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114 Cards in this Set
- Front
- Back
Abd |
Abdomen, Abdominal |
|
Abx |
Antibiotics |
|
A fib |
Atrial fibrillation |
|
AOM |
Acute Otitis Media (new ear infection) |
|
A/P |
Assessment and Plan |
|
ASA |
Acetylsalicyclic Acid (Aspirin) |
|
BID |
Twice Daily |
|
Bilat LE |
Bilateral Lower Extremities |
|
BM |
Bowel Movement |
|
BP |
Blood Pressure |
|
c (with line over it) |
With |
|
CA |
Cancer, Carcinoma |
|
CABG |
Coronary artery bypass graft |
|
CAD |
Coronary artery disease |
|
CBC |
Complete blood count (bloodwork used to look for infection or anemia) |
|
CHF |
Congestive Heart Failure |
|
CP |
Chest Pain |
|
C/o |
Complains of |
|
COPD |
Chronic Obstructive Pulmonary Disease |
|
CRF |
Chronic renal failure |
|
C-section |
Caesarean Section |
|
C-spine |
Cervical Spine |
|
CT or CAT |
Computerized assisted tomography |
|
CTA |
Clear to auscultation |
|
CV |
Cardiovascular |
|
CVA |
Cerebrovascular Accident |
|
CXR |
Chest X-ray |
|
DM |
Diabetes mellitus |
|
DOE |
Dyspnea on Exertion |
|
DP/PT (pulse) |
Dorsalis Pedis/ Posterior Tibialis |
|
DVT |
Deep Vein Thrombosis |
|
Dx |
Diagnosis |
|
EKG/ ECG |
Electrocardiogram |
|
EOMI |
Extraocular movements intact |
|
EtOH |
Alcohol |
|
FHx |
Family history |
|
F/U |
Follow-up |
|
Fx |
Fracture |
|
GERD |
Gastroesophageal Reflux Disease |
|
GI |
Gastrointestinal |
|
G/P/Ab |
Gravida/para/abortion |
|
GU |
Genitourinary |
|
HA |
Headache |
|
HEENT |
Head, ears, eyes, nose, throat |
|
HIPAA |
Heath insurance portability and accountability act |
|
HLD |
Hyperlipidemia |
|
HPI |
History of present illness |
|
HTN |
Hypertension (high blood pressure) |
|
Hx |
History |
|
H&H |
Hemoglobin and Hematocrit |
|
I&D |
Incision and drainage |
|
IDDM |
Insulin dependent diabetes mellitus |
|
IUP |
Intrauterine pregnancy |
|
LLE |
Left lower extremity |
|
LLQ |
Left lower quadrant |
|
LNMP |
Last normal mentrual period |
|
LOC |
Loss of consciousness |
|
L - spine |
Lumbar spine |
|
LUE |
Left upper extremity |
|
LUQ |
Left upper quadrant |
|
MI |
Myocardial Infarction |
|
N/A |
Not applicable |
|
NAD |
No acute distress, no acute disease |
|
NIDDM |
Non-insulin dependent diabetes mellitus |
|
NKDA |
No known drug allergies |
|
nl/nml |
Normal |
|
NSAID |
Non Steroidal Anti-inflammatory drug |
|
NSR |
Normal sinus rhythm |
|
N/V/D |
Nausea/vomiting/diarrhea |
|
O2 Sat |
Oxygen Saturation (aka SaO2, SpO2, Pulse Ox, or Sat) |
|
OB/GYN |
Obstetrics and gynecology |
|
OD |
Overdose |
|
OM |
Otitis Media (inner ear infection) |
|
OP |
Oropharynx (mouth and throat) |
|
ORIF |
Open reduction and internal fixation |
|
PCP/PMD |
Primary care physician/ primary medical doctor |
|
PE |
Physical exam/ pulmonary embolism |
|
PERRL |
Pupils are equal, round, and reactive to light |
|
PO |
Per Os (by mouth) |
|
prn |
As needed |
|
Pt |
Patient |
|
PTA |
Prior to arrival -or- Peritonsillar abscess |
|
PVD |
Peripheral Vascular Disease |
|
q |
Every |
|
QD |
Everyday |
|
QHS |
At every bedtime |
|
QID |
Four times a day |
|
RLE |
Right Lower Extremity |
|
RLE |
Right Lower Extremity |
|
RLQ |
Right Lower Quadrant |
|
ROM |
Range of motion |
|
ROS |
Review of system |
|
RRR |
Regular rate and rhythm (normal heart sounds) |
|
RUE |
Right upper extremity |
|
RUQ |
Right upper quadrant |
|
Rx |
Prescription |
|
r/o |
Rule out |
|
SOB |
Shortness of breath |
|
SOAP |
Subjective, Objective, Assessment, and Plan |
|
s/p |
Status Post (after) |
|
Sx |
Symptoms |
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T&A |
Tonsillectomy & Adenoidectomy (tonsils and adenoids removal surgery) |
|
TIA |
Transient ischemic attack |
|
TID |
Three times a day |
|
TM |
Tympanic Membrane (ear drum) |
|
Tx |
Treatment |
|
T-spine |
Thoracic spine |
|
UA |
Urinalysis |
|
URI |
Upper respiratory infection |
|
US |
Ultrasound |
|
UTD |
Up to date |
|
UTI |
Urinary Tract Infection |
|
WNL |
Within normal limits (normal, not of concern) |
|
y/o |
Year(s) Old |