Published
First, it's not part of the conventional med. vocabulary.
However, in general interpretation, it means: a lot, more serious, bigger, ...etc
for example: up with max assist you may see "up with assist ++++..." or confused++++ for a pt highly confused. You can go on and on.
I must say that it's prohibited by JHACO
seks
33 Posts
"BM +++" or ++ or whatever
???