Self-care Medical Abbr. Flashcards
CC
Chief Complaint
HPI
History of Present Illness
ROS
Review of System
PMH
Past Medical History
NKDA
No Known Drug Allergies
CP
Chest Pain
SOB
Shortness of Breath
DOE
Dyspnea on Exertion
PND
Paroxysmal Nocturnal Dyspnea / Post Nasal Drip
JVD
Jugular Venous Distension
HJR
Hepato-jugular Reflux
LE edema
Lower Extremity Edema
No c/c/e
No cyanosis/clubbing/edema
No r/r/w
No rales/rhonchi/wheezes
CTAB
Clear to Auscultation
RRR
Regular Rate and Rhythm
S1S2 nl
S1 and S2 (heart sounds) are normal in auscultation
EKG: LAD, RAD, RAE, LAE, LVH, NSR
Echocardiogram: Left/Right Axis Deviation, Right/Left Atrial Enlargement, Left Ventricular Hypertrophy, Normal Sinus Rhythm
LAD
Lymphadenophathy
EOMI
Extra-ocular Muscles Intact
PERRL
Pupils Equally Round and Reactive to Light
CNII-XII intact
Cranial Nerves 2-12 Intact
MMSE
Mini Mental Status Exam
No T/A/D
No Tobacco/Alcohol/IV Drug use
Ctx
Contractions
Fx
Fracture of Function (depending on context)
P.V.
Per Vagina
P.R.
Per Rectum
SBP
Systolic Blood Pressure
DBP
Diastolic Blood Pressure
HR
Heart Rate
RR
Respiratory Rate
SPO2
Pulse Oximetry
BRBPR
Bright Red Blood Per Rectum
DTR
Deep Tendon Reflexes
ARF
Acute Renal Failure
CRI
Chronic Renal Failure
FEN/GI
Fluids, Electrolytes, and Nutrition/Gastroeneterology
AAOX3
Alert, Awake, and Oriented Times 3 (to person, time, and place)
NAD
No Acute Distress
MMM
Mucus Membranes Moist
ND/NT
Non Distended/Non Tender
BSx4
Bowel Sounds Present in all 4 Quadrants
N,V
Nausea, vomiting
S.Q.
Subcutaneous
PTCA
Percutaneous Transluminal Coronary Angioplasty
PCI
Percutaneous Intervention (Cardiac)
CAD
Coronary Artery Bypass Graft
ICD
Implantable Cardioverter Defibrillator
CABG
Coronary Artery Bypass Graft
VB
Vaginal Bleeding