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adverse drug reaction
ADR
allergies
All
alert and oriented
A&O
alert and oriented to person
A&O X 1
alert and oriented to person and place
A&O X 2
alert and oriented to person, place, and time
A&O X 3
black female
BF
black male
BM
black married female
BMF
black married male
BMM
blood pressure
BP
beats per minute
BPM, bpm
chief complaint
CC
complains of
C/O
cardiovascular
CV
demographic data
DD
drug history
DH
date of birth
DOB
diagnosis
Dx
alcohol
ETHO
extremities
Ext
female
F
family history
FH
follow-up
F/U
general appearance
Gen
genital/rectal
Genit/Rectal
history of
HO
history of present illness
HPI
history
Hx
identification
ID
kilogram
Kg
laboratory tests and results
Labs
pound
lb
last menstrual period
LMP
male
M
medication administration record
MAR
medications
Meds
medication history
MedHx
musculoskeletal
MS
no known allergies
NKA
no known drug allergies
NKDA
normal
NL
over the counter
OTC
pulse, pressure, plan
P
physical examination
PE
private medical doctor
PMD
past medical history
PMH
past medical illness
PMI
patient profile
PP
packs per day
PPD
past surgical history
PSH
patient
Pt.
rule out
R/O
review of system
ROS
respiration rate
RR
social history
SH
status post
S/P
signs/symptoms
S/S
subcutaneous
SQ
symptom
Sx
temperature
T, Temp
temperature, pulse, respiration
TPR
treatment
Tx
unknown
UNK
vital signs
VS
vital signs stable
VSS
well developed
WD
white divorced male
WDM
well-developed, well-nourished black male
WDWN-BM
well-developed, well-nourished black female
WDWN-BF
white male
WM
white married female
WMF
white married male
WMM
well-nourished
WN
within normal limits
WNL
weight
Wt.
year old
yo
abdomen
Abd
right ear
AD
left ear
AS
each ear
AU
central nervous system
CNS
cervix/ culture
Cx
eyes, ears, nose, throat
EENT
head, eyes, ears, nose, throat
HEENT
heart rate
HR
right eye
OD
left eye
OS
both eyes
OU
chills, fever, and night sweats
CFNS
cigarettes
Cig
chest pain
CP
dyspnea on exertion
DOE
fever of unknown origin
FUO
headache
HA
lower back pain
LBP
normal sinus rhythm
NSR
nausea and vomiting
N&V
nausea/vomiting/diarrhea
N/V/D
paroxysmal nocturnal dyspnea
PND