Physical Therapy Documentation Abbreviations and Symbols Red Class – Flashcards
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(A), (a)
answer
assist
question
A: or A
answer
assessment
question
AAROM
answer
Active Assistive Range of Motion
question
Ab
answer
antibody
question
abd
answer
abduction
question
ABG(s)
answer
arterial blood gases
question
ABN
answer
advanced beneficiary notice
question
ac
answer
before meals
question
ACE
answer
angiotensin-converting enzyme
question
Ach
answer
Acetylcholine
question
ACO
answer
accountable care organization
question
AD
answer
assistive device; Alzheimer's disease
question
ADA
answer
Americans with Disabilities Act
question
add
answer
adduction
question
ADL
answer
activities of daily living
question
ad lib
answer
as desired
question
ADM
answer
Abductor digiti minimi
question
AE
answer
above elbow
question
AFB
answer
acid-fast bacilli
question
AFO
answer
ankle-foot orthosis
question
AGA
answer
appropriate for gestational age
question
AIDS
answer
acquired immunodeficiency syndrome
question
AK
answer
above knee
question
AKA
answer
above knee amputation
question
ALL
answer
acute lymphoblastic leukemia
question
ALS
answer
amyotrophic lateral sclerosis
question
am
answer
before noon
question
AMA
answer
against medical advice/American Medical Association
question
AMB
answer
ambulatory
question
AML
answer
acute myeloblastic leukemia
question
AMP
answer
amputee mobility predictor
question
ANOVA
answer
analysis of variance
question
AP
answer
ankle pump; anterior-posterior
question
APB
answer
abductor pollicis brevis
question
APL
answer
abductor pollicis longus
question
APTA
answer
American Physical Therapy Association
question
ARDS
answer
adult (acute) respiratory distress syndrome
question
AROM
answer
Active Range of Motion
question
ARRA
answer
American Recovery and Reinvestment Act
question
ASA
answer
aspirin
question
ASAP
answer
as soon as possible
question
ASHD
answer
arteriosclerotic heart disease
question
ATF
answer
anterior talofibular
question
AV
answer
atriovenous
question
Ba
answer
barium
question
BBB
answer
blood-brain barrier
question
BE
answer
below elbow
question
BI
answer
brain injury
question
bid
answer
twice daily
question
BK
answer
below knee
question
BKA
answer
below knee amputation
question
BLE or (B)LE
answer
bilateral lower extremities
question
BM
answer
bowel movement
question
BMD
answer
bone mineral density
question
BMI
answer
body mass index
question
BP
answer
blood pressure
question
BPH
answer
benign prostatic hypertrophy
question
BPM or bpm
answer
beats per minute
question
BRP
answer
bathroom privileges
question
BSA
answer
body surface area
question
BUE or (B)UE
answer
bilateral upper extremities
question
BUN
answer
blood urea nitrogen
question
Ca
answer
Calcium
question
CA
answer
cancer
question
CABG
answer
coronary artery bypass graft
question
CAD
answer
coronary artery disease
question
CAT
answer
computerized axial tomography
question
CBC
answer
complete blood count
question
c/c or C/C
answer
chief complaint
question
cc or cm^3
answer
cubic centimeter
question
CCU
answer
critical (or coronary) care unit
question
CDC
answer
Centers for Disease Control and Prevention
question
C. diff
answer
Clostridium difficile
question
CDO
answer
care delivery organization
question
CF
answer
calcaneofibular; cystic fibrosis
question
CGA
answer
contact guard assist
question
CHI
answer
closed head injury
question
CHO
answer
carbohydrate
question
Cl
answer
Chlorine
question
cm
answer
centimeter
question
CMC
answer
carpometacarpal
question
CMS
answer
Centers for Medicare & Medicaid
question
CMV
answer
cytomegalovirus
question
CNS
answer
central nervous system
question
c/o or C/O
answer
complains of
question
COPD
answer
chronic obstructive pulmonary disease
question
CORF
answer
comprehensive outpatient rehabilitation facility
question
COTA
answer
certified occupational therapy assistant
question
CP
answer
cerebral palsy
question
CPAP
answer
continuous positive airway pressure
question
CPM
answer
continuous passive motion
question
CPT
answer
Common Procedural Terminology
question
CRNP
answer
Certified Registered Nurse Practitioner
question
CPR
answer
cardiopulmonary resuscitation
question
C&S
answer
culture and sensitivity
question
CSF
answer
cerebral spinal fluid
question
CT
answer
computed tomography
question
CV
answer
cardiovascular
question
CVA
answer
cerebrovascular accident
question
CWP
answer
cold whirlpool
question
cx
answer
cancel/crutches
question
DASH
answer
Disabilities of the Arm, Shoulder, and Hand (outcomes measure)
question
DBS
answer
deep brain stimulator
question
d/c
answer
discharge
question
DC
answer
doctor of chiropractic/chiropractor
question
DD
answer
developmental delay
question
DDD
answer
degenerative disc disease
question
dep.
answer
dependent
question
dept.
answer
department
question
DF
answer
dorsiflexion
question
DHHR
answer
department of health and human resources
question
DI
answer
dorsal interossei
question
DIP
answer
distal interphalangeal
question
DJD
answer
Degenerative joint disease
question
DM
answer
diabetes mellitus
question
DME
answer
durable medical equipment
question
DMERC
answer
durable medical equipment regional carrier
question
DNR
answer
do not resuscitate
question
DO
answer
doctor of osteopathy
question
DOI
answer
date of injury
question
DRG
answer
diagnosis-related group
question
DRUJ
answer
distal radioulnar joint
question
DTR
answer
deep tendon reflex
question
DVT
answer
deep vein thrombosis
question
dx
answer
diagnosis
question
ea.
answer
each
question
EBP
answer
evidence based practice
question
ECF
answer
extracellular fluid
question
E. coli
answer
Escherichia coli
question
ECRB
answer
extensor carpi radialis brevis
question
ECRL
answer
extensor carpi radialis longus
question
ECU
answer
extensor carpi ulnaris
question
ED
answer
emergency department
question
EDC
answer
extensor digitorum communis
question
EDM
answer
extensor digiti minimi
question
EEG
answer
electroencephalogram
question
EENT
answer
eyes, ear, nose, and throat
question
EHR
answer
electronic health record
question
EIP
answer
extensor indicis proprius
question
EKG, ECG
answer
electrocardiogram
question
EMG
answer
electromyogram
question
EMR
answer
electronic medical record
question
EMS
answer
emergency medical services
question
ENG
answer
electronystagmograph
question
EO
answer
elbow orthosis
question
EOB
answer
explanation of benefits
question
EPB
answer
extensor pollicis brevis
question
EPL
answer
extensory pollicis longus
question
ER
answer
external rotation; emergency room
question
ERV
answer
expiratory reserve volume
question
ES
answer
effect size
question
ESR
answer
erythrocyte sedimentation rate
question
ESRD
answer
end-stage renal disease
question
ET
answer
endotracheal
question
EtOH or ETOH
answer
ethyl alcohol
question
ev or ever
answer
eversion
question
eval.
answer
evaluation
question
ex.
answer
exercise
question
F or 3/5
answer
fair (manual muscle test)
question
FBS
answer
fasting blood sugar
question
FCE
answer
functional capacity evalation
question
FCR
answer
flexor carpi radialis
question
FCU
answer
flexor carpi ulnaris
question
FDA
answer
US Food and Drug Administration
question
FDM
answer
flexor digiti minimi
question
FDS
answer
flexor digitorum superficialis
question
FES
answer
functional electrical stimulation
question
FEV
answer
forced expiratory volume
question
FHR
answer
fetal heart rate
question
FIM
answer
functional independence measure
question
fl
answer
fluid
question
FM or FMS
answer
fibromyalgia syndrome
question
FO
answer
foot orthosis
question
FOR
answer
functional outcome report
question
FPB
answer
Flexor pollicis brevis
question
FPL
answer
Flexor pollicis longus
question
FRC
answer
functional residual capacity
question
FSBPT
answer
Federation of State Boards of Physical Therapy
question
FTSG
answer
full-thickness skin graft
question
FU or F/U
answer
follow-up
question
FUO
answer
fever of unknown origin
question
FVC
answer
forced vital capacity
question
FWB
answer
full weight bearing
question
FWW
answer
front-wheeled walker
question
fx
answer
fracture
question
G or 4/5
answer
good (manual muscle test)
question
g
answer
gram
question
GA
answer
gestational age
question
GERD
answer
gastroesophageal reflux disease
question
GH
answer
glenohumeral
question
GI
answer
gastrointestinal
question
GS
answer
glute sets
question
GTT
answer
glucose tolerance test
question
H2O
answer
water
question
h, hr, or hr.
answer
hour
question
HAV
answer
hepatitis A virus, hallux abductovalgus
question
Hb
answer
hemoglobin
question
HBV
answer
hepatitis B virus
question
HCFA
answer
Health Care Financing Administration
question
HCPCS
answer
health care common procedure coding system
question
Hct
answer
hematocrit
question
HCV
answer
hepatitis C virus
question
HDL
answer
high-density lipoprotein
question
HEP
answer
home exercise program
question
H&H
answer
hemoglobin & hematocrit
question
HHA
answer
home health agency
question
HIT
answer
health information technology
question
HITECH
answer
health information technology for economic and clinical health act
question
HIV
answer
human immunodeficiency virus
question
HMO
answer
health maintenance organization
question
HNP
answer
herniated nucleus pulposus
question
h/0
answer
history of
question
HO
answer
hand orthosis; hip orthosis
question
HOB
answer
head of bed
question
H&P
answer
history & physical
question
HP
answer
hot pack
question
HPI
answer
history of present illness
question
HR
answer
handrail; heart rate
question
HRT
answer
hormone replacement therapy
question
HTN
answer
hypertension
question
hx
answer
history
question
Hz
answer
hertz
question
I or (I)
answer
independent
question
IADL
answer
instrumental activities of daily living
question
IC
answer
inspiratory capacity
question
ICD
answer
international classification of disease
question
ICF
answer
intracellular fluid; International classification of Functioning, Disability, and Health
question
ICIDH
answer
international classification of impairments, disabilities, and handicaps
question
ICHI
answer
international classification of health interventions
question
ICP
answer
intracranial pressure
question
ICU
answer
intensive care unit
question
I&D
answer
incision & drainage
question
IDDM
answer
insulin-dependent diabetes mellitus
question
IDEA
answer
individuals with disabilities in education act
question
IEP
answer
individualized education plan
question
IFSP
answer
individualized family service plan
question
Ig
answer
immunoglobulin
question
IM
answer
intramuscular
question
INH
answer
isoniazid
question
inv
answer
inversion
question
I&O
answer
intake and output
question
IP
answer
inpatient; interphalangeal
question
IPPS
answer
inpatient prospective payment system
question
IR
answer
internal rotation
question
IRF
answer
inpatient rehabilitation facility
question
IRFPAI
answer
inpatient rehabilitation facility patient assessment instrument
question
IRV
answer
inspiratory reserve volume
question
IV
answer
intravenous
question
K
answer
potassium
question
KAFO
answer
knee-ankle-foot orthosis
question
kg
answer
kilogram
question
KO
answer
knee orthosis
question
L or (L)
answer
left
question
L
answer
liter
question
LAC
answer
long arm cast
question
LAQ
answer
long arc quad exercise
question
LCL
answer
lateral collateral ligament
question
LE
answer
lower extremity
question
LHD
answer
left hand dominant
question
LLC
answer
long leg cast
question
LMN
answer
lower motor neuron
question
LMRP
answer
local medical review policies
question
LP
answer
lumbar puncture
question
L/S or l/s
answer
lifestyle
question
LT
answer
lunotriquetral
question
LTFG
answer
long-term functional goal
question
LTG
answer
long-term goal
question
LTM
answer
long-term memory
question
m
answer
meter
question
m.
answer
muscle
question
max
answer
maximum
question
MCID
answer
minimal clinically important difference
question
MCL
answer
medial collateral ligament
question
MCP
answer
metacarpophalangeal
question
MD
answer
muscular dystrophy; medical doctor/physician
question
MDC
answer
minimal detectable charge
question
MDS
answer
minimum data set
question
MED(S) or meds
answer
medication
question
MG
answer
myasthenia gravis
question
MHz
answer
megahertz
question
MI
answer
myocardial infarction
question
MID
answer
multi-infarct dementia
question
min
answer
minimal
question
mm
answer
millimeter
question
mm HG
answer
millimeters of Mercury
question
MMT
answer
manual muscle test
question
mod
answer
moderate
question
MOI
answer
mechanism of injury
question
mos
answer
months
question
MRI
answer
magnetic resonance image
question
MRSA
answer
methicillin-resistant Staphylococcus aureus
question
MS
answer
multiple sclerosis
question
MTP
answer
metatarsalphalangeal
question
mV
answer
millivolt
question
uV
answer
microvolt
question
N or 5/5
answer
normal (manual muscle test)
question
N
answer
newton
question
n.
answer
nerve
question
Na
answer
Sodium
question
N/A
answer
not applicable
question
NBQC
answer
narrow base quad cane
question
NCMRR
answer
National Center for Medical Rehabilitation Research
question
NDI
answer
Neck Disability Index
question
NDT
answer
neurodevelopmental treatment
question
NICU
answer
neonatal intensive care unit
question
NIDDM
answer
noninsulin-dependent diabetes mellitus
question
NMES
answer
neuromuscular electrical stimulation
question
NPO
answer
nothing by mouth
question
n.s.
answer
at bedtime
question
NSAID(s)
answer
nonsteroidal anti-inflammatory drug(s)
question
NT
answer
not tested
question
n&v
answer
nausea and vomiting
question
NWB
answer
nonweight bearing
question
O: or O
answer
objective
question
O2
answer
Oxygen
question
OA
answer
osteoarthritis
question
OASIS
answer
outcome and assessment information set
question
OB/GYN
answer
obstetrics and gynecology
question
OBS
answer
organic brain syndrome
question
OCD
answer
obsessive compulsive disorder
question
ODM
answer
opponens digiti minimi
question
OI
answer
osteogenesis imperfecta
question
OOB
answer
out of bed
question
OP
answer
opponens pollicis; outpatient
question
ORIF
answer
open reduction internal fixation
question
OSHA
answer
Occupational Safety & Health Administration
question
OT
answer
occupational therapist
question
OTC
answer
over-the-counter (ie drugs)
question
OTR/L
answer
occupational therapist registered and licensed
question
oz or oz.
answer
ounce
question
P or 2/5
answer
poor (manual muscle test)
question
P: or P
answer
plan
question
p!
answer
pain
question
PA
answer
posteroanterior
question
PA-C
answer
physician assistant
question
pc
answer
after meals
question
PCA
answer
patient controlled anesthesia
question
PCL
answer
posterior cruciate ligament
question
PD
answer
Parkinson disease
question
PDR
answer
Physicians' Desk Reference
question
PE
answer
pulmonary embolism
question
PEG
answer
percutaneous endoscopic gastrostomy (tube)
question
PERRLA
answer
pupils equal, round, reactive to light and accommodating
question
PET
answer
positron emission tomography
question
PF
answer
plantarflexion
question
PFT
answer
pulmonary function test
question
PHI
answer
protected health information
question
PI
answer
palmar interossei
question
PIP
answer
proximal interphalangeal
question
PL
answer
palmaris longus
question
PLOF
answer
prior level of function
question
pm
answer
after noon
question
PMH
answer
past (prior, previous) medical history
question
PNF
answer
proprioceptive neuromuscular facilitation
question
PNS
answer
peripheral nervous system
question
po
answer
by mouth
question
POMR
answer
problem-oriented medical record
question
post-op
answer
postoperative
question
PPO
answer
preferred provider organization
question
PPS
answer
prospective payment system
question
PQ
answer
pronator quadratus
question
Pr:
answer
problem
question
PRN
answer
as needed
question
PROM
answer
passive range of motion
question
PRUJ
answer
proximal radioulnar joint
question
PT
answer
physical therapist; pronator teres; prothrombin time
question
Pt. or pt.
answer
patient
question
PTA
answer
physical therapist assistant; prior to admission
question
PTCA
answer
percutaneous transluminal coronary angioplasty
question
PTF
answer
posterior talofibular
question
PTT
answer
partial thromboplastin time
question
PVD
answer
peripheral vascular disease
question
PWB
answer
partial weight bearing (usually 50% unless otherwise indicated)
question
q
answer
every
question
q2h
answer
every 2 hours
question
q3h
answer
every 3 hours
question
q4h
answer
every 4 hours
question
q8h
answer
every 8 hours
question
qam
answer
every morning
question
qh
answer
every hour
question
qid
answer
four times a day
question
qod
answer
every other day
question
QS or qs
answer
quad set/quadriceps set
question
(R)
answer
right
question
RA
answer
rheumatoid arthritis
question
RBC
answer
Red blood cell
question
RC
answer
radiocarpal
question
RCL
answer
radial collateral ligament
question
RD
answer
radial deviation
question
RDS
answer
respiratory distress syndrome
question
reps
answer
repetitions
question
RGO
answer
reciprocating gait orthosis
question
RHD
answer
right hand dominant
question
R/O or r/o
answer
rule out
question
ROM
answer
range of motion
question
RPE
answer
rate of perceived exertion
question
RR
answer
respiratory rate
question
R/S or r/s
answer
reschedule
question
RT
answer
respiratory therapy
question
RTC
answer
return to clinic
question
RTW
answer
return to work
question
RUG
answer
resource utilization group
question
RV
answer
residual volume
question
RVU
answer
relative value units
question
Rx
answer
prescription
question
S: or S
answer
subjective
question
SAC
answer
short arm cast
question
SaO2
answer
oxygen saturation
question
SAQ
answer
short arc quad exercise
question
SBA
answer
stand by assist
question
SCI
answer
spinal cord injury
question
SEWHFO
answer
shoulder-elbow-wrist-hand-finger orthosis
question
SF-36
answer
short form health survey
question
SIDS
answer
sudden infant death syndrome
question
SL
answer
scapholunate; side lying
question
SLC
answer
short leg cast
question
SLE
answer
systemic lupus erythematosus
question
SLP
answer
speech language pathologist
question
SLR
answer
straight leg raise
question
SMA
answer
spinal muscular atrophy
question
SNF
answer
Skilled nursing facility
question
SO
answer
shoulder orthosis
question
SOB
answer
shortness of breath
question
s/p
answer
status post
question
SPT
answer
student physical therapist
question
SPTA
answer
student physical therapist assistant
question
s/s
answer
signs & symptoms
question
ST
answer
scapulothoracic
question
stat
answer
immediately
question
STG
answer
Short-term goal
question
STM
answer
Short-term memory
question
SVN or s
answer
supervision
question
STSG
answer
Split-thickness skin graft
question
T or 1/5
answer
trace (manual muscle test)
question
T
answer
temperature
question
TA
answer
therapeutic activity
question
TB
answer
tuberculosis
question
TBI
answer
traumatic brain injury
question
T or tbsp
answer
tablespoon
question
TDWB
answer
touch down weight bearing
question
TENS
answer
transcutaneous electrical nerve stimulation
question
TFCC
answer
triangular fibrocartilaginous complex
question
THA
answer
total hip arthroplasty
question
TIA
answer
Transient ischemic attack
question
tid
answer
three times a day
question
TJC
answer
The joint commission
question
TKR
answer
Total knee replacement
question
TKE
answer
terminal knee extension
question
TMJ
answer
temporomandibular joint
question
TP
answer
therapeutic procedure
question
TPN
answer
total parenteral nutrition
question
t or tsp
answer
teaspoon
question
TTP
answer
tender to palpation
question
TTWB
answer
touch toe weight bearing
question
TUG
answer
Timed up and go
question
TV
answer
tidal volume
question
tx
answer
traction or treatment
question
UCL
answer
ulnar collateral ligament
question
UD
answer
ulnar deviation
question
UE
answer
upper extermity
question
UMN
answer
upper motor neuron
question
US
answer
ultrasound
question
UTI
answer
urinary tract infection
question
UV
answer
ultraviolet
question
V
answer
volt
question
W
answer
watt
question
WBAT
answer
Weight bearing as tolerated
question
WBC
answer
white blood cell
question
WBQC
answer
wide base quad cane
question
w/c
answer
wheelchair
question
w/cm2
answer
watts per centimeter squared
question
WFL
answer
within functional limits
question
WHFO
answer
wrist-hand-finger orthosis
question
WHO
answer
wrist-hand orthosis; World Health Organization
question
WHOFIC
answer
World Health Organization Family of International Classification
question
wk
answer
week
question
WNL
answer
within normal limits
question
WP
answer
whirlpool
question
WWP
answer
warm whirlpool
question
y.o. or yo
answer
year old
