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IPDM Physical Abbreviations

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alchemist04's version from 2016-04-14 01:17

Section

Question Answer
WDWNwell-developed, well-nourished (general)
NADno acute distress (general)
HEENThead, ears, eyes, nose, throat
CVcardiovascular
Abdabdomen
Neuroneurological
NCnormocephalic (head)
PERLApupils equal and reactive to light and accommodation (eyes)
EOMIextra ocular movements intact (eyes)
JVDjugular venous distension (cardiovascular)
RRRregular rate and rhythym (cardiovascular)
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Question Answer
No m/g/rNo murmur, gallop, rub (cardiovascular)
CTA BLclear to auscultation bilaterally (respiratory)
+ BSbowel sounds present (abdomen)
NTNDnon-tender, non-distended (abdomen)
ROMrange of motion (musculoskeletal)
LROMlimited range of motion (musculoskeletal)
A&O x4alert and oriented to person, place, time, and situation (neurological)
PEphysical examination
SOAPsubjective, objective, assessment, plan
Ttemperature (vitals)
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Question Answer
BPblood pressure (vitals)
HRheart rate (vitals)
RRrespiratory rate (vitals)
S1first heart sound (cardiovascular)
S2second heart sound (cardiovascular)
S3/S4gallop (cardiovascular)
RUQright upper quadrant (abdomen)
LUQleft upper quadrant (abdomen)
RLQright lower quadrant (abdomen)
LLQleft lower quadrant (abdomen)
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