Charting/Diagnostic Flashcards
ABO
Abortion
Abd
Abdomen
a.c.
Before meals
AD
Right ear
ADL
Activities of daily living
ADM
Admit, admission, admitted
AI
Allergy index
AF
Atrial fibrillation
AK
Above the knee
AKA
Above the knee amputation
AM, a.m.
Before noon
AMA
Against medical advice
Amt
Amount
Ant
Anterior
AP
Anterior/posterior, apical pulse
AS
Left ear
ASAP
As soon as possible
AU
Both ears
AV
Atriovenous, atrioventricular
A&W
Alive and well
Ax
Axillary
Ba, BaE, BE
Barium, barium enema
BAEP
Brainstem auditory evoked potential
BAER
Brainstem auditory evoked response
BBT
Basal body temperature
BC
Birth control
Bi
Biopsy
BK
Below the knee
BKA
Below the knee amputation
BLE
Both lower extremities
BM
Bowel movement
BMI
Body mass index
BO
Body odor
bol
Bolus
BP
Blood pressure
BPD
Biparietal diameter
BSA
Body surface area
BSE
Breast self-examination
Bx
Biopsy
/c, w/
With
C, kcal
Calorie
CA, Ca
Cancer
CABG
Coronary artery bypass graft
CAPD
Continuous ambulatory peritoneal dialysis
CAT
Computerized axial tomography
CBI
Continuous bladder irrigation
CC
Chief complaint
CCU
Coronary care unit
CICU
Cardiac (coronary) intensive care unit
CHO
Carbohydrate
c/o
Complains of
CP
Chest pain
CPAP
Continuous positive airway pressure
CPE, CPX
Complete physical examination
CPR
Cardiopulmonary resuscitation
CT
Computerized tomography
Cx
Canceled
CXR
Chest X-ray
D&C
Dilation and curettage
D/C
Discharge
D&E
Dilation and evacuation
def
Deficiency
disch
Discharged
DNS
Did not show
DNR
Do not resuscitate
DOA
Date of admission, dead on arrival
DOB
Date of birth
DOI
Date of injury
DRE
Digital Rectal Exam
Drg or Drsg
Dressing
DVA
Distance visual acuity
Dx
Diagnosis
EBL
Estimated blood loss
ECG, EKG
Electrocardiogram
ECHO
Echocardiogram
ED
Emergency department
EDC
Expected date of confinement
EDD
Expected date of delivery
EEG
Electroencephalogram
EENT
Eye, ear, nose and throat
EEP
End expiratory pressure
EF
Ejection fraction
EGD
Esophogogastroduodenoscopy
EMG
Electromyography
EMS
Emergency medical services
ENT
Ear, nose, and throat
EPAP
Expiratory positive airway pressure
ER
Emergency room
ERCP
Endoscopic retrograde cholangiopancreatography
ESWL
Extracorporeal shockwave lithotripsy
ETD
Estimated time of death
EUS
Endoscopic ultrasonography
Ex
Examination
ex, exam
Examination
expl lap
Exploratory laparoscopy
FB
Foreign body
FDLMP
First day of last menstrual period
FEV
Forced expiratory volume
FF
Force fluids
FH
Family history
FHS
Fetal heart sounds
Flu
Fluoroscopy
FTND
Full term normal delivery
FTT
Failure to thrive
F/U
Follow up
FUO
Fever of undetermined origin
Fx, fx
Fracture
Ga
Gastric analysis
GB, gb
Gallbladder
GI
Gastrointestinal
Grav
Gravida (number of pregnancies)
GSW
Gun shot wound
GTT
Glucose tolerance test
GU
Genitourinary
GYN
Gynecology
HA
Headache; hearing aid
HBP
High blood pressure
HC
Head circumference
HEENT
Head eyes ears nose throat
HI
Head injury
H/O
History of
HOH
Hard of hearing
hosp
Hospital
H&P
History and physical
HPI
History of present illness
HR
Heart rate
HSG
Histerosalpingogram
Ht
Height
HTN, htn
Hypertension
Hx, hx
History
IABP
Intra aortic balloon pump
ICD
Implantable cardioverter defibrillator
ICP
Intracranial pressure
ICU
Intensive care unit
I&D
Incision and drainage
imp
Impression
I&O
Intake and output
IQ
Intelligence quotient
IVC
Intravenous catheter; intravenous cholangiogram
IVP
Intravenous pyelogram
KOH
Potassium hydroxide
KUB
Kidneys ureters bladder
L1, L2,….
Lumbar first, second, etc.
L&A
Light and accommodation
Lab
Laboratory
Lac
Laceration
LASIK
Laser assisted in situ keratomileusis
Lat
Lateral
LAVH
Laparoscopic assisted vaginal hysterectomy
lb
Pound
LBW
Low birth weight
LEEP
Loop electrosurgical excision procedure
LLETZ
Large loop excision of transformation zone
LLQ
Left lower quadrant
LMP
Last menstrual period
LRQ
Lower right quadrant
LS
Lumbar spine
LSS
Lumbar sacral spine
Lt or L (circled)
Left
LUQ
Left upper quadrant
L&W
Living and well
mA
Milliampere
met
Metastasis
mm Hg
Millimeters of mercury
MP
Metacarpophalangeal joint
MPI
Myocardial perfusion scan
MRA
Magnetic resonance angiography
MRI
Magnetic resonance imaging
MUGA
Multiple gated acquisition (scan)
MVA
Motor vehicle accident
NAD
No acute distress
NB
Newborn
N/C
No complaints