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Abbreviations A-F
SOAP notes - Jill W's list
Question | Answer |
---|---|
ā | before |
A | assessment |
(A) | assist |
A/ | active |
AAA | abdominal aortic aneurysm |
AAROM | active assistive range of motion |
abd/add | abduction/adduction |
ABG | arterial blood gases |
Abn | abnormal |
ac | before meals |
AC joint | acromioclavicular joint |
ACL | anterior cruciate ligament |
ADA | American with Disabilities Act, American Diabetes Association |
ADL | activities of daily living |
ad lib | at discretion |
afib | atrial fibrillation |
AFO | ankle foot orthosis |
AIDS | acquired immune deficiency syndrome |
AIIS | anterior inferior iliac spine |
A/K | above knee |
AKA | above knee amputation |
AKS | arthroscopic knee surgery |
A-line | arterial line |
ALS | amyotrophic lateral sclerosis |
AKFO | ankle knee foot orthosis |
am, a.m. | morning, before noon |
AMA | against medical advice |
amb. | ambulation |
amt | amount |
ANS | autonomic nervous system |
ant | anterior |
A-P | anterior-posterior |
appts | appointments |
APTA | American Physical Therapy Association |
ARDS | adult respiratory distress syndrome |
AROM | active range of motion |
ASAP | as soon as possible |
ASIS | anterior superior iliac spine |
assist. | assistance |
ATNR | asymmetrical tonic neck reflex |
AVM | avascular necrosis |
AVR | aortic vavle replacement |
ax. cr | axillary crutches |
(B) (B is circled) | bilateral, both |
BBA | Balanced Budget Act of 1997 |
BBB | bundle branch block |
b/c | because |
bid | twice a day (star this one) |
bil. | bilateral |
biw | twice a week |
BK | below knee |
BKA | below knee amputation |
BLE | both lower extremities |
BM | bowel movement |
BOS | base of support |
BP | blood pressure |
BPM, bpm, b.p.m. | beats per minute |
BR | bedrest |
B/S, B.S. | beside, bedside |
BS | breath sounds, bowel sounds |
BUE | both upper extremities |
BUN | blood urea nitrogen |
c (with a line over it) | with |
CA | carcinoma, cancer |
CABG | coronary artery bypass graft |
CAD | coronary artery disease |
CAPTE | Commission on Accreditation for Physical Therapy Education |
CARF | Commission on Accreditation of Rehabilitation Facilities |
CBC | complete blood count (star this one) |
C/C, C/Cs | chief complaint, chief complaints |
cc | cubic centimeter |
CCU | coronary care unit |
CF | cystic fibrosis |
CGA | contact guard assist |
CHD | congenital heart disease, congenital hip dislocation |
CHF | congestive heart failure |
CHI | closed head injury |
CiTx | cervical intermittent traction |
cm | centimeter(s) |
CMS | Center for Medicare and Medicaid Services |
CN | cranial nerve |
CNS | central nervous system |
c/o | complains of, complaint(s) of |
CO | cardiac output |
cont | continue |
coord | coordination |
COPD | chronic obstructive pulmonary disease |
COTA | certified occupational therapist assistant |
CP | compression pump, cerebral palsy |
CPAP | continuous positive airway pressure |
CPM | continuous passive motion machine |
CPR | cardiopulmonary resuscitation |
CPT | current procedural terminology, chest physical therapy |
CRF | chronic renal failure |
C-Section | cesarean section |
CSF | cerebral spinal fluid |
CT scan | computerized axial tomography |
CVA | cerebral vascular accident |
c/w | consistent with |
CW | continuous wave |
CX | cancel |
CXR | chest x-ray |
D1, D2 (numbers are subset) | diagonal 1, diagonal 2 (propioceptive neuromuscular facilitation [PNF] patterns) |
d/c | discharged, discontinued |
DEP | data, evaluation, performance goals |
dept | department |
DF | dorsiflexion |
DIP | distal interphalangeal joint |
DJD | degenerative joint disease |
DM | diabetes mellitus |
DME | durable medical equipment |
DNR | do not resuscitate |
DOB | date of birth |
DOD | date of discharge |
DOE | dyspnea on exertion |
DPT | diphtheria-pertussis-tetanus (vaccine), Doctor of Physical Therapy |
DRGs | diagnosis related groups |
drsg | dressing |
DSD | dry sterile dressing |
DTR | deep tendon reflex |
DVT | deep venous thrombosis |
Dx | diagnosis |
ECF | extended care facility |
ECG, EKG | electrocardiogram |
EEG | electroencephalogram |
elec. | electrical |
EMG | electromyogram |
ENT | ear, nose, throat |
EOB | edge of bed |
equip. | equipment |
ER | emergency room |
E.S., E-stim | electrical stimulation |
ESRD | end-stage renal disease |
ETT | endotracheal tube |
Ev, ev | eversion |
Eval | evaluation |
ex. | exercise |
ext., / | extension |
F | female |
(F) (F is circled) | father |
FAQ | full arc quads |
FAROM | functional active range of motion |
FDA | Food and Drug Administration |
FES | functional electrical stimulation |
FIM | functional independent measure |
flex. (checkmark) | flexion |
FOR | functional outcome report |
ft | foot, feet |
FTP | failure to progress |
FTSG | full-thickness skin graft |
F/U | follow up |
FUO | fever unknown origin |
FWB | full weight bearing |
FWW, fw/w | front wheeled walker |
Fx, fx | fracture(d) |