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Definitions & Abbreviations

CVA Cerebrovascular Accident -OR- Costovertebral Angle
Grossly Wholly, Obviously, A lot
HTN Hypertension
LNMP Last Normal Menstrual Period
Sx Symptoms
PE Pulmonary Embolism -OR- Physical Exam
Abrasion A scrape to the skin due to something abrasive
HA Headache
MI Myocardial Infarction
Ischemia Lack of blood supply
Pruritic Itchy
Chronic Constant, long standing
Epistaxis Nose bleed
Edema Swelling
Dz Disease
CABG Coronary Artery Bypass Graft "open heart surgery"
Hemorrhage Excessive or profuse bleeding
Tachycardia Fast heart rate, >100 bpm
Purulent Pus-like
ROM Range of Motion
Cerebrovascular Accident (CVA) "stroke" - brain damage due to lack of blood supply to the brain
SOB Shortness of Breath
CAD Coronary Artery Disease "heart disease"
Bradycardia Slow heart rate, <60 bpm
Rhinorrhea Clear nasal discharge "runny nose"
Sepsis Dangerous infection of the blood
Laceration Splitting of the skin due to trauma; a cut due to something sharp
DM Diabetes Mellitus
Syncope Loss of consciousness; fainting
Deep Vein Thrombosis (DVT) A blood clot in a deep vein, usually in the extremities
Acute New, usually of rapid onset and of concern
DVT Deep Venous Thrombosis
HEENT Head, Eyes, Ears, Nose, Throat
Benign Normal, of no danger to health
Diaphoresis Sweating
CXR Chest X-Ray
NTG Nitroglycerin
HPI History of Present Illness
BID Twice daily
Dysuria Painful urination
LOC Loss of consciousness
Emesis Vomiting
pt Patient
CP Chest Pain
Erythema Redness
Dyspnea Difficulty breathing
UTI Urinary Tract Infection
Melena Black, tarry stool
STEMI ST elevated Myocardial Infarction; real-time ongoing death of heart tissue due to ischemia
ABx Antibiotics
Cardiomegaly Enlarged heart
MVA/MVC Motor Vehicle Accident/Motor Vehicle Collision
RUQ Right Upper Quadrant
N/V/D Nausea/Vomiting/Diarrhea
Ecchymosis Bruising
Vertigo Condition of dizziness "room spinning"
Myalgia muscular pain/aches
Hypoxia lack of oxygen in the blood; low oxygen saturation of the body
Infarct Area of dead tissue after a lack of blood supply
FHx Family History
NKDA No Known Drug Allergies
s/p Status Post (after)
Pulmonary Embolism (PE) Blocking of a pulmonary artery due to a blood clot
Transient Ischemic Attack (TIA) "minor stroke" - where neurological function is regained quickly with time
Myocardial Infarction (MI) Death of cardiac muscle due to ischemia
Ambulate to walk from place to place
Anterior located towards the front of the body
Artery Blood vessel carrying blood away from the heart
Cholecystitis Inflammation of the cholecyst (gallbladder)
COPD Chronic Obstructive Pulmonary Disease
Coronary Artery Artery that supplies heart tissue with blood
Distal Farther from the trunk of the body
Febrile Elevated body temperature, fever, indicative of infection
Hematemesis Very large amounts of blood in the vomit
Hematuria Very large amounts of blood in the urine
Hemoptysis Coughing up very large amounts of blood
Hepatomegaly Enlarged liver
Hypertension High blood pressure
Hypotension Low blood pressure
Inferior Lower on the body, farther from the head
Lateral Farther from the midline
Medial Nearer to the midline
Oriented x3 Oriented to person, place, and time
Pallor Pale skin
Posterior/Dorsal Rear/backside of the body
Proximal Nearer to the trunk of the body
Rales Crackles; wet crackling noise in the lungs
Rhonchi Rattling noise of mucous in the lungs
Superior Higher on the body, nearer to the head
Supine Body position lying face up
Tachypnea Increased breathing rate
Vein Blood vessel carrying blood towards the heart
Wheezing High pitched sound heard in the lungs with asthmatics or lung disease
AAA Abdominal Aortic Aneurysm
A Fib Atrial Fibrillation
Abd Abdomen
AMA Against medical advice
AMS Altered mental status
ASA Acetylsalicylic Acid (aspirin)
Bilat LE Bilateral lower extremities
BM Bowel movement
BP Blood pressure
CA Cancer
CT or CAT Computerized assisted tomography
CHF Congestive heart failure
CPR cardiopulmonary resuscitation
C-section Caesarean section
C-spine Cervical spine
CSF cerebrospinal fluid
c/o complaints of
DKA diabetic ketoacidosis
DNR do not resuscitate
DOE dyspnea on exertion
Dx diagnosis
EKG/ECG electrocardiogram
EtOH alcohol
Fx fracture
GI gastrointestinal
G/P/Ab Gravida/Para/Abortion
GSW gun shot wound
GU genitourinary
Hx history
H&H hemoglobin & hematocrit
H&P History of present illness and physical exam
I&D 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
LP lumbar puncture
L-spine lumbar spine
LUE left upper extremity
MCA motorcycle accident
N/A not applicable
NAD no acute distress, no acute disease
NIDDM non-insulin dependent diabetes mellitus
Nml, nl normal
NSAID non steroidal anti-inflammatory drug
NSR normal sinus rhythm
O2 Sat oxygen saturation
OD overdose
PCP primary care physician
PERRL pupils are equal, round, and reactive to light
PO Per Os (by mouth)
prn as needed
PTA prior to arrival
PUD peptic ulcer disease
qd every day
qh every hour
qhs at every bedtime
q2h every two hours
QID four times a day
RLE right lower extremity
RLQ right lower quadrant
ROS review of system
RUE right upper extremity
Rx prescription
r/o rule out
TIA transient ischemic 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
WNL within normal limits
RVR rapid ventricular response
Created by: slb23310
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