Appendix M.1: Common Acceptable Symbols and Abbreviations - Term Order

This appendix provides an alphabetical list of terms and their associated acceptable abbreviation(s) or symbols.

 

Guidelines:

 

Symbols:

Description

Symbol

Above

^

And

&

At

@

Comparison

/

Decrease, Less/Less than

<

Equal(s)

=

Greater/Greater than

>

Increase, More/More than

>

Minus, Negative

-

Number  (usually placed before a number)

#

Plus, Positive

+

Pound(s) (usually placed after a number)

#

(sentinel node)

(sn)

 

Abbreviations:

Description

Abbreviations

Abdomen (abdominal)

ABD

Abdominal perineal

AP

Abnormal

ABN

Above knee (amputation)

AK(A)

Absent/Absence

ABS

Abstract/Abstracted

ABST

Achilles tendon reflex

ATR

Acid phosphatase

ACID PHOS

Acquired Immune Deficiency Syndrome

AIDS

Activities of daily living

ADL

Acute granulocytic leukemia

AGL

Acute lymphocytic leukemia

ALL

Acute myelogenous leukemia

AML

Acute myocardial infarction

AMI

Acute renal failure

ARF

Acute Respiratory Distress (Disease) Syndrome

ARDS

Acute tubular necrosis

ATN

Adenocarcinoma

ADENOCA

Adenosine triphosphate

ATP

Adjacent

ADJ

Admission/Admit

ADM

Adrenal cortex

AC

Adrenal cortical hormone

ACH

Adrenocorticotrophic hormone

ACTH

Adult-onset Diabetes Mellitus

AODM

Affirmative

AFF

Against medical advice

AMA

AIDS-related condition (complex)

ARC

AIDS-related disease

ARD

Air contrast barium enema

ACBE

Albumin

ALB

Alcohol

ETOH

Alkaline phosphatase

ALK PHOS

Alpha-fetoprotein

AFP

Also known As

AKA

Ambulatory

AMB

Amount

AMT

Amputation

AMP

Amyotrophic lateral sclerosis

ALS

Anal intraepithelial neoplasia, Grade I-III

AIN I-III

Anaplastic

ANAP

Angiography/Angiogram

ANGIO

Anterior

ANT

Anteroposterior

AP

Antidiuretic hormone

ADH

Antigen

AG

Aortic stenosis

A-STEN

Apparently

APPL‘Y

Appendix

APP

Approximately

APPROX

Arrhythmia

ARRHY

Arterial blood gases

ABG

Arteriosclerosis/Arteriosclerotic

AS

Arteriosclerotic cardiovascular disease

ASCVD

Arteriosclerotic heart disease

ASHD

Arteriosclerotic Peripheral Vascular Disease

ASPVD

Arteriovenous

AV

Arteriovenous malformation

AVM

Artery (ial)

ART

As soon As possible

ASAP

Ascending colon

A-COLON

Aspiration

ASP

Aspirin, Acetylsalicylic Acid

ASA

Atrial fibrillation

A FIB

Atrial flutter

A FLUTTER

Atrial premature complexes

APC

Atrial stenosis/insufficiency/incompetence

AI

Atypical ductal hyperplasia

ADH

Auscultation & percussion

A&P

Autoimmune hemolytic Anemia

AIHA

Autonomic nervous system

ANS

Autopsy

AUT

Average

AVG

Axilla(ry)

AX

Bacillus Calmette-Guerin

BCG

Barium

BA

Barium enema

BE

Bartholin‘s, Urethral & Skene‘s

BUS

Basal cell carcinoma

BCC

Before noon

AM

Below knee (amputation)

BK(A)

Benign prostatic hypertrophy/hyperplasia

BPH

Bilateral

BIL

Bilateral salpingo-oophorectomy

BSO

Bile duct

BD

Biological response modifier

BRM

Biopsy

BX

Bipolar affective disorder

BAD

Black female

B/F

Black male

B/M

Bladder tumor

BT

Blood pressure

BP

Blood urea nitrogen

BUN

Blood volume

BV

Bone marrow biopsy

BMBx

Bone marrow transplant

BMT

Bone marrow

BM

Bowel movement

BM

Bowel Sounds

BS

Breast cancer type 1 or 2 susceptibility protein

BRCA 1 or 2

Breast self-examination

BSE

Breath Sounds

BRS

Bright Red Blood (per Rectum)

BRB (PR)

Brother

BRO

Calcium

CA

Capsule (s)

CAP(S)

Carbohydrate antigen 125

CA-125

Carcinoembryonic antigen

CEA

Carcinoma in situ

CIS

Carcinoma*

CA

Cardiovascular disease

CVD

CAT/CT scan/Computerized axial tomography

CT

CD117

c-KIT

Centigray

cGy

Centimeter

CM

Central nervous system

CNS

Cerebrospinal fluid

CSF

Cerebrovascular accident

CVA

Cervical intraepithelial neoplasia, Grade l-III

CIN I-III

Cervical spine

C-SPINE

Cervical vertebrae

C1-C7

Change

CHG

Chemotherapy

CHEMO/CTX

Chest X-ray

CXR

Chromogenic in situ hybridization

CISH

Chronic

CHR

Chronic granulocytic leukemia

CGL

Chronic lymphocytic leukemia

CLL

Chronic myeloid (myelocytic) leukemia

CML

Chronic obstructive lung disease

COLD

Chronic obstructive pulmonary disease

COPD

Chronic renal failure

CRF

Chronic ulcerative Colitis

CUC

Cigarettes

CIG

Circumferential resection margin

CRM

Clear

CLR

Cobalt 60

CO60

Collaborative stage

CS

College of American Pathology

CAP

Colon, Ascending

A-COLON

Colon, Sigmoid

SIG COLON

Colon, Transverse

TRANS-COLON

Colony-stimulating factor

C-SF

Complaint (-ning) of

C/O

Complete blood Count

CBC

Complete remission

CR

Congenital heart disease

CHD

Congestive heart failure

CHF

Consistent with

C/W

Continue/continuous

CONT

Contralateral

CONTRA

Coronary artery bypass graft

CABG

Coronary artery disease

CAD

Coronary Care unit

CCU

Cubic Centimeter

CC

Cystic fibrosis

CF

Cystoscopy

CYSTO

Cytology

CYTO

Date of birth

DOB

Date of Death

DOD

Dead on arrival

DOA

Decrease(d)

DECR

Deep inferior epigastric perforator reconstruction surgery

DIEP

Deep tendon reflex

DTR

Deep vein thrombosis

DVT

Deoxyribonucleic acid

DNA

Dermatology

DERM

Descending colon

D-COLON

Diabetes mellitus

DM

Diagnosis

DX

Diameter

DIAM

Diethylstilbestrol

DES

Differentiated/differential

DIFF

Digital rectal examination

DRE

Dilatation and curettage

D&C

Discharge

DISCH

Discontinue(d)

DC

Disease

DIS, DZ

Disseminated intravascular coagulopathy

DIC

Doctor

PMD, DR, MD

Ductal carcinoma in situ

DCIS

Ductal Intraepithelial Neoplasia 3

DIN 3

Dyspnea on exertion

DOE

Ears, nose, and throat

ENT

Electrocardiogram

ECG/EKG

Electroencephalogram

EEG

Electromyogram

EMG

Emergency room

ER

End stage renal disease

ESRD

Endoscopic retrograde cholangiopancreatography

ERCP

Enlarged

ENLGD

Esophagogastric junction

EGJ

Esophagogastro-duodenoscopy

EGD

Essential thrombocytopenia

ET

Estrogen receptor (assay)

ER, ERA

Evaluation

EVAL

Every

Q

Every day

QD

Examination

EXAM

Examination under Anesthesia

EUA

Excision/excised

EXC(D)

Expired

EXP

Exploratory

EXPL

Exploratory laparotomy

EXPL LAP

Extend/extension

EXT

Extended Care Facility

ECF

External*

EXT

Extracapsular spread/extension

ECS/ECE

Extremity*

EXT

Eyes, Ears, Nose and Throat

EENT

Family (Medical) History

F(M)H

Father

FA

Fever of unknown origin

FUO

Fine needle aspiration

FNA

Fine needle aspiration biopsy

FNAB

Fingerbreadth

FB

Floor of mouth

FOM

Fluid

FL

Fluorescence in situ hybridization

FISH

Fluoroscopy

FLURO

Follicular lymphoma international prognostic index

FLIPI

Follow-up

FU

For example

E.G.

Fracture

FX

Frequent/Frequency

FREQ

Frozen section

FS

Full thickness skin graft

FTSG

Gallbladder

GB

Gastroenterostomy

GE

Gastroesophageal

GE

Gastroesophageal reflux disease

GERD

Gastrointestinal

GI

Gastrointestinal stromal tumor

GIST

General/Generalized

GEN

Genitourinary

GU

Gleason grade

GG

Gleason score

GS

Grade

GR

Gram

GM

Grandfather, Great grandfather

GF, GGF

Grandmother, Great grandmother

GM, GGM

Gray, unit of absorbed radiation

Gy

Gynecology

GYN

Head, Eyes, Ears, Nose, Throat

HEENT

Hematocrit

HCT

Hematoxylin & eosin stain

H&E

Hemoglobin

HGB

Hepatitis A (virus)

HAV

Hepatitis B (virus)

HBV

Hepatitis C (virus)

HCV

Hepatitis D (virus)

HDV

Hepatosplenomegaly

HSM

High dose rate

HDR

High grade

HG

High Intensity Focused Ultrasound

HIFU, HIFUS, or FUS

High power field

HPF

History

HX

History and physical

H&P

History of

HO, H/O

History of Present Illness

HPI

Hormone

HORM

Hospital

HOSP

Hour/Hours

HR(S)

Human chorionic gonadotropin

HCG

Human epidermal growth factor receptor 2

HER2/neu

Human Immunodeficiency Virus

HIV

Human Papilloma Virus

HPV

Human T-Lymphotrophic Virus Type III

HTLV-III

Hypertension

HTN

Hypertensive cardiovascular disease

HCVD

Hypertensive vascular disease

HVD

Hysterectomy

HYST

Idiopathic hypertrophic subaortic stenosis

IHSS

Idiopathic myelofibrosis

IMF

Idiopathic thrombocytopenia

ITP

Immunoglobulin

IG

Immunohistochemical

IHC

Impression

IMP

Incision & drainage

I&D

Includes/Including

INCL

Increase(d)

INCR

Inferior

INF

Inferior vena cava

IVC

Infiltrating

INFILT

Inflammatory bowel disease

IBD

Inpatient

IP

Insulin-dependent diabetes mellitus

IDDM

Intensity modulated radiation therapy

IMRT

Intensive care unit

ICU

Intercostal margin

ICM

Intercostal space

ICS

Intermittent positive pressure breathing

IPPB

Internal

INT

Internal Mammary Artery

IMA

Internal Prognostic Index

IPI

International Federation of Gynecology & Obstetrics

FIGO

International normalized ratio

INR

International Society of Urological Pathology

ISUP

Interstitial lung disease

ILD

Intramuscular

IM

Intrathecal

IT

Intravenous

IV

Intravenous cholangiogram

IVCA

Intravenous pyelogram

IVP

Invade(s)/invading/invasion

INV

Involve(s)/involvement/involving

INVL

Iodine

I

Iodine-131

I-131

Ipsilateral

IPSI

Irregular

IRREG

Isolated tumor cells

ITCs

Janus activated kinase 1 or 2

JAK 1 or 2

Jugular venous distention

JVD

Juvenile rheumatic arthritis

JRA

Kaposi sarcoma

KS

Kidneys, ureters, bladder

KUB

Kilogram

KG

Kilovolt

KV

Laboratory

LAB

Lactic dehydrogenase

LDH

Laparotomy

LAP

Large

LRG

Laryngeal Intraepithelial Neoplasia

LIN

Last menstrual period

LMP

Lateral

LAT

Left

L, LT

Left bundle branch block

LBBB

Left costal margin

LCM

Left lower extremity

LLE

Left lower lobe

LLL

Left lower quadrant

LLQ

Left salpingo-oophorectomy

LSO

Left upper extremity

LUE

Left upper lobe

LUL

Left upper outer quadrant

LUOQ

Left upper quadrant

LUQ

Licensed practical nurse

LPN

Light chain deposition disease

LCDD

Linear accelerator

LINAC

Liter

L

Liver, Kidney, Spleen (Bladder)

LKS(B)

Liver/spleen scan

LS SCAN

Lobular Carcinoma In Situ

LCIS

Loss of Heterozygosity (18q)

LOH

Low dose rate

LDR

Low grade

LG

Lower extremity

LE

Lower inner quadrant

LIQ

Lower outer quadrant

LOQ

Lumbar Puncture

LP

Lumbar spine

L-SPINE

Lumbar vertebra

L1-L5

Lumbosacral

LS

Lupus erythematosus

LUP ERYTH

Lymph node dissection

LND

Lymph node(s)

LN(S)

Lymphadenopathy

LAD/LAN

Lymphadenopathy-associated virus

LAV

Lymphvascular invasion

LVI

Macrophage colony-stimulating factor

M-CSF

Magnetic resonance cholangiopancreatography

MRCP

Magnetic resonance imaging

MRI

Main stem bronchus

MSB

Malignant

MALIG

Mandible/mandibular

MAND

Maxilla(ry)

MAX

Maximum

MAX

Mean diameter nucleoli

MLN

Medical center

MC

Medical Doctor

DR, MD

Medication

MED

Merkel cell carcinoma

MCC

Metastatic, Metastases/Metastasis

MET, METS

Methicillin Resistant Staphylococcus Aureus

MRSA

Methylguanine methyltransferase enzyme

MGMT

Microgram

MCG

Microsatellite Instability

MSI

Microscopic

MICRO

Microvascular density

MVD

Midclavicular Line

MCL

Middle lobe

ML

Millicurie (hours)

MC(H)

Milligram (hours)

MG(H)

Milliliter

ML

Millimeter

MM

Million (electron) volts

MV, MEV

Minimum

MIN

Minute

MIN

Mitral valve prolapse

MVP

Mixed combined immunodeficiency

MCID

Mixed connective tissue disease

MCTD

Moderate (ly)

MOD

Moderately differentiated

MD, MOD DIFF

Modified radical Mastectomy

MRM

Monoclonal antibodies

Mab

Monclonal gammopathy of unknown significance

MGUS

Mother

MO

Multifocal arterial tachycardia

MAT

Multifocal premature ventricular contraction

MPVC

Multiple

MULT

Multiple gated acquisition scan

MUGA

Multiple Myeloma

MM

Multiple sclerosis

MS

Myasthenia gravis

MG

Myocardial infarction

MI

Nausea and Vomiting

N&V

Neck vein distention

NVD

Negative

NEG

Neoplasm

NEOPL

Neurology

NEURO

No evidence of disease

NED

No significant findings

NSF

Non-small cell carcinoma

NSCCA

Non-Hodgkins lymphoma

NHL

Normal

NL

Not applicable

NA

Not otherwise specified

NOS

Not recorded

NR

Nursing home

NH

Obstetrics

OB

Obstructed (-ing, -ion)

OBST

Operating room

OR

Operation

OP

Operative Report

OP RPT

Organic brain syndrome

OBS

Orthopedics

ORTHO

Otology

OTO

Ounce

OZ

Outpatient

OP

Packs Per day

PPD

Palpated (-able)

PALP

Pancreatic intraepithelial neoplasia, Grade III

PanIN III

Papanicolaou smear

PAP

Papillary

PAP

Past/personal (medical) history

PMH

Pathologic complete remission

pCR

Pathology

PATH

Patient

PT

Pediatrics

PEDS

Pelvic inflammatory disease

PID

Peptic ulcer disease

PUD

Percussion and Ausculation

P&A

Percutaneous

PERC

Percutaneous transhepatic cholecystogram

PTC

Peripheral vascular disease

PVD

Phosphorus 32

P32

Physical examination

PE

Physiotherapy/Physical therapy

PT

Platelets

PLT

Polycythemia vera

PV

Poorly differentiated

PD, POOR DIFF

Positive

POS

Positron emission tomography

PET

Possible

POSS

Posterior

POST

Posteroanterior

PA

Postoperative (-ly)

POST OP

Postoperative Day

POD

Pound(s)

LB(S)

Premature atrial contraction

PAC

Preoperative (-ly)

PRE OP

Prescription

RX

Present Illness

PI

Previous

PREV

Primary acquired melanosis

PAM

Primary care physician

PCP

Prior to admission

PTA

Probable (-ly)

PROB

Proctoscopy

PROCTO

Progesterone receptor (assay)

PR, PRA

Prostatic intraepithelial neoplasia, Grade III

PIN III

Prostatic specific antigen

PSA

Pulmonary

PULM

Pulmonary Artery

PA

Papillary Urothelial Neoplasm of Low Malignant Potential

PUNLMP

Quadrant

QUAD

Radiation

RAD

Radiation absorbed dose

RAD

Radiation therapy

RT

Radical

RAD

Radioimmunoassay

RIA

Radium

RA

Received

REC‘D

Red blood cells (count)

RBC

Regarding

RE

Regional medical center

RMC

Regular

REG

Regular sinus Rhythm

RSR

Resection (ed)

RESEC

Respiratory

RESPIR

Review of outside films

ROF

Review of outside slides

ROS

Review of Systems

ROS

Rheumatic heart disease

RHD

Rheumatoid arthritis

RA

Right

R, RT

Right bundle branch block

RBBB

Right costal margin

RCM

Right inner quadrant

RIQ

Right lower extremity

RLE

Right lower lobe

RLL

Right lower quadrant

RLQ

Right middle lobe

RML

Right outer quadrant

ROQ

Right salpingo-oophorectomy

RSO

Right upper extremity

RUE

Right upper lobe

RUL

Right upper quadrant

RUQ

Rule Out

RO, R/O

Sacral Spine

S-SPINE

Sacral vertebra

S1-S5

Salpingo-oophorectomy

SO

Satisfactory

SATIS

Sequential Multiple Analysis (Biochem Profile)

SMA

Serum glutamic oxaloacetic transaminase

SGOT

Serum Glutamic Pyruvic Transaminase

SGPT

Severe combined immunodeficiency Syndrome

SCID

Short(ness) of breath

SOB

Sick Sinus Syndrome

SSS

Sister

SIS

Skilled Nursing Facility

SNF

Small

SM, SML

Small Bowel

SB, SML BWL

Small bowel obstruction

SBO

Specimen

SPEC

Spine, Lumbar

L-SPINE

Spine, Sacral

S-SPINE

Spine, Thoracic

T-SPINE

Split thickness Skin graft

STSG

Squamous

SQ

Squamous

SQUAM

Squamous cell carcinoma

SCC

Status post

S/P

Stereotactic radiosurgery

SRS

Subcutaneous

SUBCU, SUBQ

Summary Stage

SS

Superior vena cava

SVC

Surgery/Surgical

SURG

Suspicious/suspected

SUSP

Symptoms

SX

Syndrome of inappropriate ADH

SIADH

Systemic lupus erythematosus

SLE

Thoracic

T

Thoracic spine

T-SPINE

Thoracic Vertebra

T1-T12

Thromboticthrombocytopenia purpura

TTP

Times

X

Total abdominal hysterectomy

TAH

Total abdominal hysterectomy-bilateral salpingo-oophorectomy

TAH-BSO

Total body irradiation

TBI

Total parenteral nutrition

TPN

Total vaginal hysterectomy

TVH

Transient ischemic attack

TIA

Transitional cell carcinoma

TCC

Transurethral resection

TUR

Transurethral resection bladder

TURB

Transurethral Resection Bladder (Tumor)

TURB(T)

Transurethral resection prostate

TURP

Transverse colon

TRANS-COLON

Transverse rectus abdominis myocutaneous

TRAM

Treatment

RX, TX

True vocal cord

TVC

Tuberculosis

TB

Tumor Size

TS

Twice a day (daily)

BID

Ultrasound

US

Undifferentiated

UNDIFF

Unknown

UNK

Upper extremity

UE

Upper gastrointestinal (series)

UGI

Upper inner quadrant

UIQ

Upper outer quadrant

UOQ

Upper respiratory infection

URI

Urinary tract infection

UTI

Vagina/Vaginal

VAG

Vaginal hysterectomy

VAG HYST

Vaginal intraepithelial neoplasia, Grade I-III

VAIN I-III

Vascular

VASC

Visceral pleural invasion

VPI

V-ki-RAS 2

KRAS

Vulvar intraepithelial neoplasia, Grade I-III

VIN I-III

Well differentiated WD,

WELL DIFF

White blood cells (count)

WBC

White female

W/F

White male

W/M

With

W/ or C

Within normal limits

WNL

Without

W/O

Wolff-Parkinson-White syndrome

WPW

Work-up

W/U

World Health Organization

WHO

Xray

XR

Year

YR

 

 

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