PhysAssist Scribe U. 2012 - Appendix B: Medical Abbreviations

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PhysAssist Scribe U. 2012 Appendix B: Medical Abbreviations NOTE: TOLD WHAT THE ABBREVIATION STANDS FOR, WRITE OUT ABBREVIATION WITH CORRECT CASE & PUNCTUATION

AFib

Atrial Fibrillation

AAA

Abdominal aortic aneurysm

AB

Abortion

abd

Abdomen, Abdominal

ABG

Arterial Blood Gas

abx

Antibiotic

AMA

Against Medical Advice

AMI

Acute Myocardial Infarction

AMS

Altered mental status

approx

Approximately

appt

Appointment

appy

Appendectomy

ASA

Acetylsalicylic Acid (Aspirin)

Auto/Ped

automobile vs. pedestrian

A&O x3

Alert & Oriented x3 (person, place, time)

BBS

Bilateral Breath Sounds

BCP

Birth Control Pill

bilat

Bilateral

BLE

Bilateral lower extremities

BM

Bowel movement

BP

Blood Pressure

BS

Bowel sounds, breath sounds

BSG

Blood Sugar Glucose

BUE

Bilateral upper extremities

CABG

Coronary Arterial Bypass Graft

CAD

Coronary Artery Disease

cath

Catheter, catheterization

CBC

Complete Blood Count

CHF

Congestive Heart Failure

CHI

Closed Head Injury

chole

Cholecystectomy

CMT

Cervical Motion Tenderness

CNS

Central Nervous System

c/o

Complains of

CO2

Carbon Dioxide

COPD

Chronic Obstructive Pulmonary Disease

CP

Chest Pain

CPAP

Continuous Positive Airway Pressure

CPR

Cardiopulmonary Resuscitation

C&S

Culture & Sensitivity

CSF

Cerebrospinal Fluid

CTA

Clear to Auscultation, CT Angiogram

CV

Cardiovascular

CVA

Cerebrovascular Accident

CVAT

Costovertebral angle tenderness

CXR

Chest X-Ray

C-Collar

Cervical collar

C-Spine

Cervical spine

C-Section

Cesarean section

d/c

Discontinue

DIP

Distal Interphalangeal (joint)

DJD

Degenerative Joint Disease

DKA

Diabetic Ketoacidosis

DM

Diabetes mellitus

DNR

Do not resuscitate

DTR

Deep tendon reflex

DVT

Deep vein thrombosis

Dx, dx

Diagnosis

EKG (ECG)

Electrocardiogram

EOMI

Extra ocular movements intact

epi

Epinephrine

EtOH

Ethyl Alcohol (consumption, dependency)

ETT

Endotracheal Tube

FB

Foreign body FHT

FHT

Fetal heart tone

FROM

Full Range of Motion

FTN

Finger-to-nose (coordination test)

Fx

Fracture

F/U

Follow Up

GB

Gallbladder

GCS

Glasgow Coma Scale

GERD

Gastro Esophageal Reflux Disease

GSW

Gunshot wound

HA

Headache

Hgb

Hemoglobin

HCT

Hematocrit

HTN

Hypertension

h/o

History of

HR

Heart rate

Hx

History

Hyst

Hysterectomy

IBS

Irritable bowel syndrome

ICD

Implantable cardioverter- defibrillator

ICE

Ice, compression, elevation

ICH

Intracranial hemorrhage

ICP

Intracranial pressure

IM

Intramuscular

IUP

Intrauterine pregnancy

IV

Intravenous

IVPB

Intravenous piggyback

I&D

Incision and Drainage

JVD

Jugular venous distension

KUB

Kidneys, ureters, bladder (X-ray)

lac

Laceration

LBBB

Left bundle branch block

LFT

Liver function test

LLQ

Left Lower Quadrant

LMP

Last Menstrual Period

LNMP

Last Normal Menstrual Period

LOC

Loss of Consciousness

LP

Lumbar Puncture

L-spine

Lumbar spine

LUQ

Left Upper Quadrant

LVH

Left Ventricular Hypertrophy

MAEW

Moves all extremities well

med, meds

Medication; Medications

MI

Myocardial Infarction

MIP

Metacarpointerphalangeal (joint)

MVC

Motor Vehicle Collision

NAD

No Acute Distress

NCAT

Normocephalic, atraumatic

NG

Nasogastric

NH

Nursing Home

NKA

No known allergies

NKDA

No known drug allergies

NPO

Nothing per os (by mouth)

NRB

Nonrebreather (oxygen mask)

NSR

Normal Sinus Rhythm

NTG

Nitroglycerin

N/V

Nausea and vomiting

N/V/D

Nausea, Vomiting, Diarrhea

NVID

NeuroVascularly Intact Distally

NS

Normal Saline

obs

Observe

OD

Overdose

Ortho

Orthopedic; orthopedics

PA & Lat

Posteroanterior and lateral (x-rays)

palp

Palpation

PCN

Penicillin

PCP

Primary Care Physician

PE

Pulmonary embolism

PERRLA

Pupils equal, round and reactive to light and accommodation

PID

Pelvic Inflammatory Disease

PIP

Proximal interphalangeal (joint)

post-op

Post operative

PPD

Packs per day (cigarettes)

preg

Pregnancy, pregnant

PRN

As needed

Pt

Patient

PTA

Prior to Arrival

PTX

Pneumothorax

PUD

Peptic Ulcer Disease

PVC

Premature ventricular contractions

PVD

Peripheral Vascular Disease

q

Each, Every

q.d.

Every day

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