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Physical Ax. Abb.

Medical Abbreviations for Physical Assessment

QuestionAnswer
BUE bilateral upper extremities
BLE bilateral lower extremities
UE upper extremities
LE lower extremities
RUE right upper extremity
RLE right lower extremity
LUE left upper extremity
LLE left lower extremity
RUQ right upper quadrant
RLQ right lower quadrant
LUQ left upper quadrant
LLQ left lower quadrant
RUL right upper lobe
RML right middle lobe
RLL right lower lobe
LUL left upper lobe
LLL left lower lobe
BKA below knee amputation
AKA above knee amputation
A (circled) anterior
P (circled) posterior
A/P anterior and posterior
ROM range of motion
PROM passive range of motion
AROM active range of motion
WNL within normal limits
CV cardiovascular
HTN hypertension
DM diabetes (diabetes mellitus)
GI gastrointestinal
GU genitourinary
CHF congestive heart failure
Perrla pupils, equal, round, reactive to light and accommodating
uop urinary output
s/sx signs and symptoms
r/o rule out
c/o complain of
stat immediately, right now
u/a urinalysis
u/a c c/s (with line above c) urinalysis with a culture and sensitivity
DOB date of birth
Tx treatment
Dx diagnosis
Rx prescription
hx history
fhx family history
phx past history
CAD coronary artery disease
CABG coronary artery bypass graft
Cx culture
abx antibiotics
n/v/d nausea, vomiting and diarrhea
oob out of bed
ad lib as desired
nka no known allergies
nkda no known drug allergies
CXR chest x-ray
prn as needed
hs hour of sleep (bedtime)
IM intramuscular
IV intravenous
bid twice a day
tid three times a day
qid four times a day
qd every day
mg milligram
mcg microgram
lb pounds
kg kilogram
ac before meals
pc after meals
pr per rectum (rectally)
SL sublingual
c (with line above) with
s (with line above) without
a (with line above) before
p (with line above) after
SOB shortness of breath
x (with line above) except
DNR do not resuscitate
^ (a triangle, a delta) change
i/o intake and output
d/c discontinue
D/C discharge
fxn function
qtts drops
fsbs finger stick blood sugar
FBS fasting blood sugar
BG blood glucose
OD right eye
OS left eye
OU both eyes
Ax assesment
cap capsule
tab tablet
npo nothing by mouth
T temperature
P pulse
R respiration
BP blood pressure
SPO2 Pulse oxygen saturation, Pulse oximetry
VSS vital signs stable
NAI no apparent injuries
BM bowel movement
CBG capillary blood glucose
UTI urinary tract infection
bpm beats per minute
CC chief complaint
HPI history of present illness
ROS review of system
PMH past medical history
CP chest pain
No r/r/w no rales rhonchi wheezes
No m/r/g no murmurs rubs gallops
No c/c/e no cyanosis clubbing edema
RRR regular rate and rhythm
S1S2 nl 1st and 2nd heart sound normal
no T/A/D no tobacco alcohol or drug use
Ctx contradictions
Fx fracture
p.v. per vagina
SBP systolic blood pressure
DBP diastolic blood pressure
HR heart rate
RR respiratory rate
ARF acute renal failure
CRF chronic renal failure
AAOX3 alert, awake and oriented 3 times (person, time and place)
BSx4 bowel sounds present in all 4 quadrants
VB vaginal bleeding
LMP last menstrual period
NSVD normal spontaneous vaginal delivery
CS cesarean section
EGA expected gestational age
adm admission
Bx biopsy
c-spine cervical spine
CSF cerebrospinal fluid
ER emergency room
OR operating room
gyn gynecology
I & D incision and drainage
ht height
wt weight
OB obstetrics
Px or PE physical exam
palp palpitation
pt patient
postOp post operative
PT Physical Therapy
PEDS pediatrics
ORTH orthopedics
OBGYN obstetric/gynecologic
WA while awake
w/c wheelchair
vo verbal order
MRI magnetic resonance imaging
TPR temperature, pulse, respiration
ADHD attention deficit hyperactivity disorder
FUO fever of unknown (unspecified) origin
CA cancer
CT computerized tomography
OPV outpatient visit
NED no evidence of disease
AD Right ear
AS Left ear
AU Both ears
ECG or EKG Electrocardiogram
qod Every other day
Subcut Subcutaneous
ID Intradermal
CAT scan computerized axial tomography
BS blood sugar or bowel sounds
AA alcoholics anonymous
ENT ear, nose and throat
MD medical doctor
HOB head of bed
NB newborn
oint ointment
MOM milk of magnesia
PET scan positron emission tomography
HIV human immunodeficiency virus
flu influenza
NICU neonatal intensive care unit
OT occupational therapy
TIA transient ischemic attack
amp amputation
CMV cytomegalovirus
RT respiratory therapy
lac laceration
NG nasogastric
HDL high density lipoprotein
H hemoglobin and hematocrit
IUD intrauterine device
ADL activities of daily living
female
male
decrease
increase
Created by: Milene.Marques