SOAP note abbreviations

s

subjective

o

objective

a

assessment

p

plan

pn

pain

arrow up

increase

arrow down

decrease

lt

left

rt

right

B

bilateral

+

positive

-

negative

c/o

complains of

pt.

patient

c(line over it)

with

s(line over it)

without

x

Times

@

at

Sx

symptoms

r/o

rule out

FWB

full weight bearing

PWB

partial weight bearing

NWB

non weight bearing

ROM

range of motion

AROM

active range of motion

PROM

passive range of motion

RROM

resistant range of motion

MMT

manual muscle test

a(line over it)

before

p(line over it)

after

WNL

within normal limits

Hx

history

P/T

point tender

TTP

tender to palpations

Rx

prescription

Tx

treatment

Dx

diagnosis

flex

flexion

ext

extension

ant

anterior

post

posterior

med

medial

lat

lateral

ER

external rotation

IR

internal rotation

DF

dorsiflexion

PF

plantarflexion

inv

inversion

ever

eversion

sup

superior

inf

inferior

abd

abduction

add

adduction

dist

distal

prox

proximal

fx

fracture

post-op

after surgery

pre-op

before surgery

HR

heart rate

BP

blood pressure

NSAID

non-steroidal antiflammatory drug

MOI

mechanism of injury

LOC

loss of consciousness

PEARL

pupils equal and reactive to light

‘

minutes

“

seconds