Chart, General, Constitution

Peri

Around

Intra

Within

Inter

Between two

Hyper

Too much

Hypo

Too little

Brady

Slow

Tachy

Fast

Ery

Red

Leuko

White

-itis

Inflammation of

-ectomy

Removal of

-otomy

Cutting of

-ostomy

Create entrance to

-emia

In the blood

-osis

Abundance of

-al/-ary

Pertaining to

-ism

Condition of

-irrhea

Watery

Abduction

Draws away from midline

Adduction

Draws toward midline

Anterior

In front or towards front

Deep

Farther from surface

Distal

Farther from body - away from point of origin

Dorsal

Side opposite the palm of the hand or the sole of the foot

Elevation

Raising a part of the body

Everted

Sole of the foot turned outward

Extension

Straightening out

External

Outside

Flexion

Bending or angulation

Inferior

Situated below or away from the crown of the head

Internal

Inside

Inverted

Sole of foot turned inward

Lateral

Farther from the midline

Lateral recumbent

Lying horizontal on side

Medial

Closer to the midline

Palmar

Palm of the hand

Plantar

Sole of the foot

Posterior

Situated behind or towards the rear

Pronation

Turning the hand so the palm faces downwards

Prone

Lying horizontal, face flat to the ground

Proximal

Close to the body

Superficial

Closer to the surface

Superior

Situated above or towards the crown of the head

Supination

Turning the hand so the palm faces upwards

Supine

Lying horizontal, back flat to the ground, facing up

Trendelenburg position

Lying angled with feet elevated 12 inches above head

Volar

Palm side of hand or sole side of foot

ACLS

advanced cardiac life support

AMA

against medical advice

Ax

Assessment

B/L

Bilateral

BLS

basic life support

BSA

body surface area

BSI

body substance isolation

c

With

cc

Chief complaint

c/o

Complaint of

c/w

Consistent with

D/C

discharge

DNI

do not intubate

DNR

do not resuscitate

DOA

dead on arrival

DOB

date of birth

Dx

diagnosis

DDx

differential diagnosis

ED

emergency department

EMS

emergency medical services

FHx/FMHx

family history

H&P

history and physical

HPI

history of present illness

Hx

history

ICU

intensive care unit

LPM

liters per minute

MCI

mass casualty incident

nl

normal

OSH

outside hospital

PCP

primary care physician

PMHx

past medical history

PSHx

past surgical history

Pt

patient

PTA

prior to arrival

R/O

rule out

RN

registered nurse

ROS

review of systems

Rx

prescription

rxn

reaction

s

without

SHx

social history

s/p

status post

s/s

signs and symptoms

sts

States

sx

symptoms

Tx

Transport

UTD

up to date (immunizations)

VS

vital signs

VSS

vital signs stable

WNL

within normal limits

yo

Year old

Auscultation

Listening to internal body sounds with a stethoscope

Inspection

Inspecting/examining different parts of the body