This document provides definitions for common medical abbreviations and acronyms used in healthcare documentation. Some abbreviations refer to medical conditions, body parts, diagnostic tests, or medications. For example, FBOA refers to a foreign body obstructed airway, hCG is human chorionic gonadotropin hormone, and IVP stands for intravenous pyelogram imaging test. Other abbreviations are used as shorthand for terms like per hour (hr), family history (FH), or past medical history (PHx). Taking up medical terminology and common abbreviations is important for understanding clinical documentation.
This document provides definitions for common medical abbreviations and acronyms used in healthcare documentation. Some abbreviations refer to medical conditions, body parts, diagnostic tests, or medications. For example, FBOA refers to a foreign body obstructed airway, hCG is human chorionic gonadotropin hormone, and IVP stands for intravenous pyelogram imaging test. Other abbreviations are used as shorthand for terms like per hour (hr), family history (FH), or past medical history (PHx). Taking up medical terminology and common abbreviations is important for understanding clinical documentation.
This document provides definitions for common medical abbreviations and acronyms used in healthcare documentation. Some abbreviations refer to medical conditions, body parts, diagnostic tests, or medications. For example, FBOA refers to a foreign body obstructed airway, hCG is human chorionic gonadotropin hormone, and IVP stands for intravenous pyelogram imaging test. Other abbreviations are used as shorthand for terms like per hour (hr), family history (FH), or past medical history (PHx). Taking up medical terminology and common abbreviations is important for understanding clinical documentation.
This document provides definitions for common medical abbreviations and acronyms used in healthcare documentation. Some abbreviations refer to medical conditions, body parts, diagnostic tests, or medications. For example, FBOA refers to a foreign body obstructed airway, hCG is human chorionic gonadotropin hormone, and IVP stands for intravenous pyelogram imaging test. Other abbreviations are used as shorthand for terms like per hour (hr), family history (FH), or past medical history (PHx). Taking up medical terminology and common abbreviations is important for understanding clinical documentation.
FBOA—foreign body obstructed airway stimulates the corpus luteum to produce
-a partial or complete blockage of the progesterone to maintain the pregnancy.
breathing tubes to the lungs due to a foreign Smaller amounts of hCG are also body (for example, food, a bead, toy, etc.). The onset produced in the pituitary gland, the liver, of respiratory distress may be sudden with cough. and the colon FBS—fasting blood sugar hct—hematocrit FBW—fasting blood work HDL—high-density lipoprotein FF (F. Fl)—force fluids hgb—hemoglobin FH—family history HOB—head of bed FHS—fetal heart sounds hr (h)—hour FHT—fetal heart tone HIV—human immunodeficiency virus FIFO—first in, first out H&P—history and physical FSH—follicle-stimulating hormone HR—heart rate - one of the hormones essential to pubertal hs—hour of sleep, bedtime development and the function of ht—height women's ovaries and men's testes. In Hx—history women, this hormone stimulates the hypo—hypodermic injection growth of ovarian follicles in the ovary hyst—hysterectomy before the release of an egg from one follicle at ovulation. It also increases IBS—irritable bowel syndrome oestradiol production. - common disorder that affects the large ft—foot intestine. Signs and symptoms include FUO—fever of undetermined origin cramping, abdominal pain, bloating, gas, Fx—fracture and diarrhea or constipation, or both. IBS is a chronic condition that you'll GB—gallbladder need to manage long term. GI—gastrointestinal I & D—incision and drainage GU—genitourinary I & O—intake and output GTT—glucose tolerance test (pancreas test) ICP—intracranial pressure - One common protocol is the 2- ICU—intensive care unit hour glucose tolerance test (GTT). For IM—intramuscular this test, you may have a fasting glucose ing—inguinal test done, then you drink a 75- inj—injection gram glucose drink (or 1.75 grams per IPPB—intermittent positive pressure breathing kilogram of body weight if you are a - a technique used to provide short term child). Another blood sample is drawn 2 or intermittent mechanical ventilation via hours after you begin to drink mouthpiece or mask for the purpose of the glucose drink. augmenting lung expansion and delivering gtt(s)—drop(s) aerosol medication. gyn—gynecology irrig—irrigation - medical practice dealing with the health IS—intercostal space of the female reproductive system. isol—isolation IT—inhalation therapy H & H—hemoglobin and hematocrit IUD—intrauterine device HCG—human chorionic gonadotrophin - small plastic T-shaped device used for - Human chorionic gonadotropin is a birth control. It is inserted into the uterus hormone produced primarily by where it stays to prevent pregnancy syncytiotrophoblastic cells of the placenta IV—intravenous during pregnancy. The hormone IVF—in vitro fertilization - method of assisted reproduction in which MAST—medical antishock trousers a man's sperm and a woman's eggs are - have been used to increase venous return combined outside of the body in a to the heart until definitive care could be laboratory dish. One or given. This, combined with compression more fertilized eggs (embryos) may be of blood vessels, is believed to cause the transferred to the woman's uterus, where movement of blood from the lower body they may implant in the uterine lining and to the brain, heart and lungs. develop. MCI—mass casualty incident IVP—intravenous pyelogram meds—medications - an x-ray exam that uses an injection of MI—myocardial infarction contrast material to evaluate your MICU—mobile intensive care unit kidneys, ureters and bladder and help min—minute diagnose blood in the urine or pain in MN—midnight your side or lower back. An IVP may MOM—milk of magnesia provide enough information to allow your - indicated as an antacid for the doctor to treat you with medication and symptomatic relief of stomach avoid surgery. discomfort, indigestion, hyperacidity, heartburn and flatulence; and as a K+—potassium laxative for constipation. Use a 5 ml spoon KCl—potassuim chloride or the dosing cup provided. Doses may be KUB—kidney, ureter, bladder taken with milk or water if desired. - X-ray may be performed to assess the MRI—magnetic resonance imagery abdominal area for causes of abdominal MS—morphine sulfate, multiple sclerosis pain, or to assess the organs and - Multiple sclerosis (MS) is a potentially structures of the urinary and/or disabling disease of the brain and spinal cord (central gastrointestinal (GI) system. A KUB X-ray nervous system). In MS , the immune system attacks may be the first diagnostic procedure the protective sheath (myelin) that covers nerve fibers used to assess the urinary system. and causes communication problems between your brain and the rest of your body. L—lumbar MVA—motor vehicle accident L & D—labor and delivery lac—laceration NVD—nausea, vomiting, diarrhea lab—laboratory Na+—sodium lap—laparotomy NaCl—sodium chloride lat—lateral N/C—nasal cannula LD—lethal dose no—complaints LDH—lactic dehydrogenase neg—negative - enzyme required during the process of neuro—neurology turning sugar into energy for your cells. NG—nasogastric LDL—low-density lipoprotein NGT—nasogastric tube liq—liquid nitro—nitroglycerine LLQ, LLL—left lower quadrant (abdomen), lobe (lung) - is a vasodilator, a medicine that opens LMP—last menstrual period blood vessels to improve blood flow. It is LOC—level of consciousness used to treat angina symptoms, such as LP—lumbar puncture chest pain or pressure, that happens lt—left when there is not enough blood flowing LUQ, LUL—left upper quadrant (abdomen), lobe (lung) to the heart. NKA—no known allergies MA—mental age noc (t)—night NPO—nothing by mouth States. Although not exactly NS—normal saline recommended fare for bedtime reading, nsg—nursing the PDR is the most NSR—normal sinus rhythm commonly used drug reference. NVS—neurological vital sign PE—physical exam, pulmonary embolism PEDS—pediatrics O—oxygen per—by or through OB—obstetrics PERL(A)—pupils equal and reactive to light (and OD—right eye, overdose accommodation) oint—ointment PET—positron emission tomography OOB—out of bed PH—past history OPD—outpatient department pH—hydrogen ion concentration OR—operating room PID—pelvic inflammatory disease ord—orderly PKU—phenylketonuria ORTH—orthopedics - is an inborn error of metabolism that ortho—correct, right (bones) results in decreased metabolism of the os—mouth amino acid phenylalanine. Untreated, PKU OS—left eye can lead to intellectual disability, seizures, OT—occupational therapy behavioral problems, and mental OU—both eyes disorders. It may also result in a musty oz—ounce smell and lighter skin. pm—between noon and midnight p—after PNS—peripheral nervous system P—pulse po—by mouth P & A—percussion and auscultation post (pos)—posterior postop, PAC—premature atrial contraction PostOp—–postoperative palp—palpation pp (p.p.)—postprandial (after eating) PAR—post-anesthesia room pO2—partial pressure of oxygen PAT—paroxysmal atrial tachycardia PPD—purified protein derivative (TB test) preop, - is a type of arrhythmia, or irregular PreOp—before surgery heartbeat. Paroxysmal means that the prn—as needed, whenever necessary episode of arrhythmia begins and ends pro time—prothrombin time abruptly. Atrial means that arrhythmia pt—patient, pint starts in the upper chambers of the heart PT—physical therapy (atria). Tachycardia means that the heart PTT—partial prothrombaplastin time is beating abnormally fast. PVC—premature ventricular contraction pc—after meals Px—physical exam, prognosis pCO2—partial pressure of carbon dioxide - The partial pressure of carbon dioxide q—every (PCO2) is the measure of carbon dioxide qd—every day within arterial or venous blood. It often qh—every hour serves as a marker of sufficient alveolar q2h, q3h, ...—every two hours, every three hours, ... ventilation within the lungs. Generally, qhs—every night at bedtime under normal physiologic conditions, the qid—four times a day value of PCO2 ranges between 35 to qns—quantity not sufficient 45 mmHg qod—every other day PDR—physician’s desk reference qs—quantity sufficient - A thick volume that provides a guide to prescription drugs available in the United r (R)—rectal R (resp)—respirations, rectal tachy—–tachycardic RAIU—radioactive iodine uptake study TAH—total abdominal hysterectomy RBC—red blood cell/count TB—tuberculosis reg—regular TCDB—turn, cough, deep breath Rh—rhesus temp (T)—temperature RK—radial keratomy TH—thyroid hormone RL—ringer’s lactate TIA—transient ischemic attack RLQ, RLL—right lower quadrant (abdomen), lobe tid—three times a day (lung) RML—right middle lobe (lung) TMJ—temporomandibular joint RO—reality orientation tol—tolerated R/O—rule out TPN—total parenteral nutrition ROM—range of motion TPR—temperature, pulse, respirations R.R.—recovery room tr—tincture RUQ, RLL—right upper quadrant, lobe trach—tracheotomy, tracheostomy rt—right TSH—thyroid-stimulating hormone RV—residual volume TT—tetanus toxiod Rx—take (prescription) TUR—transurethral resection TV—tidal volume s—without TVH—total vaginal hysterectomy S & S—signs and symptoms TX—traction ss—1/2 Sats—oxygen/blood saturation level UA—urinalysis SA—sinoatrial umb—umbilicus SB—small bowel unc.—unconscious sc—subcutaneous ung—ointment SGOT—serum glutamic oxaloacetic transaminase unk—unknown - An enzyme that is normally present in liver ur—urine and heart cells. SGOT is released into blood URC—usual, reasonable, customary when the liver or heart is damaged. URI—upper respiratory infection SGPT—serum glutamic pyruvic transaminase US—ultrasonic SIDS—sudden infant death syndrome UTI—urinary tract infection Sig:—label/write SL—sublingual V fib—ventricular fibrillation SMAC—sequential multiple analysis computer V tach—ventricular tachycardia SOB—shortness of breath vag—vaginal spec—specimen VC—vital capacity sp. gr.—specific gravity VD—venereal disease SQ, sub q—subcutaneous vit—vitamin SSE—soap suds enema vo—verbal order stat—immediately vol—volume STD—sexually transmitted disease V/S—vital signs STH—somatotropic hormone SVD—spontaneous vaginal delivery WA—while awake SVN—small volume nebulizer WBC—white blood cell/count SVT—supraventricular tachycardia w/c—wheelchair Sx—symptoms WNL—within normal limits wt—weight T—temperature, thoracic T & A—tonsillectomy and adenoidectomy y/o—year(s) ol tab—tablet