Medical Charting

Front 1

AC

Back 1

Before meals

Front 2

ad lib

Back 2

at liberty

Front 3

BP or B/P

Back 3

blood pressure

Front 4

b.i.d

Back 4

twice a day

Front 5

C

Back 5

with

Front 6

CBC

Back 6

complete blood count

Front 7

CC

Back 7

chief complaint

Front 8

C/O

Back 8

complaint of

Front 9

CPE

Back 9

complete physical examination

Front 10

DC or D/C

Back 10

discontinue or discharge

Front 11

D&C

Back 11

dilation and curettage

Front 12

dx

Back 12

diagnosis

Front 13

ECG,EKG

Back 13

electrocardiogram

Front 14

EEG

Back 14

electroencephalogram

Front 15

ER

Back 15

emergency room

Front 16

GI

Back 16

gastrointestinal

Front 17

GU

Back 17

genitourinary

Front 18

GYN

Back 18

gynecology

Front 19

HEENT

Back 19

head, eyes, ears, nose, and throat

Front 20

H&P

Back 20

history and physical

Front 21

I&D

Back 21

incision and drainage

Front 22

IM

Back 22

intramuscular

Front 23

mg

Back 23

milligram

Front 24

mL

Back 24

milliliter

Front 25

MI

Back 25

myocardial infarction

Front 26

npo

Back 26

nothing by mouth

Front 27

N&V

Back 27

nausea and vomiting

Front 28

0PD

Back 28

outpatient department

Front 29

OR

Back 29

operating room

Front 30

NVD

Back 30

nausea, vomiting and diarrhoea

Front 31

P

Back 31

pulse

Front 32

PERRLA

Back 32

pupils equal, round, reactive to light and accommodation

Front 33

po

Back 33

by mouth

Front 34

prn

Back 34

as needed

Front 35

PT

Back 35

physical therapy

Front 36

R

Back 36

respiration

Front 37

R/O

Back 37

rule out

Front 38

ROM

Back 38

range of motion

Front 39

ROS

Back 39

review of systems

Front 40

s

Back 40

without

Front 41

SOAP

Back 41

subjective, objective, assessment, plan

Front 42

SOB

Back 42

short of breath

Front 43

T

Back 43

temperature

Front 44

T&A

Back 44

tonsillectomy and adenoidectomy

Front 45

t.i.d

Back 45

three times a day

Front 46

UA

Back 46

urinalysis

Front 47

UCHD

Back 47

usual childhood diseases

Front 48

URI

Back 48

upper respiratory infection

Front 49

UTI

Back 49

urinary tract infection

Front 50

x

Back 50

without

Front 51

WNL

Back 51

within normal limits

Front 52

XR

Back 52

X _ray

Front 53

hs

Back 53

at bedtime

Front 54

L

Back 54

liter

Front 55

mEq

Back 55

milliequivalent

Front 56

pc

Back 56

after meals

Front 57

gtt

Back 57

stands for drop

Front 58

q

Back 58

stands for every

Front 59

q.i.d

Back 59

four times a day

Front 60

qs

Back 60

quality sufficient

Front 61

stat

Back 61

immediately

Front 62

Rx

Back 62

prescription

Front 63

HIPAA

Back 63

Health insurance portability and accountability act