Professional Documents
Culture Documents
GU: (genitourinary)
Pelvic:
RECTAL
LYMPH:
(lymphatic)
Mmsk:
(musculoskeletal)
SBP
DBP
HR
RR
SPO2
BRBPR
DTR
ARF
CRI
CRF
FEN/GI
AAOX3
NAD
MMM
ND/NT
BSx4
N, V
S.Q.
PTCA
PCI
CAD
ICD
CABG
VB
FM
CMT
LMP
NSVD
PPROM
PROM
LTCS
VBAC
EBL
EGA
EDC
IUP
FHT
TAH/BSO
TAH
BTL
PTL
CVA
TIA
No T/A/D
Supp.
Wt
HA
Palp
Sptm
AGE
URI
FH or FHx
SH or SHx
PVD
DJD
OA
POD
Lap. chole.
Lap. Appy
AKA
BKA
NKDA
Hb
Hct
H/H
CXR
BAL
s/p
h/o
wnl
Intra-Uterine Pregnancy
Fetal Heart Tones
Total Abdominal Hysterectomy with Bilateral
Salpigoopherectomy (i.e. no uterus/ tubes, no
ovaries)
Total abdominal hysterectomy
Bilateral Tubal Ligation
Preterm Labor
Cerebrovascular accident
Transient Ischemic Attack
No tobacco/alcohol/drugs
Suppository
Weight
Headache
Palpitations
Sputum
Acute gastroenteritis
Upper respiratory infection
Family History
Social history
Peripheral vascular disease
Degenerative joint disease
Osteoarthritis
Post Op Day
Laparoscopic Cholecystectomy
Laparoscopic appendectomy
Above the Knee Amputation
Below the Knee Amputation
No Known Drug Allergies
Hemoglobin
Hematocrit
Hemoglobin and hematocrit
Chest X-ray
Bronchio-Alveolar Lavage
Status post
History of
Within normal limits
NC
OA
RCT
RTC
FOB
AAA
MURMURS:
AI
AS
MR
MS
TI
PS
PI
AVR
MVR
MVP
AV
AVM
UA c C&S
VSS
TURP
TAB
VIP
PNA
ddx
abx
bx
cx
Ad lib
c/o
QD
bid
tid
qid
Q.O.D.