NOTES
Templates:
NOTEGYNHP: GYN H&P, use it for GYN encounters with no pre-set templates possible, like ACC clinic;
NOTEGYNPROGRESS: GYN progress note
NOTEGYNPAN: PAN note for patients undergone major surgeries 4-6 hours recovering from general anesthesia;
NOTEPELVICFLOOR: note for pelvic floor clinic;
NEWOB: initial encounter for PDC, or any new ob transfer to ACC clinic;
NOTECOLPO: for colpo clinic;
INTERVAL: for interval H&P at the same day as surgery, attach this to the beginning of a most recent H&P;
PRocedure
OPCERCLAGE: cerclage,
OPCKC: conization,
OPCOLPO: colpo,
OPLEEP: leep,
OPECC: endocervical curretage,
OPEMB: endometrial biopsy,
OPIUD: IUD insertion,
OPNEXPLANONINSERT: nexplanon insert,
OPNEXPLANONREMOVAL: nexplanon removal,
OPDNC: D&C
OPCSECTION: C-section,
OPECV: External cephalic version,
OPVACUUM: OB vacuum,
OPSHOULDERDYSTOCIA: OB shoulder dystocia, OPHYSTEROSCOPY: Hysteroscopy,
OPTAH: Total abdominal hysterectomy,
OPTUBALLIGATION: Laparoscopic tubal ligation,
OPTUBALLIGATIONPP: postpartum tubal ligation,
OPTUBALOCCLUSION: tubal occlusion,
OPTUBALSALPINGECTOMY: salpingectomy
Consents
CONSENTIUD: mirena,
CONSENTNEXPLANON: nexplanon,
CONSENTPATCH: patch,
CONSENTBTL: BTL including salpingectomy,
CONSENTCSection: C-section,
CONSENTECV: ECV,
CONSENTTOLAC: TOLAC and C-section,
CONSENTJEHOVAH: Jehovah's witness declining blood products,
CONSENTCT/CONSENTMRI: for CT and MRI in pregnancy,
CONSENTAMA: leaving against medical advice,
CONSENTOBGYN: General OBGYN consent, change this according to your specific procedure/surgery.
Misc
FEMARA: REI: Femara instruction;
POPQ9: Pelvic floor: POPQ9
NEUROEXAM: Neuro exam,
PELVICEXAM: pelvic exam,
BREASTEXAM: breast exam,
PEGYNPOSTOP: GYN postop exam
PRETERMWORKUP: preterm workup,
ABRUPTIONWORKUP: abruption workup,
PIH: PIH workup,
PRENTALLABS: prenatal labs,
MAGORDER: mag order for pre-E.
PDC antepartum problems:
PDCHYPOTHYROIDISM: hypothyroidism
PDCDM: diabetes
PDCGDM: gestational diabetes
PDCCHTN: chronic hypertension
PDCIUGR: Intrauterine growth retardation
PDCSEIZURE: seizure disorders
PDCPRETERMBIRTH: history of preterm birth
PDCACCRETA: accreta/increta/percreta
PDCCERVICALINSUFFICIENCY: cervical insufficiency
PDCCHOLESTASIS: cholestasis of pregnancy
PDCCLOTS: DVT, PE
PDCSAB: SAB x3
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