Medical Abbreviations PDF
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This document provides a comprehensive list of medical abbreviations commonly found on health records, alongside their definitions. It covers a wide range of abbreviations for symptoms, findings, and medical procedures. The document is suitable for healthcare professionals needing a quick reference guide for medical abbreviations.
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# Health Care Facility Abbs - **CCU:** coronary care unit - **ECU:** emergency care unit - **ER:** emergency room - **ED:** emergency department - **ICU:** intensive care unit - **PICU:** pediatric intensive care unit - **NICU:** neonatal intensive care unit - **SICU:** surgical intensive care unit...
# Health Care Facility Abbs - **CCU:** coronary care unit - **ECU:** emergency care unit - **ER:** emergency room - **ED:** emergency department - **ICU:** intensive care unit - **PICU:** pediatric intensive care unit - **NICU:** neonatal intensive care unit - **SICU:** surgical intensive care unit - **PACU:** post-anesthesia care unit - **LED:** labor & delivery - **OR:** operating room - **post-op:** after surgery - **pre-op:** before surgery ## Abbrevs on Health Records - **VS:** vital signs - **BP:** blood pressure - **I:** temperature - **HR:** heart rate - **Ht:** height - **Wt:** weight - **BMI:** body mass index - **BR:** respiratory rate - **I/O:** intake/output (the amount of fluids a patient has taken in by IV or mouth) + produced (usually urine output) - **H&P:** history & physical - **Hx:** history - **Dx:** diagnoses - **DDX:** differential diagnoses - **Ix:** treatment - **Bx:** prescription - **CC:** chief complaint - **HPI:** history of present illness - **ROS:** review of symptoms - **PMHx:** past medical history - **FHx:** family history - **NKDA:** no known drug allergies - **PE:** physical exam - **Pt:** patient - **y/o:** years old - **h/o:** history of - **PCP:** primary care provider - **f/u:** follow up ## Abbs for Symp. or Findings - **SOB:** shortness of breath - **HEENT:** head, eyes, ears, nose, throat - **PERRILA:** pupils are equal, round, reactive to light & accommodation - **NAD:** no acute distress (patient doesn't display intense symptoms) - **CV:** cardiovascular - **RRR:** - regular rate & rhythm (normal heart exam) - **CTA:** clear to auscultation (description of normal sounding lungs ) - **WDWN:** well-developed, well-nourished - **A&O:** alert & oriented - **WINL:** within normal limits - **NOS:** not otherwise specified - **NEC:** not elsewhere classified - don't quite fit specific causes - **PR:** per rectum (anal) - **PO:** per os (by mouth) - **NPO:** nil per os (nothing by mouth) - **SC:** subcutaneous (under skin) - **IV:** intravenous - **CVL:** central venous line - **PICC:** peripherally inserted central catheter - **Sig:** instructions. Short for signa, from Latin "label". ## Meds Administering Orders - **BID:** twice daily, from Latin "bis in die": 2 in a day - **TID:** 3x daily, from Latin "ter in die". 3 in a day - **Q:** every X, example Q4hr would mean every 4 hours or Q3 days would be every 3 days - **QD:** daily, from Latin phrase "quaque die", which means "each day" - **QID:** 4x daily, from the Latin phrase "quarter in die", which means "4 in a day" - **QHS:** at night, from the Latin phrase "quaque hora somni" which means "each night at the hour of sleep" - **AC:** before meals, from the Latin phrase "ante cibum", which means "before food" - **PC:** after meals, from the Latin phrase "post cibum", which means "after food" - **prn:** as needed, from Latin phrase "per re nata", which means "as the need arises" - **ad lib:** as desired # Integumentary Abbrevs. | Abbrev | Definition | |---|---| | ABCDE | asymmetry, border, color, diameter, evolving | | AL | actinic keratosis | | Bx | biopsy | | C&S | culture & sensitivity | | derm | dermatology | | ID | intradermal | | SC | subcutaneous | | SQ | subcutaneous | # Medical Terminology: Abbreviations Common on Health Records | Abbreviation | Definition | |---|---| | Dx | diagnosis | | DDx | differential diagnosis | | Tx | treatment | | Rx | prescription | | H&P | history and physical | | Hx | history | | CC | chief complaint (the main reason for the visit) | | HPI | history of present illness (the story of the symptoms) | | ROS | review of systems (anything else not directly related to the chief complaint) | | PMHx | past medical history | | FHx | family history | | NKDA | no known drug allergies | | PE | physical exam | | Pt | patient | | y/o | years old | | h/o | history of | | PCP | primary care provider | | f/u | follow up | # Symbols | Abbreviation | Definition | |---|---| | 8 | male | | 0 | female | | (R) | right | | (L) | left | | (B) | bilateral |