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
FM
Fetal Movement
CMT
Cervical Motion Tenderness
LMP
Last Menstrual Period
NSVD
Normal Spontaneous Vaginal Delivery
PPROM
Preterm Premature Rupture of Membranes
PROM
Premature Rupture of Membranes
LTCS
Low Transverse Cesarean Section
VBAC
Vaginal Birth After Cesarean
EBL
Estimated Blood Loss
EGA
Expected Gestational Age
EDC
Expected Date of Confinement (Baby’s Due Date)
IUP
Intra-Uterine Pregnancy
FHT
Fetal Heart Tones
TAH/BSO
Total Abdominal Hysterectomy with Bilateral Salpigoopherectomy/salpingo-oophorectomy (i.e. no uterus/tubes, no ovaries)
TAH
Total Abdominal Hysterectomy
BTL
Bilateral Tubal Ligation
PTL
Preterm Labor
CVA
Cerebrovascular Accident
TIA
Transient Ischemic Attack
Supp.
Suppository
Wt
Weight
HA
Headache
Palp
Palpitations
Sptm
Sputum
AGE
Acute Gastroenteritis
URI
Upper Respiratory Infection
FH or FHx
Family History
SH or SHx
Social History
PVD
Peripheral Vascular Disease
DJD
Degenerative Joint Disease
OA
Osteoarthritis
POD
Post Op Day
Lap. Chole.
Laparoscopic Cholescystectomy
Lap. Appy.
Laparoscopic Appendectomy
AKA
Above the Knee Amputation
BKA
Below the Knee Amputation
Hb
Hemoglobin
Hct
Hematocrit
H/H
Hemoglobin and Hematocrit
CXR
Chest X-Ray
BAL
Bronchial-Aveolar Lavage
s/p
Status Post…
h/o
History of…
wnl
Within Normal Limits
NC
Non Contributory (if written under family history)
RCT
Rotator Cuff Tear
RTC
Return to Clinic
FOB
Fetal Occult Blood
AAA
Abdominal Aortic Aneurysm
Murmurs: AI, AS, MR, MS, TI, PS, PI
Aortic Insufficiency Aortic Stenosis Mitral Regurgitation Mitral Stenosis Tricuspid Insufficiency Pulmonic Stenosis Pulmonic Insufficiency
AVR
Aortic Valve Replacement
MVR
Mitral Valve Replacement
MVP
Mitral Valve Prolapse
AV
Atrioventricular
AVM
Arterio-Venous Malformation
UA c C&S
Urinalysis with Culture and Sensitivity
VSS
Vital Signs Stable
TURP
Trans Uretheral Prostatectomy
TAb
Therapeutic Abortion
VIP
Voluntary Interruption of Pregnancy
PNA
Pneumonia
ddx
Differential Diagnosis
abx
Antibiotics
bx
Biopsy
cx
Culture
Ad lib
As much as needed
c/o
Complains of
QDay
Every day
bid
Twice a day
tid
Three times a day
qid
Four times a day
Q.O.D.
Every other day
HEENT
Head, Ears, Eyes, Nose, and Throat
MDD
Maximum Daily Dose
PE
Physical Exam
PPCP
Pharmacists’ Patient Care Process
JCPP
Joint Commission of Pharmacy Practitioners