ScribeAmerica Final Exam Review

AAA

Abdominal Aortic Aneurysm

A Fib

Atrial Fibrillation

Abd

Abdomen, Abdominal

Abx

Antibiotics

AMA

Against Medical Advice

AMS

Altered Mental Status

ASA

Acetylsalicylic Acid (Aspirin)

BID

Twice Daily

Bilat LE

Bilateral Lower Extremities

BM

Bowel Movement

BP

Blood Pressure

CA

Cancer, Carcinoma

CABG

Coronary Artery Bypass Graft, "open heart surgery"

CAD

Coronary Artery Disease, "heart disease"

CT or CAT

Computerized Assisted Tomography

CHF

Congestive Heart Failure

COPD

Chronic Obstructive Pulmonary Disease

CP

Chest Pain

CPR

Cardiopulmonary Resuscitation

C-section

Caesarean Section

C-spine

Cervical Spine (neck)

CSF

Cerebrospinal Fluid

CVA

Cerebrovascular Accident -or- Costovertebral Angle

CXR

Chest X-Ray

c/o

complains of

DKA

Diabetic Ketoacidosis

DM

Diabetes Mellitus

DNR

Do Not Resuscitate

DOE

Dyspnea On Exertion

DVT

Deep Venous Thrombosis

Dx

Diagnosis

Dz

Disease

EKG/ECG

Electrocardiogram

EtOH

Alcohol

FHx

Family History

Fx

Fracture

GI

Gastrointestinal

G/P/Ab

Gravida/Para/Abortion

GSW

Gun Shot Wound

GU

Genitourinary

HA

Headache

HEENT

Head, Eyes, Ears, Nose, Throat

HPI

History of Present Illness

HTN

Hypertension

Hx

History

H&H

Hemoglobin & Hematocrit

H&P

History of Present Illness & Physical Exam

I&D

Incision & Drainage

IDDM

Insulin Dependent Diabetes Mellitus

IUP

Intrauterine Pregnancy

IVDA

IV Drug Abuse

JVD

Jugular Vein Distension

LLE

Left Lower Extremity

LLQ

Left Lower Quadrant

LNMP

Last Normal Menstrual Period

LOC

Loss of Consciousness

LP

Lumbar Puncture

L-Spine

Lumbar Spine

LUE

Left Upper Extremity

LUQ

Left Upper Quadrant

MCA

Motorcycle Accident

MI

Myocardial Infarction

MVA/MVC

Motor Vehicle Accident/Motor Vehicle Collision

N/A

Not Applicable

NAD

No Acute Disease, No Acute Distress

NIDDM

Non-Insulin Dependent Diabetes Mellitus

NKDA

No Known Drug Allergies

Nml -or- nl

Normal

NSAID

Non-Steroidal Anti-Inflammatory Drug

NSR

Normal Sinus Rhythm

NTG

Nitroglycerin

N/V/D

Nausea/Vomiting/Diarrhea

O2 Sat

Oxygen Saturation (a.k.a. SaO2)

OD

Overdose

PCP

Primary Care Physician (a.k.a. PMD)

PE

Pulmonary Embolism -or- Physical Exam

PERRL

Pupils are equal, round, and reactive to light

PO

Per Os (by mouth)

prn

As needed

pt

patient

PTA

Prior To Arrival

PUD

Peptic Ulcer Disease

qd

Every Day

qh

Every Hour

qhs

At Every Bedtime

q2h

Every 2 Hours

QID

Four Times a Day

RLE

Right Lower Extremity

RLQ

Right Lower Quadrant

ROM

Range of Motion

ROS

Review of Systems

RUE

Right Upper Extremity

RUQ

Right Upper Quadrant

Rx

Prescription

r/o

Rule Out

SOB

Shortness of Breath

s/p

Status Post (after)

Sx

Symptoms

TIA

Transient Ischemic Attack

TID

Three Times a Day