Scribe Abbreviations Flashcards

(116 cards)

1
Q

A

Down, below, less, decrease, lower

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2
Q

A

Up, above, more, increase, higher

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3
Q

>

A

Greater than

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4
Q

<

A

Less than

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5
Q

~

A

Approximately

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6
Q

A

Change

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7
Q

AAA

A

Abdominal aortic aneurysm

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8
Q

A Fib

A

Atrial fibrillation

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9
Q

Abd

A

Abdomen, abdominal

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10
Q

Abx

A

Antibiotics

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11
Q

AMA

A

Against medical advice

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12
Q

AMS

A

Altered mental status

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13
Q

ASA

A

Acetylsalicylic acid (aspirin)

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14
Q

BID

A

Twice daily

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15
Q

Bilat LE

A

Bilateral lower extremities

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16
Q

BM

A

Bowel movement

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17
Q

BP

A

Blood pressure

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18
Q

CA

A

Cancer, carcinoma

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19
Q

CABG

A

Coronary artery bypass graft, “open heart surgery”

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20
Q

CAD

A

Coronary artery disease “heart disease”

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21
Q

CT or CAT

A

Computerized assisted tomography

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22
Q

CHF

A

Congestive heart failure

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23
Q

COPD

A

Chronic obstructive pulmonary disease

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24
Q

CP

A

Chest pain

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25
CPR
Cardiopulmonary resuscitation
26
C-section
Caesarean section
27
CSF
Cerebrospinal fluid
28
CVA
Cerebrovascular accident -or- costovertebral angle
29
CXR
Chest X-ray
30
c/o
Complains of
31
C-spine
Cervical spine (neck)
32
DKA
Diabetic ketoacidosis
33
DM
Diabetes mellitus
34
DNR
Do not resuscitate
35
DOE
Dyspnea on exertion
36
DVT
Deep venous thrombosis
37
Dx
Diagnosis
38
Dz
Disease
39
EKG/ECG
Electrocardiogram
40
EtOH
Alcohol
41
FHx
Family history
42
Fx
Fracture
43
GI
Gastrointestinal
44
G/P/Ab
Gravida/para/abortion
45
GSW
Gun shot wound
46
GU
Genitourinary
47
HA
Headache
48
HEENT
Head, eyes, ears, nose, throat
49
HPI
History of present illness
50
HTN
Hypertension
51
Hx
History
52
H&H
Hemoglobin and hematocrit
53
H&P
History of present illness and physical exam
54
I&D
Incision and drainage
55
IDDM
Insulin dependent diabetes mellitus
56
IUP
Intrauterine pregnancy
57
IVDA
IV drug abuse
58
JVD
Jugular vein distension
59
LLE
Left lower extremity
60
LLQ
Left lower quadrant
61
LNMP
Last normal menstrual period
62
LOC
Loss of consciousness
63
LP
Lumbar puncture
64
LUE
Left upper extremity
65
LUQ
Left upper quadrant
66
MCA
Motorcycle accident
67
MI
Myocardial infarction
68
MVA/MVC
Motor vehicle accident/collision
69
N/A
Not applicable
70
NAD
No acute distress, no acute disease
71
NIDDM
Non-insulin diabetes mellitus
72
NKDA
No known drug allergies
73
Nml -or- nl
Normal
74
NSAID
Non-steroidal anti-inflammatory drug
75
NSR
Normal sinus rhythm
76
NTG
Nitroglycerin
77
N/V/D
Nausea/vomiting/diarrhea
78
O2 sat
Oxygen saturation (a.k.a. SaO2)
79
OD
Overdose
80
PCP
Primary Cary physician (a.k.a PMD)
81
PE
Pulmonary embolism -or- physical exam
82
PERRL
Pupils are equal, round and reactive to light
83
PO
Per Os (by mouth)
84
prn
As needed
85
pt
Patient
86
PTA
Prior to arrival
87
qd
Everyday
88
qh
Every hour
89
qhs
At every bedtime
90
q2h
Every 2 hours
91
QID
Four times a day
92
RLE
Right lower extremity
93
RLQ
Right lower quadrant
94
ROM
Range of motion
95
ROS
Review of system
96
RUE
Right upper extremity
97
RUQ
Right upper quadrant
98
Rx
Prescription
99
r/o
Rule out
100
SOB
Shortness of breath
101
s/p
Status post (after)
102
Sx
Symptoms
103
TIA
Transient ischemic attack
104
TID
Three times a day
105
TM
Tympanic membrane
106
Tx
Treatment
107
UA
Urinalysis
108
URI
Upper respiratory infection
109
US
Ultrasound
110
UTD
Up to date
111
UTI
Urinary tract infection
112
WNL
Within normal limits
113
/a (a with a bar above it)
Before
114
/c (c with a bar above it)
With
115
/p (p with a bar above it)
Post, after
116
/s (s with a bar above it)
Without