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A comprehensive collection of medical terminology abbreviations including diagnostic, anatomical, and treatment-related shorthand as used in clinical records.
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A & P
anatomy and physiology
ABG
arterial blood gas
a.c.
before meals
ACLS
advanced cardiac life support
AD
right ear
ADL
activities of daily living
AKA
above the knee
AMA
against medical advice
AMI
acute myocardial infarction
ANS
automatic nervous system
AOx3
alert and oriented to person, time, and place
AP
apical pulse
ARDS
acute respiratory distress syndrome
AS
left ear
ASA
aspirin
AU
both ears
bid
twice a day
BKA
below the knee amputation
BM
bowel movement
B/P
blood pressure
BRP
bathroom privileges
BSO
bilateral salpingo-oophorectomy
BUN
blood, urea, nitrogen levels
bx
biopsy
c
with
C & S
culture and sensitivity
CA
cancer
CAD
coronary artery disease
CBC
complete blood count
CC
chief complaint
CHF
congestive heart failure
CHO
carbohydrate
COPD
chronic obstructive pulmonary disease
CPR
cardiopulmonary resuscitation
CSF
cerebrospinal fluid
CVA
cerebrovascular accident (stroke)
D & C
dilation and curettage
DNR
do not resuscitate
DOA
dead on arrival
Dx
diagnosis
EBL
estimated blood loss
EKG
electrocardiogram
ETOH
ethyl alcohol, intoxicated
FBS
fasting blood sugar
Fx
fracture
GI
gastrointestinal
GTT
glucose tolerance test (pancreas test)
gtt(s)
drop(s)
H & H
hemoglobin and hematocrit
HCG
human chorionic gonadotrophin
HDL
high-density lipoprotein
Hx
history
I & O
intake and output
ICP
intracranial pressure
IM
intramuscular
IUD
intrauterine device
IV
intravenous
K+
K+ (potassium)
KCl
KCl (potassium chloride)
KUB
kidney, ureter, bladder
L & D
labor and delivery
LDL
low-density lipoprotein
LOC
level of consciousness
MI
myocardial infarction
Na+
Na+ (sodium)
NaCl
NaCl (sodium chloride)
NKA
no known allergies
NPO
nothing by mouth
NS
normal saline
NSR
normal sinus rhythm
OD
right eye, overdose
OS
left eye
OU
both eyes
pc
after meals
pCO2
partial pressure of carbon dioxide (pCO2)
PERL(A)
pupils equal and reactive to light (and accommodation)
pH
hydrogen ion concentration (pH)
PID
pelvic inflammatory disease
po
by mouth
pO2
partial pressure of oxygen (pO2)
prn
as needed, whenever necessary
qd
every day
qid
four times a day
ROM
range of motion
s
without
SOB
shortness of breath
stat
immediately
Sx
symptoms
T & A
tonsillectomy and adenoidectomy
tid
three times a day
TPN
total parenteral nutrition
TPR
temperature, pulse, respirations
TSH
thyroid-stimulating hormone
UA
urinalysis
URI
upper respiratory infection
UTI
urinary tract infection
V fib
ventricular fibrillation
VS
vital signs
WBC
white blood cell/count