GP 10 - Patient Note Abbreviations (non-obvious only) Flashcards

1
Q

Hour and Minute

A

hr

min

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2
Q

Microgram

A

mcg

mg is milligram

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3
Q

Ounces

A

oz

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4
Q

Respirations and Temperature

A

R

T

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5
Q

Intramuscularly

Intravenously

Orally

A

IM

IV

po

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6
Q

Without or no

A

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7
Q

Positive and Negative

A

+ or pos

  • or neg
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8
Q

Abdomen

A

Abd

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9
Q

Anteroposterior

Posteroanterior

A

AP (from front to back)

PA (from back to front)

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10
Q

Coronary artery bypass grafting

A

CABG

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11
Q

Congestive heart failure

A

CHF

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12
Q

Computed Tomography

A

CT

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13
Q

Cerebrovascular accident

A

CVA

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14
Q

Central venous pressure

A

CVP

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15
Q

Chest X-ray

A

CXR

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16
Q

Diabetes mellitus

A

DM

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17
Q

Deep tendon reflexes

A

DTR

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18
Q

Extraocular muscles

A

EOM

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19
Q

Alcohol

A

EtOH

20
Q

Extremities

A

Ext

21
Q

Female

Male

A

“f” or ♀

“m” or ♂

22
Q

Genitourinary

A

GU

23
Q

History of

A

h/o

24
Q

Head, eyes, ears, nose, and throat

A

HEENT

25
Q

Hormone Replacement Therapy

A

HRT

26
Q

Hypertension

A

HTN

27
Q

Jugular Venous Distention

A

JVD

28
Q

Left

Right

A

L

R

29
Q

Last Menstrual Period

A

LMP

30
Q

Medications

A

Meds

31
Q

Motor vehicle accident

A

MVA

32
Q

Neurologic

A

Neuro

33
Q

Non insulin-dependent diabetes mellitus

A

NIDDM

34
Q

No know allergies

A

NKA

35
Q

No known Drug Allergies

A

NKDA

36
Q

Normal/Normal limits

Within normal limits

A

nl

wnl

37
Q

Pupils equal, round, and reactive to light and accommodation

A

PERRLA

38
Q

Range of motion

A

ROM

39
Q

Shortness of breath

A

SOB

40
Q

Transient ischemic attack

A

TIA

41
Q

Urinalysis

A

U/A

42
Q

Upper respiratory tract infection

A

URI

43
Q

Year-old

A

yo

44
Q

Chief Complaint

A

CC

45
Q

History of Presenting Illness

A

HPI

46
Q

Review of Systems

A

ROS