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SOAP
Med Symbols
Question | Answer |
---|---|
A: | assessment |
AAROM | active assisstive range of motion |
abd | abduction |
ac | before meals |
ACL | Anterior Cruciate Ligament |
AD | assistive device; Alzheimer's disease |
ADA | American with Disabilities Act |
add | adduction |
ADL | activities Of Daily Living |
ADM | abductor digiti minimi |
AE | above Elbow |
AFO | Ankle Foot Orthosis |
AIDS | acquired immunodeficiency syndrome |
AK | Above Knee |
AKA | above knee amputee |
am | before noon |
aMB AMB | ambulatory |
AP | ankle pump; anterior-posterior |
APB | abductor pollicus brevis |
APL | abductor pollicus longus |
AROM | active range of motion |
ASA | aspirin |
ASAP | as soon as possible |
ASHD | arteriosclerotic heart disease |
ATF | anterior talofibular |
n.s. | at bedtime |
pc | after meals |
pm | after noon |
PRN | as needed |
bid | twice daily |
BKA | below knee amputation |
(B)LE or bil. | bilateral lower extremities |
BM | bowel movement |
BP | blood pressure |
BPM of bpm | beats per minute |
po | by mouth |
CA | cancer |
CABG | coronary artery bypass graph |
CAD | coronary artery disease |
CBC | complete blood count |
c/c or C/C | chief complaint |
CDC | Center for disease Control |
CGA | contact guard assist |
CNS | central nervous system |
c/o | complains of |
COPD | chronic obstructive pulmonary disease |
COTA | certified occupational therapist assistant |
CP | cerebral palsy |
CPM | continuous passive motion |
CPR | cardiopulmonary resuscitation |
CSF | cerebrospinal fluid |
CVA | cerbrovascular accident |
cx | cancel, crutches |
d/c | discharge or discontinue |
DC | doctor of chiropractic, chiropractor |
DF | dorsiflexion |
DI | dorsal interossei |
DIP | distal interphalangeal |
DM | diabetes mellitus |
DME | durable medical equipment |
DO | doctor of osteopath |
DTR | deep tendon reflex |
DVT | deep vein thrombosis |
dx | diagnosis |
ea. | each |
ECRB | extensor carpi radialis brevis |
ECRL | extensor carpi radialis longis |
ECU | extensor carpi ulnaris |
EDM | extensor digiti minimi |
EKG,ECG | eletrocardiogram |
EMG | electromyogram |
EPB | extensor pollicus brevis |
EPL | extensor pollicus longus |
ev | eversion |
ex | exercise |
q | every |
q2h q3h q4h q8h | every two hours every three hours every four hours every eight hours |
F or 3/5 | fair (manual muscle test) |
FCR | flexor carpi radialis |
FCU | flexor carpi ulnaris |
FDA | food and Drug Administration |
FDM | flexor digiti minimi |
FDP | flexor digitorum profundus |
FDS | flexor digitorum superficialis |
FES | functional electrical stimulation |
FPB | Flexor Pollicus Brevis |
FPL | flexor pollicus longus |
FWB | full weight bearing |
fx | fracture |
G or 4/5 | good (manual muscle test) |
g | gram |
GH | glenohumeral |
GI | gastrointestinal |
H2O | water |
h or hr | hour |
HEP | home exercise program |
HHA | home health agency |
HMO | health maintenance organization |
HNP | herniated nucleaus pulposus |
h/o | history of |
HR | hand rail; heart rate |
HTN | hypertention |
hx | history |
IADL | instrumental activities of daily living |
ICF | international classification of functioning, disability, and health |
ICU | intensive care unit |
IDEA | Individuals with Disabilities in Education Act |
IP | inpatient; interphalangeal |
KAFO | knee ankle foot orthosis |
kg | kilogram |
(L) | left |
L | liter |
LAQ | long arc quadriceps exercise |
LE | lower extremity |
LTG | long term goal |
m | meter |
mm | muscle |
MCL | medial collateral ligament |
MCP | metacarpophalangeal |
MED(S) | medicines, medications |
MI | myocardial infarction |
mm | millimeter |
mm Hg | millimeters of mercury |
MRI | magnetic resonance image |
MS | Multiple Sclerosis |
MTP | metatarsophalangeal |
MVA | motor vehicle accident |
N or 5/5 | Normal(manual muscle test) |
n. | nerve |
Na | sodium |
NPO | nothing by mouth |
n.s. | at bedtime |
NT | not tested |
NWB | non-weight bearing |
O: | Objective |
OA | osteoarthritus |
ODM | oppenens diditi minimi |
OP | oppenens pollicus; outpatient |
OR | operating room |
OT | occupational therapist |
OTC | over-the-counter(ie, drugs) |
OTR/L | occupational therapist registered and licensed |
P or 2/5 | poor(manual muscle test) |
PA | posterior-anterior |
pc | after meals |
PCL | posterior cruciate ligament |
PF | plantarflexion |
PI | plamer Interossei |
PIP | proximal interphalangeal |
PL | palmaris longis |
PMH | past (or previous) medical history |
PNS | peripheral nervous system |
po | by mouth |
POMR | problem-oriented medical record |
post-op | post-operative |
PQ | pronator quadratus |
PRN | as needed |
PROM | passive range of motion |
PT | physical therapist; pronator teres; prothrobian time |
pt. or Pt | patient |
PTA | physical therapist assistant; prior to admission |
PWB | partial weight bearing (usually 50% unless otherwise indicated, may need to check with physician to clarify) |
MD | physician |
Rx | prescription |
q | every |
(R) | right |
RC | radiocarpal |
RCL | radial collateral ligament |
RD | radial deviation |
reps | repetitions |
r/o; R/O | rule out |
ROM | range of motion |
S: | subjective |
SBA | stand by assist |
SCI | spinal cord injury |
SLP | speech language pathologist |
SLR | straight leg raise |
SOB | Shortness of breath |
SPT | student physical therapist |
SPTA | student physical therapist assistant |
STG | short term goals |
T or 1/5 | trace (manual muscle test) |
TIA | transient ischemic attack |
TKE | terminal knee extension |
TMJ | tempromandibular joint |
tx | traction or treatment |
UCL | ulnar collateral ligament |
UD | ulnar deviation |
UE | upper extremity |
WBAT | weight bearing as tolerated |
w/c | wheelchair |
WFL | within functional limits |
wk | week |
WNL | within normal limits |
y.o. | year old |
~ | about |
Δ | change |
↓ | descend or decrease |
↑ | ascend or increase |
>(≥) | greater than, greater than or equal to |
<(≤) | less than, less than or equal to |
(=) | equal, equal to |
≠ | not equal to, unequal |
1* | primary |
2*,2* to | secondary, secondary to |
x(3x/day) | times (as in 3 times a day) |
(a) or(A) | assist(min, mod, max assist) |
(B) | both or bilateral |
* | degrees |
*C | degrees Celcius |
*F | degrees Fahrenheit |
(D) | dependent |
/ | extension |
x | for, except |
' | hour, foot |
" | inch, minute |
(I) | independent |
(L) | left |
(-) | negative |
x1, x2 | number of individuals assisting |
// (// bars) | parallel (as in parallel bars) |
/ | per |
(+) | positive |
? | possible, question, suggestive |
# or lbs | pounds |
(R) | right |
@ | at |
♂ | male |
♀ | female |
_ p | after |
_ a | before |
/ "check mark" ` | flexion |
↓↑ | up and down or ascend and descend |
_ c | with |
_ s | without |
MOI | mechanism of injury |
MMT | manual muscle test |