bp
blood pressure
c/o
complains of
HEENT
head, eyes, ears, nose, throat
noc
nocturnal; night
os
left eye
ou
both eyes
od
right eye
pt
patient
stat
immediately
bmi
body mass index
PERRLA
pupils equal, round, reactive to light, and accommodation
bmr
basal metabolic rate
soap
subjective, objective, assessment, plan
somr
source oriented medical record
tx
treatment
pomr
problem oriented medical record
y/o
years old
cc
chief complaint
fx
fracture
abd
abdominal
abx
antibiotics
hx
history
ros
review of systems