ABBREVIATION CATEGORY LIST

Medications/Drugs IOP intraocular pressure HIV Human Immunodeficiency DBW desirable body weight
IQ intelligence quotient Virus DIP distal interphalangeal
ASA aspirin IWR ideal weight range hpf high powered field (used only (joint)
BZD benzodiazepine kg kilogram in describing urine sediments DNR Do Not Resuscitate
CBZ carbamazepine l liter K potassium D/O disorder
CZP clonazepam lb pound lab laboratory DOB date of birth
DPT Diphtheria and tetanus toxoids lg large LE prep lupus erythematosus cell DTR deep tendon reflexes
with pertussis max maximum preparation DWR desirable weight range
D/T diptheria/tetanus toxoid mcg micrograms LDH lactate dehydrogenase Dx diagnosis
epi epinephrine mEq milliequivalent LFT liver function tests EAC external auditory canal
GBP gabapentin mEq/l milliequivalents per liter lymphs lymphocytes EENT eyes, ears, nose, and throat
HC hydrocortisone mg milligram MCH mean corpuscular hemoglobin ENT ears, nose, and throat
HCTZ hydrochlorothiazide mg% milligrams per hundred MCHC mean corpuscular hemoglobin EOM extraocular movement or
INH Isoniazid milliliter of serum or blood concentration muscle
L-DOPA levadopamine ml milliliter or milliliters MCV mean corpuscular volume EOMI EOM intact
LiCo3 lithium carbonate mm millimeter Mg magnesium EPS extrapyramidal symptoms
lido lidocaine mM millimole MIC minimum inhibitory F female
LMG lamotrigine neg negative concentration FH family history
LVT levetiracetam oz ounce MRSA Methicillin Resistant Staph F/U follow up
MMR measles/mumps P pulse Aureus FROM full range of motion
/rubella RR respirations Na sodium Fx fracture
MOM Milk of Magnesia RRR regular rate and rhythm nl normal GTC generalized tonic-clonic
NS normal saline sl slight; slightly NPN nonprotein nitrogen (seizures)
OCBZ oxcarbazepine sm small O2 oxygen GTube gastrointestinal tube
OPV oral polio vaccine T temperature O2 cap oxygen capacity GU genitourinary
PB Phenobarbital Tbsp tablespoon O2Sat oxygen saturation Gyn gynecology
PCN penicillin TPR temperature, pulse, respiration PAP Papanicolaou's smear H/A headache
PPD purified protein derivative tsp teaspoon PBI protein bound iodine HCP Health Care Plan
PTN phenytoin Vol volume PCV packed cell volume HEENT ears, eyes, nose, and throat
TAC triamcinolone VS vital signs pH hydrogen ion concentration HJR hepatojugular reflux
Td tetanus/diptheria toxoid VSS vital signs stable phos phosphorus h/o history of
TGB tiagabine WNL within normal limits pl ct platelet count H&P History and Physical
TPM topiramate wt weight polys. polymorphonuclear HPI History of Present Illness
TT tetanus toxoid WTR within therapeutic range neutrophiles hx history
Vit vitamin when followed by a X times, i.e., X2 = 2 times PSA Prostate Specific Antigen I&D incision and drainage
specific letter, i.e., Vit. A y/o year old PT prothrombin time ICS intercostal space
VPA valproic acid yr(s) year(s) PTT partial thromboplastin time IVC inferior vena cava
ZOE zinc oxide and eugenol RBC red blood cell KJ knee jerk
ZSM zonisamide Laboratory retic(s) reticulocyte(s) KUB kidney, ureter, bladder
RF rheumatoid factor KVO keep vein open
Administration Orders ABL anticonvulsant blood level Rh rhesus blood factor L left (side)
ACTH adrenocorticotrophic hormone RPR rapid plasma reagent L1, L2 1st lumbar vertebra, etc.
Q every acid phos acid phosphatase segs segmented neutrophils lac laceration
QD every day AFB acid fast bacilli SGOT serum glutamic oxaloacetic Lat lateral
QOD every other day A/G albumin globulin ratio transaminase LCM left costal margin
BID twice daily alk phos alkaline phosphatase SGPT serum glutamic pyruvic LE lower extremities
TID three times daily ALT aspartate aminotransferase transaminase LLE left lower extremity
QID four times daily alb albumin sp gr specific gravity LLL left lower lobe – lung
QH every hour ANC absolute neutrophil count Staph staphyloccous LLQ left lower quadrant – abdomen
Q(x)H every (x) hours AST alanine aminotransferase Strep streptococcus LLSB left lower sternal border
AC before meals Bact bacterium TB tuberculosis LM land mark
PC after meals baso basophile TFT thyroid function test LMP last menstrual period
QAM every morning bl cult blood culture Toxo toxoplasmosis LN lymph node
QPM every night bld blood Trich trichomonas LOC loss of consciousness
QHS every night at bedtime BOP blood, ova, parasites UA urinalysis LR light reflex
QSHIFT every shift BUN blood urea nitrogen UDS urine drug screen L-S lumbosacral
H hour Ca calcium VDRL venereal disease research LSB left sternal border
HS at bedtime CBC complete blood count laboratory LUE left upper extremity
Disp dispense(usually medications) CHO carbohydrate Vol volume LUL left upper lobe – lung
Elix an elixir Cl chloride VPA valproic acid LUQ left upper quadrant – abdomen
ID intradermal cldy cloudy VRE Vancomycin Resistant LV left ventricle
IM intramuscular col ct colony count Enterococcus M male
IV intravenous CO2 carbon dioxide WBC white blood count m murmur (cardiac)
Liq liquid Cr creatinine MAL midaxillary line
PO by mouth Cr Cl creatinine clearance Physical Assessment MCL midclavicular line
PR per rectum C&S culture and sensitivity MCP metacarpophalangeal (joint)
PRN as needed CSF cerebrospinal fluid MMg mammogram
Soln solution diff differential AAL anterior axillary line MSE mental status exam
SQ subcutaneous eos eosinophiles abd abdomen MSL midsternal line
Supp suppository ESR erythrocyte sedimentation rate AJ ankle jerk MTP joint metatarsophalangeal joint
susp suspension FBS&2hPPfasting blood sugar and 2-hour amb ambulatory NAD no acute distress
STAT immediately;at once post prandial A&O alert and oriented NKA no known allergies
Tbsp tablespoon FBS fasting blood sugar A&P auscultation and percussion NKDA no known drug allergies
tsp teaspoon FSH follicle stimulating hormone A-P anterioposterior NSR normal sinus rhythm
VO verbal order G6PD glucose-6 phosphate AROM active range of motion NSVD normal spontaneous vaginal
dehydrogenase AU each ear delivery
Measurements GC gonorrhea, gonococcus, B/F black female N/V nausea and vomiting
gonococcal B/M black male N/V/D nausea, vomiting and diarrhea
BP blood pressure GFR glomerular filtration rate BRBPR bright red blood per rectum OD right eye
BTU British thermal units GGT gamma glutamyl br sounds breath sounds OE otitis externa
C centigrade transpeptidase BS bowel sounds OM otitis media
cc cubic centimeter GTT glucose tolerance test BW birth weight OS left eye
cm centimeter HBcAb type B hepatitis core antibody C1, C2, C3, etc. cervical vertebrae OU both eyes
gm gram HBsAb type B hepatitis surface CM continuous murmur PAL posterior axillary line
gm% grams per hundred milliliters of antibody CN cranial nerve PE physical examination
serum or blood as specified HBsAG type B hepatitis surface CNS central nervous system PERL pupils equal and reactive to
gtt drop antigen C/O complaint of light
ht height Hct hematocrit CVA cerebral vascular accident PERRLA pupils equal, round, and
I&O intake and output Hgb hemoglobin CXR chest x-ray reactive to light and
IBW ideal body weight histo histoplasmosis D distal accommodations
PH past history FS fever scan (forehead Uro urology A-V atrioventricular
PIP proximal interphalangeal (joint) thermometer) US ultra-sound CABG coronary bypass graft
PMH past medical history FUO fever of undetermined origin UTI urinary tract infection CAD coronary artery disease
PMI point of maximum impulse GA general anesthesia UV ultraviolet CHD congenital heart disease
Prog prognosis GB gallbladder VCU voiding cystourethrogram CHF congestive heart failure
PROM passive range of motion GE gastroesophageal VD venereal disease EKG electrocardiogram
pt patient GERD gastroesophageal reflux VDRL venereal disease research EST exercise stress test
PTA prior to admission disease laboratory HTN hypertension
R right GI gastrointestinal LAD left axis deviation
RCM right costal margin GTube gastrointestinal tube LAE left atrial enlargement
resp respiration H2O water General LAH left atrial hypertrophy
RLE right lower extremity H2O2 hydrogen peroxide LBBB left bundle branch block
RLL right lower lobe HBP high blood pressure @ at LVE left ventricle enlargement
RLQ right lower quadrant HTN hypertension Ab antibiotic LVH left ventricle hypertrophy
RML right middle lobe – lung HSV herpes simplex virus ADL activities of daily living MI myocardial infarction
R/O rule out ICCE intracapsular cataract Adm admission MVP mitral valve prolapse
ROM range of movement extraction Admin administration OHD organic heart disease
ROS review of systems I131 radioactive iodine AEB as evidenced by PAT paroxysmal atrial tachycardia
RR respiratory rate IVF intravenous fluids AMA against medical advise PDA patent ductus arteriostosis
RRR regular rate and rhythm IVP intravenous pyelogram Amt amount PI pulmonary insufficiency
RUE right upper extremity JODM juvenile onset diabetes A-P & Lat anteroposterior and lateral PVC premature ventricular
RUL right upper lobe-lung mellitus AMAP as much as possible contractions
RUQ right upper quadrant LAD left axis deviation AA/T activity therapy RAD right axis deviation
SH social history LAE left atrial enlargement BE barium enema RAE right atrial enlargement
SI joint sacroiliac joint LAH left atrial hypertrophy BM bowel movement RAH right atrial hypertrophy
SLR straight leg raising LP lumbar puncture BM/E bowel movement with enema RBBB right bundle branch block
SOB shortness of breath Med medicine BMR basal metabolic rate RHD rheumatic heart disease
SOM serous otitis media MR mental retardation b/o because of RV right ventricle
S/P status-post MRI Magnetic Resonance Imaging CAL calorie RVE right ventricular enlargement
S/Sx signs/symptoms MTP minor treatment protocol cap capsule RVH right ventricular hypertrophy
Sx symptoms MVA motor vehicle accident cath catheter SBE subacute bacterial
Sz seizure MVP mitral valve prolapse CC chief complaint endocarditis
T temperature NeuroSurg neurosurgery CL clinic SEM systolic ejection murmur
TM tympanic membrane Neuro Neurology comp complete SVT supra - ventricular tachycardia
trach tracheostomy NG nasogastric cont continue TOF Tetralogy of Fallot
UE upper extremity NOS not otherwise specified D&C dilation and curettage VSD ventricular septal defect
Ung. Ointment NPO nothing by mouth D/C discontinue V Tach ventricular tachycardia
UP ureteropelvic NSAID nonsteroidal anti-inflammatory DD developmental disabilities WPW Syndrome Wolff-Parkinson-
URI upper respiratory infection drug Disp dispense (usually medication) White Syndrome
US ultra-sound NSDO neurosurgery danger orders dist. distribution
UTI urinary tract infection OB obstetrics EDC estimated date of confinement Medicine(General)
UV ultraviolet OOB out of bed et and
V/A visual acuity OM otitis media FB foreign body AIDS acquired immune deficiency
V-P ventriculo-peritoneal(shunt) Op operation FBR full body restraint syndrome
WD well-developed OR operating room HCP Health Care Plan ALL acute lymphocytic leukemia
WD/WN well-developed/well-nourished Ortho Orthopedic HOB head of bed ALS amyotrophic lateral sclerosis
W/F white female O/T occupational therapy IDT interdisciplinary team AML acute myelogenous leukemia
W/M white male OTC over the counter In Pt. inpatient AIDS acquired immune deficiency
WN well-nourished P2 pulmonic second sound ISP individual service plan syndrome
WNL within normal limits P-A posteroanterior LA long acting ARDS adult respiratory distress
path pathology lax laxative syndrome
General Medicine PEG percutaneous gastrostomy LBP lower back pain ARF acute renal failure
PEJ percutaneous jejunostomy lg large CF cystic fibrosis
ACM anticonvulsant medications PID pelvic inflammatory disease LP lumbar puncture COPD chronic obstructive pulmonary
AIDS Acquired Immune Deficiency PKU phenylketonuria meds medications disease
Syndrome PMS premenstrual syndrome noc night CRF chronic renal failure
ALL acute lymphocytic leukemia PND paroxysmal nocturnal dyspnea , Ō none DI diabetes insipidus
ALS amyotrophic lateral scerosis P/T physical therapy p¯ after DJD degenerative joint disease
AML acute myelogenous leukemia PUD peptic ulcer disease PHR periodic health review DM diabetes mellitus
AODM adult onset diabetes mellitus PUD w/GOO peptic ulcer disease with PM afternoon ESRD end-stage renal disease
ARDS Adult Respiratory Distress gastric outlet obstruction PO by mouth HRT hormone replacement therapy
Syndrome PVD peripheral vascular disease post after ITP idiopathic thrombocytopenia
ARF acute renal failure RA rheumatoid arthritis post-op after surgery purpura
BE barium enema Rx prescription, treatment pre-op before surgery IUD intrauterine device
BLT borderline tracing S1 & S2 first and second heart sounds prep preparation for IUP intrauterine pregnancy
BPH benign prostate hypertrophy S3 & S4 heart sounds (physiological) pt. patient JODM juvenile onset diabetes
CA carcinoma, cancer Sz D/O seizure disorder mellitus
CT computerized axial SC Anemia sickle cell anemia re regarding PID pelvic inflammatory disease
tomography SC Trait sickle cell trait R/T related to PUD peptic ulcer disease
CF cystic fibrosis SEM systolic ejection murmur S signs PUD w/GOO peptic ulcer
CHI closed head injury SIADH syndrome of inappropriate se side effects disease with gastric outlet
COPD chronic obstructive pulmonary antidiuretic hormone sed sedation obstruction
disease SLE systemic lupus erythematous SIB self injurious behavior PVD peripheral vascular disease
CP&PD chest percussion and postural Surg surgery; surgical sig: directions for use, label RA rheumatoid arthritis
drainage T1, T2, etc. 1st thoracic vertebra, etc. ss enema soapsuds enema Sz D/O seizure disorder
CPR cardiopulmonary resuscitation T&A tonsillectomy and tabs tablet (tablets) SC Anemia sickle cell anemia
CRF chronic renal failure adenoidectomy temp temporary SC Trait sickle cell trait
C-Section Cesarean TAH total abdominal hysterectomy SIADH inappropriate secretion of
Derm Dermatology TAH & BSO total abdominal hysterectomy antidiuretic hormone
DI diabetes insipidus and bilateral salpingo w/ with SLE systemic lupus erythematous
DJD degenerative joint disease oophorectomy SOM serous otitis media
DM diabetes mellitus TD tardive dyskinesia VDRL venereal disease research
DNR Do Not Resuscitate TIA transient ischemic attack laboratory
DOA dead on arrival T-L thoracolumbar Cardiology UP ureteropelvic
DVT deep vein thrombosis TURP transurethral resection of
ECHO ultrasound cardiogram prostate AED automated external defrillator
EEG electroencephalogram TVH total vaginal hysterectomy A-Fib atrial fibrillation
EMG electromyogram UGI upper gastrointestinal APB atrial premature beat
EMT Emergency Medical UGI w/SBFT upper gastrointestinal series ASD atrial septal defect
Technician with small bowel follow ASHD arteriosclerotic heart disease
ESRD end stage renal disease through ASCVD arteriosclerotic cardiovascular
fluoro fluoroscopy URI upper respiratory infection disease