Common Medical Abbreviations/Acronyms in Documentation

Type the correct definition based on the Abbreviation or Acronyms
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Last updated: March 6, 2025
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Acronym
Definition
a.c.
before meals
p.c.
after meals
ad
right ear
ADD
Attention Deficit Disorder
ADHD
Attention Deficit Hyperactivity Disorder
A1c/HbA1c/HgA1c
glycated hemoglobin
AAA/Triple-A
Abdominal Aortic Aneurysm
abd
abdomen, abdominal
Abn
Abnormal
ABN
Advance Beneficiary Notice of Noncoverage
Abx
Antibiotics
ACL
Anterior Cruciate Ligament, located in knee
AFIB
Atrial Fibrillation, irregular atria or upper heart rhythm
AMS
Altered Mental Status
AP
Anteroposterior, front to back
APP
Advanced Practice Provider
BID
Twice Daily
BM
Bowel Movement
BMD
Bone Mineral Density, DEXA Scan
BMP
Basic Metabolic Panel: Electrolytes (K, Na, CO2, Cl-), Creatinine, Glucose
BP
Blood Pressure
bpm/BPM
Beats Per Minute
BRCA/BRCA1 or BRCA2
Breast Cancer Genes
Bx
Biopsy
with
C&S
Culture and Sensitivity or Culture, infection detection
C/O
Complaint Of, Secondary or Complains Of, Secondary
CA
Cancer, Carcinoma
CAD
Coronary Artery Disease: Blocked or Narrowed Coronary Arteries That Supply Blood to the Heart Muscles
cap
capsule
CBC
Complete Blood Count
CC
Chief Complaint, Primary
cc
cubic centimeters
CREAT
Creatinine
CSA
Controlled Substance Act or Agreement
CVA
Cerebrovascular Accident, Stroke
CXR
Chest X-Ray
D/C or DC
Discontinue or Discharge
CGM
Continuous Glucose Monitor, Freestyle Libre or Dexcom
CHF
Congestive Heart Failure
CKD
Chronic Kidney Disease
CNM
Certified Nurse Midwife
CMP
Comprehensive Metabolic Panel: Liver, Kidneys, Electrolytes (K, Na, CO2, Cl-), Fasting Glucose
COPD
Chronic Obstructive Pulmonary Disease
CP
Chest Pain
CPT
Current Procedural Terminology
DDD
Degenerative Disk Disease
DJD
Degenerative Joint Disease, Osteoarthritis
DM
Diabetes Mellitus
DME
Durable Medical Equipment: wheelchairs, walkers, crutches, canes
DM1/T1DM
Diabetes Mellitus Type 1
DM2/T2DM
Diabetes Mellitus Type 2
DNC, D&C, D and C
Dilation and Curettage, retrieve uterus tissue lining
DNR
Do Not Resuscitate
DO
Doctor of Osteopathic Medicine
DOB
Date Of Birth
DOS
Date Of Service
DPM
Doctor of Podiatric Medicine
DVT
Deep Venous or Vein Thrombosis, Blood Clot in Large Vein
DX
Diagnosis
ECG/EKG
Electrocardiogram
EEG
Electroencephalogram
ENT
Ear, Nose, Throat
ESRD
End-Stage Renal Disease
ETOH
Alcohol
FBG
Fasting Blood Glucose
FBS
Fasting Blood Sugar
FNP
Family Nurse Practitioner
FX
Fracture
GAD-7
General Anxiety Disorder Severity Measure
GDS
Geriatric Depression Scale
GERD
Gastroesophageal Reflux Disease
gtt
drop
gtts
drops
GYN
Gynecology
H&H
Hemoglobin and Hematocrit: number and function of RBCs
H&P
History and Physical Examination
HS
At Bedtime
H/O, h/o
History Of
HA
Headache
HLD
Hyperlipidemia
HR
Heart Rate
HRT
Hormone Replacement Therapy
HTN
Hypertension
HPI
History of Present Illness
HX
History
ICD
Implantable Cardioverter Defibrillator, pacemaker
ICD10
International Statistical Classification of Diseases and Related Health Problems 10th Revision
ID
Intradermal
IDDM
Insulin-Dependent Diabetes Mellitus, Type 1 Diabetes
I&D
Incision and Drainage
IM
Intramuscular
JT
Joint
K
Potassium
KCL
Potassium Chloride
LBP
Lower Back Pain
LLE
Left Lower Extremity
LUE
Left Upper Extremity
LUL
Left Upper Lobe of Lung
LLL
Left Lower Lobe of Lung
LLQ
Left Lower Quadrant
LUQ
Left Upper Quadrant
Lytes
Electrolytes (K, Na, CO2, Cl-)
mg
milligrams
MI
Myocardial Infarction, Heart Attack
ml
milliliters
MMSE
Mini Mental Status Exam
MRI
Magnetic Resonance Imaging
MS
Multiple Sclerosis
MVA
Motor Vehicle Accident
MVP
Mitral Valve Prolapse: chronic failure of mitral valve of heart to close properly
N/V
Nausea and Vomiting
Na
Sodium
NGT/NG Tube
Nasogastric Tube, Tube Inserted in Nose to Stomach
NH
Nursing Home
NM/NUC MED
Nuclear Medicine
NP
Nurse Practitioner
NPO
Nil Per Os, Nothing By Mouth
O&P
Ova and Parasites
Stool O&P
Lab Test for Parasitic Infection
O.D.
Right Eye
O.S.
Left Eye
O.U.
Both Eyes
PA/PA-C
Physician Assistant or Associate, Physician Assistant or Associate-Certified
PAD
Peripheral Artery Disease, Blood Circulation Disorder Specifically Affecting the Lower Extremities
PCA
Prostate Cancer
PE
Pulmonary Embolism: Blood Clot in Lung or Physical Examination
PHQ-9
Patient Health Questionnaire-9: Objectifies Degree of Depression Severity
PICC/PICC Line
Peripherally Inserted Central Catheter: Thin Tube Inserted in Arm to Access Larger Heart Veins, Prevents Repetition of Needlesticks for Patient
PCOS
Polycystic Ovarian Syndrome
PHI
Protected Health Information
PMB
Post-Menopausal Bleeding
PO
Per Os, By Mouth
PNA
Pneumonia
P
Pulse
PRN
As Needed
PERRLA
Pupils Equal, Round, and Reactive to Light and Accommodation
Plt
Platelets
pt
patient
PT
Physical Therapy
PVD
Peripheral Vascular Disease, Blood Circulation Disorder
PVR
Post-Void Residual, Amount of Urine Left in the Bladder After Voiding
Q
Each, Every
QD
Each Day
QID
Four Times Daily
q2h
Every 2 Hours
q3h
Every 3 Hours
qAM
Each Morning
qhs
Each Bedtime
qod
Every Other Day
qPM
Each Evening
R
Respirations
R/O
Rule Out
RLE
Right Lower Extremity
RLL
Right Lower Lobe of Lung
RLQ
Right Lower Quadrant
RML
Right Middle Lobe of Lung
ROM
Range of Motion
ROS
Review Of Systems
RUE
Right Upper Extremity
RUL
Right Upper Lobe of Lung
RUQ
Right Upper Quadrant
RX
Medical Prescription
without
s/p
status post
SB
Small Bowel
SBO
Small Bowel Obstruction
SNF
Skilled Nursing Facility
SOB
Shortness Of Breath
Sp02
Oxygen Saturation
Subcut
Subcutaneous
s/s
signs and symptoms
STAT
Immediately
sx
symptoms or surgery
SZ
Seizure
T
Temperature
THR
Total Hip Replacement
tx
treatment
T&A
Tonsillectomy and Adenoidectomy
TIA
Transient Ischemic Attack: Brief episode of neurological dysfunction, stroke precursor
TID
Three Times Daily
TKR
Total Knee Replacement
TMJ
Temporomandibular Joint
tab
tablet
UA or u/a
Urinalysis
UDS
Urine Drug Screening
UGI
Upper Gastrointestinal
UNK
Unknown
URI
Upper Respiratory Infection
UTI
Urinary Tract Infection
VO
Verbal Order
VS
Vital Signs
W/O
Without
WNL
Within Normal Limits
Wt
Weight
YO
Years Old
<
less than symbol
>
greater than symbol
=
equal to
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