Question | Answer |
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 |