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Definitions & Abbreviations
| Term | Definition |
|---|---|
| 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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