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ScribeAmerica
Basic Medical Abbreviations
| Term | Definition |
|---|---|
| abdomen, abdominal | Abd |
| antibiotics | Abx |
| atrial fibrillation | A fib |
| acute otitis media | AOM |
| assessment and plan | A/P |
| acetylsalicylic Acid (Aspirin) | ASA |
| twice dailing | BID |
| bilateral lower extremities | Bilat LE |
| bowel movement | BM |
| blood pressure | BP |
| with | c (with line on top) |
| cancer, carcinoma | CA |
| coronary artery bypass graft | CABG |
| coronary artery disease | CAD |
| complete blood count | CBC |
| congestive heart failure | CHF |
| chest pain | CP |
| complains of | c/o |
| chronic obstructive pulmonary disease | COPD |
| chronic renal failure | CRF |
| caesarean section | C-section |
| cervical spine | C-spine |
| computerized assisted tomography | CT or CAT |
| clear to auscultation | CTA |
| cardiovascular | CV |
| cerebrovascular accident | CVA |
| chest x-ray | CXR |
| diabetes mellitus | DM |
| dyspnea on extertion | DOE |
| dorsalis pedis/ posterior tibialis | DP/PT (pulse) |
| deep vein thrombosis | DVT |
| diagnosis | Dx |
| electrocardiogram | EKG/ECG |
| extraocular movement intact | EOMI |
| alcohol | EtOH |
| family history | FHx |
| follow up | F/U |
| fracture | Fx |
| grastroesophageal reflux disease | GERD |
| gastrointestinal | GI |
| gravida/para/abortion | G/P/Ab |
| genitourinary | GU |
| headache | HA |
| head, ears, eyes, nose, throat | HEENT |
| health insurance portability and accountability act | HIPAA |
| hyperlipidemia | HLD |
| history of present illness | HPI |
| hypertension | HTN |
| history | Hx |
| hemoglobin and hematocrit | H&H |
| incisions and drainage | I&D |
| insulin dependent diabetes mellitus | IDDM |
| intrauterine pregnancy | IUP |
| intravenous drug absue | IVDA |
| left lower extremity | LLE |
| left lower quadrant | LLQ |
| last normal menstrual period | LNMP |
| loss of consciousness | LOC |
| lumbar spine | L-spine |
| left upper extremity | LUE |
| left upper quadrant | LUQ |
| myocardial infarction | MI |
| not applicable | N/A |
| no acute distress, no acute disease | NAD |
| non-insulin dependent diabetes mellitus | NIDDM |
| no known drug allergies | NKDA |
| normal | nl/nml |
| non steroidal anti-inflammatory drug | NSAID |
| normal sinus rhythm | NSR |
| nausea/vomiting, diarrhea | N/V/D |
| oxygen saturation | O2 sat |
| obstetrics and gynecology | OB/GYN |
| overdose | OD |
| otitis media | OM |
| oropharynx | OP |
| open reduction and internal fixation (orthopedic surgery) | ORIF |
| primary care physician/Primary medical doctor | PCP/PMD |
| physical exam/pulmonary embolism | PE |
| pupils are equal, round and reactive to light | PERRL |
| per Os (by mouth) | PO |
| as needed | prn |
| patient | pt |
| prior to arrival or peritonsillar abscess | PTA |
| peripheral vascular disease | PVD |
| every | q |
| every day | QD |
| at every bedtime | QHS |
| four times a day | QID |
| right lower extremity | RLE |
| right lower quadrant | RLQ |
| range of motion | ROM |
| review of system | ROS |
| regular rate and rhythm | RRR |
| right upper extremity | RUE |
| right upper quadrant | RUQ |
| prescription | Rx |
| rule out | r/o |
| shortness of breath | SOB |
| subjective, objective, assesment, and plan | SOAP |
| status post (after) | s/p |
| symptoms | Sx |
| S/T elevation myocardial infarction | STEMI |
| tonsillectomy and adenoidectomy | T&A |
| transient ischemic attack | TIA |
| three times a day | TID |
| tympanic membrane | TM |
| treatment | Tx |
| Thoracic spine | T-spine |
| urinalysis | UA |
| upper respiratory infection | URI |
| ultrasound | US |
| up to date | UTD |
| urinary tract infection | UTI |
| within normal limits | WNL |
| years old | y/o |