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Med. Abbreviations

Basic Medical Abbreviations for a Scribe

AAA Abdominal Aortic Aneurysm
A Fib Atrial Fibrillation
Abd Abdomen, Abdominal
Abx Antibiotics
AMA Against Medical Advice
AMS Altered Mental Status
ASA Acetylsalicylic Acid (Aspirin)
BID Twice Daily
Bilat LE Bilateral Lower Extremities
BM Bowel Movement
BP Blood Pressure
CA Cancer, Carcinoma
CABG Coronary Artery Bypass Graft, "open heart surgery"
CAD Coronary Artery Disease, "heart disease"
CT or CAT Computerized Assisted Tomography
CHF Congestive Heart Failure
COPD Chronic Obstructive Pulmonary Disease
CP Chest Pain
CPR Cadiopulmonary Resuscitation
C-section Caesarean Section
C-spine Cervical spine (neck)
CSF Cerebrospinal Fluid
CVA Cerebrovascular Accident -or- Costovertebral Angle
CXR Chest X-Ray
c/o complains of
DKA Diabetic Ketoacidosis
DM Diabetes Mellitus
DNR Do Not Resuscitate
DOE Dyspnea On Exertion
DVT Deep Venous Thrombosis
Dx Diagnosis
Dz disease
EKG/ECG electrocardiogram
EtOH alcohol
FHx Family History
Fx fracture
GI gastrointestinal
G/P/Ab Gravida/Para/Abortion
GSW Gun Shot Wound
GU Genitourinary
HA headache
HEENT Head, Eyes, Ears, Nose, Throat
HPI History of Present Illness
HTN hypertension
Hx history
H Hemoglobin and Hematocrit
H History of Present Illness and Physical Exam
I Incision and Drainage
IDDM Insulin Dependent Diabetes Mellitus
IUP Intrauterine Pregnancy
IVDA IV Drug Abuse
JVD Jugular Vein Distension
LLE Left Lower Extremity
LLQ Left Lower Quadrant
LNMP Last Normal Menstrual Period
LOC Loss of Consciousness
LP Lumbar Puncture
L-spine Lumbar spine
LUE Left Upper Extremity
LUQ Left Upper Quadrant
MCA Motorcycle Accident
MI Myocardial Infarction
MVA/MVC Motor Vehicle Accident/ Collision
N/A Not Applicable
NAD No Acute Distress
NIDDM Non-Insulin Dependent Diabetes Mellitus
NKDA No known Drug Allergies
Nml -or- nl Normal
NSAID Non Steroidal Anti-Inflammatory Drug
NSR Normal Sinus Rhythm
NTG Nitroglycerin
N/V/D Nausea/Vomiting/Diarrhea
O2 Sat Oxygen Saturation (aka SaO2)
OD Overdose
PCP Primary Care Physician (aka PMD)
PE Pulmonary Embolism -or- Physical Exam
PERRL Pupils are equal, round, and reactive to light
PO Per Os (by mouth)
prn as needed
pt patient
PTA prior to arrival
PUD Peptic Ulcer Disease
qd every day
qh every hour
qhs at every bedtime
q2h every 2 hours
QID four times a day
RLE Right Lower Extremity
RLQ Right Lower Quadrant
ROM Range of Motion
ROS Review of System
RUE Right Upper Extremity
RUQ Right Upper Quadrant
Rx prescription
r/o Rule out
SOB Shortness of Breath
s/p Status Post (after)
Sx symptoms
TIA Transient Ischemia Attack
TID three times a day
TM Tympanic membrane
T-spine Thoracic spine
Tx treatment
UA urinalysis
URI Upper Respiratory Infection
US Ultrasound
UTD Up to Date
UTI Urinary Tract Infection
WNL Within Normal Limits
Created by: amandatucker10