Diagnosis

 

 

Diagnosis                                     

 

 

A Fib (Atrial Fibrillation or Flutter)

AFB (Acid-Fast Bacilli/ Bacillus)

AFP (Alpha Fetoprotein)

ABD Pain/ Weight Loss

Abdominal Liver Function Study

Abdominal Pain/ Bloating/ Food Related Sys

Abnormal Blood Chemistry

Abnormal Bone Scan/ BP

Abnormal Incompatibility

Abnormal Pap smear

Abortion

Abscess

Absent, Scant, Rare Menstruation

Accelerated

Ace Inhibitor Therapy

Acid. Peptic Disease, Stomach

Acidosis

Acne Rosacea

Actinic Keratosis

Acute Radial Artery Occlusion

A D D

ADDM

ADH (Antidiuretic Hormone)

Adenitis/ Lymphadenitis

Adnexal Mass

Adverse Effects

AHI (Apnea/ Hypopnea Index)

AICD (Automatic Implantable Cardioverter Defibrillator)

Alcoholic Ketoacidosis

Allergic Reaction/ Rhinitis

Allied Condition

Alopecia

Alveolar Ventilation

Alzheimer

AMI (Acute Myocardial Infarction)

Amenorrhea

Anal Fissure/ CA

Anasarca

Anatomy & Dates

Anemia F-2

Aneurysm

Angina Pectoris

Angiosarcoma Scal

Ankle Pain/ Injury

Anosmia

Anticoagulation Therapy

Antidiuretic Hormone

ANVD (Anorexia, Nausea, Vomiting, Diarrhea)

Anxiety Disorder/ Panic

Aortic Aneurysm/ Stenosis

APH (Anterior Pituitary Hormone)

ARD (Acute Respiratory Disease)

Arm Pain to Hand

Arrhythmia, Maternal age

Arterial

Arteritis

Arthritis Rheumatoid

Artherosoler, Excl Hear & Brain

Arthropathy

a.s. (Aortic Stenosis)

Ascites

ASHD (Arteriosclerotic Heart Disease)

Aspiration

Asthma

Asymmetric Hearing

Atherosclerosis/ Coronary Graft/ Native Vessel

Atrial Fibrillation

Axillary

B&C (Bleeding & Clotting)

Back Pain/ Radiates To/ Spasms

Bacteremia

Baker’s Cyst, Knee

Bartholin’s Gland Cyst

Basal Cell

Baseline Mapping for

Beckwith-Wiedemon

Bell’s Palsy

Benign Hypertention

Benign Neoplasm of Colon/ Meninges

Benign Prostatic Hypertrophy

Bilateral Feet Stress Fxs (Fracture)

Bilateral Lower Extremity Pain

Bilateral Nodules

Bipolar Dis

Bladder CA

BLE (Bilateral Lower Extremities)

Bleeding During Pregnancy

Blepharitis/ Sty/ Chalazion

Blockage in Tubes

BP (Blood Pressure)

BPH (Benign Prostatic Hypertrophy

Brachial Arthery

Bradycardia

Brain Paresthesia/ Tumor

Breast CA2 Positive / Lump

Bronchiolitis

Bronchities, Acute/ Chronic

Bronchus

Bruise, Contusion Crush

Bruit – Arterial

BSO (Bilateral Salpingo-Oophorectomy)

BUE (Bilateral Upper Extremities)

Bulging

BUN (Blood Urea Nitrogen)

Burns & Scalds, All Degrees

Bursitis

BUS (Barthollin’s, Urethral, and Skene’s (glands)

Bx (Biopsy)

Ca (Calcium)

CA (Carcinoma)

CAD (Coronary Artery Disease)

Calculus of Kidney

Calf Edema

Carbohydrate

Carbon Dioxide

Carbuncle

Carotid endarterectomy

Carpal Tunnel Syndrome

CAPD (Continuous Ambulatory Peritoneal Dialysis)

Carotid Stenosis

Cataract

CBC (Complete Blood Count)

CBI (Continuous Bladder Irrigation

Cellulitis

Cerebral CVA (Cerebrovascular Accident)

Cerebral Edema

Cervical Spine Syndromes/ Pain/ Myopathy

Cervicitis

Circulatory

CHD (Coronary Heart Disease)

Chest Nodules/ Wall Pains & Ribs

CHF (Congestive Heart Failure)

Chickenpox

Cholecystitis

Chondromalacia

Chronic HEP C W/O Coma

Chronic (chr) Renal Insufficiency

Chronic Serous Otitis Media

Circulating Anticoag Dis

CIRC (Circumcision)

Cirrhosis

CIRC (Circumcision)

CK (Creatinine Kinase)

Claudication

Clavicular Sclerotic

CML (Chronic Myelogenous Leukemia)

CMS (Circulation, Motion and Sensation)

CNS (Central Nervous System)

CO2 (Carbon Dioxide)

Coagulation

Cognitive Impairment

Colon Cancer/ Polyp

Colovaginal Fistula

Compression FX (Fracture)

Concave

Concussion

Confirm Cyst

Confusion Difficulty

Congestive Heart Failure

Conjunctivitis & Ophthalmia

Consistency

Constipation Abd Pain GI

Contusion

Convalescent

Convulsive Epilepsy

COPD (Chronic Obstructive Pulmonary Disease)

Coronary Heart Disease/ Graft/ Atherosclerosis

Costal Pain

Costochondritis

Cough

Coumadin Use/ Therapy

CPR (CardioPulmonary Resuscitation)

Crackles

Cradle Cap

Creatinine

Crohn’s Disease

Croup

CTS (Carpal Tunnel Syndroms)

CVA (CerebroVascular Accident)

CVD (CerebroVascular Disease)

Cyst Ovary Ovarian

Cystitis & Urinary Tract Dis.

Cystocele

Deafness

Decreased Mentation

Deep Laceration

Deep Vein Thrombosis

Degenerative Joint Disease

Dehydration

Delirium

Density

Depo Provera

Depression

Diabetes Uncompleted Type II

Diabetes Renal Manif Type II

Diaper Rash

Diarrhea/ Enteritis

Digestive

Dilopia Claustro

Disc DZ Radiculopathy

Discrepancy

Dislocation, Finger, Radius, Proximal End, Shoulder

Diuretic

Diverticular Disease of Intestine/ Diverticulitis

Dizziness & Giddiness/ Vertigo

DJD (Degenerative Joint Disease)

DM (Diabetes Mellitus) Type II, Non Insulin/ Insulin Dep

DNR (Do Not Resuscitate)

DOE (Dyspnea on Exertion)

Dorsum Sella Chordoma

Drug Reaction

Dub. Enlarged Uterus

Duodenal Ulcer w/wo Comp

DVT (Deep Vein Thrombosis)

Dysfunc. Uterine Bleeding

Dysmenorrhea

Dyspepsia

Dysphagia

Dysplasia of Cervix/ Hip

Dyspnea/ Hypoxia

Dysuria

Ear Pain/ Numbness

Early Menarche

Ectopic Beats All Types

Eczema & Contact Dermatitis Nec.

Edema

Elbow Pain

Electrolyte and Fluid Disorders Nos

Elevated Blood Glucose

Elevated Creatine

Elevated Liver Enzymes

Elevated Prostate Spec Antigen

Embolism & Thrombosis Nos

Emesis

Emphysema & COPD

Encephalopathy

Endocrine

Endometriosis/ Endometrial CA

Enema

Enteritis

Enterocolitis

Enuresis

Eosinophil

Epididymitis

Epidural PAC

Epigastric Ruq Pain

Epilepsy

Epistaxis

Erythropoietin

Esophageal Obstruciton

Esophagitis /Reflux/ Vomiting

Etiology undetermined

Evaluate for Abnornal

Excessive Menstruation

Exacerbation of Asthma

Exophasia

Family Hx – Ischemic Heart Disease

Fatigue, Malaise

Febrile Seizure

Fell on Outstretched hands

Fetal/ Neonatal Jaund Nos

Fetal Anomaly Screen/ Survey

Fetal Well Being

Fever 

FHR (Fetal Heart Rate)

Fibrocystic Breast Disease

Fibromyalgia

Fibroid Muscular Dysplasia

Fibroids/ Pelvic Pain

Fistula btwn Bladder/Bowel prv ct

Flank Pain

Folliculitis

Foreign body in Tissue

Fracture/ Scaphoid

F/U Single Umbilical Arthery

Fx (Fracture)

Gait Disturbance

Gallbladder Disease, Acute

Ganglion

Gas Edema

Gastritis

General contraceptive guidance

Genitourinary

GERD (Gastroesophageal Reflux Disease)

Gestational Diabetes

GI (Gastrointestinal) Bleed

Giddiness & Dizziness

Gingivitis

Goiter

Gout

Gouty Nephropathy

Graft

Groin

GYN (Gynecology)

HA’S

Hallux Pain

Head & Neck CA

Headaches

Heart Failure, R/L Sided

Heartburn

Heel Pain

Helicobacter Pylori

Hemangioma

Hematemesis

Hematuria

Hemoptysis/ Hemoptysia

Hemorrhoids

Hemothorax

Hepatitis, Acute

Hepatoma

Hernia Hiatal/ Inguinal

Herpes Simplex/ Zoster

High Grade Right Carotid

High Platelets

HTN (Hypertension) Involved Target Oran

Hx (History)

Hydrocele

Hydronephrosis/ Fatty

Hyper Prost W/ Urine Obst

Hyperbilirubinemia/ Icterus/ Jaundice

Hypercholesterolemia

Hypercoagulable GI Bleed

Hyperemesis

Hyperlipidemia Nec

Hyperglycemia

Hyperkalemia

hyperlipidemia

Hyperparathyroidism

Hypertension on Diuretic

Hyperthyroidism

Hypoglycemia Unspec

Hypomotility

Hyponatremia

Hypothyroidism

Hypoxia

Icterus/ Jaundice/ Hyperbilirubinemia

IDDM (Insulin Dependent Diabetes Mellitus)

Ileitis

Impetigo

Impingement C4-5-6

Impotence

Incontinence

Increased Brain Tumor

Infective & Parasitic

Infertility Female 628.9 Male 606.9/ Infantile Colic

Influenza

Ingrowing Nail

Injuries & Adverse Effects

Increased Liver Enzymes

Indigestion

Insect Bite and Sting

Insertion, Intrauterine Devices

Insomnia & Other Sleep Dis.

Intermenstruation Bleeding

Intermittent Exophasia

Intrauterine Devices, Insertion

Iron Deficiency

Irrit Bowel Syn/ Intest Dis. Nec.

Ischemic Heart Disease

Iscities

Jaundice/ Icterus/ HyPerbilirubinemia, Newborn

Keratoacanthoma

Kidney Stone

Knee Pain

Labial

Labral Tear L Shoulder/ L Hip

Labyrinthitis

Laceration/ Open Wound

Lactation Education

Langerhans of Pancreas

Laryngitis & Tracheitis

Late Care Gestational

LBP (Low Back Pain)

Lesion on R Kidney

Letter Forms Presc. w/o Exam

LFT (Liver Function Tests)

Limb Pain/ Osteo

Lipid

Liver Cyst/ Mass

Lobe Nodule/ Poss Pneumonia

Long-Term

Lost IUD (Intrauterine Device)

Low Back Pain (LBP)/ Stenosis

Lumbar Radiculopathy

Lump on Right Wrist

Lung/ Kidney Lesion

Lymph Nodes

Lymphadenitis/ Lymphadenoma

Lymphoma, Nos Extranodal

Malabsorption

Malaise/ Fatigue

Malignant Neoplasm of Breast/ Bronchus/ Colon/ Lung/ Prostate

Malleolar Fracture

Mass in RLQ/ on Rt Mastoid

Mastitis

Medical Exam (Camp, DMV, School)

Melana (LGI Bleed.)

Melanoma Staging on Back

Memory Loss

Menarche

Menopausal Symptoms

Menorrhagia

Mental Disorders

Metabolic Acidosis

Metastatic Carcinoma/ Rectal CA

MI (Myocardial Infarction)

Microhematuria

Migraine

Mitral Valve Disorder/ Stenosis

Mixed Hyperlipidemia

Monoclon Paraproteinemia

Mononucleosis

MS (Mitral Stenosis)

Multiple Myeloma w/o Mention of Remission

Musculoskeletal Connective Tissue

Mylanoma

Myeloma

Myocardial Infarction

Myofascial Pain

Myoma

Nasal Congestion/ Polyp/ Sinusitis

Nausea Persistent/ Vomiting

Neck Pain w/ Radiculopathy

Neoplasm Breast/ Spine

Neoplasm of Unc Behavior Lymphatic

Nerve system, Sense Organ Dis.

Neuropathy

Nevus

New onset of HA’s

Nipple Dimpling/ Discharge Abn

Nodular Goiter

Nontox Multinodul Goiter

Normal Delivery

NOS (Not Otherwise Specified)

Numbness/ Pain

Nursery

NVD (Nausea, Vomiting, Diarrhea)

OA (Osteoarthritis)

OB (Obstetrics)

Obesity

OBS (Organic Brain Syndrome)

Occlusion Rle

Octreo Scan

Onychomycosis

Ophthalmia & Conjunctivitis

OPIS (OutPatient Immunology Services)

Oral Contraceptives Methods

Orbital CA

Organomegaly

Osteoarthritis & Allied Condition

Osteoporosis

Osteopenia

Other Injuries & Trauma

Other Malaise and Fatigue

Other Viral Exanthems

Otitis Externa/ Media

Ovarian Cyst Noted on

PAD (Pulmonary Artery Diastolic)

Pancreatic Mass

Pancreatitis

Panic/ Anxiety Disorder

Paraproteinemia

Parasite Disease/ Infect Nos

Parasitism

Parasitosis

paresthesia

Parkinsonism

Parotid Mass

Partial Right Thyroidism

Persistant Pain W/Snapping

Pelvic Abscess/ Inflammatory disease

Pelvictasis

Pericardial Disease

Peripheral Neuropathy/ Vessel Dis

Pesudomonas Pneumonia

PET (Positron Emission Tomography)

Pharyngitis

Phenylketonuria

Pilonidal Cyst

Pityriasis rosea

Plagiocephaly

Pleuropneumonia

Plueral Effusion

Plueral Thickening Pos Pet

Plum Abscess

Pneumonia/ Pneumothorax

Polycythemia

Polyps/ Sinusitis

Polyhydroaminos

Positive AFP (alpha fetoprotein)

Positive PPD (Purified Protein Derivative) Hx (History)

PostPartum Care

Post Pyelopathy

Post Term Pregnancy

Postmeno bleed

PPD (Purified Protein Derivative)

Pre-Eclampsia

Pre-Op Physical

Prediabetes

Pregnancy

Prenatal Care

Preterm Labor

Preumbilical/ Pelvic

Projectile Vomiting

Prostate CA (Testosterone test)/ Prostatitis

Proximal Muscle Weakness

PSA Elevated

Psoriasis

PTH Level 478

Pubic Ramus

Pulmonary Edema/ Tuberculosis

Pulsating

Pure Hypercholesterolemia

Purulent

Pyelonephritis

Pyeloplasty/ Pyelopathy

Pylori

Quinsy & Tonsillitis

R 10^th Rib Lesion

Radial Artery Occlusion

Radiculapathy

Radio Ablation

Rare Menstr.

Recurrent UTI

Rectal CA

Reflex Esophogitis

Reflux/ Vomiting / Esophagitis

Renal Calculus/ Failure/ Insufficiency/ Lesions

Renal Mass US (UltraSound) Done/ Ureter Disorder

Respiration Distress/ Tract Infection

Restaging Colon CA

RHD (Rheumatic Heart Disease)

Rheumatoid Arthritis & Allied Condition

Rhinitis/ Prulurent

RLQ Abd Pain

Routine Medical Exam (V700)/ Gyn Exam

Rotator Cuff Tear

Rupture Membranes

RUQ   Pain/ Hx (History)

Salpingo-oophorectomy

Salpinx

Sarcoidosis T-12. Hx

Scalds & Burns, All Degrees

Scant, Rare Menstr.

Sciatica Disabling Pain Rt

Sclerosis Density

Screen – Phenylketonuria

Screening Exam for Venereal Disease

Sebaceous Cyst

Seborrhea Dermatitis/ Keratosis

Seizure/ Convulsion/ Paroxysm

Serous Otitis Med

Severe Hip Pain

Severe HA’S

Severe HA’s Blurred Vision

Severe Sciatica

Severe Scoliosis

Sexual Dysfunction

Shin Splints

Shoulder Pain

Sided Ha’s

Sinus Pressure/ Sinusitis

Situation Reaction

Size Smaller/ Larger Than Dates Discrepancy

Skin Tags/ Disorder Nos

Slight Elevated Creatinine

Small Bone for Age

SOB (Shortness of Breath)

Soft Tissue Mass on T-Spine Probable

Spasm

Spec Screen Malignant Neop Ovry/ Prostate

Spinal Stenosis

Spontaneous

Sprain/ Strain Ankle, Foot, Toes, Knee, Low Leg, Shoulder, Arm

Vertebra Exc. Neck, Wrist Hand Finger, All Other Sites Nec.

Sputum Aerobic Fungal Afb Cx

St Jude Avr

Staging Breast CA

Stat

Status Post Diverticulitis

Steatohepatitis

Stenosis

Sterilization

Sternum Injury

Stomatitis/ Stomach pain/ GERD

Strep Throat

Stress Fracture in Bilateral

Stroke

Superficial Phlebitis

SVT (SupraVentricular Tachycardia)

Swelling Lf Foot

Syncope/ Faint/ Blackout

Syst Lupus Erythematosis

Tachypnea/ Tachycardia

Temporal Lobe Seizures

Tenderness

Tendonitis

Tension Headache

Terminal Ilio Inflammation

Thorasic AVM

Throat

Thrombophlebitis

Thyroid CA/ Toxicosis Nos

Thyroid Nodule

TIA (Transient Ischemic Attack)

Tia Loss of Vision

Tibia Plateau Fracture

Tinea Corporis

Tinnitus

Titer

Toe Pain

Tonsillitis & Quinsy/ Tonsil CA

Toxicosis

Tracheitis & Laryngitis

Transient L Hand/ Foot w/ Ataxia

Transitory Tachypnea Newborn

Trapezius/ Strain 

Trauma to L Shoulder

Tremor

Trigeminal Neuralgia

Triglycerides

Tubercular/ Tuberculosis

UC (Uterine Contraction)

Ulceration

Ulcerative Colitis

Ulnar Impaction Syndrome

Umbilical Arthery

Unsure Dates

Upper Respir. Tract Inf.

Urethritis

Urticaria (Rash)

UTI (Urinary Tract Infection)

Uterine Bleeding/ CA/ Contraction

Vaginal Discharge/ Pregnancy

Vaginal/ Vaginitis NOD Vulvitis

Varicocele

Varicose Veins of Legs

Valve Disease

VDH (Valvular Disease of the Heart)

Venereal Disease

Venous Thrombosis Nos

Ventral Hernia Abd Pain

Ventricular Fibrillation

Vertigo

Vomiting/ Nausea

Warfarin Rx And Bleeding

Warts, Genital & Plantar/ All Sites

Wax in Ear

Weight Loss Unexpected

Well Child Care

Well Woman Exam, Medicare Low/ Medium/ High

Wheeze

Worsening Low Back Pain

Wrist Pain

 

 

 

 

 

 

 

 

 

Revised on Friday, August 4, 2006 by Stacy Rhee