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Med. Abbreviations
Basic Medical Abbreviations for a Scribe
| Term | Definition |
|---|---|
| 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 |