Abbreviations for Healthcare Flashcards
A:
beginning of Assessment section in SOAP note
AAROM
active-assistive range of motion
ABI
acquired brain injury
a-fib
atrial fibrillation
a-line
arterial line
AV
arteriovenous
AAA
abdominal aortic aneurysm
abd, Abd
abduction
ABG
arterial blood gases
ac
before meals
AC joint
acromioclavicular joint
ACL
anterior cruciate ligament
Add, add
adduction
ADL
activities of daily living
ad lib
at discretion
adm
admitted, admission
AE
above elbow
AFO
ankle foot orthosis
AIDS
acquired immune deficiency syndrome
AIIS
Anterior Inferior Iliac Spine
AKA
above knee amputation
ALS
amyotrophic lateral sclerosis
a.m.
morning
AMA
against medical advice
amb
ambulation, ambulated, ambulates, ambulating
ANS
autonomic nervous system
ant.
anterior
AP
anterior-posterior
ARDS
adult respiratory distress syndrome
ARF
acute renal failure
AROM
active range of motion
ASA
aspirin
ASAP
as soon as possible
ASCVD
arteriosclerotic cardiovascular disease
ASIS
anterior superior iliac spine
assist.
assistance, assistive
BADL
basic activity of daily living
B/S
bedside
BBB
bundle branch block
BE
below elbow
BID
twice a day
bilat. or B (with circle around it)
bilateral, bilaterally
BKA
below knee amputation
BOS
base of support
BP
blood pressure
bpm
beats per minute (for HR), breaths per minute (respiratory)
BR
bedrest
BRP
bathroom privileges
BS
breath/bowel sounds
BSC
bedside commode
c/o
complains of
CA
cancer, carcinoma
CABG
coronary artery bypass graft
CAD
coronary artery disease
cal
calories
CAT
computerized axial tomography
CBC
complete blood cell count
C/C
chief complaint/concern
CF
cystic fibrosis
CHF
congestive heart failure
CMV
cytomegalovirus
CNS
central nervous system
CO
cardiac output
cont.
continue
COPD
chronic obstructive pulmonary disease
COTA
certified occupational therapist assistant
CPAP
continuous positive airway pressure
D/C
discontinued/discharged
DIP
distal interphalangeal joint
DJD
degenerative joint disease
DO
doctor of osteopathy
DOE
dyspnea on exertion
DPT
doctor of physical therapy
DTR
deep tendon reflex
Dx
diagnosis
eval.
evaluation
ext.
extension
flex.
flexion
ft.
foot (measurement)
FWB
full weight bearing
fx
fracture
H&P
history and physical
h/o
history of
HA, H/A
headache
HCVD
hypertensive cardiovascular disease
HEP
home exercise program
HOB
head of bed
hs
at bedtime
ht.
height
Hx
history
Htn, HTP
hypertension
IADL
instrumental activities of daily living
IM
intramuscular; intramedullary
indep
indendent
inf
inferior
IRDS
infant respiratory distress syndrome
KAFO
knee ankle foot orthosis
L (with circle around)
left
lat.
lateral
LBP
low back pain
LE
lower extremity
LOC
loss of consciousness, level of consciousness
LMN
lower motor neuron
LP
lumbar puncture
max
maximal, maximum
MD
medical doctor, doctor of medicine
MI
myocardial infraction
min.
minimal, minute
MMT
manual muscle test
mo.
month
mod.
moderate
MP, MCP
metacarpophalangeal
NDT
neurodevelopment treatment
neg.
negative
nn
nerve
NPO, npo
nothing by mouth
NWB
non weight bearing
O:
indicating Objective in SOAP note
OA
osteoarthritis
OOB
out of bed
O.P.
outpatient
P
poor
P:
indicating Plan on SOAP notes
P.A.
physician’s assistant
PA
posterior-anterior
para
paraplegia
PCL
posterior cruciate ligament
PE
pulmonary embolus
per
by/through
P.H.
past history
PMH
past medical history
PNF
proprioceptive neuromuscular facilitation
PNI
peripheral nerve injury
pos.
positive
post
posterior
PRE
progressive-resistive exercise
PROM
passive range of motion
PSF
posterior spinal fusion
PSIS
posterior superior iliac spine
Pt., pt.
patient
PTA
physical therapy assistant, prior to admission
PTB
patellar tendon bearing
R (with circle around)
right
RA
rheumatoid arthritis
re:
regarding
R/O
rule out
ROM
range of motion
ROS
review of systems
RROM
resistive range of motion
Rx
intervention plan, perscription
S:
indicating Subjective in SOAP notes
s/s
signs and symptoms
SACH
solid ankle cushion heel
SCI
spinal cord injury
SC joint
sternoclavicular joint
sig
directions for use, give as follows, let it be labelled
SI(J)
sacroiliac joint
SLR
straight leg raise
SOB
shortness of breath
S/P
status post
stat.
immediately, at once
sup.
superior
Sx
symptoms
TBI
traumatic brain injury
TENS, TNS
transcutaneous electrical nerve stimulator/stimulation
THA
total hip arthroplasty
ther ex
therapeutic exercise
TKA
total knee arthroplasty
TM(J)
temporomandibular (joint)
TNR
tonic neck reflex
t.o.
telephone order
Tx
traction, treatment
UE
upper extremity
UMN
upper motor neurons
US
ultrasound
v.o., VO
verbal orders
VS
vital signs
w/c
wheelchair
wk.
week
WNL
within normal limits
x
number of times performed (eg. x2 is twice)
y/o, y.o.
years old
yr.
year
+1 (+2, etc)
assistance (assistance of 1, etc.)
+, &, et
and
clt.
client
tx
treatment
Ax
assessment
WFL
within functional limits
I (circle around)
independent
A (full circle around
assistance
EEG
electroencephalogram
EMG
electromyogram, electromyography
FH
family history
CXR
chest x-ray
I&O
intake and output
IMV
intermittent mandatory ventilation
KUB
kidneys, uterus, bladder
LOS
length of stay
MAR
medication administration record
MED
minimal erythemal dose
MRI
magnetic resonance imaging
NG, ng
nasogastric
N.H.
nursing home
noc
night, at night
NSR
normal sinus rhythm
PET
positron emission tomography
PERRLA
pupils equal, round, reactive to light and accommodation
PRN, prn
whenever necessary, as often as necessary
PVD
peripheral vascular disease
SLE
systemic lupus erythematosus
Sx
symptoms
ther ex
therapeutic exercise
TIA
transient ischemic attack
TPR
temperature, pulse, respiration
URI
upper respiratory infection