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Foundations Abbreviations
Documentation Abbreviations
342
Other
Graduate
12/03/2011

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Term
A:
Definition
assessment
Term
ABI
Definition
acquired brain injury
Term
afib
Definition
atrial fibrillation
Term
A-line
Definition
arterial line
Term
A-V
Definition
arteriovenous
Term
AAA
Definition
abdominal aortic aneurysm
Term
AAROM
Definition
active assisted range of motion
Term
Abd or abd
Definition
abduction
Term
ABG
Definition
arterial blood gasses
Term
ac
Definition
before meals
Term
AC joint
Definition
acromioclavicular joint
Term
ACL
Definition
anterior cruciate ligament
Term
ACTH
Definition
adrenocorticotrophic hormone
Term
Add or add
Definition
adduction
Term
ADL
Definition
activities of daily living
Term
ad lib
Definition
at discretion
Term
adm
Definition
admission, admitted
Term
AE
Definition
above elbow
Term
AFO
Definition
ankle foot orthosis
Term
AIDS
Definition
acquired immune deficiency syndrome
Term
AIIS
Definition
anterior inferior iliac spine
Term
AJ
Definition
ankle jerk
Term
AK
Definition
above knee
Term
ALS
Definition
amyotrophic lateral sclerosis
Term
a.m.
Definition
morning
Term
AMA
Definition
against medical advice
Term
amb
Definition
ambulation/-lating/-ed/-e/-es
Term
ANS
Definition
autonomic nervous system
Term
ant
Definition
anterior
Term
AP
Definition
anterior-posterior
Term
ARDS
Definition
adult respiratory distress syndrome
Term
ARF
Definition
actute renal failure
Term
AROM
Definition
active range of motion
Term
ASA
Definition
aspirin
Term
ASAP or asap
Definition
as soon as possible
Term
ASCVD
Definition
arteriosclerotic cardiovascular disease
Term
ASHD
Definition
arteriosclerotic heart disease
Term
ASIS
Definition
anterior superior iliac spine
Term
assist.
Definition
assistance, assistive
Term
AVM
Definition
arteriovenous malformation
Term
B or bilat.
Definition
bilateral, bilaterally
Term
B/S
Definition
bedside
Term
BBB
Definition
bundle branch block
Term
BE
Definition
below elbow
Term
BID or bid
Definition
twice a day
Term
bilat. Or B
Definition
bilateral, bilaterally
Term
BK
Definition
below knee
Term
BM
Definition
bowel movement
Term
BOS
Definition
base of support
Term
BP
Definition
blood pressure
Term
bpm
Definition
beats per minute
Term
BR
Definition
bed rest
Term
BRP
Definition
bathroom privileges
Term
BS
Definition
breath sounds or bowel sounds
Term
BUN
Definition
blood urea nitrogen test (blood test)
Term
C
Definition
centigrade
Term
C&S
Definition
culture and sensitivity
Term
c/o
Definition
complains of
Term
CA
Definition
cancer, carcinoma
Term
CABG
Definition
coronary artery bypass graft
Term
CAD
Definition
coronary artery disease
Term
cal
Definition
calories
Term
CAT
Definition
computerized axial tomography
Term
CBC
Definition
complete blood cell (count)
Term
CC, C/C
Definition
chief complaint
Term
CF
Definition
cystic fibrosis
Term
CHF
Definition
congestive heart failure
Term
cm
Definition
centimeter
Term
CMV
Definition
cytomegalovirus
Term
CNS
Definition
central nervous system
Term
CO
Definition
cardiac output
Term
CO₂
Definition
carbon dioxide
Term
cont.
Definition
continue
Term
COPD
Definition
chronic obstructive pulmonary disease
Term
COTA
Definition
certified occupational therapy assistant
Term
CP
Definition
cerebral palsy
Term
CPAP
Definition
continuous positive airway pressure
Term
CPR
Definition
cardiopulmonary resuscitation
Term
CRF
Definition
chronic renal failure
Term
CSF
Definition
cerebrospinal fluid
Term
CV
Definition
cardiovascular
Term
CWI
Definition
crutch walking instructions
Term
CXR
Definition
chest x-ray
Term
Cysto
Definition
cystoscopic examination
Term
D/C
Definition
discontinued or discharged
Term
dept.
Definition
department
Term
DIP
Definition
distal interphalangeal joint
Term
DJD
Definition
degenerative joint disease
Term
DM
Definition
diabetes mellitus
Term
DNR
Definition
do not resuscitate
Term
DO
Definition
doctor of osteopathy
Term
DOB
Definition
date of birth
Term
DOE
Definition
dyspnea on exertion
Term
DTR
Definition
deep tendon reflex
Term
DVT
Definition
deep vein thrombosis
Term
Dx
Definition
diagnosis
Term
ECF
Definition
extended care facility
Term
ECG, EKG
Definition
electrocardiogram
Term
ED
Definition
emergency department
Term
EEG
Definition
electroencephalogram
Term
EENT
Definition
ear, eyes, nose, throat
Term
EMG
Definition
electromyogram/-phy
Term
E.R.
Definition
emergency room
Term
eval.
Definition
evaluation
Term
ext.
Definition
extension
Term
FBS
Definition
fasting blood sugar
Term
FEV
Definition
forced expiratory volume
Term
FH
Definition
family history
Term
flex
Definition
flexion
Term
FRC
Definition
functional residual capacity
Term
ft.
Definition
foot/feet (ie. Measurement)
Term
FUO
Definition
fever of unknown origin
Term
FVC
Definition
forced vital capacity
Term
FWB
Definition
full weight bearing
Term
fx
Definition
fracture
Term
GB
Definition
gallbladder
Term
GI
Definition
gastrointestinal
Term
g
Definition
gram
Term
GSW
Definition
gun shot wound
Term
GYN
Definition
gynecology
Term
h, hr.
Definition
hour
Term
H&H, H/H
Definition
hematocrit and hemoglobin
Term
H&P
Definition
history and physical
Term
h/o
Definition
history of
Term
HA, H/A
Definition
headache
Term
Hb, Hgb
Definition
hemoglobin
Term
Hct
Definition
hematocrit
Term
HCVD
Definition
hypertensive cardiovascular disease
Term
HEENT
Definition
head, ear, eyes, nose, throat
Term
HEP
Definition
home exercise program
Term
HIV
Definition
human immunodeficiency virus
Term
HNP
Definition
herniated nucleus pulposus
Term
HOB
Definition
head of bed
Term
HR
Definition
heart rate
Term
hs
Definition
at bedtime
Term
ht.
Definition
height
Term
Ht
Definition
hematocrit
Term
Htn or HTN
Definition
hypertension
Term
Hx
Definition
history
Term
I&O
Definition
intake and output
Term
IADL
Definition
instrumental activities of daily living
Term
ICU
Definition
intensive care unit
Term
IDDM
Definition
insulin-dependent diabetes mellitus
Term
IM
Definition
intramuscular
Term
imp.
Definition
impression
Term
in.
Definition
inches
Term
indep
Definition
independent
Term
IMV
Definition
intermittent mandatory ventilation
Term
inf
Definition
inferior
Term
IRDS
Definition
infant respiratory distress syndrome
Term
IS
Definition
incentive spirometry
Term
IV
Definition
intravenous
Term
KAFO
Definition
knee-ankle-foot orthosis
Term
kcal
Definition
kilocalories
Term
kg
Definition
kilograms
Term
KJ
Definition
knee jerk
Term
KUB
Definition
kidney, ureter, bladder
Term
L. or l.
Definition
liter
Term
L
Definition
left
Term
lat
Definition
lateral
Term
lb.
Definition
pound
Term
LBBB
Definition
left bundle branch block
Term
LBP
Definition
low back pain
Term
LE
Definition
lower extremity
Term
LOC
Definition
loss/level of consciousness
Term
LMN
Definition
lower motor neuron
Term
LOS
Definition
length of stay
Term
LP
Definition
lumbar puncture
Term
m
Definition
meter
Term
MAP
Definition
mean arterial pressure
Term
max
Definition
maximal
Term
MD
Definition
medical doctor
Term
MED
Definition
minimal erythemal dose
Term
Meds.
Definition
medications
Term
mg
Definition
milligram
Term
MI
Definition
myocardial infarction
Term
min
Definition
minimal
Term
min.
Definition
minute
Term
ml
Definition
milliliter
Term
mm
Definition
millimeter
Term
MMT
Definition
manual muscle test
Term
mo.
Definition
month
Term
mod
Definition
moderate
Term
MP, MEP
Definition
metacarpophalangeal
Term
MRSA
Definition
methicillin-resistant staphyloccocus aureus
Term
MVA
Definition
motor vehicle accident
Term
NDT
Definition
neurodevelopmental treatment
Term
neg.
Definition
negative
Term
NG or ng
Definition
nasogastric
Term
N.H.
Definition
nursing home
Term
NIDDM
Definition
non-insulin-dependent diabetes mellitus
Term
nn
Definition
nerve
Term
noc
Definition
night, at night
Term
NPO or npo
Definition
nothing by mouth
Term
NSR
Definition
normal sinus rhythm
Term
NWB
Definition
non weight bearing
Term
O:
Definition
objective
Term
OA
Definition
osteoarthritis
Term
OB
Definition
obstetrics
Term
OBS
Definition
organic brain syndrome
Term
od
Definition
once daily
Term
OOB
Definition
out of bed
Term
O.P.
Definition
outpatient
Term
O.R.
Definition
operating room
Term
ORIF
Definition
open reduction, internal fixation
Term
OT
Definition
occupational therapy, therapist
Term
OTR
Definition
ocupational therapist (signature of OT)
Term
oz.
Definition
ounce
Term
P
Definition
poor
Term
P:
Definition
plan, intervention plan, plan of care
Term
P.A.
Definition
physician's assistant
Term
PA
Definition
posterior/anterior
Term
para
Definition
paraplegia
Term
pc
Definition
after meals
Term
PCL
Definition
posterior cruciate ligament
Term
PE
Definition
pulmonary embolus
Term
PEEP
Definition
positive end expiratory pressure
Term
per
Definition
by/through
Term
p.o.
Definition
by mouth
Term
PERRLA
Definition
pupils equal, round, reactive to light and accomodation
Term
P.H.
Definition
past history
Term
p.m.
Definition
afternoon
Term
PMH
Definition
past medical history
Term
PNF
Definition
proprioceptive neuromuscular facilitation
Term
PNI
Definition
peripheral nerve injury
Term
POMR
Definition
problem-oriented medical record
Term
pos.
Definition
positive
Term
poss
Definition
possible
Term
post
Definition
posterior
Term
post-op
Definition
after surgery/operation
Term
PRE
Definition
progressive-resistive exercise
Term
pre-op
Definition
before surgery/operation
Term
prn
Definition
whenever necessary, as often as necessary
Term
PROM
Definition
passive range of motion
Term
PSIS
Definition
posterior-superior iliac spine
Term
PT
Definition
physical therapy, therapist
Term
PT/PTT
Definition
prothrombin time/partial thromboplastin time
Term
Pt., pt.
Definition
patient
Term
PTA
Definition
physical therapyist assistant
Term
PTA
Definition
prior to admission
Term
PTB
Definition
patellar tendon bearing
Term
PVD
Definition
peripheral vascular disease
Term
PWB
Definition
partial weight bearing
Term
q
Definition
every
Term
qid
Definition
four times a day
Term
qh
Definition
every hour
Term
qn
Definition
every night
Term
qt.
Definition
quart
Term
R
Definition
right
Term
RA
Definition
rheumatoid arthritis
Term
RBBB
Definition
right buncle branch block
Term
RBC
Definition
red blood cell (count)
Term
R.D.
Definition
registered dietician
Term
re:
Definition
regarding
Term
rehab
Definition
rehabilitation
Term
reps
Definition
repititions
Term
resp
Definition
respiratory/respiration
Term
RN
Definition
registered nurse
Term
R/O or r/o
Definition
rule out
Term
ROM
Definition
range of motion
Term
ROS
Definition
review of systems
Term
RR
Definition
respiratory rate
Term
RROM
Definition
resistive range of motion
Term
RT
Definition
respiratory therapy, therapist
Term
Rx
Definition
intervention plan, prescription, therapy
Term
SACH
Definition
solid ankle cushion heel
Term
SCI
Definition
spinal cord injury
Term
SC joint
Definition
sternoclavicular joint
Term
sec.
Definition
seconds
Term
SED
Definition
suberythemal dose
Term
sig
Definition
directions for use, give as follows, let it be labeled
Term
SI(J)
Definition
sacroiliac joint
Term
SLE
Definition
systematic lupus erythrmatosus
Term
SLP
Definition
speech-language pathologist
Term
SLR
Definition
straight leg raise
Term
SNF
Definition
skilled nursing facility
Term
SOAP
Definition
subjective, objective, assessment, plan
Term
SOB
Definition
shortness of breath
Term
S/P
Definition
status post
Term
spec
Definition
specimen
Term
stat.
Definition
immediately, at once
Term
sup
Definition
superior
Term
Sx
Definition
symptoms
Term
tab
Definition
tablet
Term
TB
Definition
tuberculosis
Term
TBI
Definition
traumatic brain injury
Term
tbsp.
Definition
tablespoon
Term
TENS, TNS
Definition
transcutaneous electrical nerve stimulation/-or
Term
THA
Definition
total hip arthroplasty
Term
ther ex
Definition
therapeutic exercise
Term
TIA
Definition
transient ischemic attack
Term
tid
Definition
three times daily
Term
TKA
Definition
total knee arthroplasty
Term
TM(J)
Definition
temporomandibular (joint)
Term
TNR
Definition
tonic neck reflex (also ATNR, STNR)
Term
t.o.
Definition
telephone order
Term
TPR
Definition
temperature, pulse, and respiration
Term
tsp.
Definition
teaspoon
Term
TUR/TURP
Definition
transurethral resection
Term
Tx
Definition
traction
Term
TV
Definition
tidal volume
Term
UA
Definition
urine analysis
Term
UE
Definition
upper extremity
Term
UMN
Definition
upper motor neuron
Term
URI
Definition
upper respiratory tract
Term
US
Definition
ultrasound
Term
UTI
Definition
urinary tract infection
Term
UV
Definition
ultraviolet
Term
VC
Definition
vital capacity
Term
VD
Definition
venereal disease
Term
v.o. or VO
Definition
verbal orders (eg. VO Dr. Smith/assistants sig)
Term
vol.
Definition
volume
Term
v.s.
Definition
vital signs
Term
w/c
Definition
wheelchair
Term
W/cm²
Definition
watts per square centimeter
Term
WBC
Definition
white blood cell (count)
Term
wk.
Definition
week
Term
WNL
Definition
within normal limits
Term
wt.
Definition
weight
Term
×
Definition
number of times performed
Term
y/o or y.o.
Definition
years old
Term
yd.
Definition
yard
Term
yr.
Definition
year
Term
+1, +2 etc
Definition
assistance (assistance of 1… person given)
Term
Definition
female
Term
Definition
male
Term
Definition
decrease, down, downward, diminished
Term
Definition
increase, up, upward, augmented
Term
//
Definition
parallel, parallel bars
Term
ā
Definition
before
Term
~ or ≈
Definition
approximately
Term
Definition
change
Term
=
Definition
equal
Term
+ or (+)
Definition
plus, positive
Term
- or (-)
Definition
minus, negative
Term
#
Definition
number, pounds
Term
/
Definition
per
Term
+, &. et.
Definition
and
Term
Definition
to and from
Term
Definition
to, progressing toward, approaching
Term
Definition
primary
Term
Definition
secondary
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