Lexicon cards are 3 small cards in front / back pocket size with medical vocabulary in English; Spanish; Sign language to know how to take care of your foreign or deaf patients. The 3 cards are laminated and connected by a nice ring. PRACTICAL, THEORETICAL, HYGIENIC: The asset you want in your blouse. Size: 9.5 cm x 13.5 cm [The sheets are indicative and do not replace a course by a trainer from a nursing training institute]