Charting Abbreviations

AMA Against Medical Advice

D/C Discharge, Discontinue
DNR Do not resuscitate
HPI History of Present Illness
NKDA No known drug allergy
PCP Primary Care Physician
RF Risk factor
Sx Symptoms
Dx Diagnosis
Tx Treatment
UOP Urine output
I&O Intake and Output
CC Chief complaints
ROS Review of systems
IBW Ideal body weight
DOB Date of birth
ICU Intensive Care Unit
MVA Motor vehicle accident
Fx Fracture
BM Bowel movement
CP Chest pain
SOB Shortness of breath
DOE Dyspnea on exertion
CV Cardiovascular
GI Gastrointestinal
ID Infectious disease
S/P Status post
BLS Basic life support
ALS Advance Life Support

LABORATORY
CBC Complete Blood Count
WBC White Blood Cell
RBC Red Blood Cell
Plt Platelet
BMP Basal Metabolic Panel

Hgb Hemoglobin
Hct Hematocrit
ABG Arterial Blood Gas
UA Urinalysis
 Coagulation
DVT Deep Vein Thrombosis
Imaging/ Test FGR Fetal Growth Restriction
CXR Chest Xray HIV Human Immunodeficiency Virus
UTZ Ultrasound D&C Dilatation and Curettage
MRI Magnetic Resonance Imaging NSVD Normal Spontaneous Vaginal
CT Computed Tomography Delivery
ECG/EKG Electrocardiogram ST/ NST Stress Test/ Non stress test
EEG Electroencephalogram CAD Coronary Artery Disease
HTN Hypertension
DM Diabetes Mellitus
CHF Congestive Heart Failure
CTG Cadiotocograph COPD Chronic Obstructive Pulmonary
Hbsag Hepatis B Surface Antigen Disease
GTT Glucose Tolerance Test MI Myocardial Infarction
CVA Cerebrovascular accident
BMI Body Mass Index CKD Chronic Kidney Disease
CEFM Continuous Electronic Fetal UTI Urinary Tract Infection
Monitoring
CVS Chorionic Villus Sampling Anatomy
ECG Electrocardiograph RUQ Right Upper Quadrant
FBS Fasting Blood Sugar LUQ Left Upper Quadrant
RLQ Right Lower Quadrant
CT Scan Computed Tomography LLQ Left Lower Quadrant
RUE Right Upper Extremity
LUE Left Upper Extremity
RLE Right Lower Extremity
LLE Left Lower Extremity
ABD Abdomen
RT-PCR Reverse Transcription Polymerase
Chain Reaction
RDT Rapid Diagnostic Test
RBS Random Blood Sugar
RAT Rapid Antigen Test
O2 Sat Oxygen Saturation

CS Culture Study
AFB Acid Fast Bacilli
VDRL Venereal disease research laboratory

EBL Estimated Blood Loss

EBM Expressed Breast Milk

GDM Gestational Diabetes Mellitus

IUGR Intrauterine Growth Retardation
LGA Large for Gestational Age
SGA Small for Gestational Age
CS Caesarian Section
DIC Disseminated Intravascular