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VS
Vital Signs
R/O
Rule out
BID
Twice daily
TID
Three in a day
Q
Every…
QD
Each day (don’t use this in healthcare settings)
QID
4 in day (don’t use in healthcare settings)
QHS
At night
AC
Before meals (ante cibum)
PC
After meals (post cibum)
prn
as needed (per re nata)
ad lib
As desired
T
Temperature
BP
Blood pressure
HR
Heart rate
RR
Respiratory rate
Ht
Height
Wt
Weight
BMI
Body mass index (measurement of body fat based on Ht and Wt)
I/O
Intake/Output (amount of fluids patient takes in and then produces)
Dx
Diagnosis
DDx
Differential diagnosis
Tx
Treatment
Rx
Prescription
H&P
History and physical
Hx
History
CC
Chief complaint (reason for visit)
HPI
History of present illness (story of present symptoms)
ROS
Review of systems (anything else not directly related to CC)
PMHx
Past medical history
FHx
Family history
NKDA
No known drug allergies
PE
Physical exam
Pt
Patient
Y/o
Years old
h/o
History of
PCP
primary care provider
F/u
Follow up
SOB/SOA
Shortness of breath/shortness of air
HEENT
Head, ears, eyes, nose, throat
PERRLA
Pupils are equal, round, and reactive to light and accommodation
NAD
No acute distress
CV
Cardiovascular
RRR
Regular rate and rhythm (pertaining to normal heart function)
CTA
Clear to auscultation (normal sounding lungs)
WDWN
Well developed, well nourished
A&O
Alert and Oriented (can answer questions and is aware of what’s going on)
WNL
Within normal limits
NOS/NEC
Not otherwise specified/not elsewhere classified (used for diagnoses that don’t quite fit any specific cause)
PO
Per os (by mouth)
NPO
Nil per os (nothing by mouth)
PR
Per rectum (anal)
IM
intramuscular
SC
Subcutaneous (under the skin)
IV
Intravenous
CVL
Central venous line
PICC
Peripherally inserted central catheter
SIG
Short for signa, Latin for label.