Approved List of Acronyms and Abbreviations For Appalachian District Health Department Updated 07/12/2011 Acronym/Abbreviation Definitions A A A&O(x3) A.D. A.S.H.E. A/L a/v aao aarom AAS ab abbr abd abdu ABS abx atb ac ACHD ACHS ACMS ACPC ACRRC ACS ACTA ad lib ADA add ADD ADDS ADHD ADL adm admin adv AFDC AFI AFP AFV AGA AGE AGUS assessment alert and oriented (x3=person, place and time) as directed A Safe Home for Everyone anterior lateral atrial-ventricular awake/alert/oriented active assistive range of motion Ashe Alternative School abortion; miscarriages abbreviations abdomen abduction antibody screen antibiotics antibiotics before meals Ashe County Health Department Ashe County High School Ashe County Middle School Ashe County Partnership for Children Ashe County Resource & Referral Center American Cancer Society Ashe County Transportation Authority freely American Diabetic Association adduction Attention Deficit Disorder Ashe Developmental Day School Appalachian District Health Department; attention deficit hyperactive disorder activities of daily living admit administration advisory; advise; advised Aid for Families with Dependent Children amniotic fluid index Alleghany Family Practice amniotic fluid volume appropriate for gestational age acute gastro enteritis atypical glandular cells of undetermined significance 1 AHS AIDS aka Alb AlMH ALS alt am AM Assoc. AMA AMAP amb AMH amnio amt ans ans.mach ant ap APCC APP app approx appt Apr Apt Aq AOM ARC AROM artic as tol ASA ASAP ASCUS ASCVD ASQ ASU ATC Aug auth ax Azith Alleghany High School Acquired Immunodeficiency Syndrome above knee amputation albumin Alleghany Memorial Hospital amyotrophic lateral sclerosis alternate morning Ashe Medical Associates against medical advice as much as possible ambulatory; ambulation Ashe Memorial Hospital amniocentesis amount answer answering machine anterior apical pulse Ashe Pregnancy Care Center alternating pressure pad applicator; application approximately appointment April apartment H2O; water acute otitis media Ashe Really Cares artificial ruptured membranes articulate as tolerated Ashe Services for Aging; aspirin as soon as possible atypical squamous cells of undetermined significance atherosclerotic cardiovascular disease Ages and Stages Questionnaire Appalachian District Health Department around the clock August authority; authorize axillary Azithromycin b/b b/c B/F B/M b/w. bet BAC B bowel and bladder because black female black male between Braxton Hicks contractions 2 Bact. BBB BC BCCCP BCP bd BF BH bic bid bil bk bka bkf bl bldg BLE BLL b/s bm BMI BOM BOW BP BRP BPH BPP Br BRAT BRB brp BS bsc BSO BSOM BTB BTL BUE BUN BUQ BV bx B continued Bacteria bundle branch block birth control breast and cervical cancer program birth control pills board breast feeding Braxton Hicks biceps twice a day bilateral black below knee amputation breakfast blood bleeding or building bilateral lower extremity bilateral lower lobes blood sugar bowel movement body mass index bilateral otitis media bag of waters blood pressure Blue Ridge Pediatrics benign prostate hypertrophy biophysical profile bathroom bananas, rice, applesauce & toast diet bright red bleeding bathroom privileges bowel sounds bedside commode bilateral salpingo oophorectomy bilateral serous otitis media breakthrough bleeding bilateral tubal ligation bilateral upper extremities blood urea nitrogen bilateral upper quadrant bacterial vaginosis biopsy C&S c c. c/c c/o C1 C culture and sensitivity with cup colony count complaints of first cervical spine, etc 3 C2, etc ca; Ca Ca+ CABG CAD cal CAP caps cath CB CBC CBE cbr cc CC4C CCR&R CCU CD CDC CDI cert cg CHB CHD chemo CHF CHI Chl CHO chol cig circ Cl cm CNA cnt C02 COA col colpo comp compl cond. conf const cont contx coord COPD COR cp second cervical spine, etc cancer calcium coronary artery bypass graft coronary artery disease calorie Community Alternative Program /or Corrective Action Plans capsule catheter,catheriterized child birth complete blood count child birth education or Complete Breast Exam complete bedrest cubic centimeter; chief complaint Care Coordination For Children Child Care Resource & Referral cardiac care unit communicable disease Centers for Disease Control clean, dry, intact certification caregiver complete heart block coronary heart disease chemotherapy congestive heart failure closed head injury chloride; chlamydia carbohydrate cholesterol cigarette circumcision clinic centimeter certified nurse assistant could not test carbon dioxide Council on Aging colony; colonies colposcopy complications complete condition conference constipation continuous; continue contractions coordinate chronic obstructive pulmonary disease heart; coronary chest pain; care plan 4 CPD CPE CPR CPS Creat. cl cryo CSC C-Section; C-Sec; c/s csf CSHS CT,CAT CTA cv CVA CVD CVHD CVS cx CXR up cephalopelvic disproportion complete physical exam Cardiopulmonary resuscitation Child Protective Services creatine clearance cryosurgery Child Service Coordination Cesarean Section cerebral spinal fluid Children’s Special Health Services Computerized Tomography/Computerized Axial Tomography clear to auscultation clinic visit cerebral vascular accident cardiovascular disorder cardiovascular heart disease/disorder chorioni villi sampling cervix chest x ray check up D d D&C d/c d/t D/V da DC DDD DDS DDST/DDSTII Dec dec del delt;D demo dep Depo Dept dev df DHHS diff dil dir Dir dis disc DJD day Dilation and curettage discharge; discontinue due to diarrhea/ vomiting day discharge; discontinue degenerative disk disease dentist Denver Developmental Screening Test December decreased delivered;delivery deltoid demonstrate dependent Depo Provera injection Department develop; developmental dorsiflexion Department of Health & Human Services differential; different dilation; dialation direction(s) Director disorder discontinue degenerative joint disease 5 DM DNKA DNR DNT DOA DOB DOE Dr dr dmg drsg DS DSD DSS DT DTAP DTP DT’s DUB DVT dx dz diabetes mellitus did not keep appointment do not resuscitate did not test dead on arrival date of birth dyspnea on exertion doctor drain drainage dressing drug store dry sterile dressing Department of Social Services Pediatric, Diphtheria Tetanus Diphtheria, Tetanus, Acellular Pertussis Diphtheria, Tetanus, Pertussis delirium tremens dysfunctional uterine bleeding deep vein thrombosis diagnosis disease E /EA ec ECC ECF ECHO E-coli ECV ED ed;Ed EDC EDD edu; educ EEG EENT EGA elem elix emer enc ENT EOMI ER ESC ESRD et. al. energy assistance empty calorie endocervical curettage extended care facility echocardiogram Escherichia Coli External cephalic version eating disorder educate; education expected date of confinement expected due date educate; education electroencephalogram ear, eyes, nose and throat estimated gestational age elementary elixir emergency encouraged ears, nose, throat extra ocular movement intact Employment Employment Security Commission end stage renal disease and others 6 ETOH ETOHism eval ex; exer exam ext ext rot alcohol alcoholism evaluation exercise examine; examination extension external rotation F F F&C F/U FA fam FBD FBS FD fdg(s) Fe Feb FeSo4 FF FH FHR FHT Fl fib fld flex FMH FNP FOB FOCUS foley FP FPNS Fr freq fr/jce Fri FRS FS FSBS ft FT FTP female foam & condom follow up folic acid family fibrocystic breast disease fasting blood sugar fetal distress feedings iron February Iron Sulfate force fluids fundal height fetal heart rate fetal heart tone flouride fibrillation fluid flexion Forsythe Memorial Hospital Family Nurse Practitioner father of the baby find, organize, clarify, understand, select foley catheter family planning family planning nurse screening French (catheter size) frequency fruit juice Friday Family Resource Center food stamps finger stick blood sugar foot; feet finger tip failure to progress 7 FTT FUO FWB Fx failure to thive fever of unknown origin full weight bearing fracture G ga GA gal GB GBS GC GDM; GD GED gen GERD gest GI gluc;glu gm gr GS GSW gt gtt G-tube GU gyn G gravida gauge gestational age gallon gallbladder Group B Strep gonorrhea culture gestational diabetes General Education Diploma; General Equivalency Diploma general gastro esophageal reflux disease gestation gastrointestinal glucose gram grain glucose screen gunshot wound gait drops gastrostomy tube genitourinary gyncological H Ed H&P H.Sch; HS H/O H;Hosp H2O H2O2 HA hbv HC HCC HCFM HCHC HCMH HCPC Hct HD HEENT H health educator; health education history and physicial high school handout Hospice water hydrogen perxoide headache high biological value Hunger Coalition; Health Check Health Check Coordinator High Country Family Medicine High Country Health Care Hugh Chatham Memorial Hospital Hope Crisis Pregnancy Center hematocrit Health Department head, eyes, ears, nose, throat 8 hemi Hep A Hep B Heplock hgb HGSIL HH HHA Hib HIV hlth hosp HPV HR hr HS HSD HSM ht HTN HUD HUS HV Hx; hx hyper hypo hemiplegia Hepatitis A vaccine Hepatitis B vaccine Heparin lock hemoglobin high grade squamous intraepithelial lesion home health Home Health Agency Hemophilus influenza b conjugate vaccine Human Immunodeficiency Virus health hospital human papilloma virus High Risk hour hour of sleep; high school; nigh high school diploma hepatosplenomegaly height hypertension Housing and Urban Development hemolytic uremic syndrome home visit history in excess less than I&D I&O i.e. IBCLC IBS IBW IC ICF ID IDDM IFC IM imm immun imp in inappr Inc ind info inj ins INT I incision and drainage intake and output for example International Board Certified Lactation Consultant irritable bowel syndrome ideal body weight infection control intermediate care facility identify; identification insulin dependent diabetes mellitus infant feeding intramuscular immunization immunization improved inch inappropriate incorporated induction information injection insulin; insurance IV lock 9 int rot IPPB IPV irr isol isom IUD IUGR IUP IV IVP internal rotation intermittent positive pressure breathing injectable polio vaccine irregular isolation isometric Intrauterine Device intrauterine growth retardation intrauterine pregnancy intravenous intravenous pylogram Jan jt J-tube JVD J January joint Jejunostomy tube juglar venous distention K+ Kcal kg kid KUB K Potassium kilocalorie kilogram (1000 grams) kidney kidney, ureter, bladder L L; lt L/D L/T/C L1-L5 lab LAB lang lat LAT lax lb LBP LCSW LD LDN LE LEEP leuk. LFA lg LGA LGSIL lig liq L left; living left labor /delivery long, thick, closed lumbar 1-5 laboratory laboratory results or interpretation language lateral left anterior thigh laxative pound lowback pain Licensed Clinical Social Worker learning disability licensed dietitian nutritionist lower extremities Loop electrosurgical excision procedure leukocytes left forearm large large for gestational age low grade squamous intrapithelial lesion ligament liquid 10 lit LLE LLL LLQ LMP LNMP LOC LOM LOS LPN LRI LS LSOM LT lt LTCS LUE LUL LUOQ LUQ LVL lytes m M M/N M’aid Mar mat max MC M’Care MCC MCH MD med mess met mg MGF MGM MH MI micro min MJFM ml mm MMGM MMR MMRV literature left lower extremity left lower lobe left lower quadrant last menstrual period last normal menstrual period level of consciousness left otitis media length of stay Licensed Practical Nurse lower respiratory infection lumbosacral left serous otitis media left thigh length low transverse Caesarean section left upper extremity left upper lobe left upper outer quadrant left upper quadrant left vastus lateralis electrolytes M murmur male midnight Medicaid March maternity maximum MasterCard Medicare Maternal Care Coordinator; Maternal Care Coordination maternal and child health medical doctor medication message metastic milligram maternal grandfather maternal grandmother Maternal health; Mountain Hearts; mobile home myocardial infarction microscopic minimum; minute Mount Jefferson Family Medicine millimeter (1/1000 of liter) millimeter mammogram Measles, Mumps, Rubella Vaccine Measles, Mumps, Rubella, Varicella vaccine 11 MNT mo MOA mod Mon mono MOPS MOW MPD MPW MRI MS MSAFP MSW mus MVA MVI mvt medical nutrition therapy month medical office assistant moderate Monday mononucleosis mothers of preschoolers Maternal Outreach Worker multiple personality disorder Medicaid for Pregnant Women magnetic resonance imaging multiple sclerosis maternal serum alpha fetoprotein Masters in Social Work muscle motor vehicle accident multivitamins movement N N/C V N/G N/S N/V NA Na+ NaCl NAD NAS NB NCBH NCIR neuro NIA NIDDM NKA nl Nov NP NPO NR NRBHC NS NSAID nsg NSR NST NSVD NTG NTS N no no charge visit nasogastric normal saline nausea and vomiting not applicable; not assessed Sodium salt no acute distress no added salt newborn North Carolina Baptist Hospital North Carolina Immunization Registry neurological no irregular antibodies non insulin dependent diabetes no known allergies normal November Nurse Practitioner nothing by mouth no reaction; non reactive New River Behavioral Health Care nurse screen nonsteroidal antinflammatory drugs nurse normal sinus rhythm non stress test normal spontaneous vaginal delivery Nitroglycerin neural tube screening 12 Nutr NWB Nutritionist non weight bearing O O&P O2 OA OASIS OB OBCM OBS obst OC occ OCD Oct OCT OD ofc oint OJ OM ON OOB OP OPV OS os OT OTC; otc OU OV oz O objective ova and parasites Oxygen osteoarthritis Opposing Abuse with Services, Information and Shelter Obstetrics, Obstetrician Obstetric Care Manager organic bran syndrome obstruction oral contraceptive occasional obsessive compulsive disorder October oxytocin challenge test right eye office ointment orange juice otitis media Ortho Novum out of bed out patient oral polio vaccine O’Sullivan Screen left eye Occupational Therapy over the counter; ortho tricyclen both eyes office visit ounce P p P&V P/P/D PA PAC PACT Pap Test para pass PAT pbj pc PC PCC P Plan; para pulse prenatal vitamins (also) pack per day Physician’s Assistant premature atrial contraction Parents and Teachers together papanicolaou test paraplegic passive Parents as Teachers peanut butter and jelly after meals Primary Care Patient Care Coordinator; Coordination 13 PCG PCMH PE peds PERRL; PERRLA PFC PGF PGM ph PHN phys PID pkg pkt PKU pm PMH PNC PNV po POC pos post post-op POT PP PPBS ppd PPD prec preg pre-op prep pres prev prn pro T pro; prot prob prod; pro prog PROM pron pros PSA pt PT Pt PTL PTSD PTT Patient Care Giver Primary Care Medical Home physical exam pediatrics pupils, equal, react to light accommodation Partnership for Children paternal Grandfather paternal Grandmother measure of alkalinity Public Health Nurse physician pelvic inflammatory disease package packet phenylkentonuria afternoon Pregnancy Medical Home pre-natal client pre-natal vitamins by mouth; per os (per mouth) plan of care positive posterior postoperative plan of treatment postpartum 2 hour post prandial blood sugar pack per day purified protein derivation precautions pregnancy preoperative preparation; prepare prescription previous whenever necessary protime protein problem productive progress premature rupture of membranes pronate prosthesis prostate specific antigen patient Physical Therapy preterm; premature preterm labor post traumatic stress disorder Prothrombin time 14 PUD pulm PVC pwd Px peptic ulcer disease pulmonary premature ventricular contraction powder prognosis q q am q hs q mo qod qomo qowk qd qh QI qid qt qtly quad Q every every morning every night every month every other day every other month every other week every day every hour Quality Improvement four times a day quart quarterly quadriplegic R R R/O R/S r/t RA rad RAT RBC RD RDS re re recd rec’d recert; RC re-eval ref reg rehab pot REP reps req resp retic.ct RF RFA RH ED R rectal right rule out reschedule related to rheumatoid arthritis radiation right anterior thigh red blood cells Registered Dietition Respiratory Distress Syndrome recheck regarding record received recertification re-evaluate referred; referral; refill regular rehabilitation potential redness, edema, pain repetitions require; required respirations reticulocyte count refill(s) right forearm Registered Health Educator 15 RHD RICE RLE RLL RLQ RN ROI ROM RP RR RRR RRW RSOM RT RTO RTC RUE RUL RUOQ RUQ Rx; RX S s script S&H S/E S/L s/s S1,etc S1S2 SAB SAQ sat Sat SBE SBHC SSC sch SCI sec sed rate Sept serv SGA SGOT shdr sig SKB rheumatic heart disease rest, ice compression, elevation right lower extremity right lower lobe right lower quadrant Registered Nurse release of information range of motion; right otitis media; ruptured membranes radial pulse red reflex regular, rate, rhythm rales, rhonchi, wheezes right serous otitis media; spontaneous ruptured membranes Respiratory Therapy return to office return to clinic right upper extremity right upper lobe right upper outer quadrant right upper quadrant prescription; drug renewal or decision S subjective without prescription speech & hearing side effects speech/language signs, symptoms sacral heart sounds spontaneous abortion short arc quad saturated Saturday self breast exam School Based Health Center size, shape, configuration scheduled, school spinal cord injury secretary sedimentation rate September serving small for gestational age serumglutamic oxaloacetic transaminase shoulder write, let it be written S continued Smith Kline Beecham 16 sl SLE SLP sm smkg SN SNF SNV s/o SOB SOC sol som sono SOS sp s/p SPab spec sq; subq SS SSE SSI SSN SSS stat STD’s STE Strep subl sublux Sun sup supin supp supv surg SVD svgs SVT SW sx T& A T; temp tab TAB TAH TB tbsp slight systemic lupus erythematosis Speech Language Pathologist small smoking skilled nursing skilled nursing facility Skilled nursing visit symptoms of shortness of breath start of care solution serous otitis media sonogram emergency speech status post or same phone status post abortion specimen subcutaneous Social Security; Smart Start soap suds enema supplemental income Social security number sick sinus syndrome at once sexually transmitted disease self testicle exam Streptococcus A test sublingual subluxation Sunday supine supination; supinate suppository supervisor surgery spontaneous vaginal delivery servings supraventricular tachycardia Social Worker symptoms T tonsillectomy and adenoidectomy temperature tablet therapeutic abortion total abdominal hysterectomy tuberculosis T continued tablespoon 17 TC Td Tdap TE TEN’s TFT Tg; Trig ThC th THR Thurs TIA tid tinct TKR TL TLC TM TO TOC tol TPR tr trach transp Trich TRUST TSH tsp TST Tues TURP TWB Tx U/C UA UCG UE UGI UOP US UTA UTD UTI V tach VA vac vag VAR telephone call; throat culture adult tetanus diptheria Tetanus, diptheria, acceular pertussis too early transcutaneous electrical nerve stimulation Thyroid function test triglycerides Throat culture thigh Total Hip Replacement Thursday transient ischemic attack three times a day tincture total knee replacement tubal ligation tender loving care tympanic membrane telephone order test of cure tolerant temperature, pulse, respiration trace trachea; tracheotomy transportation Trichomonas Test for Syphilis thyroid stimulating hormone teaspoon; dram Tuberculin Skin Test Tuesday transurethral resection of prostate tap water enema treatment U urine culture; uterine contractions urinalysis: urine pregnancy test upper extremities upper gastrointestinal urinary output ultrasound unable to access up to date urinary tract infection V ventricular tachycardia Veteran’s Hospital vaccine vaginal Varicella 18 vas VB VBAC VC VCF veg; veggies vent Vit VM VO vol VP vs/vst VS vtx WCHD WWC W.S. W/C W/D W/F W/M W/N w/o WBC Wed WFUBMC WHS WIC wk WMC WNL WPH wrd wt WTDD _ x x Y Y/O yel YM yr vasectomy vaginal bleeding vaginal birth after c-section verbal cue vaginal contraceptive film vegtables ventolater vitamin voice mail verbal order volume venipuncture visit vital signs vertex W Watauga County Health Department Watauga Women’s Center Winston-Salem; workshop wheelchair well developed white female white male well nourished without white blood cells Wednesday Wake Forest University Baptist Medical Center Watauga High School Women, Infants & Children nutrition program week Watauga Medical Center within normal limits Women’s Preventive Health ward weight wet to dry dressings X except times Y yes years old yellow young mothers year Z (none at this time) 19 Approved list of Symbols for Appalachian District Health Department Symbol Definition % & ‘ + _ : < = ≠ > @ 2o > < ? “ ~ 0; # x / o + 0 1:1 o 1o . .. .. . ss _ c _ p improve; increased; up deteriorate; decreased; down percent and foot; hour plus; positive minus; negative ration less than equal not equal greater than at secondary to; due to change greater than or equal to less than or equal to question; questionable leads to to and from inch; minute approximately no; absent check; within normal limits pound; number times per female male between; equal parts; one to one solution hour therefore primary one two half with after 20 Symbol _ a s Definition before page 2 without 21