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A comprehensive vocabulary review of clinical abbreviations, disease states, laboratory indices, and diagnostic imaging procedures commonly used in medical and pharmacy practice.
2/2
Due to, secondary to (for example, stroke 2/2 HTN indicates a stroke caused by hypertension).
AAA
Abdominal aortic aneurysm; a condition in which the large blood vessel in the abdomen becomes abnormally large.
AAO x3
Awake, alert, and oriented to three separate factors: person, place, and time.
BSO
Bilateral salpingo-oophorectomy; the surgical removal of the ovaries and fallopian tubes.
CABG
Coronary artery bypass graft; a surgical procedure in patients who have had heart attacks to decrease the risk of having another heart attack or stroke.
CBC+diff
Complete blood count with differential; a complete blood count that includes detail about the specific kinds of white blood cells present.
CTA
Clear to auscultation; indicates normal breathing sounds upon lung examination.
DBP
Diastolic blood pressure; the blood pressure during the relaxation of the ventricle (the bottom number).
SBP
Systolic blood pressure; the blood pressure during the contraction of the ventricle (the top number).
DIP
Distal interphalangeal; bones in the fingers affected in arthritis patients, where distal refers to the area between the 2nd and 3rd joint of the finger.
PIP
Proximal interphalangeal; bones in the fingers affected in arthritis patients, where proximal refers to the area between the first and second joint of the finger.
DOE
Dyspnea on exertion; shortness of breath experienced with physical activity.
IgG
Immunoglobulin G; a test used to determine if a patient has been infected with an organism in the past.
IgM
Immunoglobulin M; a test used to determine if a patient is currently infected with an organism.
ISH
Isolated systolic hypertension; a condition where the systolic blood pressure (top number) is greater than 140 and the diastolic blood pressure (bottom number) is less than 90.
LFT
Liver function tests; composed of AST and ALT, which measure how well the liver is functioning.
LLQ
Left lower quadrant; the part of the abdomen where the spleen is located.
RLQ
Right lower quadrant; the part of the abdomen where the appendix is located.
RUQ
Right upper quadrant; the part of the abdomen where the liver is located.
LVH
Left ventricular hypertrophy; a condition in which the heart increases in size to pump blood more efficiently, which is a sign of heart failure.
PCI
Percutaneous coronary intervention; a procedure performed on patients who have had a heart attack to prevent future heart attacks.
PERRLA
Pupils equal, round, reactive to light and accommodation; documented to indicate normal eye responses.
PRBC
Packed red blood cells; blood transfusions given to patients suffering from severe blood loss.
RICE
Rest, ice, compression, elevation; a therapeutic method performed to reduce swelling from sports-related injuries.
s/p
Status post; describes a prior condition or procedure (for example, "s/p MI" indicates a patient who previously had a myocardial infarction).
SMBG
Self-monitoring of blood glucose; blood glucose readings measured and recorded by the patient at home.
TAH
Total abdominal hysterectomy; the surgical removal of both the uterus and cervix.
ACS
Acute coronary syndrome; clinical spectrum composed of unstable angina, non–ST-elevation myocardial infarction, and ST-elevation myocardial infarction, typically presenting with severe chest pain.
AIDS
Acquired immunodeficiency syndrome; the advanced stage of HIV infection where depleted CD4 (T cells) allow opportunistic infections or cancers to develop.
BPH
Benign prostatic hyperplasia; an abnormal enlargement of the prostate in men that makes urination difficult.
CD
Crohn's disease; an inflammatory condition characterized by lesions or ulcers throughout the entire digestive tract.
DKA
Diabetic ketoacidosis; a complication in type 1 diabetes mellitus where the body metabolizes fatty acids instead of carbohydrates due to an absence of insulin.
ESKD / ESRD
End-stage kidney disease / end-stage renal disease; also designated as stage 5 kidney disease.
GERD
Gastroesophageal reflux disease; a condition characterized by heartburn caused by retrograde flow of gastric contents into the esophagus.
IBD
Inflammatory bowel disease; a classification composed of ulcerative colitis and Crohn's disease.
MRSA
Methicillin-resistant Staphylococcus aureus; a bacterial strain resistant to the antibiotic methicillin.
VRSA
Vancomycin-resistant Staphylococcus aureus; a bacterial strain resistant to the antibiotic vancomycin.
MS
Multiple sclerosis; a central nervous system disease that impairs normal functions such as speech and bladder control.
OA
Osteoarthritis; a load-bearing joint disease characterized by cartilage breakdown at the ends of bones, commonly affecting the spine, hips, knees, and fingers.
PAD
Peripheral artery disease; an obstructive vascular disease in the limbs (arms or legs) resulting in reduced blood flow.
PE (Pulmonary Embolism)
Pulmonary embolism; a serious complication of deep vein thrombosis (DVT) where a dislodged clot fragment travels to the pulmonary vasculature, causing difficulty breathing.
PUD
Peptic ulcer disease; condition marked by lesions or ulcerations in the stomach, commonly caused by Helicobacter pylori bacterial infection.
SIADH
Syndrome of inappropriate antidiuretic hormone; a disorder where the body inappropriately retains excessive water, often associated with malignancies.
SLE
Systemic lupus erythematosus; a rare auto-inflammatory disease, commonly referred to as lupus.
UC
Ulcerative colitis; an inflammatory bowel disease limited to the colon and rectum, characterized clinically by bloody diarrhea.
VTE
Venous thromboembolism; a cardiovascular diagnosis composed collectively of deep vein thrombosis (DVT) and pulmonary embolism (PE).
HbA1c / A1c
Glycosylated hemoglobin; a blood test used to determine diabetes management regimens, evaluate therapy, and assess patient compliance.
ABG
Arterial blood gases; laboratory test used to determine whether respiratory acidosis or respiratory alkalosis is present.
CK
Creatinine kinase; an enzyme that is elevated in myocardial infarction and during muscle deterioration resulting from high-cholesterol therapy.
INR
International normalized ratio; standardized value calculated from prothrombin time (PT) to assess clotting time (elevated with bleeding, decreased with hypercoagulability) and monitor warfarin therapy.
TIBC
Total iron-binding capacity; a diagnostic laboratory parameter that is elevated in iron-deficiency anemia and reduced in anemia of chronic disease.
TSH
Thyroid-stimulating hormone; an endocrine laboratory value that is elevated in primary hypothyroidism and decreased in primary hyperthyroidism.
DEXA
Dual-energy X-ray absorptiometry; a diagnostic imaging study used to measure bone mineral density (BMD) and diagnose osteoporosis.
ECHO
Echocardiogram; an ultrasound test used in the diagnosis of cardiovascular conditions such as stroke, heart failure, and endocarditis.
FEV1
Forced expiratory volume in 1 second; a spirometric parameter utilized to diagnose respiratory diseases like asthma and COPD.
VT (Tidal Volume)
Tidal volume; the volume of air moved into or out of the lungs during a single cycle of normal breathing.
ABD
Abdomen.
ABX
Antibiotics.
AKA
Above-the-knee amputation.
All
Allergies.
Asx
Asymptomatic; not experiencing or exhibiting any symptoms.
BKA
Below-the-knee amputation.
Bx
Biopsy; the removal of body tissue for pathological examination.
CA
Cancer.
CBC
Complete blood count; a laboratory test to determine the total count of red blood cells, white blood cells, and platelets.
CC
Chief complaint; the primary reason or symptom for which a patient seeks medical care.
CP
Chest pain; a clinical symptom that can indicate cardiac conditions such as a myocardial infarction.
CV
Cardiovascular; pertaining to the heart and systemic blood vessels.
DDx
Differential diagnosis; a systematic list of possible conditions that could explain a patient's symptoms.
DNR
Do not resuscitate; a legal and medical order instructing healthcare providers not to attempt cardiopulmonary resuscitation.
Dx
Diagnosis; the clinical identification of the nature and cause of an illness or disease.
EOMI
Extraocular movements intact; denotes normal function and mobility of the extraocular eye muscles.
EtOH
Ethyl alcohol; refers to beverage alcohol consumption or systemic presence.
Ext
Extremities; anatomical limbs including legs, feet, arms, hands, neck, and head.
f/u
Follow-up; subsequent clinical assessment after initial treatment or consultation.
FH
Family history; clinical record of health disorders occurring in genetic relatives.
GI
Gastrointestinal; referring to the stomach, intestines, and digestive tract.
H/A, HA
Headache; cephalic pain.
H&P
History and physical examination; comprehensive clinical intake evaluation.
h/o
History of.
HEENT
Head, eyes, ears, nose, and throat; physical examination subsection evaluating cranial structures.
HM
Heart murmur (abnormal acoustic heart sounds) or health maintenance (immunizations and routine prophylactic care).
HPI
History of present illness; chronological clinical description of the patient's current health complaint.
I&O
Inputs and outputs; quantitative monitoring of fluid volumes administered versus urine excreted.
IVDA
Intravenous drug abuse; illicit administration of substances via venous access.
LLE
Left lower extremity.
MSE
Mental status examination; psychological assessment of cognitive, emotional, and behavioral functioning.
MVC or MVA
Motor vehicle collision or motor vehicle accident.
MVI
Multivitamin.
N/V
Nausea and vomiting.
N/V/D
Nausea, vomiting, and diarrhea.
Neuro
Neurological; relating to the anatomy and disorders of the nervous system.
NKDA, NKMA
No known drug allergies, no known medical allergies.
NPO
Nothing by mouth (nil per os); clinical instruction to withhold oral food and fluids.
NSR
Normal sinus rhythm; the physiological rhythm and rate of a healthy heartbeat originating at the sinoatrial node.
PCA
Patient-controlled analgesia; an infusion system enabling patients to self-administer predefined doses of pain medication.
PCP
Primary care physician.
PE (Physical Examination)
Physical examination; a systematic medical evaluation of patient bodily structures and functions.
PMH
Past medical history; longitudinal record of prior medical conditions, illnesses, and surgeries.
PPD
Packs per day; a quantitative clinical metric assessing daily cigarette consumption.