t the j and o of w was wi with f for pt patient hs has n no ot of the int in the l left ha had hr her hi his h he th that ar are r right nt not s she p pain hv have tt to the b but ay any bn been hx history wh which wil will al also ont on the ntd noted y by ey eye sm some hf history of fr from isa is a tme time wl well ch chest dis disease shd showed tj there hb has been sy symptoms wia with a e examination ov over pa past wo without tbe to be lo lower oth other d denies fur further blo blood dy day ath at the hh has had de does tx treatment apy approximately md mild bot both itr in the right ex exam tn then ant anterior thx therapy evi evidence rv revealed rev review hh he has ofa of a ovt over the sen seen wth with the ary artery itl in the left wd would toha to have z and the ba back ry right eye stb stable chas changes aa and a hm him mos months sinc since ys years wks weeks lg leg ss shows rt rate cdc cardiac assoc associated ls last wn when abt about oss loss rhy rhythm appa apparent ed edema mj May aft after tnd tenderness dsnt does not momes movements prf performed sw she was cha change k knee y bilaterally ic intact pv previous td today su surgery thr three aw and was dc discharge gi given sl small wno was no stas states g good mo month dia diabetes hom home pri prior reg regular tha than vsn vision sos sounds pts patient's ma male isn is not ley left eye otr of the right onl only wht white wit within rm room ac acute bc because lz lesion nw now po posterior ve very adm admitted da days otl of the left shj she has acuy acuity aswe as well puls pulses bi bilateral pc physical han has not sv several arnr are normal wibe will be c clear sg signs awa as well as bwl bowel ct continue cor coronary fin findings ntr nontender prx proximal thi there is exs extremities foth for the prss pressures tred treated fe fever fi first wg weight abn abnormal fam family inf infection mtn motion nau nausea neo no evidence of prb problem rng range aswi associated with chem chemotherapy hehd he had lims limits noev no evidence thti this time dx diagnosis ne nerve sd side sn sinus tw there was wk week yr year ext extremity ful full ofi office ps positive sec secondary sh should sqy subsequently apes appears cont contact coar coronary artery sj sensation stus status appy apparently ctd continued aj admission au auscultation br branch fj function jo joint na nasal st secondary to ape appear apr appreciated cer cervical con condition fol follow hos hospital lkn left knee lzz lesions lev level mss masses til tibial vom vomiting wnl within normal limits acty activity deti dermatitis eps episodes itry in the right eye resp respiratory bt bruits dm diabetes mellitus hvv have been kn known sc scan sk skin sf soft ws was seen hhh he has had hed head hrg hearing sev severe spi spine bret breath dv developed ts these whe where whis which is boeys both eyes icg including ag again gr graft pj palpation abl abdominal abo above fee feel hea heart llo left lower mor morning otr on the right pia patient is a pzd presented rpd reported cowi consistent with dono do not epi episode inc increased cosis consistent infaj infarction mycal myocardial toa throat ai aspirin el elevated ge general rc recent sob shortness of breath xr x-ray alo along att at this time cou course eva evaluation flt felt twj treated with vst visit wom woman actv active abx antibiotics assm assessment dst distress frth from the lof loss of meds medications noot no other prto prior to prs problems reaj reaction shdj she had stas started occluj occlusion shorns shortness ven venous bo because of eq equal vi via wj was normal alt although dcd discharged hrs hours lin line orl oral plz pleasant rst rest ret return aped appeared copl complete dees degrees mgnl marginal myin myocardial infarction rarh rate and rhythm sly slightly topi topical attj at that time raj radiation thu throughout hemo hemoglobin dn did not du during fa face fx fracture io into ns nose akd asked bng being ces cervical spine cho cholesterol hss he is lar large lex lower extremity pul pulmonary rom range of motion rey recently revs reveals wgi was given wp was performed apld applied atpr at present catr cataract drnj drainage hdbn had been onmo one month wrnl were normal demod demonstrated disco discomfort ingatjs investigations jn and then bp blood pressure cz catheterization dg drug ox oxygen wa was also ya years ago blk block cu could cya cyanosis ft foot fnd found inv intravenous mot motor nee need otl on the left pzs presents sta start sw swelling wad was admitted wta was taken caro carotid cury currently impd improved icl include inte internal murs murmurs nit nitroglycerin nohx no history orid oriented plp palpable tesg testing trau trauma wno was noted comg complaining cotis continues di difficulty pephl peripheral resod resolved twwks two weeks er emergency room hn hypertension la lateral nh no history of pn pneumonia wpl was placed ble bleeding ctr control cur current exd examined fld followed gen gentleman lik like mc medical ml minimal mth mother mch much poo poor tin there is no typ type wal wall wnt was not wea weakness ade adenopathy affg affecting algs allergies diar diarrhea diso disorder folg following fobo foreign body mome movement occl occasional plat platelet plco platelet count sh shoulder sow somewhat vsc vascular abnys abnormalities ambun ambulance bos bowel sounds dicud discussed enzys enzymes remad remained txx treatments infl inflammatory tocoti to continue hema hematocrit pd pounds saw saw bne bone v vein bs best cd closed dt diet ea each hl health ho however nv never nx next pos position pu pulse alc alcohol aro around arh arthritis btr better czg causing cre creatinine des descending doi doing dut due to idd identified lea left ear mul multiple mus muscles obv observation pvy previously rfg referring ref reflexes rgn region shi she is sgl surgical syd syndrome tk taking tob tobacco wpr was present whi while addn addition algc allergic brot brought coja conjunctiva exce except haho has a history of inoc intraocular perd period prby probably pups pupils recd received revd reviewed surf surface trd transferred vitr vitreous ww which was whow who was avd advised coms complains disos disorders rmd recommended hds hands carc carcinoma cg cough dn denied dys dyspnea fh family history gl glucose hu humerus jv jugular venous ju just ph physician akg asking bel believe cel cell cen central cli clinic dfl differential exc excellent fel femoral hac headache ina in a pby possibility qus questions rdl radial rct reactive rou round sli slight sp status post stu study sre sure tem temperature thr through woa without any asan as an atro atrophy cadj coronary artery disease diac diabetic fees feels impm improvement meas measures ntcd noticed ka potassium reqd required susp suspect wtre was treated distj distention fixaj fixation invod involved mems membranes recut recurrent rega regarding relad related vetri ventricular eve every new new tb tube ab abdomen af afebrile av available cul culture ek electrocardiogram iw it was lb laboratory mr more mu muscle nb newborn oi ointment ol old ow otherwise pe physical examination rl right lower sh show tak take asp aspect bbb bundle branch block byp bypass cr chronic evd evaluated fie field fu- follow-up fra fraction gvs gives hnh has not had iy injury itt into the jvd jugular venous distention ltr later mur murmur obs obstruction pah past history poi point sgn sign siz size twn there was no wtw was treated with wun was unremarkable wrk work wri wrist cels cells chis chills cuta cutaneous devg developing exfo except for feeg feeling gals gallops itly in the left eye itmo in the morning inil initial kets keratosis mins minutes num numbness nyst nystagmus psby possibly rgns regions reto related to scas scars secd second sysc systemic trpo transport wsta was started wepz were present admid administered catrt cataracts corne corneal hedyy hemodynamically hypij hyperpigmentation latey latency reduj reduction resus results twmos two months comts complaints fee feet mm mm pbo possibility of ad acute distress ao alert and oriented ei either fu fluid hw he will lx lower extremities ni night pl place rp report zz sleep tr tender tl to the left xs x-rays abp abdominal pain abu abuse amt amount ank ankle cam came ccz cardiac catheterization cta clear to auscultation dev develop ejj ejection esp especially fds fields frn frontal gre great hlg healing hlp help incr increase ins inserted lad left anterior descending lta left arm lpd lipid lmy lymphadenopathy mak make muc mucosa nes nerves ong ongoing pwa patient was admitted pr procedure sca scar stl stool wab was able wfo was found wd- well-developed wn- well-nourished wlr will return wtp with the patient abny abnormality addl additional balo balloon dept department dypl dysplasia exte external foby followed by fohe forehead fq frequent funi fundi heta hesitate hori horizontal infe inferior invg involving liky likely memb membrane mdy mildly pita pigmentation poop postoperative prim primary prfi profile segm segment sirh sinus rhythm smog smoking stbz stabilize tipl tibial plateau wdis was discharged wtrf was transferred wew we will comt complaint defes defects descd described exerj exertion heros hemorrhoids infix internal fixation ketss keratoses pesit persistent saraj saturation trgls triglycerides distnc distance reasud reassured crep crepitation dxd diagnosed bx biopsy cn consultation dp deep hd hand iu is unremarkable ii it is ms mass nkp neck pain pk pack rg regimen ra room air sup supple vs vital signs wf white female aff affect apn apnea atb appears to be awr aware bsl basal dee degree dz dizziness dal drug allergies erl early erd emergency department ery erythema eti etiology grr greater hhb he has been iot in order to ini incision kda known drug allergies lgs legs lss less lun lung mjr major mdl middle mod moderate nav nausea and vomiting nr near org organomegaly pps palpitations pte patent pta prior to admission prc process pum pump rap rapid rcd record rej rectal req require rtl right leg seb seen by spn spinal stc stable condition stk stroke tss tests ta this is a tis tissue ttl total vrl viral vsb visible vtl vital wft was found to acci accident arrd arranged asym asymmetry atet at the time cojs conjunctivitis dild dilated dor dorsal ejf ejection fraction enuf enough heuw he underwent heto hematoma inpl in place itof in the office icrg increasing isnw is now mid midline nmc normocephalic noth nothing nurg nursing osmy osteomyelitis panl panel plme placement pob possible poda postoperative day prog progress reco recommend repe repeat sith since then stre strength sufi superficial tter to the emergency room ttpa to the patient wsub was subsequently whth whether actys activities allog allowing alpec alopecia colos colostomy confd confirmed copaj constipation corrd corrected defit definite descs describes dislj dislocation eymos eye movements grtha greater than helos hearing loss irtaj irritation isneg is negative lihen lightheadedness manam management proce proceed resi residual reluj resolution spcic specific velar ventilator wecle were clear maxily maxillary recurn recurrence mrsa methicillin-resistant Staphylococcus aureus nec necessary nad no acute distress nsi no significant sa same bf before cv cardiovascular cw chest wall dh does have ds dressing gn gland il illness kp knee pain lf left foot li liver fr of right oy one year og operating pq plaque sz seizure te tendon vf visual field w- was negative wt was then abc abscess ads admits anm anemia ang angina app appointment ass assess axy axillary ben benign bld bladder brf brief cbr carotid bruits cth catheter cpl complications crd cord cus cultures dcr decrease dna does not appear ech echocardiogram eiu exam is unremarkable exs examinations exe exercise eyl eyelid fai failure fho family history of fth father ftg fatigue foc focal fu followup hbn has been no imp improve iz ischemic llx left lower extremity ldo lidocaine mrd married moo mood nod nodes ofn of note opn open pal pale pdg pending prd per day pof positive for pzc presence rly relatively rmk remarkable rps reports rte right ear sny sensory shb she has been shn shown sod sodium san soft and nontender std stated sto stomach syl symmetrical tcm to contact me tfu to follow up waf was afebrile wob was obtained wha what wm white male angl angle appr appropriate atho at home conc concern ctuo continue on dris drinks dyfj dysfunction esy essentially expd explained futr further treatment hacs headaches hefu helpful imml immediately impg improving isst is stable loco level of consciousness occd occurred otth other than oup outpatient oxsa oxygen saturation pfu painful pals painless paro parotid pttp patient tolerated the procedure ples please prol prolonged rets returns ruld ruled spta spontaneous stno stenosis strs stress swag swallowing swts sweats syss systems temp temporary thot thought thbo thrombosis wins was inserted welo weight loss whwe which were degej degeneration degev degenerative enlam enlargement exejl exertional fings fingers icd included infuj infusion inily initially invom involvement obstv obstructive prmat premature recvy recovery rtd returned stopd stopped suspc suspicious tocon to contact tticu to the intensive care unit trpod transported wtrpo was transported westb were stable whpzd who presented cotius continuous dfs difficulties distun disturbance ingatj investigation paroxl paroxysmal dsk disk fxs fractures wttt was taken to the wy way oct October wde was decreased wdn well-developed, well-nourished wesd was established dsks disks zp 0 Prolene zps 0 Prolene sutures a1c A1c Ab Abdomen: anguc ANESTHESIOLOGIST: aapo anterior and posterior alf anterior lung field asi ascitic asfl ascitic fluid auge autogenous bratx bananas, rice, applesauce, and toast brattx bananas, rice, applesauce, toast, and tea boo bladder outlet obstruction bma bone marrow aspiration brat BRAT bratt BRATT BR BREASTS: brh breech bux by ultrasound cjo C1 c17 C1-C7 cjt C2 c23 C2-C3 cjh C3 c34 C3-C4 cjf C4 cff C4-C5 cji C5 c56 C5-C6 cjs C6 c67 C6-C7 cje C7 c7t1 C7-T1 caluc Caldwell-Luc ca cancer caen carotid endarterectomy cgy centigray chre chemistries revealed chol cholecystitis chac cholecystitis and cholelithiasis ccl cholecystitis, cholelithiasis chl cholelithiasis clac cholelithiasis and cholecystitis cla clamp ctap clear to auscultation and percussion ctapb clear to auscultation and percussion bilaterally clin clinical cls close coagp coagulopathy cont controlled dlx deciliter dec decreased dil dilation dimiv diminutive druc DRAINS: engj electroneurography eme emergency enly enterolysis equ equally err erratic eryt erythematosus Et Ethibon eswl extracorporeal shock wave lithotripsy eto extraocular fem female fepo femoropopliteal flco flexion contracture fsu follow up ftpd four times per day fxg fracturing ggt GGT hav having hey herniorrhaphy hz hospitalization het hyperthyroidism hoki hypokinesis hys hysterectomy isi increased signal intri intertriginous intu intubated ' Island iv IV ivco IV contrast ja jaw kinf kidney infection ljo L1 l15 L1-L5 l23 L2-L3 l3 L3 ltf L3-L4 ljf L4 l45 L4-L5 l5 L5 lap laparoscopic lfp left flank pain liga ligated lote long-term md M.D. mph m.p.h. mcn Marcaine med medication mepo MediPort mctd mixed connective tissue disorder nk neck ng negative nfb no foreign bodies nl normal ob obtained oc ocular om omentum ou ounces pobid p.o. b.i.d. poqd p.o. q.d. poqhs p.o. q.h.s. poqid p.o. q.i.d. prn p.r.n. pwp pain with palpation pacen paracentesis perol peroneal pne pneumoperitoneum poduc POSTOPERATIVE DIAGNOSIS: prv postvoid residual volume pz present pre pressure Proz Prozac qam q.a.m. qid q.i.d. qu quadrant q quite rads reactive airways dysfunction syndrome REC RECOMMENDATIONS: rnl renal repel retroperitoneal rot review of the rfp right flank pain ri right side sjo S1 s12 S1-S2 sof S1-S5 sjt S2 sjf S4 sfi S5 sjs sensations seqla sequela seql sequelae scd sequential compression device sig signal si significant smts sometimes squ squamae sut sutures syn syncope tjo T1 tjte T10 tv T1-T12 tjt T2 t23 T2-T3 tj3 T3 t34 T3-T4 tjf T4 tji T5 t56 T5-T6 tjs T6 tjse T7 tje T8 tjn T9 tvt tension-free vaginal tape ti this tmos three months ttad three times a day ttpd three times per day tia TIA tto to the operating room tol tolerated trom total range of motion tsp tsp tse turbo spin echo tdas two days uxx ultrasounds uhn uncontrolled hypertension ul upper left usu usually val valgus var varus vi Vicryl vila violaceous wellb Wellbutrin widis Wilson's disease wrgm without rubs, gallops, or murmurs m medial u upper zv 0 Vicryl ah ahead ak akinesia a3 alert and oriented times three ap AP aq aqueous asuc ASSESSMENT: az asthma ax axial bg begin bw between bm black male bv Bovie cf Caucasian female ce cervix cs cesarean section ck cheek cp chest pain cx chest x-ray CH CHEST: cty computed tomography cj cortisone injections cr cranial cy cyst db debrided dfd deferred dd dilating drops dbi direct bilirubin dj dissection dl distal dv divorce dzy dizzy dw down dr Dr. ez easy ef effect eg egophony ej eject ee electroencephalogram em emesis en end ep epidural es esophagus et ETOH ev evaluate ew exam was xh excellent health ec excised fs facial sensation fp family physician fb febrile fd feed fw feeling well fm femur FI FINDINGS: fl flap fo focus fc Foley catheter fv follow-up visit ff for follow-up fn fullness ft function test fz fusion gb gallbladder gg gamma globulin gj gastrojejunal gt gastrostomy tube gz gauze gv gave gf Gelfoam ga general anesthesia gy generally gu genitourinary gc good condition gh good health gs Gram stain gx guaiac gd guard hc health care hy healthy ht height h2 hematocrit 27 hg heme negative h- heme-negative hj hepatojugular hez herpes zoster hp HIV positive ie i.e. id identify il iliac im image ia in addition ig in good condition ik intake ij internal jugular ih INTERVAL HISTORY: ip intravenous pyelogram ir irrigated iz ischemia jc Jackson-Pratt catheter jd Jackson-Pratt drain jp joint pain js joints jt junction jr just recently jx juxtapose ki kidney kis kidneys ko kind of ka known allergies km known medical kt known to kz Kussmaul ky kyphosis lw last week ly layer lh left hand ll left leg lv left ventricle lt less than lk look lp loop lq lower quadrant ld lowered lc lungs are clear ln lymph nodes mf malleolus fracture mn man mk mark mi mass in mh medical history mc medicine mt meeting mb might be ml most likely mm much more md muscular dystrophy mp myofascial pain nm nasal mucosa nd needle nf negative for nj New Jersey nc no complaints nn nontender, nondistended nz Nu Gauze nu number ny nylon obuc OBJECTIVE: od obvious distress ou obviously uncomfortable op operation oa osteoarthritis ok other known oq outer quadrant pm p.m. pi pains py pathology px plane plar platelets are p. PMI normal pg pregnancy pad prepped and draped rx prescription pp primary physician pb probe pf pulmonary function pur pulse rate qo question of qa quite active qw Q-wave rn R.N. rd radiograph rb rebound rw relatively well rj resection re respirations rr respiratory rate rs respond rf rheumatic fever rk rhonchi rh right hand rq right quadrant rz rise ro rule out ru running sa saline sr screw sx sex sop sounds present se suture t1 Temperature 100 t9 Temperature 97 tmj temporomandibular joint ty thank you xc times control xf times four xt times two tr to the right tg tongue tc trocar tu tumor tym tympanic membrane ud ulcer disease um umbilicus uw underwent uj unit un unremarkable ua upper abdomen uc upper chest ue upper extremity uo upper outer uq upper quadrant uf urinary frequency uh urinary hesitancy ui urinary incontinence ur urine uz use ug using ut uterus vv vaginal vault vr valve replacement vd venereal disease vb venous bleeding vt ventricular tachycardia vx vertex vg very good vh very high vm very much vu very uncomfortable vw very well vlp vessel loop vn visiting nurse vc visual changes vz visualized vp visualized portion wb was brought wc was closed wda was done w+ was positive wu was used wx wax wr were wv West Virginia wz wheeze ww white woman wm without murmur xe x-ray examination xn x-ray normal xo x-ray of xy Xylocaine xl Xylocaine local xp Xylocaine plain yf years following yo years old ye yesterday yt yet yi yield ym young man yw young woman zd Zenker's diverticulum zl zone lymphoma zy zygoma tzc 3-0 chromic aap abdomen and pelvis aib abdomen is benign ais abdomen is soft awb abdomen was benign AB ABDOMEN: aaa abdominal aortic aneurysm aei Abdominal exam is aew abdominal exam was abf abdominal films asw abdominal side wall axr abdominal x-ray abd abduction abla ablation abj abortion abr abrade acc access amu accessory muscle use acg according ach achieve acv acne vulgaris acq acquire acr across abs active bowel sounds aoo acute onset of arf acute renal failure adg adding adq adequate adi adipose adj adjacent ado administration of ajs admissions adw admitted with ady admitted yesterday axl adnexal adv advance aer aerobic apd afferent pupillary defect aaf African-American female aag African-American gentleman aam African-American male aaw African-American woman ahl after his last ags against agg aggressive agr agree atg air trapping afl air-fluid level aks akinesis alq aliquot alkp alkaline phosphatase aluc ALLERGIES: alg allergy alm almost ali along with alr already ams altered mental status alw always amn amniotic aml amylase als amyotrophic lateral sclerosis aeo an episode of ahb and has been ahh and he has ain and is now ash and she has agb anemia due to gastrointestinal bleeding acd anemia of chronic disease ane anesthesia anuc ANESTHESIA: anr ankle reflexes ah another ans answer abi antibiotic anx anxiety aor aorta aov aortic valve avr aortic valve replacement apa apart apx apex aps Apgar score apk aphakia aph aphasia apo aponeurosis anl appeared normal ahe appears healthy apt appetite aig appetite is good apl apply aga appropriate for gestational age apv approve awc are without clubbing arr arrange aod arrest of descent arl arterial abg arterial blood gases ars arteries ahd arteriosclerotic heart disease avg arteriovenous graft aac as a child aar as a result aai as an inpatient aeb as evidenced by asf as follows aha as high as aot as opposed to aob as outlined by asu as usual ayk as you know ayr as you recall asc ascites aip ascites is present ase aseptic asl asleep anb as-needed basis aab aspirate and biopsy azc asthmatic asy asymptomatic aat at a time afm at five minutes atl at least aom at one minute aop at one point ata at the apex atp at this point awp at which point awt at which time atx ataxia avb atrioventricular block apuc ATTENDING PHYSICIAN: aty atypical acp atypical chest pain auc auditory canal aup auscultation and percussion abm autologous bone marrow avn AV nicking avfo available for ave average avo avoid aal avoid alcohol avu avulse awi await awd awaited awg awaiting aws awaits awk awake awaa awake and alert aao awake, alert and oriented awo awoke axs axial images axi axilla axa axillary artery axb axillary block axc axillary contents axn axillary node axv axillary vein btb back to baseline bac bacteria bai bacterial infection bss balanced salt solution bdg bandage bsw barium swallow bcc basal cell carcinoma bas base bpm beats per minute bcot because of the bdw been doing well bgn began bgg beginning bgs begins beh behind bpy Bell palsy blw below bjp Bence Jones protein bpv benign positional vertigo bph benign prostatic hypertrophy bvl bevel bey beyond bib bibasilar bbr bibasilar rales bic biceps bcr biceps reflex bif bifurcation bll bilateral lower bps bilateral partial salpingectomy bil bilirubin bie bimanual exam bix bimanual examination bxd biopsied bcp birth control pills biz bizarre bln bladder neck bla blade blb bleb bli blind blg blood glucose bpi blood pressure is bls blood sugar blu blunt bsd blunt and sharp dissection bbp body box plethysmography bds bone density scan bmb bone marrow biopsy bmh bone marrow harvest bmt bone marrow transplant brd border bou bound bwp bowel preparation bwt bowel tones bws bowels brn brain brs branches brg branching bre breast bse breast self-examination btp breast tissue proper bso breath sounds brb bright red blood bri bronchi brl bronchial bct bronchial challenge test bam bronchoscopy and mediastinoscopy bip brought into position brt bruit bum buccal mucosa bur Buren sounds bys bypass surgery cct cachectic cal calcification ccb calcium channel blocker clt calf tenderness cnl canal cro cannot rule out crf capillary refill cwp capillary wedge pressure dco carbon monoxide diffusing capacity cot carcinoma of the cpb cardiopulmonary bypass cvy cardiovascularly cfy carefully ctl cartilage czd caused czs causes cau cautery cec cecum caf cell and flare cwr cells with round clp central line placement cep cephalad cmt cervical motion tenderness css cesarean sections cms change in mental status cht chart chk check cks cheeks che chemistry chc chest cavity chd chest discomfort cic chest is clear cfn chest pain, fever, chills, night sweats cxd chest x-ray demonstrated cxr chest x-ray revealed cxw chest x-ray was cxs chest x-rays chp chicken pox ccuc CHIEF COMPLAINT: chi chill chl chloride chm chromic cfs chronic fatigue syndrome cll chronic lymphocytic leukemia cri chronic renal insufficiency cvs chronic venous stasis cig cigarette cle clean cbi clear bilaterally cln clearance cld cleared clg clearing cly clearly ctf clinic today for clv clinic visit csd closed suction drain clo closure cce clubbing, cyanosis or edema coa coarse coc cocaine cah cocaine and heroin cge coffee-grounds emesis cgm coffee-grounds material cog cognitive col colon cmb comfortable cmn common cbd common bile duct cca common carotid artery cfa common femoral artery cfv common femoral vein com comparison chb complete heart block cmj complication ccc concentric chf congestive heart failure coj conjunctivae cob consent obtained cwh consistent with her cnj consolidation cwd consultation with Dr. cti continues to improve crs continuous-running suture cnt contrast ctt cool to touch cps copious cpy copiously cab coronary artery bypass clc corpus luteum cyst cgd coughed cgg coughing cgs coughs cnb could not be ccw counterclockwise cos counts cov cover cdm Crowe-Davis mouth gag crl crown-rump length cts CT scan cuf cuff cas culture and sensitivity crt curet cvt CVA tenderness cyc cycle cpe cystopanendoscopy cug cystourethrogram dac D&C dob date of birth doo DATE OF OPERATION: dov date of visit dtd dated dau daughter doa day of admission dod day of discharge dao day one dat day two dol day-of-life deb debride dbs debris dtr deep tendon reflexes dvt deep venous thrombosis dpn deepen dpr deeper dpy deeply dfr defer dfg deferring dfv defervesce def deficit djd degenerative joint disease del deliver dpg deltopectoral groove dem demonstrate daf denies any fevers den density dep depth dtl detail det determine dgc diagnostic dfo Diagnostic features of dns did not seem dta difficult to arouse dsl difficulty sleeping dsw difficulty swallowing dgt digit dil dilate dcm dilated cardiomyopathy dla dilated left atrium dlv dilated left ventricle dps dipstick dir direct dduc DISCHARGE DIAGNOSIS: dmuc DISCHARGE MEDICATIONS: dsu discharge summary dcj discontinuation dcs discontinues dtc discussed the case dit disease in the djp dissection plane dic disseminated intravascular coagulation dij distal interphalangeal joint dly distally div divide dvd divorced doc doctor dfw doing fairly well drw doing remarkably well dom dome dlp dorsal lithotomy position drp dorsal recumbent position dpp dorsalis pedis pulses dbl double doj double-J dbt doubt drn drain dra drape dri drink dgs drugs dsd dry sterile dressing duc duct dul dull dtp dullness to percussion dup Dupuytren's dur duration dub dysfunctional uterine fibroids doe dyspnea on exertion dyc dyspneic eta E to A ecs ear canals ecc ecchymosis ecy echocardiography ecp ectopic pregnancy ecz eczema edg edge eis either side eja ejaculate ejd ejected ejg ejecting elb elbow ele elect etp elected to proceed eda electrodiagnostic assessment eds electrodiagnostic study ean electrolytes are normal ebp elevated blood pressure ell ellipse elu elude emb embolus ems emergencies ecu emergency care unit edc EMERGENCY DEPARTMENT COURSE: edt EMERGENCY DEPARTMENT TREATMENT: ers emergency rooms emp empiric edp end-diastolic pressure eew end-expiratory wheezes egn end-gaze nystagmus ercp endoscopic retrograde cholangiopancreatography eny endoscopy erf end-stage renal failure enm enema enj enjoy ens ensue egi ENT grossly intact enz enzyme emu epilepsy monitoring unit epin epinephrine eps Epsom salts eqt equal throughout ero erosion epg esophageal epo esophagoscopy ess essential ehn essential hypertension esd established ebl estimated blood loss efw estimated fetal weight ega estimated gestational age eth ethanol evg evaluating evs evaluations evn even evr ever eod evidence of disease ein exam is nonfocal ewu exam was unremarkable eua examination under anesthesia exa examine exr examiner exg examining eab exams are benign xfl excellent flow xhn excellent historian efh except for hypertension efs except for some eft except for the est exercise stress test erg exercises regularly exf exfoliative exi exit epc expectorant cough eid explained in detail ecf extended-care facility ewo extensive workup ehl extensor hallucis longus eac external auditory canal ebi external beam irradiation ebr external beam radiation eca external carotid artery efg external female genitalia efm external fetal monitor eia external iliac artery eiv external iliac vein eoa external oblique aponeurosis eof external oblique fascia eom external oblique muscles eax extra-axial ece extracapsular cataract extraction emi extraocular movements intact exw extremities were eed extremity edema etb extubated exu exudate eyc eye contact fct facet ftf face-to-face fah Fahrenheit fti failed to improve ftp failure to progress ftt failure to thrive fph family psychiatric history fas fascia fal fascial fse fast spin echo fbs fasting blood sugar flp fasting lipid profile fav favor fea feature fdg feeding fms femurs fer ferritin ftl fetal fhr fetal heart rate fht fetal heart tracing fes fevers fwr fewer fbr fiber fsp fibrin split products fbd fibrocystic breast disease foe figure-of-eight fil fill fnl final fduc FINAL DIAGNOSIS: fna fine-needle aspiration fnb fine-needle biopsy frm firm fhs first heart sound fot first of the fpd first portion of the duodenum fte flank tenderness flr flare fau flat and upright flx flex foi flight of ideas fos flight of stairs flo floor fom floor of mouth flw flow flg flowing fae fluid-air exchange fge fluid-gas exchange fls fluids fcn focal consolidation fgs focal glomerulosclerosis ftn focal tenderness fui follow up in fap followup appointment fvi followup visit faf for a follow-up fco for comparison feo for evaluation of fet for evaluation to ffc for follow-up care ffe for further evaluation ffm for further management fia for immunophenotyping and frf for routine follow-up fsd for several days fst for some time ftr for this reason fcs forceps ftd formal thought disorder fmr former fcf fornix-based conjunctival flap ftb found to be fpo four-pillow orthopnea fsh Fox shield fxl fractional fft free from the fod free of disease fre frequency frl frequently ffp fresh, frozen plasma fts from today showed frj full range of motion ftc full to confrontation fsg full-thickness skin graft fjl functional fjd functioned fjg functioning fzd fused fzs fuses fut future gad gadolinium gwt gained weight gal gallop gan ganglion gar Gardnerella gic gastric goo gastric outlet obstruction ger gastroesophageal reflux gib gastrointestinal bleed gab gastrointestinal bleeding gau gauge gaz gaze gfp Gelfoam plug gea general endotracheal anesthesia gma general mask anesthesia gme general medical examination goa general orotracheal anesthesia gwc general worsening condition gnt genital gee genital exam gca giant-cell arteritis gvg giving gcs Glasgow Coma Scale glo global glb globulin gls glucoses gtc going to continue goi goiter gcl gonococcal gci gonococci gbs good bowel sounds gdp good distal pulses gec good eye contact ggc good general condition gtg Gore-Tex graft gra grade grd grafted grg grafting grs grafts gpc gram-positive cocci gms grand mal seizure gsv greater saphenous vein grv groove gro gross grp group gng guaiac negative gns guaiac-negative stool gps guaiac-positive stools gdd guarded gdg guarding gui guide gwd gun wound gws gunshot wounds gtr gutter hjt H2 htb H2 blocker hbo had been obtained hnc had no complications hdm Hallpike htd hammertoe deformity hhn hand-held nebulizer hoh hand-over-hand hrd hard har harvest hbd has been diagnosed hbf has been feeling hbh has been having hbt has been taking hct has continued to hds has done so hdw has done well hnb has never been hnm has never married hna has no adenopathy hno has no other hbw have been written hsp having some pain hhw he has worked hia he is a hid he is doing hio he is on hlw he lives with hqs he quit smoking hwt he was transferred hwb he will be hwf he will follow up hwr he will return hwk he works hne head and neck examination hsn head scan hld healed hen Healon hcz heart catheterization hrt heart rate hsz heart size hts heart tones hwg Heart without gallops hvn heaviness hvy heavy hnt HEENT hei HEENT exam is hew HEENT exam was hcs hematocrits hns heme-negative stool hps heme-positive stool hah hemoglobin and hematocrit hpt hemopneumothorax hem hemostasis hwa hemostasis was achieved hwo hemostasis was obtained hst hemostat hdr Hemovac drain hzd heparinized hsm hepatosplenomegaly hbm her bone marrow hhx her history hlv her last visit hmi her medications include hdy hereditary hrn hernia hnp herniated nucleus pulposus hzv herpes zoster virus hes hesitancy hic Hickman hbp high blood pressure hbs high blood sugar hdc high dose chemotherapy hdt high dose therapy hra High risk all hir higher hiy highly hsb high-speed bur hsd high-speed drill hly hilar lymphadenopathy hsc hip spica cast hpc his platelet count hwi his weight is hww his weight was hwc his white count hxn historian hxs histories hap history and physical hiv HIV hoa hoarse hsi hockey-stick incision hha home health aide hpf hopeful hoy hopefully hor hormone hco hospital course hou house hur hurt hus hurts hnv hypertensive hyt hypertrophy hyp hypoplastic hls hypoplastic left heart syndrome ier I to E ratio icc icteric ict icterus ior ideas of reference idj identification ids identifies idg identifying ipf idiopathic pulmonary fibrosis icv ileocecal valve itb iliotibial band ils illnesses imd imaged ims images iwo images were obtained img imaging imb imbricate iat in addition to ias in all spheres iaw in association with icw in conjunction with ifo in front of igr in good repair ilo in light of imo in my opinion ind in no distress iow in one week irt in regard to iso in spite of isc in stable condition ito in terms of itc in the clinic ite in the eye itf in the family ith in the hospital iti in the interim itl in the last itm in the midline ihw in the wound itw in touch with ivo in view of iad incision and drainage inw incision was iwm incision was made iap individualized as per ifc indwelling Foley catheter imi inferior myocardial fixation ivc inferior vena cava idc infiltrating ductal carcinoma ij inflammation ibd inflammatory bowel disease iwc informed witnessed consent ifd infundibulum ing inguinal inj injection idu injection drug use iyd injured iys injuries iuq inner-upper quadrant iao input and output iij instillation idm insulin-dependent diabetes mellitus icu intensive care unit iac internal auditory canal ica internal carotid artery ija internal jugular artery ijv internal jugular vein ima internal mammary artery ioa internal oblique aponeurosis ipj interphalangeal joint inr interrupted iax intra-axial imr intramedullary rod iol intraocular lens iop intraocular pressure iup intrauterine pregnancy icd intraventricular conduction delay irn iron ida iron deficiency anemia irr irregular iir irregularly irregular rhythm iaa irrigation and aspiration iba is being admitted scl is clear ico is currently on idw is discharged with idf is doing fairly ien is essentially normal igt is going to ihf is here for iit is in the imc is medically cleared inl is no lymphadenopathy ino is no other ipr is probably related irf is remarkable for ise is seen isf is significant for iut is unable to iue is unremarkable except iwa is well-appearing and icm ischemic cardiomyopathy ihd ischemic heart disease iss issue ist isthmus iic it is clear iid it is difficult iip it is possible iiu it is unclear iwp it was a pleasure to iwd it was decided iwe it was elected iwx it was explained iwf it was felt iwn it was noted iws it was suggested iul IU/L jau jaundice jsp joint space jny jointly jut Judkins technique jvp jugular venous pressure jtl junctional jts junctions jod juvenile-onset diabetes jxd juxtaposed jxj juxtaposition kee keep kvo keep vein open kel keloid kep kept kes ketones kng knowledge khp known health problems khh known hiatal hernia kmp known medical problems kma known medicine allergies kns knows knu knuckle kpd K-Pratt dilator kws K-wires kos kyphosis or scoliosis kyc kyphotic lpn L.P.N. l12 L1-L2 lbr labor ldc LABORATORY DATA: lac lacerate lam lamina lapa laparotomy lvp large-volume paracentesis lyg laryngeal lrx larynx lsr laser lsx Lasix lmp last menstrual period lps last pap smear ldp lateral decubitus position lfc lateral femoral condyle lrm lateral rectus muscle ltw lateral wall ltm lateral-to-medial lav lavage lyd layered lys layers lev leave lan left ankle lah left anterior hemiblock lao left anterior oblique laa left atrial appendage lae left atrial enlargement lax left axilla lbt left breast lbu left buttock lcf left calf lch left chest lco left colon lca left coronary artery lcm left costal margin lel left elbow lft left fallopian tube lfe left femur lfl left flank lgr left groin lhc left heart catheterization lhe left heel lhp left hip lhu left humerus lih left inguinal hernia lki left kidney lla left lateral llp left lateral position llt left lateral tilt llq left lower quadrant llu left lung lml left middle lobe lnk left neck lno left nostril loc left occipital lon left one lov left ovary lpa left patella lpe left pleural effusion lpu left pupil lso left salpingo-oophorectomy lsi left side lsb left sternal border lte left testis ltg left thigh ltu left tube lup left upper lux left upper extremity lue left upper eyelid lol left upper lid lul left upper lobe luq left upper quadrant lur left ureter lvd left ventricular dysfunction lve left ventricular enlargement lvf left ventricular function lvh left ventricular hypertrophy lwr left wrist lhs left-hand side l-h left-handed lgl legal lmu leiomyomata uteri lek Leksell liq lesion in question lfu lifted up lig ligament ltt light touch lim limit lpr lipid profile lqd liquid lqs liquids lis list lit liter lpz lithotomy position ltl little lfi live female infant lmi live male infant lii liver biopsy ldi liver disease lfa liver function abnormalities lsk liver, spleen, kidneys lvs lives lvg living lvw living will lwb loaded with bacteria lme local mass effect lck lock lho long history of llc long leg cast lst longstanding lsh longstanding history lkd looked lkg looking lks looks lkw looks well loo loose lwt lost weight lbp low back pain lcd low-cholesterol diet loa lower abdomen lee lower extremity edema lli lower lobe infiltrate lqp lower quadrant pain lws lowest lod low-fat diet lgf low-grade fever lgt low-grade temperature lth L-thyroxine lum lumbar lmn lumen lba lung base lbs lung bases lsj lung sounds lau lungs are clear to auscultation lcb lungs are clear to auscultation bilaterally luw lungs were lcl lungs were clear lwc lungs were clear to auscultation lym lymph lns lymph node survey mag magnesium mrij magnetic resonance imaging mai MAI msb main stem bronchus mfh malignant fibrous histiocytoma mwt Mallory-Weiss tear mmy mammary mms mammary arteries mma mammary artery mmg mammary gland mzl mantle zone lymphoma mgn margin mkd marked mce marked conjunctival erythema mkr marker mkt market mkg marking mks marks mlx Marlex mbm married black man mwf married white female mwm married white male mar marrow mtf marrow transplant for mlf masklike facies mas mastoid mmt maximal medical therapy mcp McBurney's point mkm mcg/kg/min mmg McIvor mouth gag mea measure mdv Meckel's diverticulum mfc medial femoral condyle mdy medially mdn median mes mediastinal maj medical attention mho medical history of mrc medical record mad medications as directed mlo medications listed on moa medications on admission mts meetings mel melena mem memory mte meniscal tear mnt mental mhu mental health unit mse mental status examination mnd mentioned mtc metacarpal mpj metacarpophalangeal joint mtl metal mbc metastatic breast cancer mta metatarsal mdi metered dose inhaler mtz Metzenbaum scissors mil midclavicular line mca middle cerebral artery miu midstream urine mig might mat minimal abdominal tenderness mny minimally mnm minimum mnr minor mit mitral mvp mitral valve prolapse mxd mixed mxr mixture mhg mmHg mob mobilization mao moderate amount of mhm moderately hypocellular marrow mlp modified lithotomy position mrm modified radical mastectomy mac monitored anesthesia care moy monthly msp months status post mrp morphine mcw most consistent with mwl motion without limitation mva motor vehicle accident muh mouth mog mouth gag mou mouthwash mvs moves mmm mucous membranes moist mls multiple laboratory studies mmp multiple medical problems mpd multiple personality disorder mgr murmur, gallop or rub mrg murmur,rub or gallop mor murmurs or rubs mwi muscles were intact mtb Mycobacterium tuberculosis nai nail nar narrow nrg narrowing nca nasal cannula nas nasal cavity nad nasal discharge nmi nasal mucosa intact nsp nasal spray ntu nasal turbinates ngt nasogastric tube nfo nasolabial fold nax nasopharynx nat nature nzd nauseated nzs nauseous nfu near future nis neck is supple nkm neck mass nks neck supple nvd neck vein distention nws neck was supple nkd necked nkl necklace ndl needled nlb needle-localization biopsy nds needles nid negative in detail -pg negative pregnancy test nei neither nvj neovascularization npw nephew ncv nerve conduction velocity ntt nerves II through XII nvs nervous nen nervousness ngi Neuro grossly intact ncg neurocardiogenic nec neurologic condition nul neurological nuy neurology nev neurovascular nvb neurovascular bundle nvy neurovascularly ntl neutral nco new cycle of nyo New York nyc New York City nic nice ncy nicely nie niece nsw night sweats nth ninth nac nipple-areolar complex nam no accessory muscle nal no allergies nbp no back pain nbo no blood or nba no bony abnormalities ncs no cerebellar signs ncl no cervical lymphadenopathy nci no change in ncp no chest pain noc no complications ndw no difficulty with ndi no discharge nel no external lesions nfb no foreign body nfe no further evidence nhl no heavy lifting nhe no hepatosplenomegaly nha no hepatosplenomegaly and nhs no history of surgeries nka no known allergies nkh no known history nlo no loss of nmd no medications nms no meningeal signs nmu no murmurs nmo no murmurs or nnp no neck pain nnn no nodes noted noi no other injuries nos no other significant npe no peripheral edema npt no point tenderness nph no previous history nrd no respiratory distress nsa no spider angiomata nsu no surgeries nsy no symptoms nde node ndu nodule ndm non-insulin-dependent diabetes mellitus npc nonproductive cough nrb nonrebreather nsc non-small-cell nwo nontender without organomegaly nwb nonweightbearing nla normal appearing nbs normal bowel sounds ncm normal circumcised male nef normal except for nlg normal gait nlw normal limits without n12 normal S1 and S2 nss normal saline solution nsr normal sinus rhythm nsf normal sterile fashion nrc normalcy nrt normality nrz normalize nly normally naa normocephalic and atraumatic ncj North Carolina ntb notable nof notable for nts notes ntf notify nuc nucleus nug numbing nur nurse nhp nursing home placement ose O.S. ogh OB/GYN history obe obese obf obese black female obm obese black male owf obese white female owm obese white male oby obesity obj object obl oblique ocd obsessive-compulsive disorder opd obstructive pulmonary disease osa obstructive sleep apnea occ occur ody odynophagia ohd of her disease ohi of her intensification omc of MAID chemotherapy ord of recurrent disease osc of small cells otp of the procedure oue of uncertain etiology ouo of uncertain origin oot off of the ole olecranon oml omental ona on admission obo on behalf of odt on direct testing oer on estrogen replacement ofq on further questioning oty on the eye otf on the floor ott on the table otu on the unit oao on-and-off ond one day ofb one fingerbreadth oma one month ago omt one month's time wka one week ago oya one year ago oyo one year old odh one-day history oei one-eighth-inch ohh one-half hour omh one-month history ooo one-on-one oqi one-quarter-inch owc one-week course owh one-week history oyh one-year history opa opaque oag open-angle glaucoma ope operate opr operating room ort operating room table opt operating table opv operative ofuc OPERATIVE FINDINGS: oph ophthalmology opi opinion oop or other problems oos or other symptoms orb orbit oww orders were written omd organic mood disorder oin organomegaly is noted ori orient orf orifice orx oropharynx oic oropharynx is clear oac osteoarthritic ost ostomy oan otherwise as needed owg otherwise negative owu otherwise unremarkable ofc out from completion oob out of breath ouq outer-upper quadrant ous outpatient surgery ovn ovarian ovy ovary ota over the apex otn over the next ovo ovocyte pkd packed pkg packing pfl painfully pma palpable mass pbm palpable masses pas paranasal sinuses pnd Parkinson's disease paf paroxysmal atrial fibrillation patx paroxysmal atrial tachycardia pmh past medical history psh past surgical history pwk past week pch patch pty patchy pub patient underwent bone pwd patient was diagnosed pwh patient will have pef peak expiratory flow pde pedal edema pdc pedicle pid pelvic inflammatory disease psw pelvic side wall pns penis peu peptic ulcer pud peptic ulcer disease pni per night pwk per week pea percussion and auscultation psi performance status is pcl pericardial pce pericardial effusion pot period of time pbs peripheral blood smear pvd peripheral vascular disease pey Peyronie disease phd Ph.D. phl phalangeal phg phalanges pha phalanx phx pharynx phm phlegm phn phone PE PHYSICAL EXAMINATION: pcy physically pnk pink plc placenta pls places plg placing plf plain film pln plan ple pleural pnc pneumonic pom point of maximal impulse pov point of view pto point tenderness over pct polycythemia pyy polypectomy pys polyps prt port por portion pzl positional pda posterior descending artery pna postnasal pcs postoperative course podsuc POSTOPERATIVE DIAGNOSES: psd post-traumatic stress disorder pvr postvoiding residual pwr power pws powers ppd PPD p-r P-R pgs pregnancies pgt pregnancy test pvc premature ventricular contractions pdu prepped and draped in the usual fashion prp preprocedure rxs prescriptions pin present in normal pzj presentation pzg presenting pzy presently pho previous history of psu previous surgeries pbc primary biliary cirrhosis pcp primary care physician pmo primary medical oncologist ptd prior to discharge ptp prior to presentation pco productive cough poc products of conception pfa profunda femoral artery prl Prolene pca prostate cancer prt protein pij proximal interphalangeal joint psy psychiatry pua pulmonary artery pue pulmonary emphysema pft pulmonary function tests pun punch pup pupil ppl purple pyl pylorus qpc q.p.c. qts quadrants qlt quality qty quantity qub questionable qud questioned qug questioning qur questionnaire qik quick quy quickly qcw quite consistent with qst quite some time qmi Q-wave myocardial infarction rdd radiated rpa radiating pain rajt radiation therapy rnd radical neck dissection rrp radical retropubic prostatectomy rds radiographs rai raise rls rales arw rate and rhythm without rtu real-time ultrasound rea reason rfa reason for admission rbt rebound tenderness rhf receive his first rer Rectal exam revealed rcv rectal vault rec rectum rbc red blood cells rrc red rubber catheter rfr refer rfb referable rfl referral rfd referred rpuc REFERRING PHYSICIAN: rfs refers rgs regimens rrr regular rate and rhythm rsr regular sinus rhythm reh rehabilitation rjc reject rlj relaxation rel release rof remarkable only for rem remember rff removed from the field rcc renal cell carcinoma rvt renal vein thrombosis rep repair rcs repeat cesarean section rpg reporting rdi respiratory distress rsd responded rsg responding rln restlessness rld restrictive lung disease rtd retard rve retrovaginal examination rvf retrovaginal fistula rvg revealing rtp reverse Trendelenburg position ros review of systems rbm reviewed by me rhn Rh- rhp Rh+ rms rhabdomyosarcoma rhd rheumatic heart disease rdg ridge rao right anterior oblique rar right arm rae right atrial enlargement rat right atrium rba right base rbr right breast rbu right buttock rca right calf rch right chest rcl right clavicle rcm right costal margin rdp right decubitus position rft right fallopian tube rfe right femur rfi right fibula rfl right flank rgl right greater than left rhe right heel rhi right hip rih right inguinal hernia rlo right lobe rlx right lower extremity rll right lower lobe rlq right lower quadrant rml right middle lobe rot right occipitotransverse rso right salpingo-oophorectomy rsb right sternal border rth right thigh rux right upper extremity rul right upper lobe ruq right upper quadrant rvh right ventricular heave rvi right ventricular impulse rvp right ventricular pressure rvr right ventricular response rwl right worse than left rhs right-hand side r-h right-handed rzn risen rzs rises rzg rising rsk risk rfm risk-factor modification rab risks and benefits rlg rolling rsi Romberg's sign rin ROS is negative rti round to irregular rtn routine rhm routine health maintenance rny Roux-en-Y rog rubs or gallops run runny nose rwp R-wave progression sij sacroiliac joint sdt saline drop test sds same-day surgery sfj saphenofemoral junction svg saphenous vein graft sar sarcoid scs scans swh scattered wheezes sch schedule scl sclera sin sclerae intact swa sclerae were anicteric sok scoliosis or kyphosis sco scope scr screen swd screwed scg screwing sws screws sal seasonal allergies shr second heart sound sge segment elevation szz seizures srr self-retaining retractor sei sensory intact sel sensory loss sps sensory problems sep separate spd septal deviation seq sequence sqs sequences ser serial srm serum svs services svp severe pain sxl sexual sab sexual abuse sxc sexual contact sxp sexual partner sxa sexually active sgo SGOT sgp SGPT shp sharp sbd sharp and blunt dissection sct she continues to sdw she did well sdn she does not shh she has had shw she has worked sic she is currently sio she is on siv she is very slw she lives with swf she was found swb she will be swr she works shl shield slc short leg cast sne showed no evidence sss sick sinus syndrome sef side effects from sds sides sas signs are stable soi signs of infection slk silk slv since last visit stt since that time sbf single black female sbm single black male sbw single black woman swm single white male srw sinus rhythm without ssy sinus symptoms sns sinuses sis sister s-p six-pack sth sixth soh size of her sae skin and extremities sku skull skn skull normocephalic zza sleep apnea zzd sleep disturbance zzs sleep study zzn sleepiness zzg sleeping sls sleeps sba small bowel adhesions scw small cells with sbo small-bowel obstruction scc small-cell carcinoma smr smaller sms smallest sme smear smo smoke sfp soft palate sft soft tissue sjn soft, nontender sot sought sou sound src source spa space spm specimen spe speculum slp speech-language pathology sph sphincter spf spicy foods spl spleen spo sponge svd spontaneous vaginal delivery scj squamocolumnar junction sts ST segment sti stab incision swo stab wound sg2 stage II sda stated age stg stating stn station sgb stellate ganglion block ste sterile sdr sterile dressing scp sternal chest pain scm sternocleidomastoid str straight slr straight leg raise srn strain scv subclavian vein sub subcutaneous sbt subcutaneous tissue suc success scd sudden cardiac death soo sudden onset of suf suffer sgr sugar sug suggest sui suicide sum summary sfa superficial femoral artery sfv superficial femoral vein spz supine position spp suprapatellar pouch puncture SU SURGEON: shx surgical history sud sutured swl swallow sgc Swan-Ganz catheter swt sweat swg sweating swi switch smm symmetric smy symmetrically sym symptom soc symptoms of cough syr syringe sys system sem systolic ejection murmur smu systolic murmur tow T1-weighted t12 T1-weighted and T2-weighted ttw T2-weighted tbl table tac tachycardia tks takes tal talk tnj talonavicular joint tpr taper tlp Telfa pad t98 Temperature 98 t99 Temperature 99 tit tenderness in the ttp tenderness to palpation tfl tensor fascia lata ter term tst testis tev Tevdek tya thank you again tyf thank you for thh that he had tsh that she has tsi that she is twt The patient tolerated the procedure well and was t thm them trs therapies tan there are no thb there has been twr there were thk thick thg thigh tpd third portion of the duodenum taa thoracic aortic aneurysm tho though ttb thought to be twa three weeks ago tpf three-point fixation tbn throat benign tcp thrombocytopenia tht through the tat through-and-through tfs thyroid function studies tgl thyroid gland tib tibia tpu tibialis pulses tff tibiofibular fracture tlt tilt table test xth times three ttt time-to-time taf to allow for tba to be alert tbc to be continued tbf to be followed tbi to be in tca to chemotherapy and tci to clinic in tct to clinic today tcb to control bleeding tds to do so tdw to do well tro to rule out ttc to the clinic ttf to the floor tto to the office tlb tolerable tah total abdominal hysterectomy tka total knee arthroplasty tvh total vaginal hysterectomy tmn touch-me-not twd toward tws towards txc toxic tra trace trx traction trf transfer tccj transitional cell carcinoma tma transmetatarsal amputation tfr transplant for relapsed tte transthoracic echocardiogram tuu transureteroureterostomy trv transverse tre treat trm tremor trl trial tvd triple-vessel disease tcs trocars tvc true vocal cord ttu T-tube toa tubo-ovarian abscess tuc tuck tue Tuesday tus tumors tun tunnel tur turbinates twc T-wave changes twi twice tco two cycles of tdh two-day history tpo two-pillow orthopnea tms tympanic membranes odm type 1 diabetes mellitus tdm type 2 diabetes mellitus tyo type I tyt type II tyg typing zan Tzanck's ulc ulcer uln ulnar uml umbilical umh umbilical hernia uhr umbilical hernia repair und under ufc under fluoroscopic control ufg under fluoroscopic guidance uga under general anesthesia ubm underwent bone marrow unk unknown unl unless uno unobtainable uef unremarkable except for uap unstable angina pectoris unt until ule upper and lower extremities ues upper extremities ugb upper gastrointestinal bleed ulo upper lobe uqp upper quadrant pain uoq upper-outer quadrant utd up-to-date ure ureter url ureteral uri urge incontinence urg urgent uac uric acid ua urinalysis ume urinary meatus urt urinary tract uti urinary tract infection uts urinary tract stones uur urinary urgency upe urine protein electrophoresis uhx urologic history ury urology uzd used ubc using bipolar cautery uec using electrocautery usd using sharp dissection usl usual ush usual state of health usf usual sterile fashion usm usual sterile manner utn uterine uol utero-ovarian ligament uov utero-ovarian vessel uvp uterovesical peritoneum vqs V/Q scan vag vagina vdi vaginal discharge vam vaginal mucosa vft values from today vlv valve vlb Van Lint block vzv varicella zoster virus voc vaso-occlusive crisis vmo vastus medialis oblique vau vault veg vegetation vsu venous stasis ulcer vps ventilation/perfusion scan vfa ventricular fibrillation arrest vsd ventricular septal defect viq verbal IQ ver vertebral vea vertebral artery veb vertebral body vbi vertebrobasilar insufficiency vtg vertigo vcr very carefully vup vesicouterine peritoneum ves vessel vls vessel loops vop vest-over-pants vet veteran vfi viable female infant vmi viable male infant vib vibrate vse Vicryl suture vie view vig vigorous vio violate vrs virus vtw visit three weeks vfs visual fields vzj visualization viz visualize vzg visualizing vzy visually vss vital signs stable vit vitamin vcs voices voi void vod voided vos vomits ved vulvar edema wai wait wtd waited wtg waiting wkg waking wlk walk wke walked wma wall motion abnormality wrr warrant wac was accomplished wag was again wap was applied wbe was begun wbn was benign wci was carefully inspected wcd was carried down wco was carried out wch was checked wcl was clear wcu was closed using wct was contacted wcn was controlled wci was copiously irrigated wcr was created wdb was debrided wdf was discharged from wdh was discharged home wdc was discontinued wdi was dissected wes was easily wev was elevated wem was emulsified wew was entered with wex was examined wfa was fashioned wfb was febrile wfe was felt wfi was fixed wfu was freed up wgo was good wgr was grasped whl was held whs was hospitalized wid was identified wic was increased wiw was infiltrated with win was intact wir was irrigated wko was kocherized wlv was lavaged wle was left wli was ligated wlo was located wla was loosely approximated wmd was made wmi was minimal wmo was mobilized wna was narrowed wnc was noncontributory wnf was notable for won was on wop was opened wow was otherwise wov was oversewn wpa was packed wpu was picked up wpz was positioned wpf was positive for wpd was prepared and draped wpw was prepped with wqu was quite wra was raised wre was reamed wrd was reduced wrf was remarkable for wre was removed wro was ruled out wru was run wse was sent wsn was sewn wsf was significant for wsk was skeletonized wsw was slowly withdrawn wsp was spent wst was stable wso was suggestive of wsu was sutured wsd was switched wsy was symmetrical wtf was therefore wti was tied wto was told wtr was trace wtu was turned wut was used to wvi was viable wvd was visualized waw was washed wwx was waxed wwi was withdrawn wwr was wrapped wte water wtv Waters view wan wax and wane wxd waxed wwd waxed and waned wxs waxes wws waxes and wanes wxg waxing wwg waxing and waning wxy waxy wwo we will obtain wep web space wed Wednesday wkd weekday wkn weekend wky weekly wkb weekly basis wgd weighed wgg weight gain wis weight is stable wgw weight was wtb weightbearing wt- weight-bearing wld weight-loss diet wlp weight-loss program wgs weights wdv well developed wif well in follow-up wnr well nourished w-b well-balanced rco were carried out wec were closed wrc were confirmed rdb were debrided wrd were done wrg were given wei were intact wrp were placed wrw were reviewed with wrt were then wru were unremarkable wru were used wef wet-field wfc wet-field cautery wsl what sounds like wzd wheezed wz wheezes wor wheezes or rales wzg wheezing whn which did not wwn which was normal wlt white line of Toldt wwa who was admitted wbg wide-based gait wdw widow wdt width wbd will be discharged wbo will be obtained wbs will be seeing wwm wine with meals whx with a history of wam with a moderate wqo with a question of wsc with a scalpel wwc with and without contrast whr with high risk wsi with significant improvement wbr without bruits whg without change wcm without complication woc without complications wod without difficulty wwe without edema wwf without effect weg without egophony wev without evidence weo without evidence of woi without infiltrates wol without lesion wny without nystagmus wrl without relief wsq without sequelae wos without success wtn without tenderness wup workup woy worry wnd wound wus wounds wfx wrist fracture wrs wrists xin x-ray is negative xot x-ray of the xwn x-ray was negative xdb Xylocaine digital block xwe Xylocaine with epinephrine yrl yearly yel yellow yid yielded yig yielding yng young yot younger than zli Z-line zpl Z-plasty zys zygomas zyg zygomatic aapc abdomen and pelvic CT abao abdominal aorta abca abdominal cavity abdi abdominal distention abex abdominal examination abgi abdominal girth abhe abdominal hernia abwa abdominal wall abwu abdominal wound ably abdominally abpe abdominoperitoneum abdu abduct abdd abducted abdg abducting abdr abductor abds abductors abla ablate abld ablated ablg ablating apsm abnormal Pap smear abjs abortions abav above average absy above symptoms abrd abraded abrr abrader abrg abrading abrv abrasive abru abrupt abon abrupt onset abcd abscessed abcs abscesses abst abstain abud abused abur abuser abus abuses abug abusing abuv abusive acce accept acpa accessory pathway acby accompanied by acco accomplish acgt according to attf according to the family attp according to the patient acct account acla accumulate acba Ace bandage acin ACE inhibitor acwr Ace wrap acta acetabulum acac acetic acid achb achievable achd achieved achm achievement achs achieves achg achieving acte Achilles tendon acpl achondroplasia acph acid phosphatase afba acid-fast bacillus acdo acidosis ackd acknowledged acks acknowledges acou acoustic acnu acoustic neuroma acqu acquaint acqd acquired acqj acquisition accl acromioclavicular acbl active bleeding aint active ingredient aato activity as tolerated actu actual acpu acupuncture acab acute abdomen acex acute exacerbation allx acute lymphocytic leukemia ambl acute myeloblastic leukemia amlx acute myelocytic leukemia acon acute onset atnx acute tubular necrosis acun acuteness addi addict addd Addison's disease addr address addu adduct adca adenocarcinoma adec adenoidectomy adnm adenoma admy adenomyosis adqy adequately adhg adhering adly adhesiolysis adhe adhesion adju adjust admi administer admj administration adfo admitted for adml admittedly admg admitting addg admitting diagnosis axma adnexal mass adgl adrenal gland adin adrenal insufficiency adon adult onset adho adulthood aodm adult-onset diabetes mellitus advd advanced atrd advanced to a regular diet advm advancement adfl advancement flap advg advancing adti adventitious adrs adverse drug reactions adse adverse sequelae advb advisable advi advise aers aerobics affd affected afby affected by affv affective afme aforementioned afr African-American aamn African-American man afic after informed consent afwh after which afca aftercare aflo afterload afre afterload reduction afno afternoon afwa afterwards ama against medical advice agth against the agva aggravate aggj aggression aggy aggressively aggn aggressiveness agrb agreeable agrd agreed agrg agreeing agrm agreement agrs agrees adil AIDS-defining illness acbe air-contrast barium enema afex air-fluid exchange afls air-fluid levels aiwa airway ares airway resistance alb albumin alab alcohol abuse alde alcohol dependence alhx alcohol history alle alcohol level alre alcohol related alus alcohol use alwi alcohol withdrawal awsy alcohol withdrawal syndrome alcc alcoholic alke alcoholic ketoacidosis alcm alcoholism aleg alerting alen alertness alid aligned alig aligning alim alignment alqs aliquots alrh allergic rhinitis algt allergist alby alleviated by aldy allodynia algr allograft allo allow alme allowing me alte alternate alna alternative alin alveolar infiltrate alla alveolar lavage amfu amaurosis fugax amnb amenable amrr amenorrhea ammo ammonia amle ammonia level amne amnesia amce amniocentesis amin amnioinfusion amni amnionitis amfl amniotic fluid amsa amniotic sac amot amniotomy amts amounts amta amputate amdo amyloidosis aalo an adequate level of aiwm an incision was made anro anaerobic anaa anaerobic and aerobic anfi anal fissure anve anal verge ange analgesia anph anaphylaxis anmo anastomosis anto anatomic anat anatomy aaea and abdominal exams are alft and liver function tests anmc anemic anak anesthesia and akinesia ante anesthesia team anet anesthesiologist ansv anesthesiology service anec anesthetic anez anesthetize anry aneurysm anpe angina pectoris aneq anginal equivalent andy angiodysplasia aned angioedema angm angiogram angr angiography angi angiomata anpl angioplasty afcs angulated forceps anhe anhedonia anic anicteric anga anion gap anje ankle jerk abin ankle-brachial index anks ankles ansp ankylosing spondylitis anba annual basis anrl anorectal anor anorexia ansc anoscope acoc another cycle of chemotherapy ansd answered ansg answering anss answers ancu antecubital anfo antecubital fossa anfl anteflexed anch anterior chamber aloc anterior lip of the cervix amyi anterior myocardial infarction ansh anterior sheath anvi anterior vitrectomy anwa anterior wall aiis anterior-inferior iliac spine anty anteriorly asis anterior-superior iliac spine anla anterolateral anme anteromedial anpo anteroposterior anse anteroseptal ansu anterosuperior anar antiarrhythmic abco antibiotic course abso antibiotic solution anbo antibody anco anticoagulate ande antidepressant anfu antifungal anhi antihistamine anhy antihypertensive anin anti-inflammatory anis anti-ischemic anan antinuclear antibody anps antipsychotic anre antireflux anso antisocial antu antituberculous anst antrostomy axdj anxiety and depression andi anxiety disorder anxs anxious anev any evidence aorc aortic aoan aortic aneurysm aoar aortic arch aoin aortic insufficiency aomu aortic murmur aore aortic regurgitation aoro aortic root aosc aortic sclerosis aost aortic stenosis aofe aortofemoral aoil aortoiliac aoto aortotomy apla AP and lateral aphc aphasic apul aphthous ulceration apbr apnea and bradycardia apnc apneic apc appearance apeg appearing appy appendectomy apce appendiceal apor appendiceal orifice apst appendiceal stump appi appendicitis apdi appendicular appe appendix apna applanation apto applanation tonometry apln appliance aplg applying appo appoint appd appointed apsi apposition apci appreciate apvd approved apvs approves apvg approving apra apraxia aqtx aquatherapy arno arachnoid ardi arachnoiditis arba arch bar arse arcus senilis arne are negative arpe are pending arpo are positive awnl are within normal limits arou arouse arrm arrangement arrg arranging arre arrest aodi arrest of dilatation arrh arrhythmia arsv arrhythmia service arri arrive arli arterial line a-vn arterial-venous nicking argm arteriogram arna arteriolar narrowing arob arteriosclerosis obliterans arot arteriotomy arve arteriovenous avfx arteriovenous fistula avfs arteriovenous fistulas avm arteriovenous malformation avms arteriovenous malformations avni arteriovenous nicking athc arthritic arce arthrocentesis arde arthrodesis arfi arthrofibrosis arpl arthroplasty arsc arthroscope artl articular arex articular examination arti articulate arla articulation artf artificial arom artificial rupture of membranes arep aryepiglottic aryt arytenoid arys arytenoids aaro as a result of aasf as a sterile field asab as above aaou as an outpatient ada as described above asin as indicated alap as long as possible amby as manifested by amab as mentioned above amas as much as amap as much as possible asne as needed asno as noted anab as noted above asou as outlined aoab as outlined above aspo as possible asap as soon as possible asto as tolerated awat as well as the asex asbestos exposure asao ascending aorta asey aseptically asgs aspergillosis asgi Aspergillus asra aspirate aspi aspiration aspn aspiration pneumonia assb assessable assd assessed assg assessing aapuc ASSESSMENT AND PLAN: assi assist asst assistant asso associate assu assure azat asthma attack azex asthma exacerbation azfl asthma flare ascy astrocytoma atbl at baseline atbe at bedtime atbs at best atbi at birth atfi at first atni at night atre at rest atri at risk athp at that point atlo at the level of atpt at the present time atst at the same time atwo at work atle atelectasis athe atherectomy atem atheroemboli atsc atherosclerotic atfo athlete's foot atde atopic dermatitis atra atraumatic afib atrial fibrillation atfl atrial flutter apcs atrial premature contractions asde atrial septal defect atve atrioventricular avfj atrioventricular function atta attach atme attachment atte attempt attd attend attg attending atph attending physician atdi attention was directed to attt attention was then turned to attu attention was turned to atua attenuation attr attribute atto attributed to audb audible audg audiogram aulo audiologic audt audiologist audy audiology audm audiometer auha auditory hallucination augm augment augr autograft auim autoimmune augo autologous aubl autologous blood auma automate auno autonomic avab availability avne avascular necrosis avon avoidance avod avoided avog avoiding avud avulsed avuj avulsion awkn awaken awkd awakened awkg awakening awne awareness axab axillary abscess anod axillary nodes basi Babinski's sign bapa back pain bata back table baac backache babo backboard bafl backflow bagr background bawa backwards bcl bacterial bame bacterial meningitis bape bacterial peritonitis bapn bacterial pneumonia bacy bacteriology baur bacteriuria bagd bagged bala balance bafo Balfour baai band-aid babi barbiturate baes Barrett's esophagitis bain Barthel index baga basal ganglia baex base excess boto base of tongue baon based on bali baseline basy basically basl basilar baat basilar atelectasis bave basilic vein baph basophil barm bathroom bats Battle's sign beba beanbag bewe bear weight beca became beco becomes bemo bed mobility bebo bedbound bere bedrest beri bedridden beti bedtime beaf before and after bebr before breakfast bggs beginnings bgun begun beha behavior beld believed bels believes belg believing bege belligerent bepa Bell's palsy beav below average bkax below-knee amputation bene benefit besp benzocaine spray benz benzoin besi beside befe best felt beag beta agonist bebl beta blocker bhcg beta hCG beso Betadine solution bvld beveled biso bibiotic solution bicy bicycle bifu bifurcate bihs bilateral inguinal hernias bsox bilateral salpingo-oophorectomy btl bilateral tubal ligation bidu bile duct bico biliary colic biob biliary obstruction bisc biliary scan bist biliary stent bitr biliary tree bils bilirubins biro Billroth biii Billroth II bwtn biopsies were taken bipr biopsy proven bswo biopsy samples were obtained bpdj biparietal diameter bipo bipolar bica bipolar cautery bidi bipolar disorder biel bipolar electrocautery biil bipolar illness bipl bipolar lead bibl bite block biwa bitemporal wasting bibe bizarre behavior blfe black female blge black gentleman blmn black man blst black stool btst black tarry stool blwo black woman blbl bladder blade blca bladder cancer blfl bladder flap blou bladder outlet blre bladder retractor blsp bladder spasm bltu bladder tumor blan blanche blbs blebs bler bleeder blpo bleeding point blri blepharitis blch blepharochalasis blpl blepharoplasty blov blighted ovum blig blinding bliy blindly blne blindness blkd blocked blkr blocker blks blocks blcl blood clot blco blood count blcu blood culture blle blood level bllo blood loss blsm blood smear blte blood test blti blood tinged bltr blood transfusion blty blood type blve blood vessel bloy bloody blsh blunt and sharp bldi blunt dissection blug blunting bluy bluntly blvi blurred vision bocu bone cutter bofl bone flap bogr bone graft boma bone marrow bopa bone pain bopl bone plate bosc bone scan bosp bone spur bowa bone wax bopr bony prominence boli borderline brds borders bora born and raised in bofe both feet botd bothered botg bothering bots bothers botl bottle botm bottom bouy boundary boud bounded boca Bovie cautery boel Bovie electrocautery bobl bowel and bladder bofj bowel function bolo bowel loop bomo bowel movement boob bowel obstruction bwre bowel rest bofr boyfriend brar brachial artery brve brachial vein brce brachiocephalic brr brachioradialis brtx brachytherapy brki bradykinesia brde brain death brst brain stem brtu brain tumor brad branched brdo breakdown brfa breakfast brup breakup brbi breast biopsy brca breast cancer brcy breast cyst brex breast examination brlu breast lump brma breast mass bmas breast masses brre breast reduction brti breast tissue brfe breast-feeding bres breasts brea breathe brpz breech presentation brsu bridle suture brfy briefly brng bring brba broad based brli broad ligament bsas broad-spectrum antibiotics brla bronchiolar lavage bral bronchoalveolar balx bronchoalveolar lavage brdi bronchodilator brge bronchogenic brgr bronchogram brpl bronchopleural brpu bronchopulmonary brsc bronchoscope brys bronchoscopies brsp bronchospasm brch bronchus brin bronchus intermedius bro brother bths brothers brou brought out brwn brown brsi Brudzinski's sign brug bruising bugi buccogingival busu bulb suction buur bulbar urethra buca bulbocavernosus bulg bulge budi bulging disc budr bulky dressing budo bulldog buem bullous emphysema buke bullous keratopathy bucr BUN and creatinine buni bunion buec bunionectomy buns bunions buho bur hole burd buried bufx burst fracture bufl butterfly buts buttocks byhx by history bymo by mouth bygr bypass graft bypd bypassed bypg bypassing cac cachexia caff caffeine cals calcifications cato calcitonin cal calcium cabl calcium blocker ccbs calcium channel blockers cala calculate cali calculi calu calculus cald called caba Campylobacter cacl cancel cabo cancellous bone casw cancellous screw cand Candida caes Candida esophagitis cada candidate caso canker sore cbro cannot be ruled out cann cannula cbag capsular bag cfcs capsulorrhexis forceps cadi carbon dioxide cano carcinoid cais carcinoma in situ cotl carcinoma of the lung capr carcinoma of the prostate cdar cardiac arrest caex cardiac examination camo cardiac monitor caor cardiac origin crir cardiac rhythm is regular crwr cardiac rhythm was regular crfs cardiac risk factors casi cardiac silhouette cagn cardiogenic camg cardiomegaly camy cardiomyopathy capl cardioplegia capu cardiopulmonary ctra cardiothoracic ratio caf careful cain careful inspection cagi caregiver carm C-arm fluoroscopy caar carotid artery caup carotid upstroke catu carpal tunnel cado carried down cout carried out ctls cartilages cagu catgut casu catgut suture cths catheters czma Caucasian male czmn Caucasian man czwo Caucasian woman caeq cauda equina caul caudal caus cause cauz cauterize caud cauterized caug cauterizing cdfc CD4 count ccot cell carcinoma of the cesa Cell Saver celi cellulitis cent center cegr centigrade ceme centimeter cnsx central nervous system ceve central venous cvpx central venous pressure ceca cephalad and caudad cpdx cephalopelvic disproportion cere cerebellar cepa cerebral palsy csfx cerebrospinal fluid ceva cerebrovascular cvax cerebrovascular accident cert certain ceru cerumen cead cervical adenopathy cebl cervical block cech cervical chain ceco cervical collar cedi cervical disc cedy cervical dysplasia cnod cervical nodes ceos cervical os cvsj cervical spinal stenosis cest cervical stenosis cess cessation chai chair chal challenge chad changed chag changing chby characterized by chmg charming chkd checked chkg checking chks checks chup checkup chfu cheerful chla chelation chex chest examination chhe chest heaviness chpr chest pressure chti chest tightness chtu chest tube cxsd chest x-ray showed cxwo chest x-ray was obtained chst Cheyne-Stokes chpo chickenpox chco chief complaint chab child abuse chbi childbirth chho childhood chil children chsl chisel chhy chloral hydrate choc chocolate chgm cholangiogram chgi cholangitis chto cholesteatoma chom cholesterolemia chma chondromalacia chpl chondroplasty chfo choreiform chsu chromic suture chpe chromopertubation chbr chronic bronchitis chch chronic cholecystitis cmml chronic myelomonocytic leukemia copd chronic obstructive pulmonary disease cpsy chronic pain syndrome crfx chronic renal failure chrh chronic rhinitis chsc chronic schizophrenia chny chronically cism cigarette smoker cigs cigarettes cila circulate cinu circulating nurse ciar circumareolar cici circumcise cife circumference ciin circumferential incision cima circumflex marginal cisc circumscribe cili cirrhosis of the liver ciba Citrobacter clad clamped clag clamping clas clamps clca claudication clav clavicle clpe clavipectoral cldr clean and dry cled cleaned cleg cleaning cles cleans clco clear cornea clcu clear cut clfl clear fluid cldt clear liquid diet clsp clear sputum ctab clear to auscultation bilaterally clur clear urine cllp cleft lip clpa cleft palate clpi clinical picture clly clinically clsi clinically significant clis clinics clwi clockwise clob close observation clfx closed fracture clre closed reduction csds closed suction drains clsy closely clsr closer clst closest clsg closing cldi Clostridium difficile clte CLOtest coag coagulate coab cocaine abuse cogj cognition cofj cognitive function coim cognitive impairment cogy cognitively cogz cognizant cohe coherent cola collagen colu collapsed lung colg colleague coll college colc colonic copo colonic polyp cosc colonoscope coys colonoscopies corl colorectal colp colposcope coto comatose comf comfort cmfx comminuted fracture chdi common hepatic duct comm communicate capn community-acquired pneumonia comw compatible with comp complain cbcx complete blood count copn completeness coby complicated by copr compress cofx compression fracture cosw compression screw comi compromise copu compulsion cocl conclude cocu concur cobi cone biopsy cofi confirm cofr confront cofu confuse coza conization cpnk conjunctivae pink cojl conjunctival cons consent coqu consequent cose conservative cotr conservative treatment cosi consider coof consisted of cote content ctdw continues to do well coce contraceptive cody contrast dye ctrb controllable cohn controlled hypertension ctrg controlling ctrs controls cosa conversation conv convince covu convulse coop cooperate coor coordinate coam copious amount coir copiously irrigated coac coracoacromial cobr coracobrachialis cobl cord blood crds cords coan coronary angiography cabg coronary artery bypass graft cobo corporal body corr correct coso cortisone chri coryza cosm cosmetic cpan costophrenic angle cpab costophrenic angle blunting cnbs could not be seen coun counsel cosu countersunk cous courses covj coverage covd covered covs covers ckls crackles cram cramp cabs cranial abnormalities crne cranial nerve crec craniectomy crpl cranioplasty crto craniotome crot craniotomy crea create crki creatine kinase cpkj creatine phosphokinase crma cremaster crbl crescent blade crkn crescent knife crph cricopharyngeal cris crisis crcr crisscross crit critical crca critical care ctrl crown-to-rump length crin cruciate incision crli cruciate ligament cryg crying crgl cryoglobulin crpr cryoprecipitate crcl cryptococcal crme cryptococcal meningitis crco Cryptococcus crge cryptogenic crsp Cryptosporidium crza crystallization cryl crystalloid crys crystals csot CT scan of the culd cultured ctdr cup-to-disc ratio crts curets curm current medications cuin curvilinear incision cutg cutting cyac cyanotic cycd cycled cycs cycles cycg cycling cydu cystic duct cyma cystic mass cyis cystitis cyce cystocele cygr cystogram cmgx cystometrogram cypr cystoprostatectomy cyse cystoscopic examination cyta cystoscopy table cyur cystourethrectomy cusc cystourethroscope cusy cystourethroscopy cyss cysts cmvx cytomegalovirus cypa cytopathology dacr Dacron dagr Dacron graft dacy dacryocystitis daba daily basis damd damaged dang danger daus daughters daca Davol catheter dadr Davol drain daei day eight dafi day five dafo day four dani day nine dase day seven dasi day six datn day ten dath day three daso daytime somnolence dequ de Quervain's debi debilitate debm debridement debu debulk deci decide decl decline deco decompress dcap decreased appetite dbss decreased breath sounds drom decreased range of motion dcvs decreased vision dcrs decreases dcrg decreasing deul decubitus ulcer defa deep fascia depa deep palpation dpng deepening dpst deepest defe defect dfvd defervesced dfvn defervescence dfvt defervescent dfvg defervescing defs deficits defi define dege degenerate dddx degenerative disc disease degl deglove dehi dehisce dehy dehydration dela delay delf delightful deli delineate deld delivered delg delivering dels delivers dely delivery delu delusion deza demoralization dntl dental deni dentition intact depe depend depn dependence depr depress defx depressed fracture deps depths dera derange drml dermal dech dermatochalasis derm dermatologist desa desaturate desc describe dopuc DESCRIPTION OF PROCEDURE: dese deserve desu desufflate dere detached retina dtld detailed dtls details dete detect dett determinant detj determination detd determined dets determines detg determining dvm development devs develops devi device dkaj diabetic ketoacidosis dibr diagnostic bronchoscopy dam diameter diph diaphoresis dias diastole dnha did not have any dnra did not reveal any dnst did not seem to diwe did well desx diethylstilbestrol df different difu diffuse dgtl digital diex digital examination dgts digits dacx dilatation and curettage dilg dilating dimi diminish diop diopter diqu direct questioning dite direct testing divi direct vision divz direct visualization dccv direct-current cardioversion dird directed dirg directing dirj direction diry directly dirr director diab disability diap disappear dica discard didg discharge diagnosis dcos discontinuous dicv discover dicu discuss dsed diseased diom diskometry disl dislocate dipo dispose diru disrupt diss dissect disd dissected dina disseminate dimo distalmost dito distort ditr distract dibu distribute diur diurese dive diverticulum dact divide-and-conquer technique divd divided divg dividing divj division doec dobutamine echocardiogram docs doctors docu document dnat does not appear to dowe doing well dosi donor site dost Doppler study doul Doppler ultrasound dosp dorsal spine dofl dorsiflex dola dorsolateral dolu double lumen dovi double vision djst double-J stent douy doubly doli doubly ligated dbtd doubted dofu doubtful dogo downgoing dosy Down's syndrome dowa downward doga downward gaze drnd drained drng draining drns drains drap draped dras drapes drsi drawer sign drss dress dssd dressed dsch dressing change drgs dressings drbg dribbling dril drill drbi drill bit drho drill hole dral drink alcohol drig drinking driv drive drou dropped out drov drove drne drowsiness drow drowsy drab drug abuse drfe drug fever drre drug related drtr drug treatment drus drug use drmo dry mouth dsds dry sterile dressings drwg dry weight ducl ductal duln dullness duol duodenal dubu duodenal bulb duul duodenal ulcer duoi duodenitis dusc duodenoscope duod duodenum dtco during the course of duwh during which dxte d-Xylose test dyar dysarthria dybl dysfunctional bleeding dypa dyspareunia dype dyspepsia dypg dysphagia dyth dysthymic dyur dysuria eada each day eamo each month easi each side eati each time eawk each week eayr each year eaca ear canal eain ear infection eadr eardrum eato earlier today eaag early age eade early development easa early satiety esly easily eaid easily identified eabr easy bruising eatg eating eadi eating disorder eccc ecchymotic ecde echodensity ecge echogenic ectc ectopic ecpy ectopy edgd edged edgs edges edca educate efme effacement effl effluent eflu efflux effu effusion eith eighth eiri eighth rib ejad ejaculated ejaj ejaculation ejay ejaculatory ejmu ejection murmur ejjs ejections elpl Elastoplast elbs elbows eldy elderly eled elected elev elective ekgc electrocardiographic ekgy electrocardiography elco electrocoagulate ectx electroconvulsive therapy eltr electrode eldg electrodiagnostic elhy electrohydraulic elly electrolyte elpa electrolyte panel emdx electromechanical dissociation emgx electromyogram engx electronystagmography elph electrophysiology eles elects elem element elva elevate elgb eligible elim eliminate elna elimination ells ellipses elso ellipsoid ellc elliptic elll elliptical elin elliptical incision elwh elsewhere eluc elucidate elud eluded elug eluding emby embolectomy embi emboli embc embolic embm embolism embj embolization empe emergency petition emsi emphasize emse emphysema emth empiric therapy emtr empiric trial empl empirical empy empyema enbl en bloc enli encephalitis enma encephalomalacia enci encircle encl enclose endi end diastolic enor end organ enst end stage enar endarterectomy enca endocardium encr endocrine ensv endocrinology service enlo Endoloop endo endometrial ensa endometrial sampling enmy endomyocardial enpe endopelvic ensc endoscope enys endoscopies enyt endoscopist etx endotracheal enin endotracheal intubation ett endotracheal tube enpl endplate eskd end-stage kidney disease esld end-stage liver disease enen end-to-end ensi end-to-side engy energy enha enhance enjd enjoyed enla enlarge enld enlarged enpr enlarged prostate enlr enlarger enls enlarges enlg enlarging ensd ensued ensg ensuing ensu ensure ente enter entd entered ecai enteric-coated aspirin entg entering enba Enterobacter ence enterocele encu enterocutaneous enop enteropathy enot enterotomy enva enterovaginal enti entire ennr entirely normal enwu entrance wound enur enuresis enzt enzymatic epmo ependymoma epco epicondyle epid epidermis epdi epididymis epan epidural anesthesia epca epidural catheter epsp epidural space eppa epigastric pain epga epigastrium epgl epiglottis epil epilepsy epio epinephrine 1:100,000 epit epinephrine 200,000 epre epiretinal epme epiretinal membrane epsc episclera epsi episiotomy epst epistaxis epth epithelial eptm epithelium eptr epitrochlear epty epitympanum eqva equinovarus erca eradicate eros erosions erov erosive erno erythema nodosum ercy erythrocytosis ermy erythromycin erpo erythropoietin esba Esmarch bandage essp esophageal spasm esst esophageal stricture esgi esophagitis egd esophagogastroduodenoscopy essc essence estr essential tremor esnr essentially normal esun essentially unremarkable esta establish esti estimate eblw estimated blood loss was ebluc ESTIMATED BLOOD LOSS: edcx estimated date of confinement edod estimated date of delivery elos ESTIMATED LENGTH OF STAY: etab ethanol abuse etle ethanol level etus ethanol use etsi ethmoid sinus etde ethmoidectomy etic etiologic eutu eustachian tube evac evacuate evnd evened evnt event evnf eventful evns events evnl eventual evme every meal evmo every morning evni every night evyr every year evda everyday evon everyone evt everything eord evidence of recurrent disease eovt evidence of vincristine toxicity evid evidenced evig evidencing evit evident eviy evidently exba exacerbate exct exact eilt exam is limited to eirf exam is remarkable for eaau exams are all unremarkable xcon excellent condition xhem excellent hemostasis eftl except for the left eftr except for the right exth except that exch exchange exci excise exbi excisional biopsy excl exclude exco excoriate excu excursion exgr exercise group exin exercise intolerance exrg exercise regularly estg exercise stress testing exto exercise tolerance exed exercised eiaz exercise-induced asthma exes exercises exeg exercising exer exert exan exertional angina exdy exertional dyspnea exfd exfoliated exhi exhibit exhu ex-husband exis exist exsi exit site exwu exit wound exid exited exig exiting exop exophthalmos exos exostosis expa expand expj expansion expc expect exma expectant management exdi expedite expe experience exme experiment exph expiratory phase exwh expiratory wheezes expi expire expl explore expo expose expr express exap expressive aphasia exqu exquisite extn extend exhx extensive history exge external genitalia exil external iliac emge external male genitalia exob external oblique exri external ring exro external rotation exdu extradural exor extraordinary extr extreme exwe extremely well eawc extremities are without clubbing ernc extremities reveal no cyanosis esnc extremities show no clubbing exex extremity examination extu extubate exx exudates exuv exudative eydo eye doctor eyex eye examination eyba eyeball eybr eyebrow eygl eyeglasses fama face mask fajn facet joint fcts facets faas facial asymmetry fadr facial droop faci facility faid failed fbsy failed back syndrome ftde failed to demonstrate ftrt failed to respond to ftre failed to reveal faig failing fais fails fato failure to faam fair amount faiy fairly fawe fairly well fafo falciform fari fall risk fatu fallopian tube faan false aneurysm fapo false positive faml familial famr familiar fams families faco family conference fado family doctor famt family meeting fatx family therapy fala fascia lata fasc fasciculation faab fast-absorbing fagr fat graft fapa fat pad fths father's ftgd fatigued fali fatty liver fati fatty tissue favb favorable favt favorite fefu fearful feas features feim fecal impaction fetu feeding tube fdgs feedings febe feeling better fege female genitalia fnad female in no acute distress fein female infant febt femoral bruit fehe femoral head fenk femoral neck fefe femorofemoral fefx femur fracture fest fenestration fent fentanyl fepa fentanyl patch fers ferrous fegl ferrous gluconate fesu ferrous sulfate feza fertilization fasy fetal alcohol syndrome fedi fetal distress femo fetal movement fech fever and chills fuox fever of unknown origin fesp fever spike fcsw fever, chills or sweats feba few bacteria fiop fiberoptic fbrs fibers fila fibrillate fbns fibrinous fica fibrocalcification ficy fibrocyst fifa fibrofatty figl fibroglandular fibd fibroid fitu fibroid tumor fiut fibroid uterus fimy fibromyalgia fbrc fibrotic fidy fibrous dysplasia fifx fibula fracture fibs fibulas foes figure-of-eights fild filled filg filling fils fills filt filter fien fimbriated end fdsuc FINAL DIAGNOSES: fidg final diagnosis fnly finally fitr fine tremor fing finger fidi finger dissection firu finger rub fibr fingerbreadth fina fingernail fino finger-nose fiti fingertip fini finish fiot FIO2 fima firm mass frmy firmly fshs first and second heart sounds fico first course fide first degree fiep first episode fikn first knife fily first layer foal first of all fivi first visit fiin fishmouth incision fiss fissure fsgr fistulogram filo fistulotomy fsus fistulous fixa fixate fxde fixed defect flpa flank pain flas flaps flrd flared flrs flares flup flare-up flaf flat affect flpl flat plate flle flatulence flxd flexed flxs flexes flxb flexible flbr flexible bronchoscope flsi flexible sigmoidoscopy flxg flexing flxj flexion flte flexor tendon flri Flieringa ring flwd flowed flbo fluid bolus flre fluid retention flst fluid status flwa fluid wave flgi fluids given flsc fluoroscope flta fluoroscopy table flus flush flud flushed fnds focal neurologic deficits fowe focal weakness focy focality foga Fogarty foac folic acid foll follicle foce follicular cell flwo following labs were obtained fols follows fodr footdrop fobr footling breech fopl footplate fafv for a follow-up visit fapp for any persistent pain feat for evaluation and treatment fets for evaluation to start foex for example fofu for followup fiac for immunophenotyping and cytogenetics fmys for many years ftla for the last fowh for which fora foramen foar forearm fosk foreskin foma formation frnx fornix fbfl fornix-based flap fosm foul smelling fodo found down ftba found to be alert ftbi found to be intact ftbn found to be normal fcom four cycles of MAID ftad four times a day fprs four-point restraints fxnj fractionation fras fractions fxdi fracture dislocation fxfr fracture fragment fxsi fracture site fxta fracture table frag fragment frwo framework frpu frank pus frai free air frfl free flap frof free of frti free tie frup freed up ffp fresh frozen plasma frib friable frru friction rub frie friend ftho from the hospital ftor from the operating room ftpa from the patient frhe frontal headache frlo frontal lobe frsi frontal sinus frns frontalis frny frontally frpa frontoparietal frte frontotemporal frse frozen section frsh frozen shoulder frst frustrate fulg fulgurate futh full thickness fulr fuller futi full-time fuly fully fuor fully oriented fjly functionally funl fundal fupl fundoplication fusc funduscopy fucu fungal culture fuin fungal infection fuge fungemia fuas further assessment fubl further bleeding fuca further care fudi further dissection fuev further evaluation fuex further examination fuma further management fuob further observation fuwo further workup furd furthered furt furthest fufo fusiform fvcr FVC ratio gare gag reflex gaem gainfully employed gabe gallbladder bed gast gallstone gagl gammaglobulin ganc ganciclovir gacy ganglion cyst gagr gangrene gava Gardnerella vaginalis gaec gastrectomy gaan gastric antrum gaca gastric cancer gala gastric lavage gaul gastric ulcer gasi gastritis gacn gastrocnemius gaco gastrocolic gali gastrocolic ligament gadu gastroduodenal gaen gastroenterology gesv gastroenterology service gaes gastroesophageal gajt gastroesophageal junction gitr gastrointestinal tract giup gastrointestinal upset gaje gastrojejunostomy gapa gastroparesis gasc gastroscope gath gather gzds gauze dressing geps general psychiatry genz generalized geex genital examination geta genitalia gere genitorectal guir genitourinary irrigant gntl gentle gedi gentle diuresis gehy gentle hydration genn genuine gefa Gerota's fascia gage gestational age getg getting gima gigantomastia gisa Gigli saw givi gingivitis gibu gingivobuccal gifr girlfriend glab glabella glsc Glasgow score glss glasses glau glaucoma gcsc Gleason combined score glhu glenohumeral glwi Glidewire glbl glioblastoma glbs globulins glne glomerulonephritis glse glossectomy glco glucocorticoid glin glucose intolerance gttx glucose tolerance test glsu glucosuria glma gluteus maximus glme gluteus medius glmi gluteus minimus glce glycemia glyc glycemic glyn glycerin glpy glycopyrrolate glhe glycosylated hemoglobin gmdl gm/dL godi goal directed gosc gonioscopy gcx gonorrhea goap good appetite goca good candidate gode good dentition ghi good historian gopo good position grom good range of motion goto good tone govj good visualization govt government grad graded grdt gradient grpo gram positive gnrs gram-negative rods grch grandchildren grda granddaughter grfa grandfather grmo grandmother grso grandson grla granulation grti granulation tissue grcy granulocyte grlo granuloma grto granulomatosis gras grasp grut gravid uterus grdr gravity drainage grca great care grde great deal grdi great difficulty grcu greater curvature grtr greater trochanter gret greatest grey greatly grsp green sputum grfi Greenfield filter grou grew out grvd grooved grvs grooves grhe gross hematuria groy grossly gric grossly intact grnr grossly normal grgl ground glass grho group home grps group psychotherapy grtx group therapy gupo guaiac positive gnbs guaiac-negative brown stool guas guaiacs gute guarantee guna gubernaculum guin guidance gupi guide pin guwi guide wire guid guided guig guiding gtrs gutters gync gynecologic gynl gynecological gyco gynecological consultation gyon gynecological oncology gysv gynecological service gynt gynecologist gycl gynecology clinic gyma gynecomastia htbs H2 blockers hnco had no complaints of hae Haemophilus influenzae hadi hair distribution hato halitosis hana hallucination hava hallux valgus hast hamstring hamo hand motion hapi handpiece hapd happened hpcs haptics hapa hard palate hrdn harden hawa hardware hafu harmful hapo Hartmann's pouch harg harvesting hbat has been able to hbdc has been discontinued hbmf has been married for hbnn has been no nausea hbsb has been seen by hbut has been unable to hsco has continued hsdo has done hadr has drank hsex has experienced hsfe has felt hsim has improved hsmd has made hanv has never hneo has no evidence of hnoc has no other complaints hsre has remained hssh has shown hdtc have discussed the case hvhd have had hvnt have not hvre have remained hafe hay fever hhdw he has done well hhhn he has had no hhnh he has no hepatosplenomegaly hiaf he is afebrile hiat he is allergic to hisi he is single hlal he lives alone hesm he smoked hwad he was admitted hwar he was arrested hwbi he was born in hwdi he was discharged hwfo he was found hwgs he wears glasses hwco he will continue on henk head and neck hcts head CT scan heiy head injury hopa head of the pancreas hdre headrest hebs heard best heai hearing aid hebl heart block heex heart examination hirr Heart is regular rate hemu heart murmur heso heart sound hebu heartburn hcin heat or cold intolerance hedr heavy drinker hesh heel-shin heiu HEENT exam is unremarkable hnex HEENT examination hepy Helicobacter pylori hels helpless hegi hemangioma hete hematemesis hech hematochezia heon hematology-oncology hetu hematuria hepo heme positive hnbs heme-negative brown stool hpbs heme-positive brown stool hegl hemiglossectomy heph hemisphere hetr hemitransfixion hecl hemoclip hedl hemodialysis hedy hemodynamic hept hemoptysis hrr hemorrhage hero hemorrhoid heec hemorrhoidectomy hwow hemostasis was obtained with hsts hemostats heth hemothorax heva Hemovac hvds Hemovac drains hepz heparinize hepa hepatic hedu hepatic duct hefl hepatic flexure heti hepatitis hbca hepatitis B core antibody hbsa hepatitis B surface antibody hebi hepatobiliary hbsc hepatobiliary scan hece hepatocellular hepc hepatocellular carcinoma hjre hepatojugular reflux hanp hepatosplenomegaly and no peripheral hbpi her blood pressure is hrlw her LFTs were hpsi her performance status is hpmo her primary medical oncologist hrsa her stated age hrwi her weight is hrww her weight was hrwc her white count hesa hernia sac hedi herniated disc heab heroin abuse haco heroin and cocaine hede heroin dependence heus heroin use hewi heroin withdrawal hesi herpes simplex hese herself hege heterogenous hesx heterosexual hihe hiatal hernia hicc hiccup hick Hickman catheter hisu hidradenitis suppurativa hica high calorie hich high cholesterol hido high dose hfdi high fiber diet hili high ligation hiri high risk hisc high school hpfi high-power field hsed high-school education hiad hilar adenopathy hise himself hifx hip fracture hijn hip joint hipa hip pain hirs hirsute hshx his history hilw his LFTs were hnei his neurologic exam is hrin his ROS is negative hisa his staged age hsag his stated age hife Hispanic female hima Hispanic male hicy histiocytosis hilo histology hape history and physical examination hxaz history of asthma hohd history of heart disease hpi history of present illness hpic HISTORY OF PRESENT ILLNESS: hivn HIV negative hivr HIV related hivs HIV serology hivt HIV testing hoan hoarseness hoar holding area hosy holosystolic homu holosystolic murmur homo Holter monitor hosi Homans' sign hoat homatropine hoox home oxygen hotd home today hols homeless hoci homicidal hoid homicidal ideation hoge homogeneous hohe homonymous hemianopsia hosx homosexual hoba Honan balloon hops hopeless hopn hopelessness hmso horizontal mattress sutures of horl hormonal hoim hormone imbalance hrep hormone replacement hrt- hormone-replacement therapy hors hormones hopl hospice placement hoda hospital day hapn hospital-acquired pneumonia hosz hospitalize hosd hospitalized hoss hospitals hoho household howi housewife howo housework hucl Hulka clamp hivx human immunodeficiency virus hufx humerus fracture huca HUMI cannula hyad hydradenitis hysu hydradenitis suppurativa hydr hydrate hyse hydration and sedation hyce hydrocele hyco hydrocodone hydi hydrodissect hype hydrogen peroxide hyne hydronephrosis hysa hydrosalpinx hyap hydroxyapatite hyac hyperactive hybs hyperactive bowel sounds hyal hyperalimentation hyam hyperammonemia hybi hyperbilirubinemia hyca hypercalcemia hych hypercholesterolemia hydy hyperdynamic hyec hyperechoic hyem hyperemia hyes hyperesthesia hyex hyperextend hygl hyperglycemia hyka hyperkalemia hyke hyperkeratosis hyli hyperlipidemia hymo hypermobile hyna hypernatremia hypa hyperparathyroidism hypl hyperplasia hypy hyperpyrexia hyre hyperreflexia hyso hypersomnolence hyth hyperthermia hyto hypertonic hyur hyperuricemia hyva hypervascular hyve hyperventilation hyvi hypervigilant hyvo hypervolemia hygo hypnagogic hoac hypoactive hoad hypoadrenalism hoal hypoalbuminemia hoca hypocalcemia hoch hypochromic hoec hypoechoic hoga hypogastric hogl hypoglycemia hepi hypoglycemic episodes hogo hypogonadism hoin hypoinflation hoka hypokalemia homa hypomanic hona hyponatremia hoph hypopharynx hopi hypopigmentation hopr hypoproteinemia hore hyporeflexic hysp hypospadias hote hypotension hoth hypothyroid hoto hypotonic hovo hypovolemia hoxe hypoxemia hysc hysteroscope iage iatrogenic icsc icteric sclerae idfa identical fashion idpr identified and preserved idpa idiopathic idca idiopathic cardiomyopathy idve idioventricular ifne if necessary ifpo if possible iyha if you have any ilan ileoanal ilce ileocecal ilco ileocolic ilin ileoinguinal ilje ileojejunal ilre ileorectal ilos ileostomy ilar iliac artery ilcr iliac crest icwp iliac crest was prepped ilfo iliac fossa ilsp iliac spine ilve iliac vein ilfe iliofemoral ilop iliopsoas ilpu iliopubic ilti iliotibial ilap ill appearing ildr illicit drug ildu illicit drug use illu illusion imfa immediate family immo immobilize imza immunization imco immunocompromised imde immunodeficiency imfi immunofixation imgl immunoglobulin impe immunoperoxidase imsu immunosuppression imth immunotherapy impa impact impi impinge imsy impingement syndrome impl implant impr impress ipc IMPRESSION AND PLAN: imps improves imsi impulsivity iarf in a running fashion iasm in a similar manner iaat in an attempt to iaet in an effort to iaof in anticipation of icco in critical condition inde in detail infc in fact ilwf in line with the fibers inad in no acute distress ined in no extreme distress inod in no obvious distress inrd in no respiratory distress irto in reference to iret in relation to isco in satisfactory condition itao in the absence of itdo in the direction of iter in the emergency room itev in the evening iteo in the event of itfo in the form of itfu in the future itha in the hall itlw in the last week itla in the left arm itme in the meantime itnf in the near future itor in the operating room itpy in the past year itpo in the presence of itro in the range of itra in the right arm itso in the setting of ituf in the usual fashion ento in toto ivot in view of this ivfe in vitro fertilization indt incident inci incise iwcw incision was closed with iche incisional hernia incs incisions incy inclusion cyst inco incontinence icrs increases indi indicate inca indigo carmine intx individual therapy indu induce indj induction iola induction of labor indw indwelling inft infant infa infarct infd infected infg infecting infs infections inpr infectious process infv infective imar inferior mesenteric artery inpo inferior pole inla inferolateral ifty infertility infi infiltrate ipdx inflammatory pelvic disease info information icwo informed consent was obtained inma inframammary ifdr infundibular inpe infundibulopelvic ifpl infundibulopelvic ligament infu infuse inhe inguinal hernia inli inguinal ligament inha inhaler inic initial consultation init initiate iniv initiative inje inject injd injected injg injecting injs injections inju injure inas inner aspect inly inner layer inno innominate inp inpatient inse insert insi inside inon insidious onset insp inspect inof instead of inst instrument inta instrumentation iddc insulin-dependent diabetic intg integument inac interact inbo interbody inre interest inlo interlock inme intermediate inmi intermittent imas internal mammary arteries imcl internal medicine clinic inob internal oblique inri internal ring inro internal rotation inos interosseous inph interphalangeal inga interrogate inru interrupt invl interval iaax intervals and axis ivsd interventricular septal defect invi interview inab intra-abdominal iabp intra-aortic balloon pump inar intra-articular icpr intracranial pressure inlu intraluminal imfx intramedullary fixation inmu intramuscular inna intranasal inop intraoperative inor intraorbital inth intrathecal inum intraumbilical inut intrauterine ivac intravenous access ivas intravenous antibiotics ivco intravenous contrast ivdu intravenous drug use ivds intravenous drugs ivfs intravenous fluids ivhe intravenous heroin ivhy intravenous hydration ivig intravenous immune globulin ivtx intravenous therapy invy intravenously intr introduce intu intubate inva invade inve invert invo involve iogz iodoform gauze irst iron stores irsu iron sulfate irir irregularly irregular irga irrigate irde irrigation and debridement ibsy irritable bowel symptoms ibs irritable bowel syndrome irta irritate isad is admitted isaf is afebrile isbe is being icta is clear to auscultation idfw is doing fairly well iftb is felt to be isne is necessary inid is negative in detail ineo is no evidence of isnf is notable for intb is noted to be isob is obtained ispe is pending ispo is positive ipfo is positive for ispr is present iprt is probably related to isrt is related to isan is soft and nontender iuef is unremarkable except for iutd is up to date iwac is well-appearing and cooperative iwnl is within normal limits isbo ischemic bowel isul ischemic ulcer istu ischial tuberosity isre ischiorectal isen isoenzyme isla isolate isld isolated issd issued isss issues istc isthmic iiim it is important iwdt it was decided to iwde it was determined iwdi it was difficult iwet it was elected to iwtf it was felt that iwft it was found that iwne it was necessary iwnc it was not clear iwnp it was not possible iwnt it was noted that iwob it was obvious iwpt it was possible to iuml IU/ml imzl IV mantle zone lymphoma jpds Jackson-Pratt drains jate Jacob tenaculum jaca Jarcho cannula jaud jaundiced jacl jaw claudication japa jaw pain jejl jejunal jeil jejunoileal jeje jejunojejunostomy jeos jejunostomy jetu jejunostomy tube jume judgment juve jugular vein jubr junctional bradycardia jnrh junctional rhythm jpta just prior to admission kasa Kaposi's sarcoma keeg keeping kend Keith needle kecl Kelly clamp kepu Kelly punch kels keloids kera keratome kepa keratopathy kepl keratoplasty kesi Kernig's sign kero Kerrison rongeur keac ketoacidosis keco ketoconazole kidi kidney disease kifa kidney failure kifj kidney function kist kidney stone kitr kidney transplant kire kind referral klpn Klebsiella pneumoniae knje knee jerk knjo knee joint ks knees knhx known history kocl Kocher clamp koma Kocher maneuver kusi Kussmaul's sign kysc kyphoscoliosis labe labetalol labi labile lade labor and delivery lada laboratory data lawo laboratory work laby labyrinth lacd lacerated lacg lacerating lacj laceration lacs lacerations laof lack of ladu lacrimal duct lahy lacrimal hypertrophy lasa lacrimal sac laac lactic acid lafe lactose fermenter lasw lag screw lami laminectomy lano laminotomy lama landmark lasc laparoscope laap laparoscopic appendectomy lcho laparoscopic cholecystectomy lapa laparotomy pad laam large amount labo large bowel laqu large quantity lavo large volume lary largely larr larger lart largest lage laryngectomy lagi laryngitis lagc laryngoscopic lago laryngoscopy lasp laryngospasm latr laryngotracheal latx laser therapy laad last admission laev last evening lafa last fall lfds last few days lfms last few months lfws last few weeks lfys last few years laho last hospitalization lakn last known lamo last month lani last night laon last one lsys last several years lavi last visit layr last year laas lateral aspect lame lateral meniscus latz lateralized laty laterally lati latissimus lado latissimus dorsi latt latter lavd lavaged lavs lavages ledi learning disability lofa leave of absence levs leaves levg leaving ltat left atrial laxi left axis ltba left base lbbb left bundle branch block lfib left fibula lgtr left greater than right llob left lobe llel left lower eyelid lllq left lower lobe lllf left lower lung field llpo left lower pole llsb left lower sternal border lshi left shift lshu left shoulder lsid left sided lupo left upper pole lusb left upper sternal border lvhe left ventricular heave lwtr left worse than right ltrt left-to-right ltwa leftward leti leftward tilt leed leg edema lepa leg pain leul leg ulcer lene Legionella lipl Leibinger plate lemy leiomyomata lmsa leiomyosarcoma lero Leksell rongeur lesu Lembert suture leng length lngs lengthens lelo lens loop lenu lens nucleus leri lens ring leec lensectomy lesp Leptospira leli less likely lesr lesser lecu lesser curvature lesa lesser sac letr lesser trochanter leke leukemia lecy leukocyte lees leukocyte esterase leen leukoencephalopathy lepe leukopenia lepl leukoplakia lvld leveled lvlg leveling lvls levels lebo Lewy body lawn LFTs are within normal lhsi Lhermitte's sign lica lichenification lila lid lag liex life expectancy lilo lifelong licl Liga clip litr ligament of Treitz ligt ligamentous ligs ligaments lifl ligamentum flavum lipe light perception lipi light pipe lihe lightheaded liho likelihood lita limitation lmtd limited liby limited by lrom limited range of motion limg limiting lise line sepsis lial linea alba liin linear incision lide lipidemia lidy lipodystrophy lipo lipoma lisu liposuction lidi liquid diet lisi lisinopril lisd listed lisn listen lits liters lith lithium lile lithium level livd lived libe liver bed lifa liver failure lifj liver function lalo lives alone livw lives with lich living children loag loading loph local physician lwsb local with standby lwcr local wound care locz localize loli localized lcly locally loca locate lckd locked ldse locked-door seclusion losw locking screw lola loculate lohx long history loti long time loge longevity lotu longitudinal loin longitudinal incision lote longterm lofo look forward looy loosely loas looseness of associations lwei losing weight loap loss of appetite loma loupe magnification loba low back lbpr low blood pressure lbsu low blood sugar lodo low dose losgr low grade (NOT AN ADJECTIVE) lole low level lomo low mood lotr low transverse ltcs low transverse cesarean section lovo low voltage loen lower endoscopy lgib lower gastrointestinal bleed lopo lower pole luse lower uterine segment lwrg lowering liqt lower-inner quadrant loou lower-outer lgfs low-grade fevers lsdi low-salt diet lubp lumbar back pain ludi lumbar diskectomy lufu lumbar fusion lula lumbar laminectomy lupu lumbar puncture lus lumbar spine lust lumbar stenosis ludo lumbodorsal lupe lumboperitoneal lusa lumbosacral lssp lumbosacral spine luec lumpectomy lubi lung biopsy luca lung cancer luex lung examination lufi lung field luma lung mass luvo lung volume lcap lungs are clear to auscultation and percussion lwap lungs were clear to auscultation and percussion lwcb lungs were clear to auscultation bilaterally lune lupus nephritis lydo lying down lyti Lyme titer lyn lymph node lygi lymphangitis lymc lymphatic lyed lymphedema lyce lymphocele lyph lymphoma lypr lymphoproliferative lyms lymphs lysd lysed lyad lysis of adhesions maad macroadenoma macy macrocytic macd macular degeneration maed macular edema mapa maculopapular maox magnesium oxide magc magnetic mrax magnetic resonance angiogram mnst main stem mata maintain mjco major concern mjdj major depression mjrg majoring mjry majority makg making mala malaise maal malalignment mage male genitalia mnad male in no acute distress mafu malfunction mali malignant manu malnutrition magr mammogram mmmc mammographic maab mammographic abnormality mmcy mammographically mmmy mammography mapl mammoplasty mana manage maex managed expectantly manv maneuver madp manic depression mafe manifest maby manifest by mapu manipulate manr manner mare manually removed maba many bacteria mgns margins mari marijuana mahi marital history maim marked improvement mkdy markedly mkrs markers mktg marketing mape marking pen mkgs markings marr marriage mama Marshall-Marchetti maef mass effect malz mass lesion masv massive maob massively obese matc match matt matter mafa mattress fashion masu mattress suture matu mature maca mature cataract masi maxillary sinus maxl maximal mphr maximal predicted heart rate maxz maximize maxm maximum mabe maximum benefit mafi Mayfield mefu meaningful mewh meanwhile mead measured meam measurement meag measuring mtus meatus mech mechanical meve mechanical ventilation meco meconium mclx medial collateral ligament meme medial meniscus mrct medial rectus meza medialization mtla medial-to-lateral mene median nerve mest median sternotomy meon medical oncology mosp medical or surgical problems mrcs medical records mlot medications listed on the mecl medicine clinic medm medium meno melanoma mems members meec membranectomy megi meningitis meen meningoencephalitis meni meniscus mepa menopause merr menorrhagia mens menses mebl menstrual bleeding mecy menstrual cycle mepe menstrual period mnth mental health mnti mental illness mntr mental retardation mnts mental status meil mentally ill mntn mention meql mEq/L mers Mersilene mese mesentery meap mesoappendix mesa mesosalpinx meac metabolic acidosis mpjs metacarpophalangeal joints memy metamyelocyte mdis metered dose inhalers mthd method meti meticulous mehe meticulous hemostasis mgdl mg/dL miba microbacterial mibi microbiology mica microcalcification micy microcytic midi microdissect mima micromastia misc microscope mian microscopic analysis misu microsurgical mivi microvitrector micl midclavicular miag middle aged miea middle ear mifi middle finger mitu middle turbinate miep midepigastrium milt midleft mlad midleft anterior descending miin midline incision milu midlung midn midnight mipo midposition mirt midright misy midsystolic migr migraine mipa Mikulicz pad miob mildly obese mimo mild-to-moderate mitx milieu therapy mamt minimal amount mias minimal assistance miex minimal exertion miab missed abortion mire mitral regurgitation miva mitral valve mvre mitral valve replacement miwi mixed with mobl mobile moby mobility mobi mobilize moam moderate amount maod moderate amount of discomfort moas moderate assistance modd moderated mody moderately mose moderate-to-severe modg moderating modj moderation modi modify mmms moist mucous membranes moco molluscum contagiosum mond Monday moni monitor mobe monitored bed mocl monoclonal mocr Monocryl mocy monocyte mone mononeuritis monu mononuclear moba monthly basis mosw mood swing moob morbidly obese moov moreover moad morning of admission mosu morphine sulfate moph morphology moim most important mths mother's mova motivate moex motor examination movd moved movg moving mris MRI scan mube much better muim much improved muce mucocele mucu mucocutaneous muly mucolytic mupe mucoperiosteal mucl mucosal mumu mucosa-to-mucosa mufi mucous fistula mupl mucous plug mugs MUGA scan mudi multidisciplinary mufa multifactorial mufo multiforme mugr multigravida muin multi-infarct mude multi-infarct dementia mule multilevel mulo multilobar muno multinodular mugo multinodular goiter mupa multiparity mula multiple allergies mumy multiple myeloma musc multiple sclerosis musy multisystem muve multivessel muvi multivitamin muth mural thrombus mrog murmur, rub or gallop mgrs murmurs, gallops or rubs mrgs murmurs, rubs or gallops musi Murphy's sign mure muscle relaxant musp muscle spasm muto muscle tone musd muscled musr muscular mutu musculature musk musculoskeletal myal myalgia mygr myasthenia gravis myba Mycobacterium myav Mycobacterium avium myka Mycobacterium kansasii mypl Mycoplasma mycy myelocyte mydy myelodysplastic mygm myelogram mypr myeloproliferative mysu myelosuppression myis myocardial infarctions mydi myocarditis myca myocardium mycu myocutaneous myfa myofascial myut myomata uteri myme myometrium mysi myositis mygo myringotomy myed myxedema naid nailed naig nailing nale narcolepsy nard narrowed nary narrowly naco nasal congestion nade nasal deformity nase nasal septum nasy nasally naga nasogastric nala nasolacrimal naxl nasopharyngeal natr nasotracheal nbnv nausea but no vomiting naov nausea or vomiting ncob near cavity obliteration neab nearby nesy near-syncope nebz nebulization nebd nebulized neta necessitate nkex neck examination nkst neck stiffness necr necrosis neti necrotic tissue neeg needing nscs needle and sponge counts nelo needle localization ndls needless nees needs ndst negative dipstick nfao negative for any obvious negl negligible nebo neighbor neis Neisseria nepl neoplasia nesa neosalpingostomy neva neovascular nege nephrogenic neli nephrolithiasis nesv nephrology service nepa nephropathy nesc nephrosclerosis netu nephrostomy tube neto nephrotoxin nebl nerve block ncvs nerve conduction velocities negr nerve graft neho nerve hook nro nerve root nagi nerves are grossly intact ntta nerves II through XII are nttw nerves II through XII were nebr nervous breakdown nufo neural foramen nupr neurapraxia nefi neurofibromatosis nuge neurogenic nubl neurogenic bladder nule neuroleptic newn Neurologic examination was nonfocal nofd neurologic or functional deficits nuex neurological examination nust neurological status nuly neurologically nuic neurologically intact nusv neurology service nema neuromalignant nemu neuromuscular nuop neuro-ophthalmology nupa neuropathy nups neuropsychiatry nusn neurosurgeon nusy neurosurgery nusl neurosurgical netr neurotrophic nvbs neurovascular bundles nvic neurovascularly intact nepe neutropenia nuph neutrophil netl nevertheless ncog new cycle of GAP-POMP ncoh new cycle of her napp next appointment nxda next day nfds next few days nxmo next morning nxti next time nxvi next visit nxwk next week nxyr next year ngml ng/ml nitm nicked in the midline nico nicotine nima nightmare niri ninth rib nidi nipple discharge niin nipple inversion nire nipple retraction nitr nitrate nipt nitroglycerin paste nipa nitroglycerin patch noab no abnormality namu no accessory muscle use noad no adenopathy noal no alcohol noar no arthritis noas no asterixis noba no bacteria ncbs no carotid bruits noch no change ncce no clubbing, cyanosis or edema nocg no cough nodg no diagnosis noed no edema noer no erythema neoa no evidence of any ned no evidence of disease neof no evidence of fracture neoi no evidence of injury neor no evidence of recurrent neot no evidence of trauma nfho no family history of nofa no fat nofe no fever nofl no fluctuance nofu no further nfeo no further evidence of nfin no further intervention nogr no growth nhoa no history of any nhoc no history of cardiac nhod no history of diabetes nhos no hospitalizations noim no improvement noiy no injury njvd no jugular venous distention nokn no known nkat no known allergies to nkda no known drug allergies nkhp no known health problems noli no limitation nolo no longer nloc no loss of consciousness noma no mass nmoo no masses or organomegaly nmot no masses or tenderness nomo no more nmur no murmur nmrg no murmur, rub or gallop nmog no murmurs or gallops nnov no nausea or vomiting nncs no new complaints nony no nystagmus norg no organomegaly nomp no other medical problems nop no pain npsu no previous surgeries nora no rash nrph no remarkable past history nret no retinopathy nosc no scoliosis nsob no shortness of breath nsef no side effects from nosi no sign nsoi no signs of injury nshs no splinter hemorrhages nost no stone ntit no tenderness in the ntot no tenderness of the ntop no tenderness on palpation noto no tobacco novi no vitreous nowa no warmth nwor no wheeze or rhonchi notu nocturia nodl nodular nola nodularity ndus nodules ncnt noncontrast nodi nondistended nodr nondrinker nonp none notl nonetheless nofo nonfocal nohe nonhealing noin noninvasive npal nonpalpable nopi nonpitting nopr nonproductive nore nonreactive nscc non-small-cell carcinoma nosm nonsmoker nosp nonspecific nswc nonspecific ST-T wave changes nstx nonstress test nrsy normal and symmetric nrax normal axis nfeg normal female external genitalia nlef normal limits except for nmeg normal male external genitalia nrma normal manner npmi normal point of maximal impulse nrra normal range nrom normal range of motion romj normal Romberg nrsa normal saline nsto normal sphincter tone nrva normal variant nrza normalization nrzd normalized nrzs normalizes nrzg normalizing nphy normal-pressure hydrocephalus nrac normoactive nabs normoactive bowel sounds nrch normochromic nrcy normocytic nrtv normotensive nrto normotonic nobl nosebleed nopn nosocomial pneumonia noav not available nocl not clear noen not enlarged noob not obtainable nosx not otherwise specified nope not performed noof notable only for notc notch ntbn noted to be normal nowo noteworthy ntcb noticeable ntcs notices ntcg noticing ntfj notification ntfd notified ntfg notifying nphi NPH insulin nuri nuchal rigidity nuga NuGauze nugr nulligravida nums numbers nuti numbness and tingling nume numerous nurs nurses nutr nutrition nuin nutritional insufficiency nysu nylon suture objj objection objv objective objy objectively objs objects obga obligation obly obliquely obsc obscure obvs observations obse observe obss obsessions obco obsessive-compulsive obhx obstetrical history obpa obstipation obst obstruct obja obstructive jaundice obta obtain obda obtundation obfo obturator fossa obne obturator nerve obma obtuse marginal obvt obviate obvd obviated obvg obviating obvy obviously occa occasion ocal occasional alcohol owbc occasional white blood cell ocan occipitoanterior ocpo occipitoposterior octr occipitotransverse occi occiput ocdr occlusive dressing ocbl occult blood ocpa occupation octh occupational therapy ocpy occupy occg occurring occs occurs ofco of course ombc of metastatic breast cancer oscw of small cells with otaa of the abdomen and otlb of the left breast offe offer offg offering offr officer ofre official report oftn often olag old age olin old incision oltr old trauma oldr older otsa older than stated age olhy oligohydramnios olme oligomenorrhea olgu oliguria omte omentectomy oarb on a regular basis oaob on an outpatient basis oert on estrogen replacement therapy onex on examination oooc on one occasion opex on physical examination otbo on the basis of otls on the left side otot on the operating table otoh on the other hand otrs on the right side ontr on transfer onag once again otwa once this was accomplished otwd once this was done oncy oncology ondo one dose onhr one hour onin one inch onmi one minute onpa one pack opoc one pack of cigarettes onpi one pint oppd one pint per day onti one time onei one-eighth onfo one-fourth onha one-half onqu one-quarter onth one-third oton one-to-one onmy onychomycosis ooph oophorectomy oozd oozed oozg oozing opaj opacification opad opacified opay opacity opre open reduction opwu open wound opnd opened opng opening oped operated opmi operating microscope opsu operating suite opth operating theater opti operating time opc OPERATION PERFORMED: opar operative area opca operative candidate opfi operative field opiv operative intervention opla operative laparoscopy opno operative note oppo operative port oppr operative procedure opvy operatively ophc ophthalmic opht ophthalmologist opsc ophthalmoscope opia opiate opde opiate dependence opwi opiate withdrawal opis opinions opin opportunistic infection optu opportunity opbe oppositional behavior oppv oppressive opsi Op-Site opne optic nerve opmu optimum optn option oaop or any other problems orag oral agent orab oral antibiotic orca oral cavity ocps oral contraceptive pills orik oral intake orlz oral lesion ormx oral medication ormu oral mucosa opms oral pain medications orsu oral surgery orul oral ulceration orla orbicularis orbl orbital orfl orbital floor orfx orbital fracture orri orbital rim orwa orbital wall orec orchiectomy ordd ordered obsy organic brain syndrome orgm organism orgs organs orij orientation ott oriented times three orfs orifices orig origin ortu orogastric tube orxl oropharyngeal orle oropharyngeal lesion ortr orotracheal orpe orthopedic orth orthopnea orho orthostatic hypotension orto orthotopic osci oscillate osla osmolality osch ossicular chain ospa osteoarthropathy osdy osteodystr