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Synonyms used in Bonnybank Medical Practice Synonym zabdo Type Free text or Code & expansion Text The abdomen is soft, with no tenderness, no organomegaly and no masses are palpable. There is no evidence of a hernia. Bowels sounds are normal. zb50 Text Advised on national bowel screening programme and importance of returning sample when receives stool sample request letter. zbb text Bonnybridge zbp Code O/E – BP reading zchild Appears well, alert and undistressed. Is not short of breath, not dehydrated, apyrexial, normal pulse rate, ENT - nothing abnormal zcvs text Appears well, not short of breath at rest, no evidence of cyanosis. Normal pulse rate and rhythm. JVP not raised. Heart sounds normal zdiet Code Patient advised re diet zent text Ears, nose and throat - no abnormality detected. zhp Code Helicobacter breath test zia text in absence of zlarc code Advice about long acting reversible contraception zlife code Lifestyle counselling zlsk text liver, spleen and kidneys not palpable znad code (V)Person with feared complaint, no diagnosis made znet text Advised on symptoms and signs that would be of further concern and require further review. zneuro text Alert and orientated. No cranial nerve abnormality detected. Limbs - normal tone, power, sensation, co-ordination. Both plantars normal. Fundi - nothing abnormal detected zoab code Overactive bladder zphone text for phone follow up zpillab text Advised of interaction of antibiotics and combined contraceptive pill. Advised to continue with the contraceptive pill and to use additional barrier contraception while taking the antibiotics and for seven days later. zprimprev code Primary prevention of cardiovascular disease zprost text On rectal examination, no peri-anal swelling or inflammation. Prostate normal texture, non tender, with palpable sulcus and no asymmetric swelling. zresp text The patient is not short of breath at rest. There is no cyanosis or clubbing. The trachea is central. Chest expansion is normal and symmetrical. Breath sounds are vesicular with normal air entry throughout and no added sounds. ztcb text to come back if no better or worsening. zwt code O/E - weight zxhp code Helicobacter eradication therapy zurti text Symptoms consistent with an upper respiratory infection. Advised on typical duration of symptoms, rest and plenty of fluids. Advised on appropriate doses of ibuprofen and/or paracetamol. zvasectomy text Requesting vasectomy. Advised should be regarded as permanent; that although reversibility is possible, the chances of effective reversal are very variable and not available on the NHS. Advised on the procedure, possible complications, duration of discomfort and the need for two semen samples 3 to 6 weeks apart after vasectomy to confirm it has been effective. Advised of 1:2000-4000 risk of spontaneous late reversal, and of need to use alternative contraception until confirmation given from semen samples. Referred to vasectomy clinic.