Medical Abbreviations

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The ABCs of Medical Abbreviations

CHF, RLS, LL, BP, ANA, MS are just a few of the thousands of possible medical abbreviations used in medical records. Many of these have made their way into the public eye through television drug ads. Confused? Here is some information to put that all into perspective including online resources and the best medical abbreviation references in print.

This is part of a series I am developing to gather reference materials and websites I use for my own work as a medical transcriptionist. It is my hope that others in medical office careers will find this series useful too.

The Use of Medical Abbreviations in Patient Records

You've seen medical abbreviations mentioned in TV and magazine ads with increasing regularity. These shortened forms of medical terms are used in patient records to help save time and money. The health care providers find it easier to write or dictate abbreviations, and those responsible for paying the transcription bills are happy to save on transcription costs.

Whether you agree with this or not, medical abbreviations are here to stay. Listed below are resources for your medical abbreviation search whether you work in a medical office or are a layperson interested in better understanding your medical records.

Top Websites to Get Help With Medical Abbreviations

MediLexicon
This popular site provides a search engine for medical abbreviations, drugs, medical dictionary terms and more.
GlobalRPh.com
Extensive listing of abbreviations and other medical terms.
Medical Abbreviations Glossary
A handy 15-page glossary in a pdf file created by JD-MD, Inc.
Medical Acronyms and Abbreviations
Excellent resource at All-Acronyms.com.
Flash-Med: Medical Acronyms and Abbreviations for Medical Terms
A good reference but not as easily searchable as the other sites.

Common Disease Abbreviations

Here is a list of some abbreviations you may have come across in your own health or in advertising.

  • RLS = Restless leg syndrome.

  • COPD = Chronic obstructive pulmonary disease.

  • MI = Myocardial infarction.

  • OSA = Obstructive sleep apnea.

  • TIA = Transient ischemic attack (stroke).

  • CA = Cancer.

Common Physical Exam Abbreviations


  • BP = Blood pressure.

  • HEENT = Head, eyes, ears, nose, throat.

  • PERRLA = Pupils equal, round, reactive to light and accommodation.

  • WDWN = Well developed, well nourished.

  • NAD = No acute distress.

  • RRR = Regular rate and rhythm.

  • EOM = Extraocular movements.

  • JVD = Jugular venous distension.

  • DTR = Deep tendon reflexes.

  • NCAT = Normocephalic, atraumatic.

Lab Test Abbreviations

Here is just a short selection from the many lab tests that your health care provider might run.

  • CMP = Complete metabolic panel.

  • BMP = Basic metabolic panel.

  • PFT = Pulmonary function tests.

  • LFT = Liver function tests.

  • TSH = Thyroid-stimulating hormone.

  • PSA = Prostate-specific antigen.

  • UA = Urinalysis.

Visit Lab Tests Online for comprehensive information about lab tests including their abbreviations as well as how to understand your lab results.

The Best Medical Abbreviations Reference in Print

Medical Abbreviations: 30,000 Conveniences at the Expense O Communication and Safety

Amazon Price: $16.00 (as of 06/02/2012)Buy Now

This is a must-have reference for medical personnel including medical transcriptionists. The edition I have is well worn, and I couldn't do my job without it.

The Eyes Have It

When I was taking transcription classes, the abbreviations for the right and left eye kept tripping me up. Here they are:

  • Right eye is OD which stands for oculus dexter.

  • Left eye is OS which stands for oculus sinister.

  • Both eyes is OU which stands for oculi uterque.

Here is a breakdown for Latin language lovers:

  • Oculus = eye

  • Dexter = right. Some adjectives for this are favorable and skillful.

  • Sinister = left. Unlucky and evil are adjectives for this. You can see this is related to the old attitude about lefties.

  • Uterque = both. The word 'each' is another meaning.

Dangerous Abbreviations

How can an abbreviation be dangerous? By being misunderstood in handwritten form. Some abbreviations lend themselves to this problem more than others. Some can produce a small error or lead to larger problems with medication dosing.

Here are just a few of the abbreviations considered dangerous which health care providers should consider eliminating from their vocabulary:

  • U for unit which is sometimes mistaken as a number. Use the word unit instead.

  • q.o.d. for every other day which is sometimes mistaken for q.d. (daily) or q.i.d. (4 times daily). Use every other day instead.

  • IU for international units is sometimes mistaken for IV for intravenous. Use units instead.

For more information, the Institute for Safe Medicine Practices has put together a useful list of the most common dangerous medical abbreviations available as a pdf file.
Important!

Know Your Rights as a Health Care Consumer

One of the most important things to remember is that one abbreviation could stand for several different things. Transcriptionists usually are given guidelines as to how to handle these abbreviations in a report.

We are all health care consumers. If you are unsure of what they mean when reading your lab results or medical records, don't be afraid to ask. You have a right to know.

Abbreviation Overkill in the Media

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Slang vs. Abbreviations

Medical slang and abbreviations are not usually one in the same. Some slang examples are cath for catheter, temp for temperature, and crit for hematocrit. This is common yet frowned upon.

Slang can also be derogatory, but I haven't come across this in my years doing transcription.

More Helpful References

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More Reference Sources and Medical Transcription Info

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Best Websites to Find Out About Drug Side Effects
Are you looking for reliable information about a prescription or over-the-counter drug? Here are some of the most trusted resources for drug information online.
A Career in Medical Transcription - What You Need to Know Before You Decide
Medical transcription is a real work-at-home career. Learn if it's right for you. Included are job search resources.

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Do you use medical abbreviation references in your work?

  • transcriptioncity Feb 18, 2012 @ 7:25 pm | delete
    Thanks for the lens, will refer back to this from time to time.
  • freepsptheme Oct 22, 2011 @ 10:40 pm | delete
    Nice info, but using abbreviations sometimes might be confusing as different countries have thier own abbreviations.
  • Comfortdoc Aug 14, 2011 @ 3:02 pm | delete
    Helpful resource for those trying to figure out all of the medical abbreviations.
  • anneshaw Aug 12, 2011 @ 3:27 am | delete
    Great and very informative lens. Will share this will my friends who are into medical transcribing.
  • hissavinggrace4u Jun 23, 2011 @ 7:38 pm | delete
    I have RLS and GAD. Thank you for the information and good luck.
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More Medical Abbreviation References 

 

Mosby's Survival Guide to Medical Abbreviations, and Acronyms, Prefixes and Suffixes, Symbols, Greek Alphabet

Amazon Price: $34.95 (as of 06/02/2012)Buy Now

 

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