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A&Ox3
Alert and oriented to person, place, time
Abd
Abdomen
b/l
Bilateral
BS
Bowel sounds, breath sounds
Context matters
C
Centigrade
CTA & P
Clear to auscultation and percussion
CV
Cardiovascular
CVA
Costovertebral angle
EENT
Eyes, ears, nose, and throat
EOMI
Extraocular movement intact
Ext
Extremities
F
Fahrenheit
HEENT
Head, eyes, ears, nose, and throat
I&O
Input and output
JVD
Jugulovenous distension
LAD
Lymphadenopathy
LUE
Left upper extremity
m/r/g
Murmurs, rubs, and gallops
NAD
No apparent distress
NCAT
Normocephalic and atraumatic
ND
Nondistended
nl
Normal
NSR
Normal sinus rhythm
Nt, NT
Nontender
PERRLA
Pupils equal, round and reactive to light and accommodation
RLE
Right lower extremity
RLQ
Right lower quadrant
ROM
Range of motion
RRR
Regular rate and rhythm
S1, S2, S3, S4
Heart sounds
Temp
Temperature
Wd, WD
Well developed
Wn, WN
Well nourished
WNL
Within normal limits