Chaaria abbreviations - skrty:

A
AAFB (sputum for AAFB) - Acid Alkohol Fast
Bacilli,
test na gruzlic
AL Artemeter/ Lumefantryna (for mild
malaria)
AFP Acute Flaccid Paresis, ch.Heine-Medina
ABZ Albendazol
ASOT (ASO) - odczyn antystreptolizynowy
ATT - antytoxine tetanus, antytoksyna
tcowa
Abd - Abdomen
A.R.F. Acute Renal Failure
AAA Acute Asthmatic Attack
Alt Alternate, co drugi (about removal of
stitches)
AF Atrial Fibryllation
AUB Abnormal Uterine Bleeding
ABD Assisted Breech Delivery
APH Ante Partum Haemorrhage
AC Abdomen Circumference
A/S Apgar Score
AFD Assisted Forceps Delivery

B
BP Blood Pressure
BHP - Benign Hypertrophy of Prostate,
agodny przerost prostaty
BS Blood Sugar, glukoza w mmol/l
[mmol/lx18=mg/dl]
BAT - Brucella Antigen Test
(1:80 - nie leczymy; 1:160 leczymy)
BG Blood Group
BS for mps Blood Smear for malaria
parasites,
rozmaz krwi na malari
BD Bi Doses, 2 x dziennie
BERL Both Eyes Reacting to Light
BCM Below Costal Margins (about liver or
spleen)
BMA Bone Marrow Aspiration
Bpm Beats per minute
Bil Billirubine (T total, D-direct)
BOH Bad Obstetric History (duo poronie)
BBA Born Before Arrival
BPD Biparietal Diameter
BW Body Weight
B/F Breast Feed

C
C/S - Cesarean Section, cicie cesarskie
CCC - centrum leczenia pacjentw z HIV i TB

CF Cardiac Failure
CCF - Congestive Cardiac Failure ,
zastoinowa niewydolno serca
Ct - continue

CT mnx - continue management

CHD Congenital Heart Disease, wrodzona
wada serca
CVA Cerebro - Vascular Accident = stroke
CXR - Chest X-Ray
Cy Cyanosis, sinica
Ca - Carcinoma
C/O (NIL)- Complains Of (nothing)
Ch. c/o Chief complain, skarga gwna
CNS - Central Nervous System
CVS Cardio -Vascular System
COPD Chronic Obstructive Pulmonary
Disease, =POCHP
CSF Cerebro-Spinal Fluid
Creps Crepitations, trzeszczenia
CPD Cephalo - Pelvic Dysproportion
COCs Combine Oral Contraceptives
Cx Cervix
Ceph cephalic (about presentation)
CCT Controlled Cord Traction

D
D Discharge, wypis
DM Diabetes Mellitus, cukrzyca
DWR - Doctor Ward Round, obchd lekarski
DX Diagnosis, rozpoznanie
dpm - drops per minute
DIB - Difficulty In Breathing
DRE Digital Rectal Examination, badanie
per rectum
DDx Differential Diagnosis
D.O.B. Day Of Birth
D.O.D. Day Of Death
DF 118 kodeina, nazwa handlowa
DVT Deep Venous Thrombosis
DUB Dysfunctional Uterine Bleeding
D/C - Dilatation and Curretage ,
rozszerzenie i wyyeczkowanie (macicy)

E
ESR - Erythrocyte Sedimentation Rate, OB
ECG ElectroCardioGraphy, EKG
EHT Entamoeba Hystolytica Trophozoites
(w badaniu kau)
ERCP Endoscopic Retrograde CholangioPancreatography (not in Chaaria)

EDD Estimated Date of Delivery

EBM Exclusive Breast Feeding
ELBW Extremely Low Body Weight (<1 000
g)
F
FHG - Full HemoGram, morfologia krwi
FSHx Family and Social History
FGC - Fair General Condition
FB - Foreign Body
FBS - Fasting Blood Sugar; glikemia na czczo
FNA Fine Needle Aspiration
FUO Fever of Unknown Origin
FP Family Planning, antykoncepcja
FH Fundal Height, wysoko dna macicy
FSB Fresh Still Born
FL Femur Length
FHR Fetal Heart Rate
FD Fetal Distress
G
GE Gastro-Enteritis
GERD Gastro-Esophageal Reflux Disease
GBM - General Body Malaise
GPT (SGPT) and GOT (SGOT) AlAT i
AspAT, prby wtrobowe
GB Gall Bladder
GLT Gardia Lamblia Trophozoites (w
badaniu kau)
GBS Guillain Barre Syndrome
GXM Group X Match, prba krzyowa
GCS Glasgow Coma Scale
G.A. Gestational Age
H
Hx History , wywiad
H.P.I. History of Presenting Illness
HR - Heart Rate
HTN - HyperTensioN, nadcinienie ttnicze
HVS High Vaginal Smear ,wymaz z pochwy
HOB - Heatness Of Body, = fever
HBsAg - Hepatitis B Antigen
HCTZ HydroChloroTiaZyd
Hb, Hgb HemoGloBin
HC Head Circumference

I
IHD - Ischemic Heart Disease, =ChNS
ISS Immuno - Supressive Syndrome, =AIDS
(na froncie historii choroby)
Invx Investigations, badania
I and D Incision and Drainage
Imp Impression (gdy rozpoznanie
niepewne)
I.O. Intestinal Obstruction
IUFD Intra Uterine Fetal Death

IU International Units
(e.g.Oxytocine=Synto)
J
J Jaundice, taczka
JVP Jugular Venous Pressure
K
KNH Kenyata National Hospital (in Nairobi)
L
LAPs - Low Abdominal Pains
LVH - Left Ventricular Hipertrophy
LMP Last Month (Menstrual) Period,
ostatnia miesiczka
LP - Lumbare Puncture, punkcja ldwiowa
L.I.F. Left Iliac Fossa
LFT Liver Function test na gruzlic, Tests
LF Left
L.O.A. position: Left Occipital Anterior
LB Live Birth
LP Labour Pains
LBW Low Body Weight (<2 500 g)
N
No3 - HIV test, = P24 markers
NAD - No Abnormality Detected
NHIF - National Health Insurance Fund pacjent ma ubezpieczenie
NGT Naso Gastric Tube, sonda odkowa
NS Normal Saline, NaCl
NKDOFA Not Known Drug Or Food
Allergy;)
NR Non Reactive
NSAID Non Steroid Anti- Inflammatory
Drugs, =NLPZ
N/P Normal Puerperium (pog)
M
MSP Musculo-Sceletar Pain
Mal Malaria
MSB Macerated Still Born
O
O Oedema, obrzki
OPD - Out-Patients Department
O/E On Examination, w badaniu
O/C - Ova and Cystis (in stool examination)
OGD OesophagoGastroDuodenoscopy
OD - Once daily, 1 x dziennie
OA OsteoArthritis
OT Oral Thrush
P
P Pallor, blado
P.O. Post Operationem
PBF Peripheral Blood Film, rozmaz krwi
obwodowej

PRN - w razie potrzeby

(wpisywane czsto przy wypenianiu wypisudischarge,
w rubryce: DATE OF REVIEW)
P/A Per Abdomen
PDT - Pregnancy Detection Test, test
ciowy, HCG
PEADS - pediatria
PCM ParaCetaMol
PID Pelvic Inflammatory Disease
P24 markers (=NO3) - szybki test na HIV
PCP - Pneumocystis Carini (jiroveci)
Pneumonia
PV - Per Vaginam
PMCT - Presentation of Mother to Child
PR - Pulse Rate
Pt patient
PTB Pulmonary TuBerculosis, grulica
pucna
PTO - Please Turn Over (the page)
PUD - Peptic Ulcer Disease
PMSHx Past Medical and Surgical History
P.O.P. Plaster Of Paris, gips
PNM PNeuMonia
PUO Pyrexia of Unknown Origin (=FUO)
PRO Protein (in urinalysis)
PLT PLaTelets (pytki krwi)
POCs Products Of Conception
(retained POCSs= incomplete abortion)
PPH Post Partum Haemorrhage
PIH Pregnancy Induced Hypertension
PU and OB Passed Urine and Opened
Bowels
(my favorite;))
P/S Previous Scar
PAP Smear PAPanicolau smear,
badanie cytologiczne szyjki macicy
Q
QID - 4 x dziennie
R
RBS - Random Blood Sugar; glikemia
przygodna
R/S - Respiratory System
R/O Rule Out = wyklucz, diagnostyka
rnicowa
RTA - Road Traffic Accident
RHD Rheumatic Heart Disease,
RF Rheumatoid Factor, czynnik
reumatoidalny
RVD Retro-Viral Disease, =AIDS
Rx treated
Rpt Repeat
Rt Right
R.I.F. Right Iliac Fossa
R/A Rheumatoid Arthritis
R/L Ringer Lactate

ROS Removal Of Stitches (usually on 7th

day - Alt stitches, on 8th day - All stitches )
R.O.A. position: Right Occipital Anterior
S
SP - Sulphadoxine/ Pyrimethamine (lek na
malari, nie w Chaaria, resistance)
Stool for o/c - ka na obecno pasoytw
SSAG - antygeny Salmonelli w kale
(dur brzuszny=typhoid fever)
STAT- only one time (przy zlecaniu lekw)
STI Soft Tissue Injury
(Other) S/E/N other Systems Essentially
Normal
STD Sexually Transmitted Disease
SVD Spontanous Vaginal Delivery
SB Still Born
T
TBC, TB TuBerCulosis
TCA - To Come Again (przy wypenianiu
wypisu-discharge, w rubryce DATE OF
REVIEW; np. TCA 09.12.2014)
TSS - Tropical Splenomegally Syndrome
TDS Tri DoseS, 3 x dziennie
TT Tetanus Toxoid vaccination
TAH Total Abdominal Hysterectomy
TEO Tetracycline Eye Ointment
(rutynowo kademu noworodkowi zaraz po
urodzeniu)
U
U/S UltraSounds , USG
IUD IntraUterine Device, wkadka
wewntrzmaciczna
UTI - Urinary Tract Infection
U/E/C - Urea, Electrolytes, Creatinine
Urinalysis badanie oglne moczu
URTI Upper Respiratory Tract Infection
V
VDRL - odczyn kiowy
VE Vaginal Examination
VLBW Very Low Body Weight (<1 500 g)
W
WIDAL - przeciwciaa p/s typhi (nie w
Chaaria)
WBC White Blood Cells

3.T.C.A. 15.09.2014
w miejscu OBSERVATIONS zawsze
wpisujemy:
-Pt stable on D

PRZY WYPISIE (DISCHARGE):

w miejscu DATE OF REVIEW
wpisujemy jedno z poniszych:
1.PRN (czyli w razie potrzeby)
2.when get SMS from hospital about biopsy
results

SOWA-KLUCZE ;)
1.PRZYCHODNIA to: OPD, czyli Out-Patients Department
2. WENFLON: canula lub branula, jeli jest na k. grnej
3.WYK do kroplwki: giving set
4.CEWNIK: catheter
5.IGA: needle
6.STRZYKAWKA: syringe
7.APARAT DO MIERZENIA CINIENIA: BP-machine
8.HISTORIA CHOROBY: file
9.PRZECIERADO: sheet
10. CEWNIK: catheter
11. WACIK: swab
12. GAZIKI: gauzes

DAWKOWANIE LEKW:
OD - jeden raz dziennie
BD - dwa razy dziennie
TDS - trzy razy dziennie
QID - cztery razy dziennie
JAK DUGO:
/7 przez 5 dni

/52 przez 1 tydzie

/12 przez 1 miesic

Np. p.o Amoxyl 500mg TDS for 5/7, czyli 3 razy dziennie przez 5 dni

Schemat notatki z obchodu (przykad):

DWR: Lilian/Ola
Dx: CVA in known HTN Pt/ Bedsores
Today c/o : NIL new complain
o

/e : FGC, P+, J0, deH2O0, O0

BP=140/90 mmHg

PR=90 b/min

/S: clear

CVS: S1 S1 heard, no murmurs

P/A: - soft
CNS:

not tender
no rebound tenderness
no organomegaly
no palpable masses
bowel sounds audible
- oriented T.P.P. (time, place, person)
- GCS E4(eyes) V5(voice) M6(movements): 15/15
- pupils BERL
- neck soft (or stiff)
- Kernig negative

Plan:
1. Check HgB
2. Physio review
3. ct other mnx

Obstetric examination (przykadowe):

- FH 34/40
- pres ceph
- lie long (longitudinal)
- pos.(position) ROA
- FHR 140/min, regular
- VE Cx os 2 cm
c/o:
Plan:

Newly diagnosed(e.g.HTN) # in known(e.g.HTN patient)

Index admission = first admission
Lf left
Rt - right

The most common drugs used in Chaaria (with the most common doses):
1.Pain killers:
- PCM paracetamol 500mg or 1g TDS or 300 mg i.m.

- Brufen ibuprofen 400 mg TDS

- Diclofenac (Voltaren) 75 mg BD i.m. or 100 BD p.o.
- Mexic - meloksikam 7,5 mg BD
- DF 118 codeine, 30 mg TDS p.o., always with PCM
- Pethidine 50 mg i.m. PRN, post operationem
- Aminotryptylline 25 mg OD nocte, for neuropathic pain
2.Antibacterials:
- Amoxyl amoksycylina, 500mg or 1g TDS
- X-pen 2 Mega QID, benzyl penicylline, severe infections
- Cephalexine 500 mg TDS
- Genta gentamycine 160 mg OD, severe infections
- Flagyl metronidazol, 400mg TDS, for Entamoeba, Gardia, H.pylori eradication, anaerobic
infections
- Ciprox ciprofloksacyna, 500 mg BD, for typhoid fever or UTI
- Fluclox flukloksacylina, 500mg BD, skin infections
- Claritromycine 500 mg BD, H.pylori eradycation
- Doxycycline 100mg BD, for brucellosis
- Erythromycine 500mg QID, for atypical pneumonia
- CTX = Septrim 960mg OD, trimetoprym/sulfametoksazol, prophylaxis in AIDS
- Dapson if allergic to CTX
- CAF chloramfenicol, 500 mg QID i.v., severe infections
- Rocephin ceftriakson, 1-2 g OD or BD, i.m. or i.v., very severe infections e.g.meningitis
3.Antihelmentic:
- ABZ albendazol, 400mg STAT (na odrobaczenie)
4.Antiviral:
- Acyclovir 200mg tabl.
5.Antifungals:
- Fluconazol 200 mg OD
- Nystatin oral drops, QID x7/7
6.Antiallergics:
- Adrenaline i.v./i.m. 1mg
- Pyriton chlorpheniramine p.o. 4mg TDS

- Dexamethasone i.m. 4mg/8 mg

- Hydrocortisone i.v. 100-200 mg
- PDN prednisolone p.o. tabl. 5mg
- Cetirizine 10 mg OD p.o.
- Calamine lotion for itching
7.I.v. Fluids:
- N/S normal saline, NaCl 0,9%
- 5% D dekstroza = glukoza
- Hartmann Solutio more potassium, (PWE)
- Ringer Lactate (mleczan)
- 50% glucose
- 20% mannitol
8.Anticolvulsants:
- Diazepam 10 mg i.v./i.m. PRN
- Tegretol karbamazepine, 200-400 mg BD p.o.
- Na valproate 200 mg p.o.
- Phenobarbital 30/60/90/120 mg nocte or BD p.o.
- Phenytoin p.o.
9.Antacids:
- Ranitydine (Zantac) 100-150 mg BD i.v./p.o
- Omeprazol 20 mg OD/ BD
- Catoxymag 10 ml TDS, in syrup (aluminium and magnesium)
10. Anti-diarrhoeal:
- ZnSO4 20-40 mg OD
- Loperamid 4mg STAT
11. Cardiological drugs:
- HCTZ 25 mg OD (not more), as a first line drug for HTN in Kenya
- Aldactone aldosterone 25 -50 mg OD
- Lasix Furosemid 20 -120 mg BD
- Carvedilol 3,125-6,250 BD, in heart failure or HTN
- Atenolol 50 mg OD
- Propranolol 20 mg BD in liver cirrhosis

- Enalapril 2,5 5 mg BD, in heart failure or HTN

- Adalat Nifedypina 20 mg BD or TDS in HTN, 10 mg TDS in threatened abortion
- Cardio ASA aspirine 75 mg OD, in thrombotic stroke or heart ischaemia
- Aldomet Metyldopa 500mg TDS, HTN during pregnancy
- Hydralazine p.o. or i.v. 25 mg, HTN emergency
- Digoxin 0,125 mg OD
- Amiodarone 100 200 mg OD (for AF)
- Atorvastatine 20 mg-80 mg OD nocte
12.Antidabietics:
- Metformina 500 mg BD - 1g TDS
- Glibenclamide 5mg a.m. - 10 mg a.m. and 5mg p.m.
- Actrapid rapid acting insuline, 10u i.v.+ 10u i.m. + 1l N/S only if coma
- Mixtard mieszanka insulinowa
13.Antimalarials:
- AL IV dla dorosych, BD x3/7 (mild malaria)
- Artenam i.m. 240 mg STAT, then 80 mg OD x4/7
- Quinine dla dorosych: 1200mg loading dose, then 600mg TDS x7/7 p.o. or i.v. (severe
malaria), [no loading dose in pregnancy]
14.Antiasthmatics:
- Ventolin inhaler - PRN
- Salbutamol 4mg TDS (also for threatened abortion)
- Beclometason inhaler BD
- Aminophylline 250 mg i.v.
15.Antiemetics (p-wymiotne):
- Metoklopramid 10mg TDS or PRN, p.o. or i.v.
- Domperidon 20 mg TDS, p.o.
16.Other drugs:
- Haemoforte 10ml TDS x1/12, syrup for anaemia
- Enoxaparine 4 000 IU OD as prophylaxis, BD as treatment (very expensive)
- HAART usually 3 anti-HIV drugs
e.g.AZT (zidovudine), 3TC (lamivudine), NVP (nevirapine), TDF (tenofovir), EFV (efavirenz)
- Anti-TB drugs: RHZE (ryfampicyne, izoniazyd, pirazynamid and etambutol) - for 2 months and RH
for at least 4 months

- Pirydoxine vitamin B6, always with anti-TB drugs

- Haloperidol 5mg- p.o., antipsychotic
- Multivit II OD - multivitamine
- Synto oxytocine, 10 IU before placenta delivery or in case of PPH
- Lactulose 10 ml TDS for constipation
- Senna for constipation
- Tranexamic Acid 500 mg TDS p.o., in case of bleeding
- vitamin K 10 mg i.m. OD, in case of bleeding
- Cholestyramine 4 8 mg OD, in case of jaundice or in liver cirrhosis
- Folic acid -5 mg OD p.o. - before pregnancy and during Ist trimester of pregnancy
- FeSO4 200mg OD as above
- Anti D Immunoglobullin (very expensive) after delivery/abortion if mother is Rh

*Mamy nadziej, e nasze notatki pomog Ci, zwaszcza w pierwszych dniach pracy w Chaaria
(pniej raczej nie bd ju potrzebne). Powodzenia! Ola, Ola i Teresa

**Re-edited in 2015 by Ania and Micha