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Medical scribe term > Abbreviations > Flashcards

Abbreviations Flashcards

1
Q

HPI

A

history of present illness

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2
Q

PMH

A

patient medical history

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3
Q

ROS

A

review of systems

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4
Q

AFib

A

atrial fibrillation

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5
Q

AAA

A

abdominal aortic aneurysm

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6
Q

AB

A

abortion

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7
Q

abd

A

abdomen

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8
Q

ABG

A

arterial blood gas

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9
Q

abx

A

antibiotic

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10
Q

AMA

A

against medical advice

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11
Q

AMI

A

acute myocardial infarction

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12
Q

AMS

A

altered mental status

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13
Q

approx

A

approximately

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14
Q

appt

A

appointment

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15
Q

appy

A

appendectomy

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16
Q

ASA

A

aspirin

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17
Q

Auto/Ped

A

automobile vs. pedestrian

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18
Q

A&O x3

A

alert and orientated times 3 (person, place, time)

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19
Q

BBS

A

bilateral breath sounds

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20
Q

BCP

A

birth control pill

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21
Q

bilat

A

bilateral

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22
Q

BLE

A

bilateral lower extremities

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23
Q

BM

A

bowel movement

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24
Q

BS

A

bowel sounds

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25
Q

BP

A

blood pressure

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26
Q

BSG

A

blood sugar glucose

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27
Q

BUE

A

bilateral upper extremities

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28
Q

CABG

A

coronary arterial bypass graft

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29
Q

CAD

A

coronary artery disease

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30
Q

cath

A

catheter, catherization

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31
Q

CBC

A

complete blood count

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32
Q

CHF

A

congestive heart failure

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33
Q

CHI

A

closed head injury

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34
Q

chole

A

cholecystectomy

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35
Q

CMT

A

cervical motion tenderness

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36
Q

CNS

A

central nervous system

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37
Q

c/o

A

complains of

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38
Q

COPD

A

chronic obstructive pulmonary disorder

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39
Q

CP

A

chest pain

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40
Q

CPAP

A

continuous positive airway pressure

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41
Q

CPR

A

cardiopulmonary resuscitation

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42
Q

C&S

A

culture & sensitivity

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43
Q

CSF

A

cerebrospinal fluid

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44
Q

CTA

A

clear to auscultation, ct angiogram

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45
Q

CV

A

cardiovascular

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46
Q

CVA

A

cerebrovascular accident

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47
Q

CVAT

A

costovertebral angle tenderness

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48
Q

CXR

A

chest x-ray

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49
Q

C-collar

A

cervical spine collar

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50
Q

C-spine

A

cervical spine

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51
Q

C-section

A

cesarean section

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52
Q

d/c

A

discontinue

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53
Q

DIP

A

distal interphalangeal (joint)

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54
Q

DJD

A

degenerative joint disease

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55
Q

DKA

A

diabetic ketoacidosis

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56
Q

DM

A

diabetes mellitus

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57
Q

DNR

A

do not resuscitate

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58
Q

DTR

A

deep tendon reflex

59
Q

DVT

A

deep vein thrombosis

60
Q

Dx/ dx

61
Q

EKG/ ECG

A

electrocardiogram

62
Q

EOMI

A

extra ocular movements intact

63
Q

epi

A

epinephrine

64
Q

EtOH

65
Q

ETT

A

endotracheal tube

66
Q

FB

A

foreign body

67
Q

FHT

A

fetal heart tone

68
Q

FROM

A

full range of motion

69
Q

FTN

A

finger-to-nose

70
Q

Fx

71
Q

F/U

72
Q

GB

A

gallbladder

73
Q

GCS

A

glascow coma scale

74
Q

GERD

A

gastro esophogeal reflux disease

75
Q

GSW

A

gunshot wound

76
Q

HA

77
Q

Hgb

A

hemoglobin

78
Q

HCT

A

hematocrit

79
Q

HTN

A

hypertension

80
Q

h/o

A

history of

81
Q

HR

A

heart rate

82
Q

Hx

83
Q

Hyst

A

hysterectomy

84
Q

IBS

A

irritable bowel syndrome

85
Q

ICD

A

implantable cardioverter-defibrillator

86
Q

ICE

A

ice, compression, elevation

87
Q

ICH

A

intracrainial hemorrhage

88
Q

ICP

A

intracrainial pressure

89
Q

IM

A

intramuscular

90
Q

IUP

A

intrauterine pregnancy

91
Q

IV

A

intravenous

92
Q

IVPB

A

intravenous piggyback

93
Q

I&D

A

incision and drainage

94
Q

JVD

A

jugular venous distention

95
Q

KUB

A

kidneys, ureters, bladder x-ray

96
Q

L

97
Q

lac

A

laceration

98
Q

LBBB

A

left bundle branch block

99
Q

LFT

A

liver function test

100
Q

LLQ

A

left lower quadrant

101
Q

LMP

A

last menstrual period

102
Q

LNMP

A

last normal menstrual period

103
Q

LOC

A

loss of consiousness

104
Q

LP

A

lumbar puncture

105
Q

L-spine

A

lumbar spine

106
Q

LUQ

A

left upper quadrant

107
Q

LVH

A

left ventricular hypertrophy

108
Q

MAEW

A

moves all extremities well

109
Q

med(s)

A

medication (s)

110
Q

MI

A

myocardial infarction

111
Q

MIP

A

metacarpointerphalangeal (joint)

112
Q

MVC

A

motor vehicle collision

113
Q

NAD

A

no acute distress

114
Q

NCAT

A

normocephalic, atraumatic

115
Q

NG

A

nasogastric

116
Q

NH

A

nursing home

117
Q

NKA

A

no known allergies

118
Q

NKDA

A

no known drug allergies

119
Q

n1

120
Q

NPO

A

noting by mouth (per os)

121
Q

NRB

A

nonrebreather (oxygen mask)

122
Q

NSR

A

normal sinus rhythm

123
Q

NTG

A

nitroglycerine

124
Q

N/V

A

nausea/ vomiting

125
Q

N/V/D

A

nausea/ vomiting/ diarrhea

126
Q

NVID

A

neurovascularly intact distally

127
Q

NS

A

normal saline

128
Q

O2

129
Q

obs

130
Q

OD

131
Q

ortho

A

orthopedic

132
Q

PA& LAT

A

posteroanterior and lateral (x-ray)

133
Q

palp

134
Q

PCN

A

penicillin

135
Q

PCP

A

primary care physician

136
Q

PE

A

pulmonary embolism

137
Q

PERRLA

A

pupils equal, round and reactive to light and accommodation

138
Q

PID

A

pelvic inflammatory disease

139
Q

PIP

A

proximal interphalangeal (joint)

140
Q

post-op

A

post operative

141
Q

PPD

A

packs per day (cigarettes)

142
Q

preg

143
Q

PRN

144
Q

Pt

Medical scribe term (4 decks)

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