0
Q
VSS
A
vital signs stable
1
Q
HPI
A
history of the present illness
2
Q
ROS
A
review of systems
3
Q
HTN
A
hypertension
4
Q
TMJ
A
temporomandibular joint
5
Q
POD
A
post op day
6
Q
Bx
A
biopsy
7
Q
OAP
A
other active problems
8
Q
A/P
A
Assessment/Plan
9
Q
T
A
temperature
10
Q
HEENT
A
head, ears, eyes, nose, throat
11
Q
TM
A
tympanic membrane
12
Q
s/p
A
status post
13
Q
CA
A
cancer
14
Q
PMH
A
past medical history
15
Q
SOAP
A
subjective, objective, assessment, plan
16
Q
P
A
pulse
17
Q
NCAT
A
normocephalic atraumatic
18
Q
GEN
A
general
19
Q
AMA
A
against medical advice, American Medical Association
20
Q
c/o
A
complaining of
21
Q
SH
A
social history
22
Q
HOH
A
hard of hearing
23
Q
R
A
respiration
24
DOE
dyspnea on exertion
25
d/c
discontinue
26
ADL
activities of daily living
27
cc
chief complaint, cardiac catheterization
28
FH
family history
29
VS
vital signs
30
BP
blood pressure
31
OOB
out of bed
32
DC
discharge
33
BMI
body mass index
34
DDx
differential diagnosis
35
DOA
date of admission, dead on arrival
36
Dx
diagnosis
37
ENT
ears, nose, throat
38
ETOH
alcohol
39
f/u
follow up
40
FOBT
fecal occult blood test
41
Fx
fracture
42
DOB
date of birth
43
GU
genitourinary
44
OTC
over the counter
45
RRR
regular rate/rhythm
46
TSH
thyroid stimulating hormone
47
CAD
coronary artery disease
48
GYN
gynecology
49
PRN
as needed or required
50
BMP
basic metabolic profile
51
CBC
complete blood count
52
DTR
deep tendon reflex
53
HA
headache
54
Pt
patient
55
US
ultrasound
56
COPD
chronic obstructive pulmonary disease
57
EOM
extraocular movements
58
EOMI
extraocular movements intact
59
ht
height
60
r/o
rule out
61
SOB
shortness of breath
62
WNL
within normal limits
63
CVA
cerebral vascular accident
64
GI
gastrointestinal
65
wt
weight
66
ROM
range of motion
67
CMP
comprehensive metabolic panel
68
IPV
polio vaccine
69
IVP
intravenous pyelogram
70
gtts
drops
71
IV
intravenous
72
RLQ
right lower quadrant
73
NKDA
no known drug allergies
74
PROM
passive range of motion
75
PSA
prostate specific antigen
76
H&P
history and physical
77
SQ
subcutaneous
78
LUL
left upper lobe (of lung)
79
NSR
normal sinus rhythm
80
AROM
active range of motion
81
CXR
chest xray
82
hs
hour of sleep
83
I&O
intake and output
84
LUQ
left upper quadrant
85
LLL
left lower lobe (of lung)
86
N/V
nausea/vomiting
87
PID
pelvic inflammatory disease
88
PPD
purified protein derivative - TB skin test
89
ac
before meals
90
I&D
incision and drainage
91
LLQ
left lower quadrant
92
RLL
right lower lobe
93
NPO
nothing by mouth
94
IBD
inflammatory bowel disease
95
DPOA
durable power of attorney
96
IM
intramuscular
97
RUQ
right upper quadrant
98
RUL
right upper lobe (of lung)
99
PCP
primary care provider/physician
100
IBS
irritable bowel syndrome
101
s/
without
102
x/
except
103
c/
with
104
q
every
105
qam
every morning
106
qhs
every evening
107
qod
every other day
108
qid
four times a day
109
Rx
treatment
110
SL
sublingual
111
s/s
signs and symptoms
112
THR
total hip replacement
113
TIA
transient ischemic attack
114
BID
twice a day
115
TID
three times a day
116
t/o
telephone order
117
tsp
teaspoon
118
v/o
verbal order
119
y/o
years old
120
KVO
keep vein open
121
PCA
patient controlled analgesia
122
p/
after
123
a/
before
124
A&O
alert and oriented
125
MCHC
mean corpuscular hemoglobin concentration
126
OCPS
oral contraceptive pills
127
OI
opportunistic infection
128
HbgA1C
hemoglobin A1c
129
MCV
mean corpuscular volume
130
RICE
rest, ice, compression, elevation
131
OTCs
over the counter meds
132
HCV
hepatitis C virus
133
HCTZ
hydrochlorathiazide
134
WDWN
well developed, well nourished
135
ACE-I
angiotensin converting enzyme inhibitor
136
HBV
hepatitis B virus
137
JVD
jugular vein distension
138
GSW
gunshot wound
139
PT/INR
prothrombin time/international normalized ratio
140
LOC
loss of consciousness
141
RSV
respiratory syncytial virus
142
EMR
electronic medical record
143
HSV
herpes simplex virus
144
MCH
mean corpuscular hemoglobin
145
RDW
red cell distribution width
146
CHI
closed head injury
147
EBV
Epstein-Barr virus
148
p (circled)
pending
