abbreviations in medicine
Terms
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- XR
- x-ray
- >:
- greater than
- arrow up
- increase
- WNL
- within normal limits
- <:
- less than
- arrow down
- decrease
- triangle
- change
- CX or CXN
- contraction
- CC
- chief complaint
- pt
- patient
- MHX
- basis for treatment rendered by the physician
- UCHD
- usual childhood illnesses
- source-oriented medical record (SOMR)
- a traditional or conventional method of charting, consists of chronological set of notes for each visit, beginning w/ the patients 1st visit
- problem-oriented medical record(POMR)
- a more efficient way of keeping chart notes, used alot by clinics or any medical practice where more than one physician may see the patient. Calls for a list of problems to be made, dated, and numbers assigned to them
- computer modified records
- ties both methods together, can be viewed 24 hours a day
- c with a line over it
- with
- q.d
- everyday
- qid
- 4x a day (on a prescription)
- D/C
- discharge, discontinue
- PEERLA
- pupils equal, round, reactive to light and accomodation
- BP or B/P
- blood pressure
- CBC
- complete blood count
- CPE
- complete physical exam
- D & C
- dilation and curettage
- dx
- diagnosis
- ECG, EKG
- electrocardiogram
- EEG
- electroencephalogram
- ER
- emergency room
- GI
- gastrointestinal
- GU
- genitourinary
- URI
- upper respiratory infection
- UTI
- urinary tract infection
- GYN
- gynecology
- HEENT
- head, eyes, ears, nose and throat
- I & D
- incision and drainage
- L or L with a circle around it
- left
- MI
- myocardial infarction
- N & V
- nausea and vomiting
- NVD
- nausea, vomiting, and diarrhea
- OPD
- outpatient department
- OR
- operating room
- P
- pulse
- Hx
- history
- Rx
- prescription or treatment
- Tx
- treatment
- Fx
- fracture
- R with a circle around it
- right
- R
- respiration
- ROM
- range of motion
- ROS
- review of systems
-
- s with a line over it
s - without
- SOAP
- subjective, objective, assessment, plan
- SOB
- short of breath
- T
- temperature
- T & A
- tosillectomy and adenoidectomy