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ProScribe employee training vocabulary and additional common terms
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Abx
antibiotics
AMA
against medical advice
AMS
altered mental status
ASA
aspirin
AT/NC
atraumatic/normocephalic
c/w
consistent with
CA
cancer
CMT
cervical motion tenderness; PE finding seen when F presents with pelvic infection
CTA
clear to auscultation (normal lung finding)
CXR
chest x-ray
d/c
discharge
DOE
dyspnea on exertion
DDx
differential diagnosis
Dx
diagnosis
EF
ejection fraction; low can indicate congestive heart failure
EOMI
extraocular movements intact; normal finding when pt is asked to look in diff directions
ETT/ET tube
endotracheal tube
f/u
follow up
Fx
fracture
G/P/A
pregnancies/live births/miscarriages and abortions
H&H
hemoglobin & hematocrit
h/o
history of
HA
headache
Hct
hematocrit
Hgb
hemoglobin
IM
intramuscular
Hx
history
IUP
intrauterine pregnancy
IVDA
intravenous drug abuse
JVD
jugular venous distention; bulging neck veins; common in congestive heart failure
LLE
lower left extremity
LLL
left lower lobe
LLQ
left lower quadrant
LUE
left upper extremity
LUQ
left upper quadrant
LNMP
last normal menstrual period
LOC
loss of consciousness
LOS
length of stay
MVA
motor vehicle accident
N/V/D
nausea/vomiting/diarrhea
NAD
no acute distress/disease
NKDA
no known drug allergies
nml/nl
normal
NPO
nothing per os (by mouth)
NS
normal saline
NSR
normal sinus rhythm
PCN
penicillin
PERRL(A)
pupils are equal, round, and reactive to light; A = accommodation (proximal/distal focus)
ppd
packs per day
PRN
as needed
PTA
prior to arrival
RLE
right lower extremity
RLQ
right lower quadrant
RLL
right lower lobe
RUE
right upper extremity
RUQ
right upper quadrant
ROM
range of motion
RRR
regular rate and rhythm
Rx
prescription
s/p
status post
TM
tympanic membrane
Tx
treatment
URI
upper respiratory infection
WNL
within normal limits
HTN
hypertension
AA&O
awake, alert, & oriented
AKA
above knee amputation
B
bilateral
BID
twice per day
BKA
below knee amputation
BM
bowel movement
BS
bowel sounds
CAD
coronary artery disease
C-spine
cervical spine
CHF
congestive heart failure
CP
chest pain
CVA
cerebrovascular accident (stroke)
d/t
due to
DKA
diabetic ketoacidosis
F/C
fever and chills
FROM
full range of motion
GSW
gunshot wound
IDDM
insulin dependent diabetes mellitus
L-spine
lumbar spine
MI
myocardial infarction (heart attack)
NTG
nitroglycerin (vasodilator)
PAC
premature atrial contractions
PND
post nasal drip
Q4H
every 4 hours
QD
every day
QH
every hour
QID
four times daily
RR
respiratory rate
RXN
reaction
Sx
symptoms
TID
three times daily
TTP
tenderness to palpitation
VSS
vital signs stable
CMP
complete metabolic panel
CBC
complete blood count