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Feb 8, 2024 · NAD. Nothing abnormal detected/discovered. Commonly used when documenting examination findings (e.g. “Abdominal exam NAD”) SNT. Soft, non-tender. Used in the context of documenting abdominal examination findings (e.g. “Abdo SNT”) SLR. Straight leg raise. +ve / -ve.
- Meaning
- On examination
- Blood pressure
- Respiratory rate
- a.c.—before meals
- ASA—aspirin asap (ASAP)—as soon as possible as tol—as tolerated
- BK—below knee
- BRP—bathroom privileges BS—breath sounds
- cath—catheter CBC—complete blood count cc—cubic centimeters CC—chief complaint
- c/o—complains of
- DW—distilled water
- FSH—follicle-stimulating hormone
- HR—heart rate
- LDH—lactic dehydrogenase LDL—low-density lipoprotein
- MA—mental age
- min—minute MN—midnight MOM—milk of magnesia
- PEDS—pediatrics per—by or through
- PT—physical therapy
- r (R)—rectal R (resp)—respirations, rectal
- RL—ringer’s lactate
- R.R.—recovery room
- SA—sinoatrial SB—small bowel
- temp (T)—temperature TH—thyroid hormone
- TUR—transurethral resection TV—tidal volume
- WA—while awake
ac & cl—acetest and clinitest ACLS—advanced cardiac life support AD—right ear ADL—activities of daily living ad lib—as desired adm—admission afeb—afebrile, no fever AFB—acid-fast bacillus AKA—above the knee alb—albumin alt dieb—alternate days (every other day) am—morning AMA—against medical advice
ATD—admission, transfer, discharge AU—both ears Ax—axillary BE—barium enema bid—twice a day bil, bilateral—both sides
BKA—below the knee amputation bl—blood bl wk—blood work BLS—basic life support BM—bowel movement BOW—bag of waters B/P—blood pressure bpm—beats per minute BR—bed rest
BSI—body substance isolation BSO—bilateral salpingo-oophorectomy BUN—blood, urea, nitrogen levels BVM—bag-valve-mask bx—biopsy c—with C & S—culture and sensitivity c-spine—cervical spine CA—cancer CAD—coronary artery disease cal—calorie CAT—computerized axial tomography
CCU—coronary care unit, critical care unit CHD—coronary heart disease CHF—congestive heart failure
COPD—chronic obstructive pulmonary disease CPK—creatine phosphokinase CPR—cardiopulmonary resuscitation CPT—chest physical therapy CS—central supply CSF—cerebrospinal fluid CT—computer tomography CVA—cerebrovascular accident (stroke) CVU—cardiovascular unit cx—cervix or complaint of CXR—chest X ray cysto—cystography d/c—discontinue D & C—dilation a...
D5W 5%—dextrose in water Dx—diagnosis EBL—estimated blood loss ECG—electrocardiogram ED—emergency department EEG—electroencephalogram EENT—eyes, ears, nose, throat EKG—electrocardiogram EMG—electromyogram EOA—esophageal obturator airway ESR—erythrocyte sedimentation rate est—estimated ER—emergency room ET—endotracheal ETA—estimated time of arrival ...
ft—foot FUO—fever of undetermined origin Fx—fracture GB—gallbladder GI—gastrointestinal GU—genitourinary GTT—glucose tolerance test (pancreas test) gtt(s)—drop(s) gyn—gynecology H & H—hemoglobin and hematocrit HCG—human chorionic gonadotrophin hct—hematocrit HDL—high-density lipoprotein hgb—hemoglobin HOB—head of bed hr (h)—hour HIV—human immunodef...
hs—hour of sleep, bedtime ht—height Hx—history hypo—hypodermic injection hyst—hysterectomy IBS—irritable bowel syndrome & D—incision and drainage & O—intake and output ICP—intracranial pressure ICU—intensive care unit IM—intramuscular ing—inguinal inj—injection IPPB—intermittent positive pressure breathing irrig—irrigation IS—intercostal space isol...
liq—liquid LLQ, LLL—left lower quadrant (abdomen), lobe (lung) LMP—last menstrual period LOC—level of consciousness LP—lumbar puncture lt—left LUQ, LUL—left upper quadrant (abdomen), lobe (lung)
MAST—medical antishock trousers MCI—mass casualty incident meds—medications MI—myocardial infarction MICU—mobile intensive care unit
MRI—magnetic resonance imagery MS—morphine sulfate, multiple sclerosis MVA—motor vehicle accident NVD—nausea, vomiting, diarrhea Na+—sodium NaCl—sodium chloride N/C—nasal cannula no—complaints neg—negative neuro—neurology NG—nasogastric NGT—nasogastric tube nitro—nitroglycerine NKA—no known allergies noc (t)—night NPO—nothing by mouth NS—normal sal...
PERL(A)—pupils equal and reactive to light (and accommodation) PET—positron emission tomography PH—past history pH—hydrogen ion concentration PID—pelvic inflammatory disease PKU—phenylketonuria pm—between noon and midnight PNS—peripheral nervous system po—by mouth post (pos)—posterior postop, PostOp—–postoperative pp (p.p.)—postprandial (after eati...
PTT—partial prothrombaplastin time PVC—premature ventricular contraction Px—physical exam, prognosis q—every qd—every day
RAIU—radioactive iodine uptake study RBC—red blood cell/count reg—regular Rh—rhesus RK—radial keratomy
RLQ, RLL—right lower quadrant (abdomen), lobe (lung) RML—right middle lobe (lung) RO—reality orientation R/O—rule out ROM—range of motion
RUQ, RLL—right upper quadrant, lobe rt—right RV—residual volume Rx—take (prescription)
sc—subcutaneous SGOT—serum glutamic oxaloacetic transaminase SGPT—serum glutamic pyruvic transaminase SIDS—sudden infant death syndrome Sig:—label/write SL—sublingual SMAC—sequential multiple analysis computer SOB—shortness of breath spec—specimen sp. gr.—specific gravity SQ, sub q—subcutaneous SSE—soap suds enema stat—immediately STD—sexually tran...
TIA—transient ischemic attack tid—three times a day TMJ—temporomandibular joint tol—tolerated TPN—total parenteral nutrition TPR—temperature, pulse, respirations tr—tincture trach—tracheotomy, tracheostomy TSH—thyroid-stimulating hormone TT—tetanus toxiod
TVH—total vaginal hysterectomy TX—traction UA—urinalysis umb—umbilicus unc.—unconscious ung—ointment unk—unknown ur—urine URC—usual, reasonable, customary URI—upper respiratory infection US—ultrasonic UTI—urinary tract infection fib—ventricular fibrillation tach—ventricular tachycardia vag—vaginal VC—vital capacity VD—venereal disease vit—vitamin v...
WBC—white blood cell/count w/c—wheelchair WNL—within normal limits wt—weight y/o—year(s) old
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CBC = complete blood count. Chem 7 (or Chem 8, 14, 20) = chemistry panels of 7,8,14,or 20 chemistry tests. BMP = basic Metabolic Panel. CMP = complete Metabolic Panel. LFTs = liver function tests. ABG = arterial blood gas. UA = urine analysis. HbA1C= diabetes blood test. Medical Terms by Body System.
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PMD private medical doctor PMHx past medical history p.o. orally pos; (+) positive PP postpartum preg pregnant p.r.n. as required; as needed pt. patient q every q.d. every day q.h. every hour q.i.d. four times a day q.n.s. quantity not sufficient q.s. quantity sufficient
This allows the physician to actually see on a TV monitor the inside of the tract and to identify ulcers, irritations, tumors, etc. Upper Endoscopy: The scope is used to examine the esophagus, the stomach and the duodenum (the first part of the intestine). Colonoscopy: A scope is used to examine the entire colon.
a strategy for decoding medical terminology and unfamiliar words in the English language. Word Parts . If all three word parts are present in medical terminology, they will be in the order of prefix root word suffix. Look at the following example to understand the function of each word part: anti-bacteri-al
has a non-medical background. Below is a list of commonly used medical abbreviations. This is NOT a comprehensive list, but should provide definitions for terms you are likely to encounter most frequently. If you have any questions about what you are reading in a note, please do not hesitate
