History Taking Quiz 1

Pt, pt ,pt.

Patient

y.o.

Year-old

M

male

F

Female

B

Black, Africa-American

H

Hispanic

L (often circled)

Left

R (often circled)

Right

LMP

Last menstrual period

OB

Obstetrics, obstetrical, obstetrician

Gyne, Gyn

Gynecologic, gynecological, gynecology, gynecologist

IUD

Intrauterine device

BCPs

Birth control pills

G

Gravidus, L. pregnancy

P

Paritus, L. parturition, birth

A, Ab

Abortus, L. Abortion, which includes miscarriages

G0

Nulligravida (n), nulligravidous (adj.) – patient has never been pregnant

P0

Nullipara (n.), nulliparaous (adj.) – patient has never given birth

G1

Primigravida (n.), primigravidous (adj.) – first pregnancy

P1

Prmipara, primip, (n) primiparous (adj.) – first birth

Multigravida, multigravidous

No abbreviation – had multiple pregnancies

Multipara, multip, multiparous

No Abbreviation – had multiple births

h/o

History of

c/o

Complains of

s/p

Status post, after – usually used following an event like surgical procedure, injury or illness

D

Day, days

wk

Week, weeks

Mo, mo

month(s)

Yr, yr

Yr(s)

𝑐̅

with

𝑠̅

Without

𝑝̅

After

Δ

Change

Ø

None

N/A

Not applicable

Rx

Prescription

Sig

Directions

BID, b.i.d

Bis in die, twice a day

TID, t.i.d

Ter in die, three times a day

QID, q.i.d

Quarter in die, four times a day

Q

Quaque, every, each, per

QD

Every day, write out daily to avoid confusion

QOD

Every other day write out every other day to avoid confusion

Prn

Pro re nata, as needed

PO

Per os, by mouth

NPO

Nil per os, nothing by mouth

NKA

No known allergies

NKDA

No known drug allergies

OTC

Over-the-counter medications

EtOH

Alcohol

Tx

Treatment or therapy

Hx

History

Dx

diagnosis

S/S

Symptoms and Signs (or signs and symptoms)

R/O

Rule out

SOB

Shortness of breath

DOB

Date of birth

DOE

Dyspnea on exertion

DOA

Dead on arrival

DNR

Do not resuscitate

HA

Headache

MI

Myocardial infarction

CHF

Congestive heart failure

HTN

Hypertension

COPD

Chronic obstructive pulmonary disease

GERD

Gastroesophogeal reflux disease

T1D

Type 1 diabetes

T2D

Type 2 diabetes

NAD

No acute distress

STD(s), STI(s)

Sexual transmitted disease(s), Sexual transmitted infection(s)

GI

Gastrointestinal

GU

Genitourinary

RUQ

Right upper quadrant (of abdomen)

LUQ

Left upper quadrant

RLQ

Right lower quadrant

LLQ

Left lower quadrant

N/V

Nausea/vomiting

N/V/D

Nausea/vomiting/diarrhea

URI

Upper respiratory infection

UTI

Urinary tract infection

WNL

Within normal limits