Abrasion Scrape of the skin due to something abrasive
Acute New, usually of rapid onset and of concern, opposite of chronic Anterior Located towards the front of the body Benign Normal, of no danger to health Bradycardia Slow heart-rate (HR less than 60bpm) Cardiomegaly Enlarged heart Cholecystitis Inflammation of the cholecyst (gallbladder) Chronic Long-standing, constant. Opposite of acute COPD Chronic Obstructive Pulmonary Disease, lung Dz commonly seen in smokers Coronary artery The artery that supplies heart tissue with blood Cerebrovascular Accident (CVA) a.k.a. "Stroke". Lack of blood supply to the brain causing brain damage Diaphoresis Sweating Distal Farther from the trunk of the body Deep Venous Thrombosis (DVT) A blood clot in a deep vein, most often an extremity Dyspnea Problems with breathing Dysuria Painful urination Ecchymosis A bruise Edema Swelling Emesis Vomiting Epistaxis Nose bleed Erythema/Erythematous Redness/Red Grossly Obviously; a lot; wholly Hematemesis Very large amounts of blood in the vomit Hematuria Very large amounts of blood in the urine Hemoptysis Coughing up very large amounts of blood Hemorrhage Excessive or profuse bleeding Hepatomegaly Enlarged liver Hypertension High blood pressure Hypotension Low blood pressure Hypoxia Low oxygen saturation of the body, not enough oxygen in the blood Infarct Area of dead tissue after a lack of blood supply Inferior Lower on the body, farther from the head Ischemia Lack of blood supply Laceration Splitting of the skin due to trauma (a cut due to something sharp) Lateral Farther from the midline (a line that can be traced from nose to belly-button) Medial Nearer to the midline Melena Black tarry stool Myocardial Infarction (MI) Death of cardiac muscle due to ischemia Myalgia Muscular pain, muscle aches Oriented x3 Oriented to person, place, and time Pallor Pale skin Pulmonary Embolism (PE) Blocking of a pulmonary artery due to a blood clot Posterior/Dorsal Rear or backside of the body Proximal Nearer to the trunk of the body Purulent Pus-like Rales Crackles; wet crackling noise in lungs Rhinorrhea Clear nasal discharge, "runny nose" Rhonchi Rattling noise of mucous in the lungs Sepsis Dangerous infection of the blood STEMI ST elevation MI, real-time ongoing death of heart tissue due to ischemia Superior Higher on the body, nearer to the head Supine Body position lying face up Syncope "Passing out", loss of consciousness or fainting Tachycardia Fast heart rate (HR greater than 100bpm) Tachypnea Increased breathing rate Transient Ischemic Attack (TIA) Minor stroke; where neurological function is regained quickly with time Vertigo Condition of dizziness, "room spinning" Wheezing High pitched sound heard in the lungs with asthmatics or lung disease
BASIC MEDICAL ABBREVIATIONS Down, Below, Less, Decrease, Lower Up, Above, More, Increase, Higher > Greater Than < Less Than ~ Approximately Change Before AAA Abdominal Aortic Aneurysm A Fib Atrial Fibrillation Abd Abdomen, Abdominal Abx Antibiotics AMA Against Medical Advice AMS Altered Mental Status ASA Acetylsalicylic Acid (Aspirin) BID Twice Daily Bilat LE Bilateral Lower Extremities BM Bowel Movement BP Blood Pressure c With CA Cancer, Carcinoma CABG Coronary Arterial Bypass Graft, Open heart surgery CAD Coronary Artery Disease, heart disease CT or CAT Computerized Assisted Tomography CHF Congestive Heart Failure COPD Chronic Obstructive Pulmonary Disease CP Chest Pain CPR Cardiopulmonary Resuscitation C-section Caesarean Section CSF Cerebrospinal Fluid CVA Cerebrovascular Accident -or- Costovertebral Angle CXR Chest X-Ray c/o Complains of C-Spine Cervical Spine (neck) DKA Diabetic Ketoacidosis DM Diabetes Mellitus DNR Do Not Resuscitate DOE Dyspnea On Exertion DVT Deep Venous Thrombosis Dx Diagnosis Dz Disease EKG/ECG Electrocardiogram EtOH Alcohol FHx Family History Fx Fracture GI Gastrointestinal G/P/Ab Gravida/Para/Abortion GSW Gun Shot Wound GU Genitourinary HA Headache HEENT Head, Eyes, Ears, Nose, Throat HPI History of Present Illness HTN Hypertension Hx History H&H Hemoglobin and Hematocrit H&P History of Present Illness and Physical Exam I&D Incision and Drainage IDDM Insulin Dependent Diabetes Mellitus IUP Intrauterine Pregnancy IVDA IV Drug Abuse JVD Jugular Vein Distension LLE Left Lower Extremity LLQ Left Lower Quadrant LNMP Last Normal Menstrual Period LOC Loss of Consciousness LP Lumbar Puncture LUE Left Upper Extremity LUQ Left Upper Quadrant MCA Motorcycle Accident MI Myocardial Infarction MVA/MVC Motor Vehicle Accident/Collision N/A Not Applicable NAD No Acute Distress, No Acute Disease NIDDM Non-Insulin Dependent Diabetes Mellitus NKDA No known Drug Allergies Nml -or- nl Normal NSAID Non Steroidal Anti- Inflammatory Drug NSR Normal Sinus Rhythm NTG Nitroglycerin N/V/D Nausea/Vomiting/Diarrhea O2 Sat Oxygen Saturation (a.k.a. SaO2) OD Overdose p Post, After PCP Primary Care Physician (a.k.a. PMD) PE Pulmonary Embolism -or- Physical exam PERRL Pupils are equal, round, and reactive to light PO Per Os (by mouth) prn As needed pt Patient PTA Prior To Arrival qd Every Day qh Every Hour qhs At Every Bedtime q2h Every 2 Hours QID Four Times a Day RLE Right Lower Extremity RLQ Right Lower Quadrant ROM Range of Motion ROS Review of System RUE Right Upper Extremity RUQ Right Upper Quadrant Rx Prescription r/o Rule Out s Without SOB Shortness of Breath s/p Status Post (after) Sx Symptoms TIA Transient Ischemic Attack TID Three Times a Day TM Tympanic membrane Tx Treatment UA Urinalysis URI Upper Respiratory Infection US Ultrasound UTD Up to Date UTI Urinary Tract Infection WNL Within Normal Limits