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Details

OT Documentation p. 15, 16
casey
236
Other
Graduate
06/05/2012
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Term
CA or Ca
 Definition
cancer
Term
CABG
 Definition
coronary artery bypass graft
Term
CAD
 Definition
coronary artery disease
Term
CBC
 Definition
complete blood count
Term
Cal
 Definition
calories
Term
cath
 Definition
catheter
Term
CBI
 Definition
closed brain injury
Term
CC or C/C or cc
 Definition
chief complaint; carbon copy
Term
CCU
 Definition
cardiac care unit
Term
CF
 Definition
cystic fibrosis
Term
CFS
 Definition
chronic fatigue sydrome
Term
CHF
 Definition
congestive heart failure
Term
CHI
 Definition
closed head injury
Term
CICU
 Definition
cardiac intensive care unit
Term
CLD
 Definition
chronic liver disease
Term
CMV
 Definition
cytomegalovirus
Term
CN
 Definition
cranial nerve (often followed by # in Roman Numeral)
Term
CNS
 Definition
central nervous system
Term
CO
 Definition
cardiac output; carbon monoxide
Term
c/o
 Definition
complains of
Term
COD
 Definition
co occurring disorder
Term
COLD
 Definition
chronic obstructive lung disease
Term
Cont OR cont
 Definition
continued
Term
COPD
 Definition
chronic obstructive pulmonary disorder
Term
CP
 Definition
cerebral palsy; chest pain
Term
CRF
 Definition
chronic renal failure
Term
C&S
 Definition
culture & senstivity
Term
CSF
 Definition
cerebrospinal fluid
Term
CT
 Definition
chest tube; computerized axial tomography
Term
CTR
 Definition
carpal tunnel release
Term
CTS
 Definition
carpal tunnel syndrome
Term
CVA
 Definition
cerebrovascular accident - stroke
Term
DD
 Definition
developmental disabilities; dual diagnosis
Term
DDD
 Definition
degenerative disc disease
Term
DDH
 Definition
developmental dysplasia of the hip
Term
DF
 Definition
dorsiflexion
Term
DIP
 Definition
distal interphalangeal joint
Term
DJD
 Definition
degenerative joint disease
Term
DM
 Definition
diabetes mellitus
Term
DMD
 Definition
Duchenne muscular dystrophy
Term
DOB
 Definition
date of birth
Term
DOE
 Definition
dyspnea on exertion
Term
DT
 Definition
delerium tremons
Term
DTR
 Definition
deep tendon reflex
Term
DVT
 Definition
deep vein thrombosis
Term
EBV
 Definition
Epstein Barr Virus
Term
ECG OR EKG
 Definition
electrocardiogram
Term
ECHO OR echo
 Definition
echocardiogram
Term
ED
 Definition
erectile dysfunction
Term
EEG
 Definition
electroencephalogram
Term
EENT
 Definition
ears, eyes, nose, throat
Term
EID
 Definition
easily identified depression
Term
ELBW
 Definition
extremely low birth weight
Term
EMG
 Definition
electromyelogram
Term
ER
 Definition
emergency room; external rotation
Term
ESRD
 Definition
end stage renal disease
Term
ETOH
 Definition
alcohol [use or abuse]
Term
FAE
 Definition
fetal alcohol effects
Term
FAS
 Definition
fetal alcohol syndrome
Term
FBS
 Definition
fasting blood sugar
Term
FTT
 Definition
failure to thrive
Term
FUO
 Definition
fever of unknown origin
Term
G
 Definition
good
Term
G-tube
 Definition
gastrostomy tube
Term
GA
 Definition
gestational age
Term
GB
 Definition
gall bladder
Term
GBS
 Definition
Guillan-Barre syndrome
Term
GCS
 Definition
Glasgow coma scale
Term
GERD
 Definition
gastroesophageal reflux disease
Term
GI
 Definition
gastrointestinal
Term
G#P#A#
 Definition
number of births, pregnancies, & abortions
Term
Grava gravida
 Definition
[number of births]
Term
GSW
 Definition
gunshot wound
Term
GU
 Definition
genitourinary
Term
GYN
 Definition
gynecologic; gynecology
Term
H/A OR HA
 Definition
headache
Term
Hams
 Definition
hamstrings
Term
HB OR Hb or Hgb
 Definition
hemoglobin
Term
HBP
 Definition
high blood pressure
Term
HBV
 Definition
hepatitis B virus
Term
HC
 Definition
heel cords
Term
HCVD
 Definition
hypertensive cardiovascular disease
Term
HEENT
 Definition
head, ears, eyes, nose, throat
Term
HIB
 Definition
haemophilus influenza B [vaccine]
Term
HIV
 Definition
human immunodeficiency virus
Term
HLT
 Definition
heart lung transplant
Term
HNP
 Definition
herniated nucleus pulposus
Term
HOH
 Definition
hard of hearing; hand over hand
Term
H&P
 Definition
history and physical
Term
HPI
 Definition
history of present illness
Term
HR
 Definition
heart rate
Term
HSV
 Definition
herpes simplex virus
Term
Ht
 Definition
height
Term
HT
 Definition
heart transplant
Term
HTN
 Definition
hypertension
Term
IBS
 Definition
irritable bowel syndrome
Term
ICA
 Definition
internal carotid artery
Term
ICH
 Definition
intercranial hemorrhage; intracerebral hemorrhage
Term
ICP
 Definition
intracranial pressure
Term
ICU
 Definition
intensive cared unit
Term
ID
 Definition
infections disease
Term
IDDM
 Definition
insulin dependent diabetes mellitus
Term
Ig
 Definition
immunoglobulin
Term
IM
 Definition
intramuscular
Term
imp.
 Definition
impression
Term
Indep
 Definition
independently
Term
inf
 Definition
inferior
Term
IP
 Definition
interphalangeal
Term
IQ
 Definition
intelligence quotient
Term
IR
 Definition
internal rotation
Term
IVC
 Definition
inferior vena cava
Term
JRA
 Definition
juvenile rheumatoid arthritis
Term
jt
 Definition
joint
Term
KUB
 Definition
kidneys, ureter, bladder
Term
lap
 Definition
laparoscopy; laparotomy
Term
lat
 Definition
lateral
Term
LBBB
 Definition
left bundle branch block
Term
LBP
 Definition
low back pain
Term
LBW
 Definition
low birth weight
Term
LCA
 Definition
left carotid artery
Term
LD
 Definition
learning disability
Term
LE
 Definition
lower extremity - leg
Term
LG
 Definition
limb-girdle dystrophy
Term
LLE
 Definition
left lower extremity
Term
LLQ
 Definition
left lower quadrant [abdomen]
Term
LMN
 Definition
lower motor neuron
Term
LMP
 Definition
last mentstrual period
Term
LOC
 Definition
loss of consciousness
Term
LP
 Definition
lumbar puncture
Term
LT
 Definition
lung transplant
Term
LUE
 Definition
left upper extremity
Term
LUQ
 Definition
left upper quadrant [abdomen]
Term
MAP
 Definition
main arterial pressure
Term
MCA
 Definition
middle cerebral artery
Term
MCL
 Definition
medial collateral ligament
Term
MCP OR MP
 Definition
metacarpal phalangeal
Term
MD
 Definition
muscular dystrophy
Term
med
 Definition
medial
Term
mets
 Definition
metastisis
Term
MH
 Definition
mental health
Term
MI
 Definition
myocardial infarction ; mental illness
Term
MRSA
 Definition
methicillin resistant staphylococcus aureus
Term
MS
 Definition
multiple sclerosis or mitral stenosis
Term
MV
 Definition
mitral valve
Term
MVA
 Definition
motor vehicle accident
Term
MVP
 Definition
mitral valve prolapse
Term
N
 Definition
normal; nausea
Term
N/A
 Definition
not applicable; not available
Term
NAD
 Definition
no appreciable disease; nothing abnormal detected; no acute distress
Term
NG
 Definition
nasogastric
Term
NGT
 Definition
nasogastric tube
Term
NICU
 Definition
neonatal intensive care unit
Term
NIDDM
 Definition
non insulin dependent diabetes mellitus
Term
NKA
 Definition
no known allergies
Term
NKDA
 Definition
no known drug allergies
Term
nl
 Definition
normal; nausea
Term
nn
 Definition
nerve
Term
NSAID
 Definition
nonsteriodal anti-inflammatory drug
Term
NSR
 Definition
normal sinus rhythm
Term
N & V
 Definition
nausea and vomiting
Term
OA
 Definition
osteoarthritis
Term
OB
 Definition
obstretics
Term
OBS
 Definition
organic brain syndrome
Term
OD
 Definition
overdose
Term
OI
 Definition
osteogenisis imperfecta
Term
OM
 Definition
otitis media [ear infection]
Term
ORIF
 Definition
open reduction, internal fixation
Term
PA
 Definition
pulmonary artery
Term
PARA
 Definition
paraplegia
Term
PCL
 Definition
posterior cruciate ligament
Term
PD
 Definition
parkinsons disease
Term
PDD
 Definition
pervasive developmental disorder
Term
PE
 Definition
pulmonary embolus; pulmonary edema
Term
PEEP
 Definition
positive end expiratory pressure
Term
PET
 Definition
positron emission tomography
Term
PERRLA
 Definition
pupils equal, round, reactive to light, and accomodation
Term
PFT
 Definition
pulmonary function test
Term
PH
 Definition
past history
Term
Phys Dys
 Definition
physical disabilities
Term
PI
 Definition
present illness
Term
PICA
 Definition
posterior inferior cerebellar artery; posterior inferior communicating artery
Term
PICU
 Definition
pediatric intensive care unit
Term
PID
 Definition
pelvic inflammatory disease
Term
PIP
 Definition
proximal interphalangeal joint
Term
PKU
 Definition
phenylketonuria
Term
PLF
 Definition
prior level of function
Term
PMH
 Definition
past medical history
Term
PNI
 Definition
peripheral nerve injury
Term
post
 Definition
posterior
Term
PSIS
 Definition
posterior superior iliac spine
Term
Psych
 Definition
psychology; psychiatric; pschiatry
Term
PTCA
 Definition
percutaneous transluminal coronary angioplasty
Term
CA or Ca
 Definition
cancer
Term
CABG
 Definition
coronary artery bypass graft
Term
CAD
 Definition
coronary artery disease
Term
CBC
 Definition
complete blood count
Term
Cal
 Definition
calories
Term
cath
 Definition
catheter
Term
CBI
 Definition
complete brain injury
Term
CC or C/C or cc
 Definition
chief complaint; carbon copy
Term
CCU
 Definition
cardiac care unit
Term
CF
 Definition
cystic fibrosis
Term
CFS
 Definition
chronic fatigue syndrome
Term
CHF
 Definition
congestive heart failure
Term
CHI
 Definition
closed head injury
Term
CICU
 Definition
cardiac intensive care unit
Term
CLD
 Definition
chronic liver disease
Term
CMV
 Definition
cytomegalovirus
Term
CN
 Definition
cranial nerve, usually followed by number of the nerve in Roman numerals
Term
CNS
 Definition
central nervous system
Term
CO
 Definition
cardiac output; carbon monoxide
Term
c/o
 Definition
complains of
Term
COD
 Definition
co-occurring disorder
Term
COLD
 Definition
chronic obstructive lung disease
Term
Cont. or cont.
 Definition
continued
Term
COPD
 Definition
chronic obstructive pulmonary disease
Term
CP
 Definition
cerebral palsy; chest pain
Term
CRF
 Definition
chronic renal failure
Term
C&S
 Definition
culture and sensitivity
Term
CSF
 Definition
cerebrospinal fluid
Term
CT
 Definition
chest tube; computerized axial tomography
Term
CTR
 Definition
carpal tunnel release
Term
CTS
 Definition
carpal tunnel syndrome
Term
CVA
 Definition
cerebral vascular accident- stoke
Term
DD
 Definition
developmental disabilities; dual diagnosis
Term
DDD
 Definition
degenerative disc disease
Term
DDH
 Definition
developmental dysplasia of the hip
Term
DF
 Definition
dorsiflexion
Term
DIP
 Definition
distal interphalangeal joint
Term
DJD
 Definition
degenerative joint disease
Term
DM
 Definition
diabetes mellitus
Term
DMD
 Definition
Deuchenne muscular dystrophy
Term
DOB
 Definition
date of birth
Term
DOE
 Definition
dyspnea on exertion
Term
DT
 Definition
delirium tremons
Term
DTR
 Definition
deep tendon reflex
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