Medical Record Abbreviations Flashcards
AIDS
Acquired immunodeficiency syndrome
a.m.a
Against medical advice
BP
Blood pressure
bpm
Beats per minute
C
Celsius, centigrade
CBC
Complete blood count
C.C
Chief complaint
CNS
Central nervous system
c/o
Complaints of
CP
Chest pain
CPE
Complete physical examination
CV
Cardiovascular
D & C
Dilation and curettage
Dx
Diagnosis
ECG/EKG
Electrocardiogram
GYN
Gynecology
H & P
History and physical
HEENT
Head, ears, eyes, nose, throat
HIV
Human immunodeficiency virus
Ht
Height
Hx
History
I & D
Incision and drainage
inj
Injection
IV
Intravenous
L
Left
L & W
Living and well
lab
Laboratory studies
MM
Mucous membrane
N & V
Nausea and vomiting
NP
New patient, nurse practitioner
P
Pulse
F
Fahrenheit
FH
Family history
Fl/ fl
Fluid
GBS
Gallbladder series
GI
Gastrointestinal
GU
Genitourinary
PNS
Peripheral nervous system
pt
Patient
PT
Physical therapy
Px
Physical examination
R
Right
re✔️
Recheck
ref
Referral
R/O
Rule out
ROS/SR
Review of systems/ systems review
Rx
Prescription
subq.
Subcutaneously
sig
Sigmoidoscopy
SOB
Shortness of breath
S/R
Suture removal
Pap
Pap smear
PE
Physical examination
pH
Hydrogen concentration(acidity/alkalinity)
PI
Present illness
PMH
Past medical history
PMS
Premenstrual syndrome
stat
Immediately
STD
Sexually transmitted disease
surg
Surgery
T
Temperature
TPR
Temperature, pulse, respirations
Tx
Treatment
UCHD
Usual childhood disease
US
Ultrasound
VS
Vital signs
WDWN
Well-developed and well-nourished
WNL
Within normal limits
Wt
Weight
y.o.
Year old