Abbreviations For Charting

[Pages:12]Abbreviations For

Charting

Symbols or Abbreviations

Meaning

#

number

>

Greater than

@

at

+

Positive, plus, present

<

Less than, minus, negative, absent

-

approximately

Increase, above

Decrease, below

change

Radiates to

A&P

female male Anterior and posterior

A; pre

before

AAS

Active isolated stretching

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Symbols or Abbreviations

Abd ,ARD AC Add, ADD Adh AI AMA ANT A/O AROM ASAP BA bid BIL BP BHP BS c/o C17 CAD CC CHD CHF CNT

Meaning

Abduction, (abdomen, abdominal) acromioclavicular adduction Activities of daily life Accidental injury Against medical advise anterior Alert and oriented Active ROM As soon as possible Back ache Twice a day bilateral Blood pressure Benign prostatic hyperplasia Bowel sounds, breathing sounds Complains of Cervical vertebrae Coronary artery disease Chief complaint Congenital heart disease Congestive heart failure Could not test

2

Symbols or Abbreviations

CON COPD CP CPR crep CST CV CVA D/C DDD DEV DIST DJD DKA DM DOB DOE DOI DP DVT Dx ed EENT

Meaning

congested Chronic obstructive pulmonary disease Chest pain Cardiopulmonary resuscitation crepitus Craniosacral therapy cardiovascular Cerebrovascular accident discontinue Degenerative disc disease deviation distal Degenerative joint disease Did not keep Diabetes mellitus Date of birth Dyspnea (shortness of breath) on exertion Date of injury Direct pressure Deep vein thrombosis diagnosis edema Eye, ear, nose and throat

3

Symbols or Abbreviations

Eval ever ext EXT ext. rot. FH FI up FLEX FROM FT ft Fx gastroc GERD GI GYN HA HBP HOH HPI hs HT HTR

Meaning

evaluate eversion extremity External, extension External rotation Family history Flare up flexion Full range of motion Fibrous tissue foot fracture gastrocnemius Gastroesophageal reflux disease gastrointestinal Gynecologic, gynecological Head ache High blood pressure Hard of hearing History of present illness At bedtime Hypertonus, tension, tight muscles hypertrophy

4

Symbols or Abbreviations

Hx IF IHD IM INF INFLAM INT int. rot. inver IP IT ITB IV jt KUB kyph L L15 Lat Lats LB LBP LE

Meaning

history iliofemoral Ischemic heart disease intramuscular inferior inflammation internal Internal rotation inversion iliopsoas Ischial tuberosity Iliotibial band intravenous joint Kidneys, ureter, bladder kyphosis left Lumbar vertebrae Lateral, left anterior thigh Latissimus dorsi Low back Low back pain Lower extremities

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Symbols or Abbreviations

LEV LLQ LMD LN LOC lord LS LUQ M MAEW mas max meds MET MFR MFW MGF MGM MI Min MLD Ms MS

Meaning

Levator scapula Left lower quadrant (abdomen) Local medical doctor Lymph node Loss of consciousness, level of consciousness lordosis lumbosacral Left upper quadrant (abdomen) murmur Moves all extremities well massage maximum Medication or medications Muscle energy technique Myofascial release Myofascial web, continuos fascial plane Maternal grandfather Maternal grandmother Myocardial infarction (heart attack) minimum Manual lymphatic drainage Musculoskeltetal, muscle Multiple sclerosis

6

Symbols or Abbreviations

MVA N/V NA NKA NMT NT O-< OA Occ OCD OTC P&B P; post palp Pas Ex PE pecs per, / PGF PGM PKD PI PMH

Meaning

Motor vehicle accident Nausea and vomiting Non-applicable, not answered No known allergies Neuromuscular therapy Nose and throat recumbent osteoarthritis occasional Obsessive compulsive disorder Over-the-counter Pain and burning after palpation Passive exercise Physical examination Pectoralis major and minor Through or by Paternal grandfather Paternal grandmother Polycystic kidney disease Present illness Past medical history

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Symbols or Abbreviations

PMS Pn PNF POM prn PROM PROX PSNS Pt PT PTSD Px q qd qh qid QL qod qwk R RA RLQ ROM

Meaning

Premenstrual syndrome pain Proprioceptive neuromuscular facilitation Pain on motion As needed, as necessary Passive range of motion proximal Parasympathetic nervous system patient Physical therapy Post traumatic stress disorder Prognosis, physical examination every Every day Every hour Four times a day Quadratus lumborum Every other day Once a week right Rheumatoid arthritis Right lower quadrant (abdomen) Range of motion

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