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yo year-old
m male
f female
b black
w white
L left
R right
hx history
h/o history of
c/o complaining of
without or no
+ positive
- negative

Abd abdomen
ABG arterial blood gas
AIDS acquired immune deficiency syndrome
AP anteroposterior
bpm beats per minute
BUN blood urea nitrogen
CABG coronary artery bypass grafting
CAD coronary artery disease
CBC complete blood count
CCU cardiac care unit
CHF congestive heart failure
cig cigarettes
COPD chronic obstructive pulmonary disease
CPR cardiopulmonary resuscitation
CSF cerebrospinal fluid
CT computed tomography
CVA cerebrovascular accident
CVP central venous pressure
CXR chest x-ray
DIC disseminated intravascular coagulation
DM diabetes mellitus
DTR deep tendon reflexes
Dx diagnosis
ECG electrocardiogram
EKG electrocardiogram
ED emergency department
EMT emergency medical technician
ENT ears, nose, and throat
EOM extraocular muscles
ETOH alcohol
Ext extremities
FH family history
FUO fever of undetermined origin
GI gastrointestinal
GU genitourinary
HEENT head, eyes, ears, nose, and throat
HIV human immunodeficiency virus
HTN hypertension
I&O intake and output
JVD jugular venous distention
KUB kidney, ureter, and bladder (x-ray of the lower abdomen)
LLQ left lower quadrant
LMP last menstrual period
LUQ left upper quadrant
LP lumbar puncture
MI myocardial infarction
MRI magnetic resonance imaging
MVA motor vehicle accident
Neuro neurologic
NIDDM non-insulin-dependent diabetes mellitus
NKA no known allergies
NKDA no known drug allergy
NL normal/normal limits
NPO nothing by mouth (from latin: nil per os)
NS normal saline
NSAID nonsteroidal anti inflammatory drugs
NSR normal sinus rhythm
OCP oral contraception pills
OTC over-the-counter (medications that do not require a prescription)
P pulse/heart rate
PA posteroanterior
PERLA pupils equal, react to light and accommodation
PERRLA pupils equal, round, reactive to light and accommodation
P.O. by mouth (from latin: per os) =
po orally
PT prothrombin time
PTT partial thromboplastin time
RBC red blood cells
RLQ right lower quadrant
R/O rule out
ROM range of motion
RUQ right upper quadrant
Rx prescription
SH social history
SOB short of breath
stat immediately
Sx symptoms
TIA transient ischemic attack
U/A urinalysis
URI upper respiratory tract infection
UTI urinary tract infection
WBC white blood cells
WNL within normal limits

Abbreviation used for medication dosing:

q.d. once a day (once every morning)
b.i.d. twice a day
t.i.d. three times a day
q.i.d. four times a day
q every
qhr every hour
q2hr every 2 hours
a.c. before meals (from latin: ante cibum)
h.s. at bedtime, (hour of sleep)
p.c. after meals (from latin: post cibum)
prn as-needed, whenever necessary (from Latin: pro re nata)
IM intramuscularly
IV intravenously
subq subcutaneous
SL sublingual


kg kilogram
g gram
mcg microgram
mg milligram
lbs pounds
oz ounces
m meter
cm centimeter
min minute
hr hour
C Celsius
F Fahrenheit


BP blood pressure
HR heart rate
R respirations
T temperature