Question

interpreting medical records
read the following medical records. define the abbreviations and terms called out in each record, and then answer the questions that follow each medical record.
20 y/o female college student with pmh of mild cp presents to on-campus medical clinic with c/o severe ha, fever, fatigue, and photophobia. pt has a positive babinski sign. clinic physician assistant has ordered lp to collect and analyze sample of csf to r/o bacterial meningitis.

1. pmh:
2. cp:
3. c/o:
4. ha:
5. photophobia:
6. lp:
7. csf:
8. r/o:
9. meningitis:
10. what is the babinski sign?

Explanation:

Each term/abbreviation is defined based on standard medical terminology, relevant to the clinical context provided.

Answer:

1. PMH: Past Medical History
2. CP: Cerebral Palsy
3. c/o: Complains Of
4. HA: Headache
5. photophobia: Abnormal sensitivity to light, often causing discomfort or pain when exposed to light
6. LP: Lumbar Puncture (a procedure to collect cerebrospinal fluid from the lower spinal canal)
7. CSF: Cerebrospinal Fluid (the fluid surrounding the brain and spinal cord)
8. R/O: Rule Out (to eliminate a possible diagnosis)
9. meningitis: Inflammation of the protective membranes (meninges) that cover the brain and spinal cord, usually caused by infection
10. What is the Babinski sign?

A reflex response where the big toe extends upward and the other toes fan out when the sole of the foot is firmly stroked; in adults, this is an abnormal sign indicating damage to the central nervous system.