GP 10 - Patient Note Abbreviations (non-obvious only) Flashcards
Hour and Minute
hr
min
Microgram
mcg
mg is milligram
Ounces
oz
Respirations and Temperature
R
T
Intramuscularly
Intravenously
Orally
IM
IV
po
Without or no
∅
Positive and Negative
+ or pos
- or neg
Abdomen
Abd
Anteroposterior
Posteroanterior
AP (from front to back)
PA (from back to front)
Coronary artery bypass grafting
CABG
Congestive heart failure
CHF
Computed Tomography
CT
Cerebrovascular accident
CVA
Central venous pressure
CVP
Chest X-ray
CXR
Diabetes mellitus
DM
Deep tendon reflexes
DTR
Extraocular muscles
EOM
Alcohol
EtOH
Extremities
Ext
Female
Male
“f” or ♀
“m” or ♂
Genitourinary
GU
History of
h/o
Head, eyes, ears, nose, and throat
HEENT
Hormone Replacement Therapy
HRT
Hypertension
HTN
Jugular Venous Distention
JVD
Left
Right
L
R
Last Menstrual Period
LMP
Medications
Meds
Motor vehicle accident
MVA
Neurologic
Neuro
Non insulin-dependent diabetes mellitus
NIDDM
No know allergies
NKA
No known Drug Allergies
NKDA
Normal/Normal limits
Within normal limits
nl
wnl
Pupils equal, round, and reactive to light and accommodation
PERRLA
Range of motion
ROM
Shortness of breath
SOB
Transient ischemic attack
TIA
Urinalysis
U/A
Upper respiratory tract infection
URI
Year-old
yo
Chief Complaint
CC
History of Presenting Illness
HPI
Review of Systems
ROS