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113 Cards in this Set
- Front
- Back
Abd |
Abdomen, Abdominal |
|
Abx |
Antibioticcs |
|
A fib |
Atrial fibrillation |
|
AOM |
Acute otitis Media (New ear infection) |
|
A/P |
Assessment and Plan |
|
ASA |
Acetylsalicylic acid (aspirin) |
|
BID |
Twice Daily |
|
Bilat LE |
Bilateral Lower Extremities |
|
BM |
Bowel Movement |
|
BP |
Blood pressure |
|
c (with a bar over it) |
with
|
|
CA |
Cancer, Carcinoma |
|
CABG |
Coronary Artery Bypass Graft |
|
CAD |
Coronary Artery Disease |
|
CBC |
Complete Blood Count (bloodwork 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 (i.e. follow up in 3 days for a re-evaluation) |
|
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 |
Health 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 Menstrual 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 (a.a. SaO2 or SpO2 or 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 (orthopedic surgery) |
|
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 |
every day |
|
QHS |
at every bedtime |
|
QID |
Four times a day |
|
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 or surgery |
|
T&A |
tonsillectomy and 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 |