PE, VS, and General abbreviations

1 hr 2d 3 wk 4 mo 5 yr

1 hour 2 days 3 weeks 4 months 5 years

WDWN

well-developed, well-nourished

abnl

abnormal

NAD

no acute distress

asx

asymptomatic

bx

biopsy

HEENT

head, eyes, ears, nose, throat

C/o

complains of

OP

oropharynx

CPE

complete physical exam

PERRL

pupils equal, round, reactive to light

cx

culture

EOMI

extraocular movements intact

EAC

external auditory canal

TM

tympanic membrane

NC/AT

normocephalic, atraumatic

JVD

Jugular Vein Distension

LAD

lymphadenopathy

RRW

rales, rhonchi, wheezes

CTA

clear to auscultation

m/r/g

murmurs, rubs, gallops

RRR

regular rate and rhythm

NSR

normal sinus rhythm

HSM

hepatosplenomegaly

LLQ

left lower quadrant

LUQ

left upper quadrant

RUQ

right upper quadrant

RLQ

right lower quadrant

NABS

normoactive bowel sounds

S, NT, ND

soft, non-tender, non-distended

MSK

musculoskeletal

ROM

range of motion

TMJ

temporomandibular joint

GU

genitourinary

DRE

digital rectal exam

A&O x3

Alert & Oriented x3 (person, place, time)

AK

actinic keratosis

SK/seb K

seborrheic keratosis

dx

diagnosis

EtOH

alcohol

f/u

follow up

fhx

family history

fx

fracture

HPI

history of present illness

hx

history

MSE

medication side effects

nl

normal

OTC

over the counter

PCP

primary care physician

PMH

past medical history

pre-op

preoperative

prn

as needed

pt

patient

RTC

return to clinic

rx

prescription

S/p

status post

SWOP

symptoms worsen or persist

sx

symptom(s)

tx

treatment

VS

vital signs

BP

blood pressure

BMI

body mass index

HR

heart rate

SpO2

oxygen saturation

wt

weight

ht

height

LMP

last menstrual period

MGM

maternal grandmother

MGF

maternal grandfather

MAunt

maternal aunt

MUnc

maternal uncle

PGM

paternal grandmother

PGF

paternal grandfather

PAunt

paternal aunt

PUnc

paternal uncle