Medical Shorthand The following list of notations are typical “shorthand,” both verbal as well as written, in the medical field. These are taken predominantly from what medical professionals use for chart notation; they loan themselves well to being used as fingerspelled loan signs. Again this list is not exhaustive as should be used as a primer. AB ABO Ag ABG ACTH ACM AMA AMS A&O x… A&P b.i.d. BP BPH BUN Bx BZ or BZD C CA Ca CAD CBC CC CHF CHOL CIS CNS C/o COPD CSF CVA CXR DC DM IDDM NIDDM DOB Dx ECG/EKG Antibody/Antibiotic Three major blood types Antigen Arterial Blood Gas Adrenocorticotropic Hormone Acetominaphen Against Medical Advice Altered mental status Alert/ Oriented x (1, 2, 3) Auscultation & Percussion 2ce daily Blood pressure Benign prostatic hypertrophy Blood Urea Nitrogen biopsy Benzodiazipines Carbon Cancer Calcium Coronary Artery Dz (disease) Complete blood count Chief complaint Congestive Heart Failure Cholesterol Carcinoma in situ Central Nervous System Complains of Chronic Obstructive Pulmonary Disease Cerebrospinal Fluid Cerebrovascular accident (stroke) Chest X Ray Discontinue/discharge Diabetes Mellitus Insulin Dependent Diabetes Mellitus Non Insulin Dependent Diabetes Mellitus Date of Birth Diagnosis Elecrocardiogram EEG EGD ENT ESR Febrile Fe FH F/u 5FU FUO Fx GC GI Gravida H Hb/Hbg/Hgb HCO3 HCT HEENT Hg H/o Hx I Ig I/O IUD IV IM K KUB LLE HR LLQ LMP LOC LUE LUQ MCV Mg Mm Hg MSE MI M&M MVP N Na Electroencephalogram Esophagogastroduodenoscopy Ear, nose, throat Erythrocyte sedimentation rate Having a temperature Iron Family History Follow up 5-Flourocile (for Ca tx) Fever of Unknown origin Fracture Gonorrhea Gastrointestinal Pregnancies Hydrogen Hemoglobin Bicarbonate Hematocrit Head, Eyes, Ears, Nose, Throat Mercury History of History Iodine Immunoglobulin Input/output (re: fluids) Intrauterine device Intravenous Intramuscular Potassium Kidney Ureter Bladder Left lower extremety Heart rate Left lower quadrant Last menstrual period Loss of Consciousness Left Upper extremity Left Upper Quadrant Mean corpuscular volume Magnesium millimeters of Mercury Mental status exam Myocardial Infarction (heart attack) Morbidity & mortality Mitral Valve prolapse Nitrogen Sodium NG NKA/NKDA NPO NS NTG O2 P PE PERRLA PID PUD PCOD p.o. PRN pt Px q. RBC R/o ROM ROS RR Rx SBO SC Sub q SLE SOAP SOB S/P S/S Sx T TAH(BSO) TNM TIA Tx U/A U/S UTI V/S WBC WNL Y/O X nasogastric No Known Allergies/No Known Drug Allergies Non per os (“nothing by mouth”) Normal saline Nitroglycerine Oxygen Pulse Physical Exam OR Pulmonary Embollism Pupils equal, round, reactive to light and accommodation Pelvic Inflammatory Dz Peptic ulcer dz Polycystic Ovary dz per os (‘by mouth”) as needed patient Prognosis Every Red blood cells Rule out Range of Motion Review of systems Respiration rate Perscription Small bowel obstruction Subcutaneous Subcutaneous Lupus Type of chart notation: Subjective, Objective, Assessment, Plan Shortness of Breath Status post Signs & Symptoms Symptoms Temp Total abdominal hysterectomy (with bilateral salpingioopherectomy) Tumor, Nodes, Metastesis Transient Ischemic Attack Treatment Urinalysis Ultrasound Urinary tract infection Vital Signs White blood count Within Normal Limits years old times