VS
Vital signs
VSS
Vital signs stable
T
Temperature
BP
Blood pressure
HR
Heart rate
RR
Respiratory rate
Ht
Height
Wt
Weight
I/O
Intake/Output
Dx
Diagnosis
Tx
Treatment
H&P
History and Phystical
Hx
History
HPI
History of present illness
PMHx
Past medical history
NKDA
No known drug allergies
pt
patient
PCP (HCP)
Primary Care Provider (Health)
f/u
Follow up
d/t
Due to
CC
Chief complaint
SOB
Shortness of breath
HEENT
Head, eyes, ears, nose, throat
PERRLA
Pupils are equal, round, reactive to light and accommodation