Scribe.ology Common Medical Abbreviations

s̄

without

c̄

with

OCP

oral contraceptive pill (birth control)

ID/QD

daily

A&Ox4

alert and oriented to person, place, time, situation

AAA

abdominal aortic aneurysm

AB

abortion

Abx

antibiotic

A-fib

atrial fibrillation

AICD

automatic implantable cardioverter-defibrillator

AKA

above knee amputation

AMA

against medical advice

AMS

altered mental status

ASA

aspirin

BID

twice daily

BKA

below knee amputation

BLE

bilateral lower extremities

BM

bowel movement

BP

blood pressure

BPH

benign prostatic hypertrophy

BUE

bilateral upper extremities

c/o

complains of

CABG

coronary artery bypass graft

CAD

coronary artery disease

cath

catheter

CBC

complete blood count

CHF

congestive heart failure

CHI

closed head injury (as in concussion)

CMT

cervical motion tenderness

CNS

central nervous system

COPD

chronic obstructive pulmonary disease

CP

chest pain

CPAP

continuous positive airway pressure

CPR

cardiopulmonary resuscitation

CSF

cerebrospinal fluid

CT

computerized tomography

CTA

clear to auscultation

CV

cardiovascular

CVA

cerebrovascular accident or costovertebral angle

CXR

chest x-ray

ED

erectile dysfunction

EHR

electronic health record

EMR

electronic medical record

EKG/ECG

electrocardiogram

EMS

emergency medical services

ENT

ear, nose, throat

Epi

epinephrine

ESRD

end-stage renal disease

EtOH

alcohol

h/o

history of

HA

headache

HCT

hematocrit

HBG

hemoglobin

HI

homicidal ideation

HPI

history of present illness

HR

heart rate

HTN

hypertension

Hx

history

L

left

Lac

laceration

LFT

liver function test

LLQ

left lower quadrant

LMP

last menstrual period

LOC

loss of consciousness

LP

lumbar puncture

LUQ

left upper quadrant

N/V/D

nausea, vomiting, diarrhea

N/V

nausea and vomiting

NAD

no acute distress

NC/AT

normocephalic, atraumatic

NG

nitroglycerin

NKA

no known allergies

NKDA

no known drug allergies

NPO

nothing by mouth

NRB

Non-rebreather oxygen mask

NS

normal saline

NSAID

non-steroidal anti-inflammatory drug (motrin, advil, ibuprofen)

NSR

normal sinus rhythm

Obs

observation

OD

overdose

ortho

orthopedic

PCN

penicillin

PERRLA

pupils equal, round, reactive to light and accommodation

PEx

physical examination

PIP

proximal interphalangeal joint

PMHx

prior medical history

PO

per os (by mouth)

post-op

post operative

PRN

as needed

PSA

prostate-specific antigen

PSHx

past surgical history

Pt

patient

PTA

prior to arrival

PTX

pneumothorax

PVC

premature ventricular contraction

PVD

peripheral vascular disease

PVR

post void residual (relating to urinary)

r/o

rule out

R

right

RA

room air