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Abbreviations used in medical records

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Question
Answer
ABD, abd   abdomen  
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ac   before eating  
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ACLS   advanced cardiac life support  
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ad lib   as desired  
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AFP   alpha-fetaprotein  
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AKA   above the knee amputation  
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ASAP   ass soon as possible  
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ASHD   ahtherosclerotic heart disease  
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BE   barium enema  
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bid   twice a day  
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BM   bowel movement  
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BMR   basal metabolic rate  
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BOM   bilateral otitis media  
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BP   blood pressure  
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BUN   blood urea nitrogen  
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bx   biopsy  
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c   with  
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C&S   culture and sensitivity  
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CA   cancer  
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CABG   coronary artery bypass graft  
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CAD   coronary artery disease  
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CBC   complete blood count  
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cc   cubic centimeter  
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CC   chief complaint  
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CHF   congestive heart failure  
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CHO   carbohydrate  
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CNS   central nervous system  
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c/o   complains of  
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COPD   chronic obstructive pulmonary disease  
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CPK   creatinine phosphokinase  
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CPR   cardiopulmonary resuscitation  
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CSF   cerebrospinal fluid  
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CT   computed tomography  
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CVA   cerebrovascular accident  
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CXR   chest x-ray  
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DAT   diet as tolerated  
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dc or D/C   discontinue  
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D&C   dilation and curettage  
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DDx   differential diagnosis  
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DM   diabetes mellitus  
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DNR   do not resusitate  
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Dx   diagnosis  
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ECG   electrocardiogram  
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ENT   ears, nose, throat  
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FBS   fasting blood sugar  
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f/u   follow up  
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FUO   fever of unknown origin  
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fx   fracture  
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GC   gonorrhea  
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GI   gastrointestinal  
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GTT   glucose tolerance test  
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GU   genitourinary  
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Hct, HCT   hematocrit  
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Hbg   hemoglobin  
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HIV   human immunodeficiency virus  
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HPI   history of present illness  
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hs   bedtime / hour of sleep  
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HTN   hypertension  
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Hx   history  
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I&D   incision and drainage  
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I&O   intake and output  
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IG   immunoglobulin  
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lytes   electrolytes  
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MI   myocardial infarction  
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NG   nasogastric  
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NKA   no known allergies  
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NPO   nothing by mouth  
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N/V   nausea and vomiting  
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p   after  
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PE   pulmonary embolism  
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prn   as needed  
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pt   patient  
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CME   complete medical exam  
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PT   physical therapy  
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q   every  
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RBC   red blood cells  
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R/O   rule out  
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ROM   range of motion  
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ROS   review of systems  
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Rx   treatment  
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s   without  
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SOB   shortness of breath  
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STD   sexually transmitted disease  
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STAT, stat   immediately  
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Sx   symptoms  
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Tx   treatment  
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UA   urinalysis  
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URI   upper respiratory infection  
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UTI   urinary tract infection  
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VS   vital signs  
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ABG   arterial blood gases  
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WNL   within normal limits  
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DVT   deep vein thrombosis  
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EENT   eyes, ears, nose, throat  
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h/o   hostory of  
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PE   physical examination  
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R/T   related to  
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s/s   signs and symptoms  
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STI   sexually transmitted infection  
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