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A-a gradient AAA abdominal aortic aneurysm AAS acute abdominal series ABG arterial blood gas ACLS advanced cardiac life support ACTH adrenocorticotropic hormone ADH anti-diuretic hormone ad lib as much as needed atrial fibrillation or afebrile AFB acid-fast bacilli alpha-fetoprotein A/G albumin/globulin ratio aortic insufficiency AKA above the knee amputation ALL acute lymphocytic leukemia amb ambulate AML acute myelogenous leukemia ANA antinuclear antibody AOB alcohol on breath AODM adult onset diabetes mellitus anteroposterir or abdominal perineal acute renal failure ARDS acute repiratory distress syndrome aortic stenosis AF AFP AI AP ARF ASAP ASD AV as soon as possible atrial septal defect ABD AC AS ASCVD ASHD alveolar to arterial gradient abdomen before eating atherosclerotic cardiovascular disease atherosclerotic heart disease atrioventricular A-V arteriovenous A-VO2 ateriovenous oxygen BBB bundle branch block BCAA branched chain amino acids BE barium enema BEE basal energy expenditure bid twice a day BKA below the knee amputation BM bone marrow or bowel movement BMR basal metabolic rate BOM bilateral otitis media blood pressure BPH benign prostatic hypertrophy BP BPM beats per minute BRP bathroom privileges BS bowel or breath sounds BUN blood urea nitrogen BW body weight BX C&S Ca biopsy culture and sensitivity BRBPR c CA bright red blood per rectum with cancer calcium CAA crystalline amino acids coronary artery bypass graft CAD coronary artery disease CAT computerized axial tomography CBC complete blood count CBG capillary blood gas CABG CC chief complaint CCU CF CHF CI clean cath urine or cardiac care unit cystic fibrosis CCV critical closing volume CGL chronic granulocytic leukemia congestive heart failure CHO carbohydrate cardiac index CML chronic meylogenous leukemia CMV cytomegalovirus CN cranial nerves CNS central nervous system CO cardiac output C/O complaining of COPD COLD chronic obstructive lung disease chronic positive airway pressure CPK creatinine phosphokinase CRF chronic renal failure CRP C-reactive protein CSF cerebrospinal fluid CVA CVAT CVP cerebrovascular accident or costovertebral angle central venous pressure CXR chest x-ray Dat diet as tolerated DAW dispense as written DC discontinue or discharge D&c dilation and curettage DDx differential diagnosis D5W 5% dextrose in water diabetes insipidus DIC DIP distal interphalangeal joint DJD disseminated intravascular coagulopathy degenerative joint disease DKA diabetic ketoacidosis DI DM CT dL computerized tomography cva tenderness deciliter diabetes mellitus DNR do not resuscitate DOA dead on arrival DOE dysphnea on exertion DPL diagnostic peritoneal lavage DPT diphteria, pertussis, tetanus DTR deep tendon reflexes DCT deep venous thrombosis diagnosis EAA essential amino acids EBL estimated blood loss ECG electrocardiogram ECT electroconvulsive therapy EFAD essential fatty acid deficiency EMG electromyogram EMV ENT ear, nose, and throat EOM eyes, motor, verbal response (Glasgow coma scale) extraocular muscles ESR erythrocyte sedimentation rate ETT endrotracheal tube DX ETOH ethanol ET ERCP EUA endotracheal endoscopic retrograde cholangio pancreatography examination under anesthesia FBS fasting blood sugar FEV forced expiratory volume FFP fresh frozen plasma FRC functional residual capacity FTT failure to thrive FUO fever of unknown origin FVC forced vital capacity fracture GC gonorrhea Fx FETT general by endotracheal tube FU Follow-up GFR glomerular filtration rate grain; 1 grain = 65mg Therefore Vgr = 325mg drops GI gastrointestinal gr GSW gun shot wound gt or gtt GTT glucose tolerance test GU genitourinary GXT HA headache HAA graded exercise tolerance (Stress test) hepatitis B surface antigen HAV hepatitis A virus HBP high blood pressure HCG human chorionic gonadotropin HCT hematocrit HDL high density lipoprotein head, eyes, ears, nose throat Hgb hemoglobin henderson-hasselbach equation or hemoglobin/hematocrit histocompatibility locus antigen HIV human immunodeficiency virus HJR hepatojugular reflex history of HOB head of bed HPF high power field HPI history of present illness HR heart rate HS at bedtime HEENT H/H HLA Ho HSM hepatosplenomegaly HTLV-III HSV herpes simplex virus HTN human lymphotropic virus, type II (Aids agent, HIV) hypertension Hx history I&D incision and drainage I&O intake and output ICS intercostal space ICU intensive care unit ID infectious disease or identification IDDM insulin dependent diabetes mellitus IG immunoglobin IHSS idiopathic hypertropic subaortic stenosis intermittent mandatory ventilation IM intramuscular INF intravenous nutritional fluid IMV IPPB IRDM ITP intermittent positive pressure breathing insulin resistant diabetes mellitus idiopathic thrombocytopenic purpura IRBBB IT incomplete right bundle branch block interthecal IV intravenous IVC intravenous cholangiogram | inferior vena cava juvenile onset diabetes mellitus IVP intravenous pyelogram JVD jugular venous distention KOR keep open rate KUB kidneys, ureters, bladder KVO keep vein open L LAD LAE left atrial enlargement LAHB left axis deviation or left anterior descending left anterior hemiblock LAP LBBB left bundle branch block LDH left atrial pressure leukocyte alkaline phosphatase lactate dehydrogenase LE lupus erythematosus LIH left inguinal hernia LLL lower left lobe LMP last menstrual period last normal menstrual period LOC lumbar puncture LPN loss of consciousness or level of consciousness licensed practical nurse JODM LNMP LP LUL LUQ LVEDP LV left LVH left ventricular hypertrophy MAO left upper lobe left upper quadrant left ventricular end diastolic pressure monoamine oxidase MAP mean arterial pressure MAST medical antishock trousers MBT maternal arterial pressure MCH mean cell hemoglobin MCV mean cell volume MCHC left ventricle milliliter MLE mean cell hemoglobin concentration myocardinal infarction or mitral insufficiency midline episiotomy MMEF maximal mid expiratory flow mmol millimole MMR measles, mumps, rubella MRI magnetic resonance imaging MRSA methicillin resistant staph aureus MS MSSA methicillin-sensitive staph aureus MVA multiple sclerosis or mitral stenosis, or morphine sulfate motor vehicle accident MVI multivitamin injection MVV maximum voluntary ventilation NAD no active disease NAS no added salt NCV nerve conduction velocity NED no evidence of recurrent disease mL ng NIDDM NKDA NSAID nanogram non-insulin dependent diabetes mellitus no known drug allergies non-steroidal anti-inflammatory drugs MI NG nasogastric NKA no known allergies NMR no regular medications NSR normal sinus rhythm NT OCG nasotracheal OB obstetrics oral cholecystogram OD overdose or right eye OM otitis media OPV oral polio vaccine OR operating room left eye OU both eyes para PA posteroanterior PAO2 alveolar oxygen OS P OOB out of bed PAC premature atrial contraction PaO2 peripheral arterial oxygen content PAT paroxysymal atrial tachycardia P&PD percussion and postural drainage after eating PCWP PC PAP pulmonary artery pressure patent ductus arteriosus PDR pulmonary capillary wedge presure physicians desk reference PEEP Positive end expiratory pressure PFT pulmonary embolus, or physical exam or pleural effusion pulmonary function tests PI pulmonic insufficiency disease PKU phenylketonuria PMH previous medical history PMI point of maximal impulse PMN PND paroxysmal nocturnal dyspnea PO polymorphonuclear leukocyte (neutrophil) by mouth POD post-op day PP postprandial or pulsus paradoxus PPD purified protein derivative PR by rectum PRBC PRN as needed PS pulmonic stenosis Pt patient PUD prothrombin time, or physical therapy percutaneous transluminal coronary angioplasty percutanous transhepatic cholangiogram peptic ulcer disease PVD peripheral vascular disease PDA PE PT PTCA PTHC qd pg picogram packed red blood cells PTH parathyroid hormone PTT partial thromboplastin time PVC premature ventricular contraction q every every day qh every hour q4h, q6h... QNS Every 4 hours, every 6 hours, ect... qid four times a day quod every other day Qs/Qt shunt fraction Qt total cardiac output right RA rheumatoid arthritis or right atrium R quantity no sufficient RAD right atrial axis deviation RAP right atrial pressure RBC red blood cell RBP retinol-binding protein RDA recommended daily allowance RDW red cell distribution width RIA radioimmunoassay RIH right inguinal hernia RLL right lower lobe RNA ribonucleic acid R/O rule out ROM range of motion ROS review of systems RPG retrograde pyelogram RRR regular rate and rhythm RTA renal tubular acidosis RTC return to clinic RU resin uptake RUG retograde pyelogram RV residual volume RVH right ventricular hyperthrophy Rx treatment s SA sinoatrial SAA synthetic amino acid S&E sugar and acetone SBE subacute bacterial andocarditis SBFT small bowel follow through SBS short bowel syndrome Scr serum creatinine SEM systolic ejection murmer SG Swan-Ganz SGA small for gestational age SGGT SGPT sig sl serum gamma-glutamyl transpeptidase serum glutamicpyruvic transaminase write on label sublingual RAE RBBB RT SGOT SIADH SIMV SLE right bundle branch block respiratory or radiation therapy without | ss = one-half serum glutamicoxalacetic transaminase syndrome of inappropriate antidiuretic hormone synchronous intermittent mandatory ventilation systemic lupus erythematous SMO slips made out SOB shortness of breath STAT immediately SVD spontaneous vaginal delivery Sx symptomns T&C type and cross total abdominal hysterectomy T&H type and hold TB tuberculosis TBG total binding globulin Td tetanus-diphtheria toxoid TIA transient ischemic attack TIBC total iron binding capacity tid three times a day TIG tetanus immune globulin TKO TAH SOAP right atrial enlargement SQ Subjective, Objective, Assessment, Plan subcutaneous to keep open TLC total lung capacity TNTC too numerous to count TOPV trivalent oral polio vaccine TMJ TO TPN temporo mandibular joint telephone order total parenteral nutrition TSH thyroid stimulating hormone TT thrombin time TTP thrombotic thrombocytopenic purpura transurethral resection TU tuberculin units TUR TURP TURBT TUR bladder tumors transurethral resection of prostate TV tidal volume total vaginal hysterectomy tw twice a week treatment, transplant UA urinalysis UAC uric acid ud as directed UGI upper gastrointestinal URI upper respiratory infection US ultrasound UTI urinary tract infection urinary urea nitrogen VC vital capacity TVH Tx UUN VCUG voiding cysourethrogram VMA vanillymadelic acid VO verbal or voice order V/Q ventilation - perfusion VSS vital signs stable WB whole blood WBC white blood cell or count WD well developed WF white female WM white male WN well nurished WNL within normal limits Wolf-Parkinson-White XRT X-ray therapy WPW yo years old ZE above, diastolic blood pressure (anesthesia records), elevated, enlarged, improved, increased, superior (position), upper > causes, demonstrates, distal, followed by, derived from, greater than, indicates, larger than, leads to, more severe than, produces, radiates to, radiating to, results in, reveals, shows, to, toward, worse than, yields < Zollinger-Ellison below, decreased, deficiency, deficit, depressed, deteriorated, diminished, down, inferior (position), lower, systolic blood pressure (anesthesia records) caused by, derived from, less severe than, less than, produced by, proximal, smaller than angle, flexion, flexor angle of entry angle of exit factorial product, right lower quadrant left upper quadrant right upper quadrant left lower quadrant anion gap, centrad prism, change, delta gap, heat, increment, occipital triangle, prism diopter, temperature (anesthesia records) time interval change in absorbance difference in decibels change in (intraocular) pressure change in pH time interval
