Medical Terminology

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AMB ambulatory, ambulate, walk

BRP bathroom privileges

CBR complete bed rest

OOB out of bed

up ad lib up as desired

abd abdomen

BP blood pressure

bx biopsy

C Celsius (centigrade)

CTA clear to auscultation

dx diagnosis

F Fahrenheit

FUO fever of unknown origin

GI gastrointestinal

GU genitourinary

H/A headache

h/o history of

HPI history of present illness

Imp impressions

lt or l left

MAE moves all extremities

NAD no apparent distress

NKA no known allergies

N/V nausea and vomiting

neg negative

PE physical examination

PMH past medical history

R respirations

R/O rule out

ROS review of systems

rt or R right

SOB short of breath

Sx symptoms

T Temperature

Tx Treatment

⊕ positive

⊖ negative

ASCVD arteriosclerotic cardiovascular disease

ASHD arteriosclerotic heart disease

BPH benign prostatic hypertrophy

CA cancer

CAD coronary artery disease

CHF congestive heart failure

COPD chronic obstructive pulmonary disease

DM diabetes mellitus

HTN hypertension

MI myocardial infarction

PE pulmonary embolism

PVD peripheral vascular disease

STD sexually transmitted disease

STI sexually transmitted infection

URI upper respiratory infection

UTI urinary tract infection

BE barium enema

CBC complete blood count

CO2 carbon dioxide

C&S culture and sensitivity

CXR chest x-ray

ECG (EKG) cardiogram

lytes electrolytes

RBC red blood cells

UA urinalysis

UGI upper GI

↑ increase

↗ increasing

↓ decrease

↘ decreasing

2° secondary to

= equal to

≠ unequal

♀ female

♂ male

° degree

▲ change

x except

ā before

d lib or ad lib as desired

AMA against medical advice

ASAP as soon as possible

BM bowel movement

BSD bedside drainage

℅ (C) with

CABG coronary artery bypass graft

CPR cardiopulmonary resuscitation

DNR (no code) do not resuscitate

Dsg dressing

dx diagnosis

FOB foot of bed

Fx fracture

GHWT good handwashing technique

HOB head of bed

Hx history

I&O intake and output

IM intramuscular

IV intravenous

KVO keep vein open

NG nasogastric

NPO (npo) nothing by mouth

NS normal saline

O₂ oxygen

OT occupational therapy

postop postoperative

preop preoperative

prep preparation

PRN ; (p.r.n.) ; prn as needed

PT physical therapy

pt patient

ROM range of motion

RX treatment

s (S) without

SOB side of bed

S/P status post

STAT ; stat immediately

SubQ or SQ subcutaneous

TF tube feeding

TPR temperature, pulse, respirations

TX treatment

VS vital signs

WA while awake

× times

ABG arterial blood gas

a.c. before meals

ACLS advanced cardiac life support

ADL activities of daily living

am morning

AMA against medical advice

amb ambulate, walk

AMI acute myocardial infarction

AOx3 alert and oriented to person, time, and place

AP apical pulse

ASA aspirin

asap (ASAP) as soon as possible

as tol as tolerated

Ax axillary

bid twice a day

bil., bilateral both sides

BLS basic life support

BM bowel movement

B/P blood pressure

bpm beats per minute

BR bed rest

BS breath sounds

BUN blood, urea, nitrogen levels

bx biopsy

ċ with

C & S culture and sensitivity

CAD coronary artery disease

CAT computerized axial tomography

CBC complete blood count

CCU coronary care unit, critical care unit

CHF congestive heart failure

CNS central nervous system

c/o complains of

COPD chronic obstructive pulmonary disease

CPR cardiopulmonary resuscitation

CT computer tomography

CVA cerebrovascular accident (stroke)

CXR chest X-ray

d/c discontinue

DC ; d/c discontinue or discharge

DNR do not resuscitate

DOA dead on arrival

DOB date of birth

ED emergency department

EENT eyes, ears, nose, throat

EKG ; ECG electrocardiogram

ER emergency room

ETOH ethyl alcohol, intoxicated

FBS fasting blood sugar

Fx fracture

GI gastrointestinal

GU genitourinary

gtt(s) drop(s)

H & H hemoglobin and hematocrit

hct hematocrit

hgb hemoglobin

HOB head of bed

hr (h) hour

H&P history and physical

HR heart rate

ht height

Hx history

I & O intake and output

ICU intensive care unit

IM intramuscular

inj injection

IV intravenous

IVP intravenous pyelogram

KCl potassium chloride

KUB kidney, ureter, bladder

lab laboratory

LLQ, LLL left lower quadrant (abdomen), lobe (lung)

LOC level of consciousness

lt left

LUQ, LUL left upper quadrant (abdomen), lobe (lung)

MI myocardial infarction

MN midnight

MOM milk of magnesia

MRI magnetic resonance imagery

MVA motor vehicle accident

NVD nausea, vomiting, diarrhea

NaCl sodium chloride

N/C nasal cannula

NG nasogastric

NKA no known allergies

noc (t) night

NSR normal sinus rhythm

O oxygen

OOB out of bed

OR operating room

os mouth

OT occupational therapy

oz ounce

p after

P pulse

pc after meals

pCO2 partial pressure of carbon dioxide

PE physical exam, pulmonary embolism

per by or through

PERL(A) pupils equal and reactive to light (and accommodation)

pm between noon and midnight

po by mouth

post-op postoperative

pp (p.p.) postprandial (after eating)

PO2 partial pressure of oxygen

PPD purified protein derivative (TB test)

Pre-op before surgery

prn as needed, whenever necessary

pt patient

PT physical therapy

PTT partial prothromboplastin time

r (R) rectal

R (resp.) respirations, rectal

RBC red blood cell/count

RL ringer’s lactate

RLQ, RLL right lower quadrant (abdomen), lobe (lung)

R/O rule out

ROM range of motion

R.R. recovery room

RUQ, RLL right upper quadrant, lobe

s without

S & S signs and symptoms

Sat oxygen/blood saturation level

SL sublingual

SOB shortness of breath

Sub cut subcutaneous

SSE soap suds enema

Sx symptoms

T temperature, thoracic

tab tablet

tachy tachycardia

TCDB turn, cough, deep breath

temp (T) temperature

TIA transient ischemic attack

TPN total parenteral nutrition

TPR temperature, pulse, respirations

TX traction

UA urinalysis

URI upper respiratory infection

US ultrasonic

UTI urinary tract infection

VO verbal order

V/S vital signs

WA while awake

w/c wheelchair

WNL within normal limits

wt weight

y/o year(s) old

(NIS) ; (N/S) Normal Saline

WBC white blood cells/count