General Abbreviations Found In Patient Charts

2/2

Due to, secondary to

AAA

Abdominal aortic aneurysm

AAO x3

Awake, alert, and oriented to three separate factirs

ABD

Abdomen

ABX

Antibiotics

AKA

Above-the-knee amputation

All

Allergies

Asx

Asymptomatic

BKA

Below-the-knee amputation

BSO

Bilateral salpingo-oophorectomy

Bx

Biopsy

CA

Cancer

CABG

Coronary artery bypass graft

CBC

Complete blood count

CBC + diff

Complete blood count with differential

CC

Chief complaint

CP

Chest pain

CTA

Clear to auscultation

CV/A

Cardiovascular

DBP

Diastolic blood pressure

DDx

Differential diagnosis

DIP

Distal interphalangeal

DNR

Do not resuscitate

DOE

Dyspnea on exertion

Dx

Diagnosis

EOMI

Extraocular movements intact

EtOH

Alcohol

Ext

Extremities

f/u

Follow-up

FH

Family history

GI

Gastrointestinal

H/A, HA

Headache

H&P

History and physical examination

h/o

History of

HEENT

Head, eyes, ears, nose, throat

HM

Heart murmur

Health maintenance

HPI

History of present illness

I&O

Inputs and outputs

IgG

Immunoglobulin G

IgM

Immunoglobulin M

ISH

Isolated systolic hypertension

IVDA

Intravenous drug abuse

LFT

Liver function tests

LLE

Left lower extremity

LLQ

Left lower quadrant

LVH

Left ventricular hypertrophy

MSE

Mental status examination

MVC or MVA

Motor vehicle collision or major (or motor) vehicle accident

MVi

Multivitamin

N/V

Nausea and vomiting

N/V/D

Nausea, vomiting, and diarrhea

Neuro

Neurological

NKDA, NKMA

No known drug allergies, no known medical allergies

NPO

Nothing by mouth

NSR

Normal sinus rhythm

PCA

Patient-controlled analgesia

PCI

Percutaneous coronary intervention

PE

Physical examination

PERRLA

Pupils equal, round, reactive to light and accommodation

PIP

Proximal interphalangeal

PMH

Past medical history

PPD

Packs per day

PRBC

Packed red blood cells

Px

Prognosis

r/g/m

Rubs, gallops, murmurs

r/o

Rule out

RICE

Rest, ice, compression, elevation

RLE

Right lower extremity

RLQ

Right lower quadrant

ROS

Review of symptoms

RRR

Regular rate and rhythm

RUE

Right upper extremity

RUQ

Right upper quadrant

RVH

Right ventricular hypertrophy

Rx

Prescription medications

s/p

Status post

SBP

Systolic blood pressure

SH

Social history

SMBG

Self-monitoring of blood glucose

SOB

Shortness of breath

STI

Sexually transmitted disease

Sx

Symptom

T

Temperature

TAH

Total abdominal hysterectomy

THR

Total hip replacement

VS

Vital signs

w/o

Without

WDWN

Well developed and well nourished

WNL

Within normal limits

yo

Years old