GP 10 - Patient Note Abbreviations (non-obvious only) Flashcards by Joshua Bora

Q

Hour and Minute

A

hr

min

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Q

Microgram

A

mcg

mg is milligram

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Q

Ounces

A

oz

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Q

Respirations and Temperature

A

R

T

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Q

Intramuscularly

Intravenously

Orally

A

IM

IV

po

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Q

Without or no

A

∅

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Q

Positive and Negative

A

+ or pos

or neg

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Q

Abdomen

A

Abd

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Q

Anteroposterior

Posteroanterior

A

AP (from front to back)

PA (from back to front)

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Q

Coronary artery bypass grafting

A

CABG

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Q

Congestive heart failure

A

CHF

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Q

Computed Tomography

A

CT

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Q

Cerebrovascular accident

A

CVA

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Q

Central venous pressure

A

CVP

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Q

Chest X-ray

A

CXR

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Q

Diabetes mellitus

A

DM

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Q

Deep tendon reflexes

A

DTR

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Q

Extraocular muscles

A

EOM

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Q

Alcohol

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A

EtOH

Q

Extremities

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A

Ext

Q

Female

Male

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A

“f” or ♀

“m” or ♂

Q

Genitourinary

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A

GU

Q

History of

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A

h/o

Q

Head, eyes, ears, nose, and throat

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A

HEENT

Hormone Replacement Therapy

HRT

Hypertension

HTN

Jugular Venous Distention

JVD

Left Right

L R

Last Menstrual Period

LMP

Medications

Meds

Motor vehicle accident

MVA

Neurologic

Neuro

Non insulin-dependent diabetes mellitus

NIDDM

No know allergies

NKA

No known Drug Allergies

NKDA

Normal/Normal limits Within normal limits

nl wnl

Pupils equal, round, and reactive to light and accommodation

PERRLA

Range of motion

ROM

Shortness of breath

SOB

Transient ischemic attack

TIA

Urinalysis

U/A

Upper respiratory tract infection

URI

Year-old

yo

Chief Complaint

CC

History of Presenting Illness

HPI

Review of Systems

ROS