Question

Bart J. Stephens

September 15, 20XX Routine PE. Ht 6 ft. Wt 163 lb. P 70. BP 130/70. Pt 5 complaints. Systemic Ex neg. except for Grade I pulmonic murmur. EKG shows normal heart rhythm, CBC within normal limits, UA clear, & chest x-ray films indicate no lesions or fluid. IMP: No disease. Rx: Tetanus toxoid booster, 0.5 ml. Ret p.r.n.

Fran Practon, MD

Use the attached file (patient's chart note) to identify and write the meanings for the abbreviations

1. PE-
2. Ht-
3. ft-
4. wt-
5. lb-
6. P-
7. BP-
8. pt -
9. s -
10. Ex-
11. neg.-
12. EKG-
13. CBC-
14. UA-
15. IMP-
16. Rx-
17. ml-
18. ret-
19. p.r.n.-

Answer 1

The provided medical abbreviations relate to a patient's physical examination details, with abbreviations like PE for Physical Examination, BP for Blood Pressure, and Rx for Prescription.

Step-by-step explanation:

The abbreviations found in a patient's chart can be confusing, but they are essential for efficiently documenting medical information. Here are the meanings for the abbreviations found in Bart J. Stephens' chart :

• PE: Physical Examination
• Ht: Height
• ft: Feet
• wt: Weight
• lb: Pound
• P: Pulse
• BP: Blood Pressure
• pt: Patient
• s: No abbreviation starting with 's' provided in this context
• Ex: Examination
• neg.: Negative
• EKG: Electrocardiogram
• CBC: Complete Blood Count
• UA: Urinalysis
• IMP: Impression
• Rx: Prescription
• ml: Milliliters
• ret: Return
• p.r.n.: Pro Re Nata (as needed)

These abbreviations provide a concise snapshot of the patient's health status and the medical professional's assessment and recommendations at the time of the physical examination.