newyork-presbyterian hospital abbreviation list - mediTUM

56 Pages·1999·0.2 MB·English

NEWYORK-PRESBYTERIAN HOSPITAL
ABBREVIATION LIST
Revised: November 1999
INTRODUCTION
The following is the revised Hospital Abbreviation List approved by the Executive Health Information Management Committee in
November 1999. This revision is based on input from Joint Forms Sub-committee Members, various Hospital Departments, and
practitioners reflecting standard nomenclature and practice at NewYork-Presbyterian Hospital.
An abbreviation (or symbol) may be used in the medical record only if on the approved Abbreviation List, or on a legend containing the
abbreviation on the form intended for use. All forms used in the medical record must be approved by the Joint Forms Subcommittee.
The Abbreviation List contains three sections for cross referencing: (1) Alphabetic Sorting by Definition; (2) Alphabetic Sorting by
Abbreviation; (3) Computer System Abbreviations.
The Abbreviation List may also be referenced through the NewYork-Presbyterian Hospital internet at http://infonet.nyp.org/abbreviations
Questions pertaining to the use of abbreviations (or symbols) in the medical record should be directed to the Secretary of the Joint Forms
Subcommittee.
ABBREVIATIONS BY NAME
Abbreviation Definition
= Equals
# Number
(AO) - HRR Hardy-Rand-Rittler plates (American Optical)
(AO)-HRR plates (American Optical) Hardy-Rand-Rittler plates
(neodymium) YAG (neodymium) Yttrium-Alluminum-Garnet
/ Per
< Less than
> Greater than
? Increasing; upgoing
? Decreasing; downgoing
1/2 One-half
1o Pos Primary position
1x1 One-to-one
5xd Five times daily
6xd Six times daily
a Ante, before
A Asian
A pulse Apical pulse
A/B gap Air/borne gap
A/G ratio Albumin-globulin (ratio)
A/P Assessment & Plan
AA Alcoholics Annonymous
aa Of each
AAA Abdominal aortic aneurysm
AAL Anterior axillary line
AAO Awate, alert & oriented
AB Abortion
Ab Antibody
abb Abduction
abd Abdomen
ABG Arterial blood gas
ABK Aphakic bullous keratopathy
ABLB Alternate binaural loudness balance test
abx Antibiotics
AC Anterior chamber
ac Before meals
AC/A Accommodative convergence to accommodation
(ratio)
ACD Antigon contraceptive device
ACDTP Adult continuing day treatment program
ACG Angle closure glaucoma
acid phos Acid phosphatase
ACTH Adrenocorticotrophic hormone
AD Ear - right
AD Right ear
ad lib As desired
ADA American Diaabetes Association
add Adduction
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ABBREVIATIONS BY NAME
ADH Antidiuretic hormone
Adj IBW Adjusted ideal body weight
ADL Activities of daily living
ADM, Adm Admission
ADP Alcohol disorders program
AEB As evidenced by
AF Atrial fibrillation
AFB Acid fast bacilli
Afeb Afebrile
AFL Atrial flutter
Ag Antigen
AGN Acute glomerulonephritis
AHG or Factor VIII Antihemophilic globulin
AI Aortic insufficiency
AIDS Acquired immune deficiency syndrome
AION Anterior ischemic optic neuropathy
AJ Ankle jerk
AKA Above knee amputation
aka Also known as
AL Axial length
alb Albumin
ALC Alternate level of care
alk Alkaline
alk phos Alkaline phosphatase
ALS Amyotrophic lateral sclerosis
ALT Argon laser trabeculostoplasty
AMA Against medical advice
AMI Acute myocardial infarction
AML Acute myelocytic leukemia
AMP(P)PE Acute multifocal placoid (posterior) pigment
epitheliopathy
amt Amount
ANA Antinuclear antibody
ANC Absolute neutrophil count
ant Anterior
AODM Adult onset diabetes mellitus
AOM Acute otitis media
AP Anteroposterior
APC Atrial/auricular premature contraction
APD Afferent pupillary defect
Approx or Approximate, approximately
appt Appointment
APPY Appendectomy
ARC AIDS related complex
ARC Anomalous retinal correspondence
ARDS Acute respiratory distress syndrome
ARF Acute renal failure
ARM Artificial rupture of membranes
ARMD Age-related macular degeneration
AROM Active range of motion
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ABBREVIATIONS BY NAME
AS Aortic stenosis
AS Ear - left
AS Left ear
ASA Aspirin
ASAP As soon as possible
ASCVD Arteriosclerotic cardiovascular disease
ASD Atrial septal defect
ASO Antistreptolysin-O
ASO Atropine (as the sulfate)
4
AT Art therapy
ATN Acute tubular necrosis
ATR Against-the-rule (astigmatism)
AU Both ears (bilateral-binaural)
AU Ears - both
AuBMT Autologous bone marrow transplant
AV Aortic valve
AV Atrioventricular
a-v Arteriovenous
AVB Atrioventricular block
AVCD Atrioventricular conduction defect
avg Average
AVR Aortic valve replacement
AWMI Anterior wall myocardial infarction
ax Axillary
AXR Abdominal x-ray
B Bacillus
B Black
B&S glands Bartholins' & Skene's glands
B/C Bed clothes
B4L Binkhorst 4-loop (intraocular lens)
BAER Brainstem auditory evoked response
BBS Bilateral breath sounds
BBT Basal body temperature
BBT Benign breast tumor
BC Bone conduction
BCC Basal cell carcinoma
BDR Background diabetic retinopathy
BE Barium enema
BEE Basal energy expenditure
BG Blood glucose
Bi, BO, BU, BD Base in, base out, base up, base down (position of a
prism)
BIBA Brought in by ambulance
bid; 2xd Twice daily
BIH Bilateral inguinal hernia
bilat Bilateral
bilat S&O Bilateral salpingo-oophorectomy
BJ Biceps jerk
BKA Below knee amputation
bleph Blepharoplasty
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ABBREVIATIONS BY NAME
BM Bowel movement
BMI Body mass index
BMR Basal metabolic rate
BMT Bone marrow transplant
BOT Base of tongue
BP Blood pressure
BPH Benign prostatic hypertrophy
BR Bedrest
BRAO Branch retinal artery occlusion
bronch Bbronchoscopy
BRP Bathroom privileges
BRVO Branch retinal vein occlusion
BS Blood sugar
BS bowel sounds
BS Breath sounds
BSS Balanced salt solution
BT baker tube
BT shunt Blalock-taussig shunt
BTL Bilateral tubal ligation
BUN Blood urea nitrogen
BUT Break-up time (of tear film)
Bx Biopsy
Bx Cx Biopsy of cervix
C Canine tooth
c With
C spine Cervical spine
C&DB Cough & deep breathe
C&F Cells & flare (in anterior chamber)
C&S Culture & sensitivity
c.c. With correction
c/d ratio Cup-to-disc ration
c/o Complaint of
c/w Consistent with
C C Cyclopentolate (Cycolgyl) 1 or 2%
1, 2
Ca Carcinoma
CA Corneal abrasion
CABG Coronary artery bypass graft
CAD Coronary artery disease
CAE Complete audiological evaluation
CAPD Chronic abdominal peritoneal dialysis
Cat Cataract
Cat-Trab Combined Cataract-Trabeculectomy
CBB Ciliary Body Band
CBC Complete blood count
CBC c diff Complete blood count with differential
CBD Common bile duct
CBI Continuous bladder irrigation
CC Clean catch
cc Cubic centimeter
C-C fistula Carotid (artery)-cavernous sinus fistula
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ABBREVIATIONS BY NAME
CC: Chief complaint
CCU Cardiac Care Unit
CD Diagonal conjugate (conjugata diagnalis)
CDE Common duct exploration
CDH Children's Day Hospital
CE Cataract extraction
CF Christmas factor
CF Counts fingers
Cgtts Cigarettes
CHB Complete heart block
chemo Chemotherapy
CHF Congestive heart failure
CHL Conductive hearing loss
CHO Carbohydrate
Chol Cholesterol
Chr Chronic
CIE Commission International d/Eclairage
CL Contact lens
C-L Caldwell-Luc
CLL Chronic lymphocytic leukemia
cm Centimeter
CM Costal margin
CME Cystoid macular edema
CML Chronic myelogenous leukemia
CN Cranial nerve
CNS Central nervous system
CO Carbon monoxide
co Cardiac output
COAG Chronic open angle glaucoma
COM Chronic otitis media
Comp Complement
Conj Conjuntiva, conjunctival
COPD Chronic obstructive pulmonary disease
Co-pts Co-patients
Cor Heart
CP Cerebral Palsy
cp Chest pain
cp Clinic patient
CP Columbia Presbyterian Center
CPAP Continuous positive airway pressure
CPC Central posterior curve
CPC Chronic passive congestion
CPEO Chronic progressive external ophthalmoplegia
CPK Creatinine phosphokinase
CPR Cardiopulmonary resuscitation
CR Community resident
CRA Central retinal artery
CRAO Central retinal artery occlusion
CRF Chronic renal failure
CRT Cadaveric renal transplant
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ABBREVIATIONS BY NAME
CRVO Central retinal vein occlusion
Cryo Cryoprecipitate
CS Conscious sedation
CSF Cerebrospinal fluid
CSOM chronic serous otitis media
CSR Central serous (chorio) retinopathy
CT Cardiothoracic
ct Chest tube
CT scan Computerized tomography
CT spine Cervical thoracic spine
CTA Clear to auscultation
CTP Clear to palpation
CUMC Cornell University Medical Center
CV Cardiovascular
CVA Cerebrovascular accident
cva Costovertebral angle
CVP Central venous pressure
CWP Cold wet pack
Cx Cervix
CXR Chest x-ray
d Day
D Diopter
D teeth Deciduous teeth
D&C Dilation & Curettage
D,V&M or DVM (optic) Disk (retinal) vessels and macula
D.I. Dietetic intern
D.T. Dietetic technician
D/C Discontinue
D/W Dextrose in water
D5W 5% dextrose in water
D5W 5% Dextrose in water
DA Dark adaptation
dB Decibel
DBW Desirable body weight
DCR Dacryocystorhinostomy
DD Disk diamters (optic)
DDx Differential diagnosis
def Deficiency
defl sept Deflected septum
delta sign Change
Dent Dental, Dentistry, Dentition
Dep Depressed
Derm Dermatology
DES Diethylstilbestrol
detox Detoxification
dev Deviated
DI Diabetes insipidus
diast Diastolic
DIC Disseminated intravascular coagulation
diff Differential
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ABBREVIATIONS BY NAME
DIP Distal interphalangeal
disch Discharge
DIVA Digital intravenous angiography
DKA Diabetic ketoacidosis
DL Direct laryngoscopy
DM Diabetes mellitus
DME Durable medical equipment
DMI Diaphragmatic myocardial infarctin
DNA Deoxyribonucleic acid
DNR Do not resuscitate
DNS Deviated nasal septum
DOA Dead on arrival
DOE Dyspnea on exertion
dp Directional preponderance
DP Dorsalis pedis
D-P Deltopectoral
DPT Diphtheria, pertussis & tetanus
DR Diabetic retinopathy
DSD Dry sterile dressing
dsg Dressing
DSM4 Diagnostic Statistical Manual - 4
DSS Department of Social Services
DT Diphtheria, tetanus vaccine
DTR Deep tendon reflexes
DT's Delirium tremens
DT Dance Therapy
x
dvd Dissociated vertical deviation
DVID Common variable immunodeficiency
DVT Deep vein thrombosis/thrombophlebitis
DWSCL Daily wear soft contact lens
Dx Diagnosis
E Esophoria
E' Esophoria at near
E coli Escherichia coli
E(T) (also S(T)) Esotropia, intermittent
E Epinephrine 1% eyedrops
1
EA Epidural analgesia
eAB Elective abortion
EAC External auditory canal
EACA Epsilon aminocaproic acid
EBF Erythroblastosis fetalis
EBL Estimated blood loss
ECCE Extracapsular cataract extraction
ECE Extracataract extraction
ECG Electrocardiogram
ECHO virus Enteric cytopathogenic human virus
Enterocytophatogenic human orphan virus
ECOM Extra-ocular muscle (function)
ECT Electroconvulsive therapy
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ABBREVIATIONS BY NAME
ED Emergency Department
EDC Expected date of confinement
Educ Educational
EEG Electroencephalogram
EF Ejection fraction
EGA Estimated gestational age
EGD Endoscopy
EH Enlarged heart
EKC Epidemic keratoconjunctivitis
Elix Elixir
EMA Early morning awakening
EMD Electromechanical dissociation
EMG Electromyogram
EMS Emergency Medical Services
EN Enteral nutrition
ENA Extractable nuclein acid
ENG Electronlystagmography
ENT Ear, nose & throat
EO External otitis
EOG Electro-oculogram
EOM Extraocular movements
EOMI Extra ocular muscle intact
EP Elopement precautions
EPS Extra pyramidal signs/symptoms
ER Emergency Room
ERCP Endoscopic retrograde cholangio/ pancreatography
ERG Electroretinogram
ESR Erythrocyte sedimentation rate
ESRD End stage renal disease
ESWL Extracorporeal shock-wave lithotripsy
ET Eustachian tube
ET' (also ST') Esotropia at near
ETOH Ethanol
ETT Endotracheal tube
EUA Examination under anesthesia
EWSCL Extended wear soft contact lenses
exam Examination
Exp lap Exploratory laparotomy
ext External
Extr Extract
F or ? Female
F to N Finger to nose
F(R) Retinoscopic findings (flash)
f/u Follow-up
FA Fluorescein angiography
Fam Family
FB Fingerbreadth
fb Foreign body
FBS Fasting blood sugar
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ABBREVIATIONS BY NAME
FDDL Flexible (fiberoptic) direct laryngoscopy
FDP Flexor digitorum profundus
FDS Flexor digitorum superificialis
Fem Femoral
FESS Functional endoscopic sinus surgery
FFP Fresh frozen plasma
FH Family history
FHR Fetal heart rate
FIGLU Formiminoglutamic acid
FiO Fraction of oxygen concentration
2
Fld Fluid
FNA Fine needle aspiration
FOB Foot of bed
FOI Flight of ideas
FOS Force of stream
FPR Keplar-Power-Robinson (water test)
FRC Function residual capacity
FS Frozen section
FSH Follicle stimulating hormone
FTSG Full thickness skin graft
FTT Failure to thrive
FUO Fever of unknown origin
FWB Full weight bearing
fx Fracture
Fx Function
g Gallop
g, gm Gram(s)
G6PD Glucose-6 phosphate dehydrogenase
GB Gallbladder
GBS Gallbladder series
GC Gonococcus; gonorrhea
GCS Glascow coma scale
Gen General
GETA General endotracheal anesthesia
GFR Glomerular filtration rate
GG gamma Globulin
GI Gastrointestinal
Gm Grand mal
GMA General mask anesthesia
GN Glomerular nephritis
GOE Gas, oxygen, ether
GPC Giant papillary conjunctivitis
gr Grain
GSI Genuine stress incontinence
GSW Gun shot wound
gtt Drops
GU Genitourinary
Gyn Gynecology
H Hispanic
h Hour
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