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Approximately
∆
Change
↓
Poor/decreased/reduced
↑
Good/improved/increased
♂︎
Male
♀︎
Female
-/⊖
Negative
⌀
No/Not/Lack of
+/⊕
Positive
AMS
Altered mental state
ADL/ADLS
Activities of daily living
Ab lib
As desired
E.g., Pt. allowed water Ad Lib
ETOH
Alcohol
AMA
Against medical advice
amb
Ambulate
p‾
After
ARD
Acute respiratory distress/disease
ARF/CRF
Acute renal failure
Chronic renal failure
AVM
Arteriovenous malformation
2º
Secondary to
c⎺
with
s⎺
without
A/Ⓐ
Assistance
A&O
Alert and oriented
abn
Abnormal
a.c.
Before meals
beh
Behavior
b.i.d.
two times a day/twice daily
bil/bilat
bilateral
BP
blood pressure
CA
cancer
CAT/CT
Computed [axial] tomography
cath
catheter
CHF
congestive heart failure
CHI
closed head injury
CN
cannot/could not
CND
Could not do
COPD
Chronic obstructive pulmonary disease
c/o
complains of
c/©
cue
CVA
cerebrovascular accident
D/C
discharge
DND
Did not do
DNR/DNI
Do not resuscitat/do not intubate
DNT/NT
did not test/not tested
d/t
due to
Dx
Diagnosis
ECG/EKG
Electrocardiogram
EEG
Electroencephalogram
EMG
Electromyogram
fl/fld
fluid
F:
Field of #
f/u
follow up
fx
function or fracture
fx’l
functional
GI
gastrointestinal
GSW
gunshot wound
GU
genito-urinary
H/o
history of
Hx
history
H&P
History and physical
HOH
Hard of hearing/Hand over hand
HTN
hypertension
I’ly
Independently
I&O
intake and output
LE
Lower extremity
liq
liquids
LOS/ELOS
Length of stay/estimated length of stay
LTC
long-term care
LTG
Long-term goal
OP
outpatient
IP
inpatient
p.c.
after meals
PEG
percutaneous endoscopic gastrostomy
m/c
multiple choice
MI
myocardinal infarction
MRI
magnetic resonance imaging
MVA
motor vehicle accident
per
according to
PMH/PMHx
past/pertient medical history
p.o.
per oral or by mouth
prn
as needed
NG
nasogastic
NKA/NKDA
no known allergies/no known drug allergies
NP/Nψ
neuropsychologist or nurse practitioner
NPO
Non per oral/nothing by mouth
PsychMD/MDψ
psychiatrist
Psychol/Psych/ψ
psychologist
PT
Physical therapy
Pt.
patient
Nsg
nursing
NR
no response
OM/OME
oral motor/oral motor exercises
OT
Occupational therapy
R/o
ruled out
ROM
range of motion/movement
RT
respiratory therapy
SAB/SAH
subarachnoid bleed/hemorrhage
SCI
spinal cord injury
Sx
suction