Common Charting and History Form Abbreviations

AFR

acute renal failure

ADHD

attention deficit hyperactivity disorder

AIDS

acquired immune deficiency syndrome

ADH

antidiuretic hormone

ARDS

acute respiratory distress syndrome

ASCVD

athersclerotic cardiovascular disease

C&S

culture and sensitivity

Ca

cancer; carcinoma

CABG

coronary artery bypass graft

CBC

complete blood count

COPD

chronic obstructive pulmonary disease

D/C or DC

discontinue or discharge

DJD

degenerative joint disease

DM

diabetes mellitus

DNR

do not resuscitate

FX

fracture

H&P

history and physical examination

HA

headache

HTN

hypertension

I&D

incision and drainage

IBD

inflammatory bowel disease

IMP

impression

LBP

low back pain

LLQ

left lower quadrant

LUQ

left upper quadrant

N/V

nausea or vomiting

PERRLA

Pupils equal, round, and reactive to light and accomodation.

PUD

peptic ulcer disease

RA

rheumatoid arthritis

RLQ

right lower quadrant

ROS

review of systems

RUQ

right upper quadrant

s/p

status post

T&A

tonsillectomy and adenoidectomy

TAH

total abdominal hysterectomy

THR

total hip replacement

TKR

total knee replacement

TMJ

tempomandibular joint

URI

upper respiratory infection

UTI

urinary tract infection