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661 Cards in this Set

  • Front
  • Back

A

Artery
a
ante
AA
Atlantoaxial; adjusted age; active assist
AAO X3
Alert, Awake, and oriented to date, person, place
ARRA
American Recovery Reinvestment Act
AARP
American Association of Retired Persons
ABG
Arterial Blood Gases
AC
Acromioclavicular; alternating current
a.c.
before a meal
ACA
Anterior Communicating Artery; Anterior Cerebral Artery
ACCE
Academic Coordinator of Clinical Education
ACM
Arnold Chiari malformation
AD
Adduction; assistive device; advanced directive
ADA
American Dental Association
ad lib
at pleasure
ADD
Attention Deficit Disorder
ADHD
Attention deficit Hyperactivity Disorder
ADL
Activities of Daily Living
Adm
Admitted
ADR
Additional Development Required
AE
Above Elbow
AF
Atrial Fibrillation, Arthritis Foundation
AFB
Acid-Fast Bacillus
AFO
Ankle Foot Orthosis
AFP
Alpha-fetoprotein
AGA
Appropriate for Gestational Age
AHA
American Heart Association
AHIMA
American Health Information Management Association
AI
Aortic Incompetence
AIDS
Acquired Immune Deficiency Syndrome
AIMS
Alberta infant motor scale
AK
Above Knee
ALL
Acute lymphocytic leukemia; Anterior Longitudinal Ligament
ALJ
Administrative Law Judge
ALS
Amyotrophic lateral sclerosis
AM
Morning
AMA
Against Medical Advice; American Medical Association
amb.
Ambulate
AML
Acute myelocytic leukemia
ANA
American Nursing Association
ANS
Autonomic Nervous System
ant.
Anterior
AOTA
American Occupational Therapy Association
AP
Anteroposterior
APGAR
Appearance, Pulse, Grimace, Activity, Respiration
ARC
Association for Retarded Citizens
ARD
Assessment Reference Dates
ARDS
Acute Respiratory Distress Syndrome
ARF
Acute Renal Failure; Acute Respiratory Failure
ARNP
Advanced Registered Nurse Practitioner
AS
Aortic Stenosis
As & Bs
Apnea and Bradycardia
ASA
Aspirin
ASD
Atrial Septal Defect
ASHA
American Speech and Hearing Association
ATC
Athletic Trainer, Certified
ATNR
Asymmetric Tonic Neck Reflex
AV
Aortic Valve
AVM
Arteriovenous Malformation
B
Bilateral
BAER
Brainstem auditory evoked response
BBA
Balanced Budget Act
BBB
Blood Brain Barrier
BCBS
Blue Cross Blue Shield
BE
Barium Enema; Below Elbow
BIB
Drink
BICU
Burn Intensive Care Unit
BID
Twice a day
BIN
Twice at Night
BK
Below Knee
Bl
Blood
BM
Bowel Movement
BMI
Body Mass Index
BMR
Basal Metabolic Rate
BMT
Bone Marrow Transplant
BOS
Base of Support
BP
Blood Pressure
BPD
Bronchiopulmonary Disease
BPH
Benign Prostatic Hypertrophy
bpm
beats per min
BPPV
Benign paroxysmal positional vertigo
BR
Bathroom
BRP
Bathroom Privileges
BS
Breath sounds; blood sugar; bowel sounds
B/S
Bedside
BSA
Body Surface Area
BT
Blalock-Taussig
BUN
Blood Urea Nitrogen
Bw
Body weight, birth weight
Bx
Biopsy
C
Celsius
C&S
Culture and Sensitivity
Ca
Calcium
Cal
Calories
CA
Cancer
CAA
Care Area Assessment
CABG
Coronary Artery Bypass Graft
CAD
Coronary Artery Disease
CARF
Commission on Accreditation of Rehabilitation Facilities
Cath
Catheter
CBC
Complete Blood Count
C/C
Chief Complaint
CCCE
Clinical Coordinator of Clinical Education
CCI
Correct Coding Initiative
CCU
Cardiac Care Unit
CDC
Center for Disease Control and Prevention
CDMM
Clinical Decision Making Model
CEH
Continuing education hour
CF
Cystic Fibrosis
CFS
Chronic Fatigue Syndrome
CGA
Contact Guard
CHAMPUS
Civilian Health and Medical Program-Uniformed Services
CHD
Congestive Heart Disease
CHF
Congestive Heart Failure
CI
Clinical Instructor
CICU
Coronary Intensive Care Unit
CK
Creatine Kinase
CLD
Chronic Liver Disease
CLL
Chronic Lymphocytic Leukemia
CMC
Carpometacarpal Joint
CME
Continuing medical education
CML
Chronic myelogenous leukemia
CMR
Computerized Medical Record
CMS
Centers for Medicare and Medicaid Services
CMV
Cytomegalovirus
CNA
Certified Nursing Assistant
CN
Cranial Nerve
C/O
Complains Of
CNS
Central Nervous System
CO
Cardiac Output
CO2
Carbon Dioxide
Cont.
Continued
COPD
Chronic Obstructive Pulmonary Disease/Disorder
CORF
Comprehensive outpatient rehabilitation facility
COTA
Certified Occupational Therapist Assistant
CP
Cerebral Palsy, cold pack, chest pain
CPAP
Continuous positive airway pressure
CPI
Clinical Performance Instrument
CPK
Creatine Phosphokinase
CPM
Continuous Passive Motion
CPR
Cardiopulmonary Resuscitation
CPT
Current Procedural Terminology
CRPS
Complex Regional Pain Syndrome
CS
Cervical Spine
CSF
Cerebral Spinal Fluid
CT
Chest Tube, Computed Axial Tomography
CV
Cardiovascular
CVA
Cerebrovascular Accident
CVL
Central Venous Line
CWI
Crutch Walking Instructions
CXR
Chest X-Ray
D&C
Dilation and Curettage
DAFO
Dynamic Ankle Foot Orthosis
DC
Doctor of Chiropractic
D/C
Discharge
DDD
Degenerative Disk Disease
DDE
Direct Data Entry
DDH
Developmental Dysplasia of Hip
DDS
Doctor of Dental Science
Dept.
Department
DF
Dorsiflexion
DHT
Dobhoff Tube
DIP
Distal Interphalangeal Joint
DJD
Degenerative Joint Disease
DLT
Double Lung Transplant
DM
Diabetes Mellitus
DMD
Duchenne muscular Dystrophy, Doctor of Medical Dentistry
DME
Durable Medical Equipment
DNA
Deoxyribonucleic Acid
DNR
Do not Resuscitate
DO
Disorder, Doctor of Osteopathy
DOA
Dead on Arrival
DOB
Date of Birth
DOE
Dyspnea on Exertion
DOI
Date of Injury
DPT
Doctor of Physical Therapy
DRGs
Diagnostic related groups
DT
Delirium temens
DTR
Deep Tendon Reflexes
DVT
Deep Vein Thrombosis
Dx
Diagnosis
EBP
Evidence Based Practice
EBV
Epstein Barr Virus
ECF
Extended Care Facility, Extracellular Fluid
ECG/EKG
Electrocardiogram
EXMO
Extracorporeal membrane oxygenation
ED
Erectile Dysfunction
EEG
Electroencephalogram
EENT
Eyes, Ears, Nose, and Throat
EF
Ejection Fraction
EFA
Essential Functional Activities
EHR
Electronic Health Record
EIA
Exercise Induced Asthma
EID
Easily Identified Depression
EIP
Early Intervention Program
ELBW
Extremely Low Birth Weight
ELS
Eaton Lambert Syndrome
EMG
Electromyography
EMR
Electronic Medical Record
EMS
Emergency Medical Services
EMT
Emergency Medical Technician
ENT
Ears, Nose, and throat
EOB
Edge of BEd
ER
Emergency Room; external rotation
ERT
Estrogen Replacement Therapy
ES
Electrical Stimulation
ESR
Eryhtrocyte Sedimentation Rate
ESRD
End Stage Renal Disease
ETOH
Alcohol
ETT
Endotracheal Tube
Eval
Evaluation
EX
Exercise
EXT
Extension; extensive
F
Fair, Female
F/U
Follow Up
FAQ
Frequently Asked Questions
FAS
Fetal Alcohol Syndrome
FBG
Fasting Blood Glucose
FBS
Fasting Blood Sugar
FES
Functional Electrical Stimulation
FEV1
Forced Expiratory Volume in 1 second
FI
Fiscal Intermediary
FIM
Functional Independence Measure
FIN
Federal Identification Number
FL
Functional Limitation
Flex
Flexion
FSP
Family Service Plan
FOB
Father of Baby
FOIA
Freedom of Information Act
FOR
Functional Outcome Reporting
FOTO
Focus on Therapeutic Outcomes, Inc.
FT
Feeding Tube; full term
FTT
Failure to thrive
FUO
Fever of Unknown Origin
FVC
Forced Vital Capacity
FWB
Full Weight Bearing
FWW
Four Wheeled Walker
Fx
Fracture
G
Good, Guard
G Tube
Gastronomy Tube
GA
Gestational Age
GAO
Government Accountability Office
GB
Gallbladder
GBS
Guillan Barre Syndrome
GCS
Glasgow Coma Scale
GERD
Gastroesophageal Reflux Disease
GI
Gastrointestinal
Gm
Gram
GMFM
Gross Motor Function Measure
Grava
Gravida = Number of births
GSW
Gun Shot Wound
gt
Gait
GU
Genitourinary
GVHD
Graft Versus Host Disease
GYN
Gynecology
H&P
History and Physical
H/O
History Of
HA
Headache
Hams, hs
Hamstrings
Hb
Hemoglobin
HBP
High Blood Pressure
HC
Heelcords
HCPCS
HealthCare Common Procedure Coding Systems
Hct
Hematocrit
HCVD
Hypertensive Cardiovacular Disease
HDL
High Density Lipoprotein
HEENT
Head, ears, eyes, nose, and throat
HEP
Home Exercise Program
HH
Home Health
HHA
Home Health Aide, Hand held Assist
HHS
Department of Health and Human Services
HICN
Health Insurance Claim Number
HIE
Hypoxic Ischemic encephalopathy
HIM
Health Information Management
HIPAA
Health Information and Portability Accountability Act
HIV
Human Immunodeficiency Virus
HKAFO
Hip Knee Ankle Foot Orthosis
HLA
Human Leukocyte Antigen
HLT
Heart Lung Transplant
HMD
Hyaline Membrane Disease
HMO
Health Maintenance Organization
HNP
Herniated Nucleus Pulposus
HOB
Head of Bed
HO
House Officer; Heterotopic Ossification
HOH
Hard of Hearing
HP
Hot Pack
HPI
History of Present Illness
Hr.
Hour
HR
Heart Rate
HRT
Horomone Replacement Therapy
HS
at bedtime
HSV
Herpes Simplex Virus
Ht
Height
HT
Heart Transplant
HTN
Hypertension
HVGS
High Volt Galvanic Stimulation
HX
History
I
Independent
I&D
Incision and Drainage
I&O
Input and Output
IADL
Independent Activities of Daily Living
IBS
Irritable Bowel Syndrome
ICA
Internal Carotid Artery
ICD
International Classification of Diseases
ICH
Intracranial Hemorrhage
ICP
Intracranial Pressure
ICU
Intensive Care Unit
ID
Infectious Disease
IDDM
Insulin Dependent Diabetes Mellitus
IDEA
Individuals with Disabilities Education Act
IEP
Individualized Exercise Program
IF
Interferential E-Stim
IFSP
Individual Family Support Plan
Ig
Immunoglobulin
IM
Intramuscular
IPA
Independent Practice Association
IPPB
Intermittent Positive Pressure Breathing
IPO
Independent Practice Organization
IQ
Intelligence Quotient
IR
Internal Rotation
IRB
Institutional Review Board
ITB
Iliotibial Band
IUD
Intrauterine Device
IUGR
Intrauterine Growth Retardation
IV
Intravenous
IVC
Inferior Vena Cava
IVH
Interventricular Hemorrhage
IVP
Intravenous Pyleogram
J Tube
Jejunostomy Tube
JRA
Juvenile Rheumatoid Arthritis
jt
Joint
KAFO
Knee Ankle Foot Orthosis
KUB
Kidney, Ureter, Bladder
L
Left, lower
LAP
Laparoscopy
LAQ
Long Arc Quad
LBP
Low Back Pain
LBQC
Large Based Quad Cane
LBW
Low Birth Weight
LCL
Lateral Collateral Ligament
LD
Learning Disability
LDL
Low Density Lipoprotein
LE
Lower Extremity
LFT
Liver Function Tests
LG
Limb Girdle Dystrophy
LGA
Large for Gestational Age
Lim
Limited
LLC
Long Leg Cast
LLE
Left Lower Extremity
LLL
Left Lower Lobe
LLQ
Left Lower Quadrant
LMN
Lower Motor Neuron
LMRP
Local Medical Review Policies
LOB
Loss of Balance
LOC
Loss of Consciousness
LOS
Length of Stay
LP
Lumbar Puncture
LPN
Licensed Practical Nurse
LS, L/S
Lumbar Spine
LT
Lung Transplant
LTCF
Long Term Care Facility
LTD
limited
LTG
Long term goal
LTM
Long term memory
LUE
Left Upper Extremity
LUL
Left Upper Lobe
LUQ
Left Upper Quadrant
M
Male
MAC
Medicare Administrative Contractor
MAO
Monoamine Oxidase
MCA
Middle Cerebral Artery
MCL
Medial Collateral Ligament
MCO
Managed Care Organization
MCP
Metacarpophalangeal Joint
MD
Muscular Dystrophy
MDA
Muscular Dystrophy Association
MDS
Medical Data Sheet, minimum data set
MED
Minimal Erythemal Dose
MENS
Microcurrent Electrical Stimulation
METs
Metabolic Equivalent of task
MFT
Muscle Function Test
MFR
Myofascial Release
MH
Moist Heat
MHP
Moist Hot Pack
MI
Myocardial Infarction
MICU
Medical Intensive Care Unit
mmHg
Millimeters of Mercury
MMPI
Minnesota Multiphasic Personality Inventory
MMR
Measles, mumps, rubella (vaccine)
MMT
Manual Muscle Test
mo
Month; months old
MOI
Mechanism of Injury
MOM
Milk of Magnesia
MRE
Manual Resistive Exercise
MRI
Magnetic Resonance Imaging
MS
Multiple Sclerosis
MTBI
Minimal Traumatic Brain Injury
MTP
Metatarsophalangeal Joint
MV
Mitral Valve
MVA
Motor Vehicle Accident
MVP
Mitral Valve Prolapse
MWD
Microwave diathermy
N
Normal; nausea
N&V
Nausea and vomitting
N/A
Not appplicable
NAD
Nothing Abnormal Detected
NCV
Nerve Conduction Velocity
NDT
Neurodevelopmental Technique
neb
nebulizer
NG
Nasogastric
NGT
Nasogastric Tube
NICU
Neonatal Intensive Care Unit
NIDDM
Non-insulin dependent diabetes mellitus
NIH
National institute of health
NKA
No known allergies
NMES
Neuromuscular electrical stimulation
NPI
national provider identifier; nonprofit institution
NPO
Nothing by Mouth
NPP
Nonphysician practitioner
NSAID
Non-steroidal anti-inflammatory drug
NSR
Normal Sinus Rhythm
NWB
non weight bearing
O
Objective
O2
Oxygen
OA
Osteoarthritis
OB
Obstetrics
Obj
objective
OBS
Organic Brain Syndrome
OD
Overdose
OHTx
Orthotopic Heart Transplant
OI
osteogensis imperfecta
OLT
Orthotopic Lung Transplant
OLD
Obstructive Lung Disease
OMRA
Other Medicare Required Assessment
OOB
Out of bed
OP
Outpatient
OPV
Oral Polio vaccine
OR
Operating Room
ORIF
Open reduction internal fixation
OSHA
Occupational safety and health administration
OT
Occupational Therapy
OTC
Over the counter
OTR
Occupational Therapist, registered
P
poor, plan
PA
Physicians assistant
PAC
Premature Atrial Contraction
PCA
Patient Controlled Analgesic
PCL
Posterior cruciate ligament
PCP
Primary Care physician
PD
Parkinsons Disease
PDA
Personal Data Application
PDD
Pervasive Developmental Delay
PE
Pulmonary Edema
PEDI
Pediatric Evaluation of Disability Inventory
PEEP
Positive end-expiratory pressure
PEG
Percutaneous endoscopic gastrostomy
Per
by, though
PERRLA
Pupils equal, round, react to light, accommodate
PET
positron emission tomography
PF
plantarflexion
P4P
Pay for Performance
PH
past history
PHI
Protected Health information
PI
Present illness
PICA
Posterior inferior cerebellar artery
PICC
Peripherally inserted central catheter
PICU
Pediatric Intensive Care Unit
PID
Pelvic Inflammatory Disease
PIP
Proximal interphalangeal Joint
PKU
Phenylketonuria
PLF/PLOF
Prior Level of Function
PLL
posterior longitudinal ligament
PM
afternoon
PM&R
Physical Medicine and Rehabilitation
PMH
Past medical history
PMS
Premenstrual syndrome
PNF
Proprioceptive neuromuscular facilitation
PNI
Peripheral nerve injury
PO
By mouth
PNS
Peripheral Nervous System
POC
PLan of Care
POD
Post-op day number
POMR
Problem oriented medical record
POS
Point of service plan
PPH
Primary pulmonary hypertension
PPO
Preferred provider organization
PPS
Prospective payment system
PRE
Progressive resistance exercises
PRN
as needed
PRO
Peer review organization
PROM
Passive range of motion
PSIS
posterior superior iliac spine
PSRO
Professional standard review organization
Pt.
Patient
PTA
Physical therapist assistant; prior to admission
PTB
Patellar Tendon bearing
PTIP
Physical Therapist in independent practice
PTPP
physical therapist in private practice
PVC
Premature Ventricular Contraction
PVD
Peripheral Vascular Disease
PVH
Periventricular hemorrhage
PVL
Periventricular Leukomalacia
PWB
Partial Weight Bearing
q
Every
QA
Quality Assurance
qd
Once daily
qh
every hour
QI
Quality Improvement
qid
4 times a day
qiw
4 times a week
qod
every other day
quad
quadriplegic
R
Right
R/O
Rule Out
RA
Rheumatoid Arthritis
RAC
Recovery Audit Contractor
RAM
Random Access Memory
RAD
Reactive Airway Disease
RAI
Resident Assessment Instrument
RAP
Resident Assessment Protocol
RAS
Reticular Activating System
RBBB
Right Bundle Branch Block
RBC
Red Blood Cell
RD
Registered Dietician
RDS
Respiratory Distress Syndrome
REM
Rapid Eye Movement
RF
Rectus Femoris
RGO
Reciprocating gait orthosis
RLE
Right lower extremity
RLL
right lower lobe
RLQ
right lower quadrant
RML
Right middle lobe
RN
Registered Nurse
ROM
Range of Motion
ROS
Review of Systems
RPE
rating of perceived exertion
RR
Respiratory Rate
RRR
Regular rhythm and rate
RSD
Reflex sympathetic dystrophy
RSV
Respiratory syncytial virus
RT
Respiratory Therapy; Renal Transplant
RTx
Radiation therapy; Renal Transplant
RUE
Right upper extremity
RUL
Right upper lobe
RUQ
Right upper quadrant
RUGs
Resource Utilization groups
RV
Right Ventricle
RW
Rolling Walker
Rx
Drug, prescription
S&S
Signs and Symptoms
S/P
Status Post
SA
Sinoatrial
SACH
Solid Ankle, cushion heel
SBA
Stand by assistance
SBQC
smal lbased quad cane
SC
Sternoclavicular
SCC
Sickle Cell Crisis
SCD
Sickle Cell Disease
SCI
Spinal Cord Injury
SCID
Severe combined immunodeficiency disorder
SCM
Sternocleidomastoid
SD
Seizure Disorder
SDAT
Senile Dementia of the Alzheimers type
SDR
Selective Dorsal Rhizotomy
SGA
Small for gestational age
SI
Sacroiliac
SICU
Surgical Intensive Care unit
SIDS
Sudden Infant Death Syndrome
SLC
Short Leg Cast
SLP
Speech Language pathology
SLR
Straight leg raise
SMA
spinal muscular atrophy
SNF
Skilled Nursing Facility
SOAP
Subjective, objective, assessment, plan
SOC
start of care date
SOMR
source oriented medical record
SPL
Subjective pain level
SR
Sinus Rhythm
SSN
Social Security Number
ST
Speech Therapy
Stat
immediately
STD
Sexually transmitted disease
STG
Short term goal
STM
soft tissue massage; short term memory
STNR
symmetric tonic neck reflex
STSG
split thickness skin graft
SV
stroke volume
SVC
superior vena cava
SVD
Spontaneous vaginal delivery
Sx
Symptoms
Sz
Seizure
T
trace
T&A
Tonsillectomy and adenoidectomy
TA
Tricuspid Atresia
TAH
Total Abdominal hysterectomy
TAR
Total Ankle replacement
TB
Tuberculosis
TBA
to be announced
TBI
traumatic brain injury
TBSA
total body surface area
TCU
transitional care unit
TD
Tardive dyskinesia
TEF
Tracheoesophageal fistula
TENS
Transcutaneous electrical nerve stimulation
TER
total elbow replacement
TES
Threshold electrical stimulation
TGA
Transposition of great arteries
THA
Total hip arthroplasty
THR
Total hip replacement
TIA
Transient ischemic attack
tid
3 times a day
tin
3 times a night
TIW
3 times a week
TKA
Total Knee arthroplasty
TKE
terminal knee extension
TKR
total knee replacement
TLSO
thoracic lumbar spine orthosis
TMJ
Temporomandibular Joint
TO
Telephone Order
TOS
Thoracic Outlet Syndrome
TPO
Time, place, and occasion
TPR
Temperature, pulse, and respiration
TS,T/S
Thoracic Spine
TSA
Total shoulder arthroplasty
TTWB
toe touch weight bearing
Tx
Treament
TUR
Transurethral resection
U
Upper
UA
Urinalysis
UE
upper extremity
UMN
upper motor neuron
UM
utilization management
UQ
upper quadrant
UR
utilization review
URI
Upper respiratory infection
US
ultrasound
UTI
urinary tract infection
UV
ultraviolet
VA
visual acuity
VAD
Ventricular assistive device
VAS
Visual Analogue Scale
VC
Vital Capacity
VD
Venereal Disease
VLBW
Very Low birth weight
VO
Verbal Order
Vs
Vital Signs
VSD
Ventricular Septal Defect
VT
Ventricular tachycardia
W
Walker
W/C
Wheel chair
W/O
Without
WB
Weight Bearing
WBAT
Wright bearing as tolerated
WBC
white blood cell
WFL
Within functional limits
WHO

World Health Organization

WIC
women, infants, children
Wk
week
WNL
Within Normal Limits

XRT

Radiation therapy
y.o.

years old