| A | B |
|---|
| H & P | history and physical |
| Hx | history |
| CC | chief complaint |
| c / o | complains of |
| PI | present illness |
| HPI | history of present illness |
| Sx | symptom |
| PH | past history |
| PMH | past medical history |
| UCHD | usual childhood diseases |
| NKA | no known allergies |
| NKDA | no known drug allergies |
| FH | family history |
| SH | social history |
| OH | occupational history |
| ROS | review of systems |
| SR | systems review |
| PE | physical examination |
| Px | documentations of PE |
| HEENT | head, eyes, ears, nose, throat |
| PERRLA | pupils equal, round, and reactive to light and accommodation |
| WNL | within normal limits |
| Dx | diagnosis |
| IMP | impression |
| A | assessment |
| R / O | rule out |
| CCU | coronary (cardiac) care unit |
| ECU | emergency care unit |
| ER | emergency room |
| ICU | intensive care unit |
| IP | inpatient |
| OP | outpatient |
| OR | operating room |
| PAR | postanesthetic recovery |
| post-op / postop | postooperative (after surgery) |
| pre-op / preop | preoperative (before surgery) |
| RTC | return to clinic |
| RTO | return to office |
| BRP | bathroom privileges |
| CP | chest pains |
| DC, D / C | discharge, discontinue |
| ETOH | ethyl alcohol |
| pt | patient |
| RRR | regular rate and rhythm |
| SOB | shortness of breath |
| Tr | treatment |
| Tx | treatment or traction |
| VS | vital signs |
| T | temperature |
| P | pulse |
| R | respiration |
| BP | blood pressure |
| Ht | height |
| Wt | weight |
| WDWN | well-developed and well-nourished |
| y.o. | year old |
| cc | cubic centimeter |
| cm | centimeter |
| g or gm | gram |
| kg | kilogram |
| L | liter |
| mg | milligram |
| ml, mL | milliliter |
| mm | millimeter |
| cu mm | cubic millimeter |
| fl oz | fluid ounce |
| gr | grain |
| gt | drop (gutta) |
| gtt | drops (guttas) |
| dr | dram |
| oz | ounce |
| lb or # | pound |
| qt | quart |
| a.c. | before meals |
| a.m. | before noon |
| b.i.d. | twice a day |
| d | day |
| h | hour |
| h.s. | at hour of sleep (bedtime) |
| noc. | night |
| p.m. | after noon |
| p.r.n. | as needed |
| q | every |
| q d | every day |
| q h | every hour |
| q 2 h | every 2 hours |
| q.i.d. | four times a day |
| q.o.d. | every other day |
| STAT | immediately |
| t.i.d. | three times a day |
| wk | week |
| yr | year |
| AD | right ear |
| AS | left ear |
| AU | both ears |
| ad lib. | as desired |
| amt | amount |
| aq | water |
| C | Celsius, centrigrade |
| F | Fahrenheit |
| NPO | nothing by mouth |
| OD | right eye |
| OS | left eye |
| OU | both eyes |
| per | by or through |
| p.o. | by mouth |
| PR | through rectum |
| PV | through vagina |
| q.n.s. | quantity not sufficient |
| q.s. | quantity sufficient |
| Rx | recipe; prescription |
| Sig: | label; instruction to the pt |
| remission | period in which sypmtoms stop |
| prognosis | probable outcome of a disease |
| diagnosis | name of a disease based on history, exam, & testing |
| febrile | temperature |
| syndrome | set of symptoms characteristic of a particular disease or condition |
| exacerbation | increase in severity with aggravation of symptoms |
| chronic | developing slowly over time |
| localized | limited to a definite area or part |
| malignant | cancerous |
| etilogy | the study of the cause of a disease |
