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115 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

Acetylsalicylic Acid (Aspirin)

BID

Twice daily

Bilat LE

Bilateral Lower Extremities

BM

Bowel Movement

BP

Blood Pressure

_


c

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

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

IVDA

Intravenous Drug Abuse

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

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

Everyday

QHS

At Every Bedtime

QID

Four Time 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

STEMI

S/T Elevation Myocardial Infarction

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