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Abbreviations A-F
SOAP notes - Jill W's list
| Question | Answer |
|---|---|
| ā | before |
| A | assessment |
| (A) | assist |
| A/ | active |
| AAA | abdominal aortic aneurysm |
| AAROM | active assistive range of motion |
| abd/add | abduction/adduction |
| ABG | arterial blood gases |
| Abn | abnormal |
| ac | before meals |
| AC joint | acromioclavicular joint |
| ACL | anterior cruciate ligament |
| ADA | American with Disabilities Act, American Diabetes Association |
| ADL | activities of daily living |
| ad lib | at discretion |
| afib | atrial fibrillation |
| AFO | ankle foot orthosis |
| AIDS | acquired immune deficiency syndrome |
| AIIS | anterior inferior iliac spine |
| A/K | above knee |
| AKA | above knee amputation |
| AKS | arthroscopic knee surgery |
| A-line | arterial line |
| ALS | amyotrophic lateral sclerosis |
| AKFO | ankle knee foot orthosis |
| am, a.m. | morning, before noon |
| AMA | against medical advice |
| amb. | ambulation |
| amt | amount |
| ANS | autonomic nervous system |
| ant | anterior |
| A-P | anterior-posterior |
| appts | appointments |
| APTA | American Physical Therapy Association |
| ARDS | adult respiratory distress syndrome |
| AROM | active range of motion |
| ASAP | as soon as possible |
| ASIS | anterior superior iliac spine |
| assist. | assistance |
| ATNR | asymmetrical tonic neck reflex |
| AVM | avascular necrosis |
| AVR | aortic vavle replacement |
| ax. cr | axillary crutches |
| (B) (B is circled) | bilateral, both |
| BBA | Balanced Budget Act of 1997 |
| BBB | bundle branch block |
| b/c | because |
| bid | twice a day (star this one) |
| bil. | bilateral |
| biw | twice a week |
| BK | below knee |
| BKA | below knee amputation |
| BLE | both lower extremities |
| BM | bowel movement |
| BOS | base of support |
| BP | blood pressure |
| BPM, bpm, b.p.m. | beats per minute |
| BR | bedrest |
| B/S, B.S. | beside, bedside |
| BS | breath sounds, bowel sounds |
| BUE | both upper extremities |
| BUN | blood urea nitrogen |
| c (with a line over it) | with |
| CA | carcinoma, cancer |
| CABG | coronary artery bypass graft |
| CAD | coronary artery disease |
| CAPTE | Commission on Accreditation for Physical Therapy Education |
| CARF | Commission on Accreditation of Rehabilitation Facilities |
| CBC | complete blood count (star this one) |
| C/C, C/Cs | chief complaint, chief complaints |
| cc | cubic centimeter |
| CCU | coronary care unit |
| CF | cystic fibrosis |
| CGA | contact guard assist |
| CHD | congenital heart disease, congenital hip dislocation |
| CHF | congestive heart failure |
| CHI | closed head injury |
| CiTx | cervical intermittent traction |
| cm | centimeter(s) |
| CMS | Center for Medicare and Medicaid Services |
| CN | cranial nerve |
| CNS | central nervous system |
| c/o | complains of, complaint(s) of |
| CO | cardiac output |
| cont | continue |
| coord | coordination |
| COPD | chronic obstructive pulmonary disease |
| COTA | certified occupational therapist assistant |
| CP | compression pump, cerebral palsy |
| CPAP | continuous positive airway pressure |
| CPM | continuous passive motion machine |
| CPR | cardiopulmonary resuscitation |
| CPT | current procedural terminology, chest physical therapy |
| CRF | chronic renal failure |
| C-Section | cesarean section |
| CSF | cerebral spinal fluid |
| CT scan | computerized axial tomography |
| CVA | cerebral vascular accident |
| c/w | consistent with |
| CW | continuous wave |
| CX | cancel |
| CXR | chest x-ray |
| D1, D2 (numbers are subset) | diagonal 1, diagonal 2 (propioceptive neuromuscular facilitation [PNF] patterns) |
| d/c | discharged, discontinued |
| DEP | data, evaluation, performance goals |
| dept | department |
| DF | dorsiflexion |
| DIP | distal interphalangeal joint |
| DJD | degenerative joint disease |
| DM | diabetes mellitus |
| DME | durable medical equipment |
| DNR | do not resuscitate |
| DOB | date of birth |
| DOD | date of discharge |
| DOE | dyspnea on exertion |
| DPT | diphtheria-pertussis-tetanus (vaccine), Doctor of Physical Therapy |
| DRGs | diagnosis related groups |
| drsg | dressing |
| DSD | dry sterile dressing |
| DTR | deep tendon reflex |
| DVT | deep venous thrombosis |
| Dx | diagnosis |
| ECF | extended care facility |
| ECG, EKG | electrocardiogram |
| EEG | electroencephalogram |
| elec. | electrical |
| EMG | electromyogram |
| ENT | ear, nose, throat |
| EOB | edge of bed |
| equip. | equipment |
| ER | emergency room |
| E.S., E-stim | electrical stimulation |
| ESRD | end-stage renal disease |
| ETT | endotracheal tube |
| Ev, ev | eversion |
| Eval | evaluation |
| ex. | exercise |
| ext., / | extension |
| F | female |
| (F) (F is circled) | father |
| FAQ | full arc quads |
| FAROM | functional active range of motion |
| FDA | Food and Drug Administration |
| FES | functional electrical stimulation |
| FIM | functional independent measure |
| flex. (checkmark) | flexion |
| FOR | functional outcome report |
| ft | foot, feet |
| FTP | failure to progress |
| FTSG | full-thickness skin graft |
| F/U | follow up |
| FUO | fever unknown origin |
| FWB | full weight bearing |
| FWW, fw/w | front wheeled walker |
| Fx, fx | fracture(d) |