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ADL
Activities of Daily Living
AMB
Ambulatory
BRP
Bathroom privileges
CBR
Complete bedrest
OOB
Out of bed
Up ad lib
Up as desired
WC
Wheelchair
abd
Abdomen
BP
Blood Pressure
Bx
Biopsy
C
Celsius (centigrade)
CNS
Central Nervous System
c/o
Complains of
CTA
Clear to auscultation
DOE
Dyspneic on exertion
dx
Diagnosis
F
Fahrenheit
FUO
Fever of unknown origin
GI
Gastrointestinal
GU
Genitourinary
H/A
Headache
h/o
History of
HPI
History of present illness
Imp
Impressions
LLQ
Left Lower Quadrant
LUQ
Left Upper Quadrant
LOC
Level of consciousness
MAE
Moves all extremities
NAD
No apparent distress
NKA
No known allergies
N/V
Nausea and vomiting
Neg
Negative
PE
Physical examination
PMH
Past medical history
R
Respirations
R/O
Rule out
RLQ
Right Lower Quadrant
RUQ
Right Upper Quadrant
ROS
Review of systems
SOB
Short of Breath
Sx
Symptoms
Tx
Treatment
WNL
Within Normal Limits
AKA
Above the knee amputation
ASCVD
Arteriosclerotic cardiovascular disease
ASHD
Arteriosclerotic heart disease
BKA
Below the knee amputation
BPH
Benign prostatic hypertrophy
CA
Cancer
CAD
Coronary Artery Disease
CHF
Congestive Heart Failure
COPD
Chronic Obstructive Pulmonary Disease
CVA
Cerebrovascular Accident
DM
Diabetes Mellitus
DVT
Deep Vein Thrombosis
Fx or fx
Fracture
HTN
Hypertension
MI
Myocardial infarction
MVA
Motor vehicle accident
NKDA
No known drug allergies
PVD
Peripheral Vascular Disease
STD
Sexually Transmitted Disease
URI
Upper Respiratory Infection
UTI
Urinary Tract Infection
AC or a.c.
Before meals
bid or BID
twice a day (Note: 2X daily or written out is preferred)
BPM
Beats per minute
QID or qid
Four times a day
QOD or qod
Every other day
PC or p.c.
After meals
TID or t.i.d.
Three times daily
X
Followed by number for treatment, medication etc. ie- 3X day / Times
ABG
Arterial blood gases
BE
Barium enema
CBC
Complete blood count
CO2
Carbon dioxide
C&S
Culture and sensitivity
CXR
Chest x-ray
ECG (EKG)
Cardiogram
FSBG
Finger stick blood glucose
Hb or Hgb
Hemoglobin
Hct
Hematocrit
H+H or H&H
Hemoglobin and Hematocrit
lytes
Electrolytes
RBC
Red blood cells
UA
Urinalysis
UGI
Upper GI
WBC
White blood cells
ā
Before
AMA
Against medical advice
AD
Right Ear
AS
Left Ear
AU
Both Ears
BM
Bowel Movement
BS
Bowel Sounds or Blood sugar or Breath Sounds
BSD
Bedside drainage
CABG
Coronary artery bypass graft
CPR
Cardiopulmonary resuscitation
D/C
Discharge or Discontinue
DNR
Do Not Resuscitate