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Abbreviations for Documentation > Abbreviations for Healthcare > Flashcards

Abbreviations for Healthcare Flashcards

1
Q

A:

A

beginning of Assessment section in SOAP note

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2
Q

AAROM

A

active-assistive range of motion

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3
Q

ABI

A

acquired brain injury

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4
Q

a-fib

A

atrial fibrillation

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5
Q

a-line

A

arterial line

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6
Q

AV

A

arteriovenous

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7
Q

AAA

A

abdominal aortic aneurysm

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8
Q

abd, Abd

A

abduction

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9
Q

ABG

A

arterial blood gases

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10
Q

ac

A

before meals

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11
Q

AC joint

A

acromioclavicular joint

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12
Q

ACL

A

anterior cruciate ligament

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13
Q

Add, add

A

adduction

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14
Q

ADL

A

activities of daily living

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15
Q

ad lib

A

at discretion

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16
Q

adm

A

admitted, admission

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17
Q

AE

A

above elbow

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18
Q

AFO

A

ankle foot orthosis

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19
Q

AIDS

A

acquired immune deficiency syndrome

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20
Q

AIIS

A

Anterior Inferior Iliac Spine

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21
Q

AKA

A

above knee amputation

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22
Q

ALS

A

amyotrophic lateral sclerosis

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23
Q

a.m.

A

morning

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24
Q

AMA

A

against medical advice

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25
Q

amb

A

ambulation, ambulated, ambulates, ambulating

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26
Q

ANS

A

autonomic nervous system

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27
Q

ant.

A

anterior

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28
Q

AP

A

anterior-posterior

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29
Q

ARDS

A

adult respiratory distress syndrome

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30
Q

ARF

A

acute renal failure

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31
Q

AROM

A

active range of motion

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32
Q

ASA

A

aspirin

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33
Q

ASAP

A

as soon as possible

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34
Q

ASCVD

A

arteriosclerotic cardiovascular disease

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35
Q

ASIS

A

anterior superior iliac spine

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36
Q

assist.

A

assistance, assistive

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37
Q

BADL

A

basic activity of daily living

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38
Q

B/S

A

bedside

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39
Q

BBB

A

bundle branch block

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40
Q

BE

A

below elbow

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41
Q

BID

A

twice a day

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42
Q

bilat. or B (with circle around it)

A

bilateral, bilaterally

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43
Q

BKA

A

below knee amputation

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44
Q

BOS

A

base of support

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45
Q

BP

A

blood pressure

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46
Q

bpm

A

beats per minute (for HR), breaths per minute (respiratory)

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47
Q

BR

A

bedrest

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48
Q

BRP

A

bathroom privileges

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49
Q

BS

A

breath/bowel sounds

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50
Q

BSC

A

bedside commode

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51
Q

c/o

A

complains of

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52
Q

CA

A

cancer, carcinoma

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53
Q

CABG

A

coronary artery bypass graft

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54
Q

CAD

A

coronary artery disease

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55
Q

cal

A

calories

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56
Q

CAT

A

computerized axial tomography

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57
Q

CBC

A

complete blood cell count

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58
Q

C/C

A

chief complaint/concern

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59
Q

CF

A

cystic fibrosis

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60
Q

CHF

A

congestive heart failure

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61
Q

CMV

A

cytomegalovirus

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62
Q

CNS

A

central nervous system

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63
Q

CO

A

cardiac output

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64
Q

cont.

A

continue

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65
Q

COPD

A

chronic obstructive pulmonary disease

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66
Q

COTA

A

certified occupational therapist assistant

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67
Q

CPAP

A

continuous positive airway pressure

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68
Q

D/C

A

discontinued/discharged

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69
Q

DIP

A

distal interphalangeal joint

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70
Q

DJD

A

degenerative joint disease

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71
Q

DO

A

doctor of osteopathy

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72
Q

DOE

A

dyspnea on exertion

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73
Q

DPT

A

doctor of physical therapy

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74
Q

DTR

A

deep tendon reflex

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75
Q

Dx

A

diagnosis

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76
Q

eval.

A

evaluation

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77
Q

ext.

A

extension

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78
Q

flex.

A

flexion

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79
Q

ft.

A

foot (measurement)

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80
Q

FWB

A

full weight bearing

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81
Q

fx

A

fracture

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82
Q

H&P

A

history and physical

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83
Q

h/o

A

history of

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84
Q

HA, H/A

A

headache

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85
Q

HCVD

A

hypertensive cardiovascular disease

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86
Q

HEP

A

home exercise program

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87
Q

HOB

A

head of bed

88
Q

hs

A

at bedtime

89
Q

ht.

A

height

90
Q

Hx

A

history

91
Q

Htn, HTP

A

hypertension

92
Q

IADL

A

instrumental activities of daily living

93
Q

IM

A

intramuscular; intramedullary

94
Q

indep

A

indendent

95
Q

inf

A

inferior

96
Q

IRDS

A

infant respiratory distress syndrome

97
Q

KAFO

A

knee ankle foot orthosis

98
Q

L (with circle around)

A

left

99
Q

lat.

A

lateral

100
Q

LBP

A

low back pain

101
Q

LE

A

lower extremity

102
Q

LOC

A

loss of consciousness, level of consciousness

103
Q

LMN

A

lower motor neuron

104
Q

LP

A

lumbar puncture

105
Q

max

A

maximal, maximum

106
Q

MD

A

medical doctor, doctor of medicine

107
Q

MI

A

myocardial infraction

108
Q

min.

A

minimal, minute

109
Q

MMT

A

manual muscle test

110
Q

mo.

A

month

111
Q

mod.

A

moderate

112
Q

MP, MCP

A

metacarpophalangeal

113
Q

NDT

A

neurodevelopment treatment

114
Q

neg.

A

negative

115
Q

nn

A

nerve

116
Q

NPO, npo

A

nothing by mouth

117
Q

NWB

A

non weight bearing

118
Q

O:

A

indicating Objective in SOAP note

119
Q

OA

A

osteoarthritis

120
Q

OOB

A

out of bed

121
Q

O.P.

A

outpatient

122
Q

P

A

poor

123
Q

P:

A

indicating Plan on SOAP notes

124
Q

P.A.

A

physician’s assistant

125
Q

PA

A

posterior-anterior

126
Q

para

A

paraplegia

127
Q

PCL

A

posterior cruciate ligament

128
Q

PE

A

pulmonary embolus

129
Q

per

A

by/through

130
Q

P.H.

A

past history

131
Q

PMH

A

past medical history

132
Q

PNF

A

proprioceptive neuromuscular facilitation

133
Q

PNI

A

peripheral nerve injury

134
Q

pos.

A

positive

135
Q

post

A

posterior

136
Q

PRE

A

progressive-resistive exercise

137
Q

PROM

A

passive range of motion

138
Q

PSF

A

posterior spinal fusion

139
Q

PSIS

A

posterior superior iliac spine

140
Q

Pt., pt.

A

patient

141
Q

PTA

A

physical therapy assistant, prior to admission

142
Q

PTB

A

patellar tendon bearing

143
Q

R (with circle around)

A

right

144
Q

RA

A

rheumatoid arthritis

145
Q

re:

A

regarding

146
Q

R/O

A

rule out

147
Q

ROM

A

range of motion

148
Q

ROS

A

review of systems

149
Q

RROM

A

resistive range of motion

150
Q

Rx

A

intervention plan, perscription

151
Q

S:

A

indicating Subjective in SOAP notes

152
Q

s/s

A

signs and symptoms

153
Q

SACH

A

solid ankle cushion heel

154
Q

SCI

A

spinal cord injury

155
Q

SC joint

A

sternoclavicular joint

156
Q

sig

A

directions for use, give as follows, let it be labelled

157
Q

SI(J)

A

sacroiliac joint

158
Q

SLR

A

straight leg raise

159
Q

SOB

A

shortness of breath

160
Q

S/P

A

status post

161
Q

stat.

A

immediately, at once

162
Q

sup.

A

superior

163
Q

Sx

A

symptoms

164
Q

TBI

A

traumatic brain injury

165
Q

TENS, TNS

A

transcutaneous electrical nerve stimulator/stimulation

166
Q

THA

A

total hip arthroplasty

167
Q

ther ex

A

therapeutic exercise

168
Q

TKA

A

total knee arthroplasty

169
Q

TM(J)

A

temporomandibular (joint)

170
Q

TNR

A

tonic neck reflex

171
Q

t.o.

A

telephone order

172
Q

Tx

A

traction, treatment

173
Q

UE

A

upper extremity

174
Q

UMN

A

upper motor neurons

175
Q

US

A

ultrasound

176
Q

v.o., VO

A

verbal orders

177
Q

VS

A

vital signs

178
Q

w/c

A

wheelchair

179
Q

wk.

A

week

180
Q

WNL

A

within normal limits

181
Q

x

A

number of times performed (eg. x2 is twice)

182
Q

y/o, y.o.

A

years old

183
Q

yr.

A

year

184
Q

+1 (+2, etc)

A

assistance (assistance of 1, etc.)

185
Q

+, &, et

A

and

186
Q

clt.

A

client

187
Q

tx

A

treatment

188
Q

Ax

A

assessment

189
Q

WFL

A

within functional limits

190
Q

I (circle around)

A

independent

191
Q

A (full circle around

A

assistance

192
Q

EEG

A

electroencephalogram

193
Q

EMG

A

electromyogram, electromyography

194
Q

FH

A

family history

195
Q

CXR

A

chest x-ray

196
Q

I&O

A

intake and output

197
Q

IMV

A

intermittent mandatory ventilation

198
Q

KUB

A

kidneys, uterus, bladder

199
Q

LOS

A

length of stay

200
Q

MAR

A

medication administration record

201
Q

MED

A

minimal erythemal dose

202
Q

MRI

A

magnetic resonance imaging

203
Q

NG, ng

A

nasogastric

204
Q

N.H.

A

nursing home

205
Q

noc

A

night, at night

206
Q

NSR

A

normal sinus rhythm

207
Q

PET

A

positron emission tomography

208
Q

PERRLA

A

pupils equal, round, reactive to light and accommodation

209
Q

PRN, prn

A

whenever necessary, as often as necessary

210
Q

PVD

A

peripheral vascular disease

211
Q

SLE

A

systemic lupus erythematosus

212
Q

Sx

A

symptoms

213
Q

ther ex

A

therapeutic exercise

214
Q

TIA

A

transient ischemic attack

215
Q

TPR

A

temperature, pulse, respiration

216
Q

URI

A

upper respiratory infection

Abbreviations for Documentation (2 decks)

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