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Chabner Abr Appendix

Appendix Abbreviations for Medical Administrative Assistant

TermDefinition
@ at
abd abdomen
a.c. before meals
AD alzheimer disease
ADL activities of daily living
ADT admission, discharge, transfer
AIDS aacquired immunodeficiency syndrome
AM or a.m. morning
AMA against medical advice
amb ambulate
aq. water
AS left ear
AU both ears
A alive and well
bid or b.i.d. twice a day
BP or B/P blood pressure
bs blood sugar
bw or BW birth weight
Bx or bx biopsy
CA cancer
cap capsule
CC cheif complaint
CDC centers for disease control and prevention
CHF congestive heart failure
CMA certified medical assistant
CNS central nervous system
c/o complains of
COD condition on discharge
CP chest pain
CT computed tomography
ct. count
CVS cardiovascular system
CXR chest x-ray
DD discharge diagnosis
DM diabetes mellitus
DNR do not resuscitate
DOA dead on arrival
DOB date of birth
D/W dextrose in water
EENT eyes,ears, nose, throat
EKG electrocardiogram
ER emergency room
ETT exercise tolerance test
FB foreign body
FBS fasting blood sugar
FDA US food and drug administration
FH family history
FROM full range of movement
F/U follow-up
FUO fever of undetermined origin
Fx fracture
g or gm gram
GB gallbladder
GP general practitioner
gt, gtt drop or drops
GTT glucose tolerance test
GYN gynecology
h. or hr hour
HBV hepatitis B virus
HCV hepatitis C virus
HEENT head, eyes, ears, nose, throat
HIV human immunodeficiency virus
h/o history of
H2O water
H history and physical
HPI history of present illness
h.s. at bedtime
ht height
HTN hypertension
Hx history
ICU intensive care unit
IM intramuscular
inj. injection
I intake and output
IV intravenous
KUB kidneys, ureters, bladder (xray study)
LBW low birth weight
LMP last menstrual period
LOC loss of consciousness
LPN licensed practical nurse
LTC long term care
L living and well
MA mental age
mcg microgram
M.D. or MD doctor of medicine
MDR minium daily requirement
MH marital history or mental health
MMR measles-mumps-rubella (vaccine)
NA or N/A not applicable or not available
NB newborn
ND normal delivery
neg. negative
NKA no known allergies
NKDA no known drug allergies
NPO nothing by mouth
O or O2 oxygen
OB/GYN obstetrics and gynecology
OD overdose
OR operating room
ORTH or Ortho. orthopedics
OS left eye
os opening
OT occupational therapy
OU both eyes
PALS pediatric advanced life support
pc or p.c. after meals
PDR physicians desk reference
PE physical exam
PH past history
PI present illness
PM or p.m. in the afternoon
PMH past medical history
PO or p.o. by mouth
preop preoperative
prep prepare for
p.r.n. as needed
pt. patient
PTA prior to admission
Px prognosis
q every
qAM every morning
qd or q.d. every day
qh every hour
q2h every 2 hours
qid or q.i.d four times a day
q.n.s quantity not sufficient
qPM every evening
q.s. sufficient quantity
R respiration or right
R/O rule out
ROM range of motion
ROS review of systems
RRR regular rate and rhythm
RT right
Rx treatment or prescription
Sig. directions
SOAP sobjective, objective, assessment, plan
SOB shortness of breath
S/P status post
S/S or Sx signs and symptoms
stat immediately
STD sexually transmitted disease
STI sexually transmitted infection
Sx symptons
Sz seizure
T temperature or time
tid or t.i.d three times daily
TPR temperature, pulse, rate
Tx treatment
umb. navel
V/S vital signs
WNL within normal limits
wt weight
y/o or yr year/years old
Created by: smeuthfarm
 

 



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