newyork-presbyterian hospital abbreviation list - meditum.de PDF
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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 Page 2 of 56 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 Page 3 of 56 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 Page 4 of 56 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 Page 5 of 56 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 Page 6 of 56 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 Page 7 of 56 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 Page 8 of 56 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 Page 9 of 56 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 Page 10 of 56
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