atraumatic/normocephalic, used to describe head and skull when normal and without signs of injury
bpm
beats per minute
c/o
complains of, complaining of
BIBM, BIB
brought in my medics, brought in by
c/w
consistent with
CA
cancer
CMT
cervical motion tenderness, PE finding found on pelvic exams most commonly when females presents with pelvic infection
CPR
cardiopulmonary resuscitation
CT
computed tomography scan
CTA
clear to auscultation, normal exam finding when lungs are auscultated
CXR
chest x-ray
d/c
discharge
DDx
differential diagnosis
DNR
do not resuscitate
DOE
dyspnea on exertion, something pt describes when normal walk/exercise pattern is interrupted by SOB
SOB
shortness of breath
Dx
diagnosis
EF
ejection fraction, low ejection fractions found in pt's with CHF
EKG/ECG
electrocardiogram
EMR
electronic medical record
EOMI
extraocular movements intact, normal PE finding when physician asks pt to look in different directions, tests for weakness in muscles that move the eyes
ETT/ET tube
endotracheal tube
f/u
follow-up
Fx
fracture
G/P/A
grauida/parity/abortions, # pregnancies/# live births/# miscarriages+abortions
H & H
hemoglobin and hematocrit
h/o
history of
HA
headache
Hct
hemotocrit
Hematocrit
test to determine how many red blood cells pt has in circulation, Low Hgb or Hct can indicate anemia if chronic, or blood loss if acute
