Abbreviations Charting Flashcards
Before meals
ac
Blood pressure
BP
At liberty
Ad lib
Twice a day
B.i.d.
With
_
C
Complete blood count
cbc
Chief complaint
CC
Complaint off
C/O
Complete physical examination
CPE
Discontinue or Discharge
DC or D/C
Dilation and curettage
D&C
Diagnosis
Dx
Electrocardiogram
ECG, EKG
Electroencephalogram
EEG
Emergency room
ER
Gastrointestinal
GI
Genitourinary
GU
Gynecology
GYN
Head, eyes, ears, nose, and throat
HEENT
History and physical
H&P
Incision and drainage
I&D
Intramuscular
IM
Milligram
Mg
Milliliter
mL
Myocardial infarction
MI
Nothing by mouth
npo
Nausea and vomiting
N&V
Nausea, vomiting, and diarrhea
NVD
Outpatient department
OPD
Operating room
OR
Pulse
P
Pupils equal, round, reactive to light and accommodation
PERRLA
By mouth
po
As needed
prn
Physical therapy
PT
Respiration
R
Rule out
R/O
Range of motion
ROM
Review of systems
ROS
Without
_
S
Subjective, objective, assessment, plan
SOAP
Short of breath
SOB
Temperature
T
Tonsillectomy and adenoidectomy
T&A
Three times a day
t.i.d.
Urinalysis
UA
Usual childhood diseases
UCHD
Upper respiratory infection
URI
Urinary tract infection
UTI
Without
_
X
Within normal limits
WNL
X-Ray
XR
Change