Commission on Accreditation for Physical Therapy Education
🗑
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| show | Commission on Accreditation of Rehabilitation Facilities
🗑
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| CBC | show 🗑
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| show | chief complaint, chief complaints
🗑
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| cc | show 🗑
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| show | coronary care unit
🗑
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| CF | show 🗑
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| show | contact guard assist
🗑
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| show | congenital heart disease, congenital hip dislocation
🗑
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| show | congestive heart failure
🗑
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| CHI | show 🗑
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| CiTx | show 🗑
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| show | centimeter(s)
🗑
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| CMS | show 🗑
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| CN | show 🗑
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| CNS | show 🗑
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| show | complains of, complaint(s) of
🗑
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| show | cardiac output
🗑
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| cont | show 🗑
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| show | coordination
🗑
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| show | chronic obstructive pulmonary disease
🗑
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| show | certified occupational therapist assistant
🗑
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| CP | show 🗑
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| CPAP | show 🗑
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| show | continuous passive motion machine
🗑
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| CPR | show 🗑
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| show | current procedural terminology, chest physical therapy
🗑
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| show | chronic renal failure
🗑
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| C-Section | show 🗑
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| show | cerebral spinal fluid
🗑
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| show | computerized axial tomography
🗑
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| show | cerebral vascular accident
🗑
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| c/w | show 🗑
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| CW | show 🗑
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| CX | show 🗑
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| show | chest x-ray
🗑
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| show | diagonal 1, diagonal 2 (proprioceptive neuromuscular facilitation [PNF] patterns)
🗑
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| d/c | show 🗑
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| show | data, evaluation, performance goals
🗑
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| show | department
🗑
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| DF | show 🗑
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| show | distal interphalangeal joint
🗑
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| DJD | show 🗑
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| DM | show 🗑
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| show | durable medical equipment
🗑
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| DNR | show 🗑
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| DOB | show 🗑
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| show | date of discharge
🗑
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| show | dyspnea on exertion
🗑
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| show | diphtheria-pertussis-tetanus (vaccine), Doctor of Physical Therapy
🗑
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| show | diagnosis related groups
🗑
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| show | dressing
🗑
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| DSD | show 🗑
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| DTR | show 🗑
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| DVT | show 🗑
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| show | diagnosis
🗑
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| ECF | show 🗑
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| show | electrocardiogram
🗑
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| EEG | show 🗑
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| show | electrical
🗑
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| show | electromyogram
🗑
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| ENT | show 🗑
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| show | edge of bed
🗑
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| equip. | show 🗑
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| ER | show 🗑
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| show | electrical stimulation
🗑
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| ESRD | show 🗑
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| ETT | show 🗑
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| show | eversion
🗑
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| Eval | show 🗑
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| ex. | show 🗑
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| show | extension
🗑
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| show | female, fair muscle strength grade
🗑
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| show | father
🗑
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| show | full arc quads
🗑
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| show | functional active range of motion
🗑
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| FDA | show 🗑
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| FES | show 🗑
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| FIM | show 🗑
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| show | flexion
🗑
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| FOR | show 🗑
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| show | foot, feet
🗑
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| FTP | show 🗑
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| show | full-thickness skin graft
🗑
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| F/U | show 🗑
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| show | fever unknown origin
🗑
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| FWB | show 🗑
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| FWW, fw/w | show 🗑
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| show | fracture(d)
🗑
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| show | good (muscle strength, balance)
🗑
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| gastrocs | show 🗑
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| show | Guillain Barré Syndrome
🗑
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| GCS | show 🗑
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| GERD | show 🗑
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| show | gastrointestinal
🗑
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| show | gluteals
🗑
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| show | gram
🗑
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| show | gastrostomy tube
🗑
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| gt. | show 🗑
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| (H) (circled H) | show 🗑
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| show | high blood pressure
🗑
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| show | Health Care Financing Administration
🗑
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| H & P | show 🗑
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| show | headache
🗑
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| show | hemoglobin
🗑
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| show | hematocrit
🗑
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| HEENT | show 🗑
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| show | hemiplegia
🗑
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| show | heparin
🗑
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| HEP | show 🗑
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| show | hand held assist, home health aide
🗑
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| show | head injury
🗑
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| HIV | show 🗑
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| HMO | show 🗑
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| show | herniated nucleus pulposus
🗑
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| show | history of
🗑
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| show | heterotopic ossification
🗑
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| HOB | show 🗑
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| show | hot pack
🗑
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| show | heart rate
🗑
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| show | hour
🗑
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| show | at bedtime
🗑
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| show | hamstring(s)
🗑
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| show | height
🗑
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| HTN | show 🗑
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| HWR | show 🗑
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| HX, Hx, hx | show 🗑
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| show | independent
🗑
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| show | irritable bowel syndrome
🗑
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| show | iliac crest bone graft
🗑
|
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| show | International Classification of Diseases
🗑
|
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| show | intracranial hemorrhage
🗑
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| ICIDH | show 🗑
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| show | International Classification of Functioning, Disability, and Health
🗑
|
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| show | intracranial pressure
🗑
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| show | intensive care unit
🗑
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| IDDM | show 🗑
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| I/E ratio | show 🗑
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| show | individual education program
🗑
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| show | extended care unit
🗑
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| show | individual family service plan
🗑
|
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| show | independent lung ventilation
🗑
|
||||
| show | intramuscular
🗑
|
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| show | intermittent mandatory ventilation
🗑
|
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| show | inch(es)
🗑
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| inf. | show 🗑
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| show | internal
🗑
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| IP | show 🗑
|
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| IPA | show 🗑
|
||||
| show | infant respiratory distress syndrome
🗑
|
||||
| show | incentive spirometer
🗑
|
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| IV | show 🗑
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| JAMA | show 🗑
|
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| show | Joint Commission on Accreditation of Healthcare Organizations
🗑
|
||||
| show | jejunostomy tube
🗑
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| JRA | show 🗑
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| jt. | show 🗑
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| show | potassium
🗑
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| Kcal | show 🗑
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| show | kilogram
🗑
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| L | show 🗑
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| show | left
🗑
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| L5 | show 🗑
|
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| show | long arc quadriceps
🗑
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| show | lateral
🗑
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| show | pound
🗑
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| show | left bundle branch block
🗑
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| LBP | show 🗑
|
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| show | lower extremity, lower extremities
🗑
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| lg | show 🗑
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| lic. | show 🗑
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| LL | show 🗑
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| show | long leg cast
🗑
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| show | left lower extremity
🗑
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| LLL | show 🗑
|
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| show | lower motor neuron
🗑
|
||||
| show | leave of absence
🗑
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| show | loss of balance
🗑
|
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| show | loss of or level of consciousness
🗑
|
||||
| show | lumbar puncture
🗑
|
||||
| show | licensed practical nurse
🗑
|
||||
| show | long-term care
🗑
|
||||
| LTG | show 🗑
|
||||
| show | left upper extremity
🗑
|
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| show | male
🗑
|
||||
| (M) (circled M) | show 🗑
|
||||
| show |
🗑
|
||||
| show | mean arterial pressure
🗑
|
||||
| show | muscle
🗑
|
||||
| show | maximum
🗑
|
||||
| MCA | show 🗑
|
||||
| show | managed care organization
🗑
|
||||
| show | medical doctor, doctor of medicine
🗑
|
||||
| MD | show 🗑
|
||||
| show | minimum data set
🗑
|
||||
| mech | show 🗑
|
||||
| MED | show 🗑
|
||||
| show | medications
🗑
|
||||
| mg | show 🗑
|
||||
| show | moist heat
🗑
|
||||
| show | megahertz
🗑
|
||||
| MI | show 🗑
|
||||
| show | minute(s)
🗑
|
||||
| show | minimum, minimal
🗑
|
||||
| show | millimeter(s)
🗑
|
||||
| mm Hg | show 🗑
|
||||
| show | manual muscle test
🗑
|
||||
| show | month(s)
🗑
|
||||
| mod. | show 🗑
|
||||
| MP, MCP | show 🗑
|
||||
| MRI | show 🗑
|
||||
| show | methicillin resistant staph aureus
🗑
|
||||
| show | multiple sclerosis
🗑
|
||||
| show | motor
🗑
|
||||
| show | motor vehicle accident
🗑
|
||||
| show | normal (muscle strength)
🗑
|
||||
| N/A | show 🗑
|
||||
| show | no acute distress
🗑
|
||||
| N & V | show 🗑
|
||||
| NBQC | show 🗑
|
||||
| NCV | show 🗑
|
||||
| NDT | show 🗑
|
||||
| NEC | show 🗑
|
||||
| show | negative
🗑
|
||||
| NG | show 🗑
|
||||
| NICU | show 🗑
|
||||
| show | noninsulin dependent diabetes mellitus
🗑
|
||||
| show | no known allergies
🗑
|
||||
| nn | show 🗑
|
||||
| show | night, at night
🗑
|
||||
| NPO | show 🗑
|
||||
| show | nasotracheal tube
🗑
|
||||
| show | non-weight bearing
🗑
|
||||
| show | objective data
🗑
|
||||
| show | oxygen saturation
🗑
|
||||
| show | osteoarthritis
🗑
|
||||
| show | outcome and assessment information sets
🗑
|
||||
| show | obstetrics
🗑
|
||||
| show | organic brain syndrome
🗑
|
||||
| occ | show 🗑
|
||||
| OCD | show 🗑
|
||||
| OD | show 🗑
|
||||
| OGT | show 🗑
|
||||
| show | otitis media
🗑
|
||||
| show | out of bed
🗑
|
||||
| show | out of town
🗑
|
||||
| show | outpatient
🗑
|
||||
| show | operating room
🗑
|
||||
| show | open reduction, internal fixation
🗑
|
||||
| show | orthopedics
🗑
|
||||
| OT | show 🗑
|
||||
| OTR | show 🗑
|
||||
| show | ounce(s)
🗑
|
||||
| show | post, after
🗑
|
||||
| show | poor (muscle strength, balance)
🗑
|
||||
| P/ | show 🗑
|
||||
| show | plan (treatment plan)
🗑
|
||||
| show | posterior/anterior
🗑
|
||||
| para | show 🗑
|
||||
| show | after meals
🗑
|
||||
| PC | show 🗑
|
||||
| show | patient controlled analgesia
🗑
|
||||
| PCL | show 🗑
|
||||
| PCP | show 🗑
|
||||
| show | partial pressure of carbon dioxide
🗑
|
||||
| PD | show 🗑
|
||||
| show | patent ductus arteriosus
🗑
|
||||
| show | physician desk reference
🗑
|
||||
| show | pulmonary embolus
🗑
|
||||
| show | pediatrics
🗑
|
||||
| show | positive end expiratory pressure
🗑
|
||||
| show | plantar flexion
🗑
|
||||
| PFT | show 🗑
|
||||
| P.H., PH, PMH | show 🗑
|
||||
| show | hydrogen-ion concentration
🗑
|
||||
| show | physician/hospital organizations
🗑
|
||||
| show | proximal interphalangeal
🗑
|
||||
| show | pelvic intermittent traction
🗑
|
||||
| PKU | show 🗑
|
||||
| pm, p.m. | show 🗑
|
||||
| PNF | show 🗑
|
||||
| PO | show 🗑
|
||||
| POC | show 🗑
|
||||
| show | post-operative day
🗑
|
||||
| show | prone on elbows
🗑
|
||||
| show | poliomyelitis
🗑
|
||||
| show | problem-oriented medical record
🗑
|
||||
| show | point of service plan
🗑
|
||||
| post. | show 🗑
|
||||
| post | show 🗑
|
||||
| show | after surgery or operation
🗑
|
||||
| show | preferred provider organization
🗑
|
||||
| show | pulses per second
🗑
|
||||
| PPS | show 🗑
|
||||
| Pr | show 🗑
|
||||
| PRE | show 🗑
|
||||
| pre-op | show 🗑
|
||||
| prn | show 🗑
|
||||
| PROM | show 🗑
|
||||
| show | prothrombin time
🗑
|
||||
| show | proximal
🗑
|
||||
| show | prognosis
🗑
|
||||
| show | posterior superior iliac spine
🗑
|
||||
| show | problem, status, plan
🗑
|
||||
| show | problem, status, plan, goals
🗑
|
||||
| show | protime
🗑
|
||||
| PT | show 🗑
|
||||
| show | patient
🗑
|
||||
| show | physical therapist assistant, prior to admission
🗑
|
||||
| PUW | show 🗑
|
||||
| PVD | show 🗑
|
||||
| show | partial weight-bearing
🗑
|
||||
| show | every
🗑
|
||||
| qd | show 🗑
|
||||
| show | every hour
🗑
|
||||
| show | at bedtime
🗑
|
||||
| qid | show 🗑
|
||||
| qm | show 🗑
|
||||
| show | every other day
🗑
|
||||
| qt | show 🗑
|
||||
| quad | show 🗑
|
||||
| show | quadriceps
🗑
|
||||
| show | once weekly
🗑
|
||||
| (R) (circled R) | show 🗑
|
||||
| show | rheumatoid arthritis
🗑
|
||||
| show | reactive airway disease
🗑
|
||||
| show | right bundle branch block
🗑
|
||||
| show | red blood cells
🗑
|
||||
| show | registered dietician
🗑
|
||||
| show | respiratory distress syndrome
🗑
|
||||
| re: | show 🗑
|
||||
| show | reeducation
🗑
|
||||
| REM | show 🗑
|
||||
| show | repetitions
🗑
|
||||
| show | return
🗑
|
||||
| RLE | show 🗑
|
||||
| show | right lower lobe
🗑
|
||||
| show | room
🗑
|
||||
| show | registered nurse
🗑
|
||||
| R/O, R.O. | show 🗑
|
||||
| ROM | show 🗑
|
||||
| show | rotation
🗑
|
||||
| show | respiratory rate
🗑
|
||||
| RROM | show 🗑
|
||||
| show | respiratory therapist
🗑
|
||||
| show | right upper extremity
🗑
|
||||
| RUGs | show 🗑
|
||||
| show | right upper lobe
🗑
|
||||
| Rx | show 🗑
|
||||
| s (with a line over it) | show 🗑
|
||||
| S | show 🗑
|
||||
| show | subjective data
🗑
|
||||
| show | subarachnoid hemorrhage
🗑
|
||||
| show | short arc quadriceps
🗑
|
||||
| show | spontaneously breathing
🗑
|
||||
| SBA | show 🗑
|
||||
| show | spinal cord injury
🗑
|
||||
| SDH | show 🗑
|
||||
| sec | show 🗑
|
||||
| SEC | show 🗑
|
||||
| show | small for gestational age
🗑
|
||||
| SICU | show 🗑
|
||||
| show | sudden infant death system
🗑
|
||||
| SLB | show 🗑
|
||||
| SLC | show 🗑
|
||||
| SLE | show 🗑
|
||||
| SLP | show 🗑
|
||||
| SLR | show 🗑
|
||||
| show | skilled nursing facility
🗑
|
||||
| SO | show 🗑
|
||||
| SOAP | show 🗑
|
||||
| SOB | show 🗑
|
||||
| SOMR | show 🗑
|
||||
| S/P | show 🗑
|
||||
| SPTA | show 🗑
|
||||
| SSI | show 🗑
|
||||
| show | immediately, at once
🗑
|
||||
| show | short term goal
🗑
|
||||
| show | strength
🗑
|
||||
| show | Streptococcus
🗑
|
||||
| show | split-thickness skin graft
🗑
|
||||
| sup. | show 🗑
|
||||
| SWD | show 🗑
|
||||
| Sx | show 🗑
|
||||
| show | trace muscle strength
🗑
|
||||
| T & A | show 🗑
|
||||
| show | tuberculosis
🗑
|
||||
| show | traumatic brain injury
🗑
|
||||
| TCO | show 🗑
|
||||
| TDD | show 🗑
|
||||
| show | tentative discharge plan
🗑
|
||||
| show | touchdown weight-bearing
🗑
|
||||
| T.E.D.s | show 🗑
|
||||
| temp. | show 🗑
|
||||
| show | transcutaneous electrical nerve stimulation
🗑
|
||||
| TF | show 🗑
|
||||
| TFs | show 🗑
|
||||
| show | therapeutic exercise
🗑
|
||||
| THR (THA) | show 🗑
|
||||
| show | transient ischemic attack
🗑
|
||||
| tid | show 🗑
|
||||
| TKE | show 🗑
|
||||
| show | total knee replacement (total knee arthroplasty)
🗑
|
||||
| show | total lung capacity
🗑
|
||||
| show | temporomandibular joint
🗑
|
||||
| show | telephone order
🗑
|
||||
| show | tolerate
🗑
|
||||
| show | tracheostomy
🗑
|
||||
| show | training
🗑
|
||||
| TSS | show 🗑
|
||||
| TT | show 🗑
|
||||
| TTWB | show 🗑
|
||||
| TWB | show 🗑
|
||||
| show | treatment
🗑
|
||||
| TV | show 🗑
|
||||
| UA | show 🗑
|
||||
| show | usual, customary, and reasonable payment
🗑
|
||||
| show | upper extremity, upper extremities
🗑
|
||||
| UED1 | show 🗑
|
||||
| UGI | show 🗑
|
||||
| UMN | show 🗑
|
||||
| show | unique physician identification number
🗑
|
||||
| show | upper respiratory infection
🗑
|
||||
| show | ultrasound
🗑
|
||||
| show | urinary tract infection
🗑
|
||||
| UV | show 🗑
|
||||
| v.c. | show 🗑
|
||||
| VC | show 🗑
|
||||
| VD | show 🗑
|
||||
| vent | show 🗑
|
||||
| show | verbal order
🗑
|
||||
| show | oxygen consumption
🗑
|
||||
| show | ventricular peritoneal shunt
🗑
|
||||
| show | vital signs
🗑
|
||||
| show | ventricular septal defect
🗑
|
||||
| show | venous stasis ulcer
🗑
|
||||
| show | wife
🗑
|
||||
| show | with
🗑
|
||||
| WB | show 🗑
|
||||
| show | weight-bearing as tolerated
🗑
|
||||
| WBC | show 🗑
|
||||
| WC, w/c | show 🗑
|
||||
| W/cm2 | show 🗑
|
||||
| WBQC | show 🗑
|
||||
| show | within functional limits
🗑
|
||||
| WHO | show 🗑
|
||||
| WNL | show 🗑
|
||||
| wk | show 🗑
|
||||
| wlp | show 🗑
|
||||
| show | without
🗑
|
||||
| wt. | show 🗑
|
||||
| show | number of times performed
🗑
|
||||
| show | x-ray
🗑
|
||||
| show | transfer
🗑
|
||||
| show | years old
🗑
|
||||
| show | year
🗑
|
||||
| YOM | show 🗑
|
||||
| show | zero
🗑
|
||||
| Tx | show 🗑
|
||||
| tx | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
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Created by:
ladylore
Popular Physical Therapy sets