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Stardard Charting Abbreviations

Terms

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Asian
A
Black
B
Chief complaint
CC
Complains of
c/o
Current health status
CHS
Date of birth
DOB
Differential diagnosis
DD
Estimated date of confinement
EDC
Family history
FH
Hispanic
H
History
Hx
History and physical
H&P
History of present illness
HPI
Impression
IMP
Medications
Med
Newborn
NB
Occupational history
OH
Past history
PH
Patient
Pt
Physical exam
PE
Private medical doctor
PMD
Review of systems
ROS
Signs and symptoms
S/S
Social history
SH
Visual acuity
VA
Vital signs
VS
Weight
Wt
White
W
Year-old
y/o
Abdomen
Abd
Cardiovascular
CV
Central nervous system
CNS
Ear, nose, and throat
ENT
Gastrointestinal
GI
Genitourinary
GU
Gynecological
GYN
Head, eyes, ears, nose, and throat
HEENT
Musculoskeletal
M/S
Obstetrical
OB
Peripheral nervous system
PNS
Respiratory
Resp
Abdominal pain
abd pn
Chest pain
CP
Dyspnea on exertion
DOE
Fever of unknown origin
FUO
Gunshot wound
GSW
Headache
H/A
Lower back pain
LBP
Nausea/vomiting
n/v
No apparent distress
NAD
Pain
pn
Shortness of breath
SOB
Substernal chest pain
sscp
Abdominal aortic aneurysm
AAA
Abortion
Ab
Acute myocardial infarction
AMI
Adult respiratory distress syndrome
ARDS
Alcohol
ETOH
Atherosclerotic heart disease
ASHD
Chronic obstructive pulmonary disease
COPD
Chronic renal failure
CRF
Congestive heart failure
CHF
Coronary artery bypass graft
CABG
Coronary artery disease
CAD
Cystic fibrosis
CF
Dead on arrival
DOA
Delirium trements
DTs
Deep vein thrombosis
DVT
Diabetes mellitus
DM
Dilation and Curettage
D&C
Duodenal ulcer
DU
End-stage renal failure
ESRF
Epstein-Barr virus
EBV
Foreign body obstruction
FBO
Hepatitis B virus
HBV
Hiatal hernia
HH
Hypertension
HTN
Infectious disease
ID
Inferior wall mycardial infarction
IWMI
Insulin-dependent diabetes mellitus
IDDM
Intracranial pressure
ICP
Mass casualty incident
MCI
Mitral valve prolapse
MVP
Motor vehicle crash
MVC
Multiple sclerosis
MS
Non-insulin-dependent diabetes mellitus
NIDDM
Organic brain syndrome
OBS
Otistis media
OM
Overdose
OD
Peroxysmal nocturnal dyspnea
PND
Pelvic inflammatory disease
PID
Peptic ulcer disease
PUD
Pregnancies/Births (gravida/para)
G/P
Pregnancy-induced hypertension
PIH
Pulmonary embolism
PE
Rheumatic heart disease
RHD
Sexually transmitted disease
STD
Transient ischemic attack
TIA
Tuberculosis
TB
Upper respiratory infection
URI
Urinary tract infection
UTI
Venereal disease
VD
Wolff-Parkinson-White syndrome (disease)
WPW
Angiotensin-converting enzyme
ACE
Aspirin
ASA
Birth control pills
BCP
Calcium
Ca++
Calcium channel blocker
CCB
Chloride
Cl-
Digoxin
Dig
Dilantin (phenytoin sodium)
DPH
Diphendydramine
DPHM
Diphtheria-Pertussis-Tetanus
DPT
Hydrochlorothiazide
HCTZ
Lactated Ringer's, Ringer's Lactate
LR, RL
Magnesium sulfate
Mg++
Morphine sulfate
MS
Nitroglycerin
NS
Nonsteroidal antiflammatory agent
NSAID
Normal saline
NS
Penicillin
PCN
Phenobarbital
PB
Potassium
K++
Sodium chloride
NaCl
Tylenol
APAP
Antecubital
AC
Anterior axillary line
AAL
Anterior cruciate ligament
ACL
Anterior-posterior
A/P
Distal interphalangeal (joint)
DIP
Dorsalis pedis
DP
Gallbladder
GB
Intercostal space
ICS
Lateral collateral ligament
LCL
Left lower lobe
LLL
Left lower quadrant
LLQ
Left upper lobe
LUL
Left upper quadrant
LUQ
Left ventricle
LV
Liver, spleen, and kidneys
LSK
Lymph node
LN
Medial collateral ligament
MCL
Metacarpalphalangeal (joint)
MCP
Metatarsalphalangeal (joint)
MTP
Midaxillary line
MAL
Posterior axillary line
PAL
Posterior cruciate ligament
PCL
Proximal interphalangeal (joint)
PIP
Right lower lobe
RLL
Right lower quadrant
RLQ
Right middle lobe
RML
Right upper lobe
RUL
Right upper quadrant
RUQ
Temporamandibular joint
TMJ
Tympanic membrane
TM
Arterial blood gass
ABG
Bilateral breath sounds
BBS
Blood sugar
BS
Breath sounds
BS
Cardiac injury profile
CIP
Centreal venous pressure
CVP
Cerebrospinal fluid
CSF
Chest X-ray
CXR
Complete blood count
CBC
Compurterized tomography
CT
Conscious, alert, and oriented
CAO
Costovertebral angle
CVA
Deep tendon reflexes
DTR
Dorsalis pedis (pulse)
DP
Electrocardiogram
ECG, EKG
Electroencephalogram
EEG
Expiratory
Exp
Extraocular movements (intact)
EOMI
Fetal heart tones
FHT
Full range of motion
FROM
Full term normal delivery
FTND
Heart rate
HR
Heart sounds
HS
Heel-to-shin (cerebellar test)
H->S
Hemoglobin
Hgb
Inspiratory
Insp
Jugular venous distention
JVD
Laceration
lac
Level of consciousness
LOC
Moves all extremities (well)
MAEW
Nontender
NT
Normal range of Motion
NROM
Palpation
Palp
Passive range of motion
PROM
Point of maximal impulse
PMI
Posterior tibial (pulse)
PT
Pulse
P
Pupils equal and reactive to light
PEARL
Pupils equal, round, reactive to light and accomadation
PERRLA
Temporomandibular joint
TMJ
Arterial blood gas
ABG
Central venous pressure
CVP
Cerbrospinal fluid
CSF
Computerized tomography
CT
Extraocular movements (initact)
EOMI

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