Acceptable abbreviations for the USMLE Step 2 CS



yo year-old
m male
f female
b black
w white
L left
R right
hx history
h/o history of
c/o complaining of
NL normal limits
WNL within normal limits
Ø without or no
+ positive
- negative
Abd abdomen
AIDS acquired immune deficiency syndrome
AP anteroposterior
BUN blood urea nitrogen
CABG coronary artery bypass grafting
CBC complete blood count
CCU cardiac care unit
cig cigarettes
CHF congestive heart failure
COPD chronic obstructive pulmonary disease
CPR cardiopulmonary resuscitation
CT computed tomography
CVA cerebrovascular accident
CVP central venous pressure
CXR chest x-ray
DM diabetes mellitus
DTR deep tendon reflexes
ECG electrocardiogram
ED emergency department
EMT emergency medical technician
ENT ears, nose, and throat
EOM extraocular muscles
ETOH alcohol
Ext extremities
FH family history
GI gastrointestinal
GU genitourinary
HEENT head, eyes, ears, nose, and throat
HIV human immunodeficiency virus
HTN hypertension
IM intramuscularly
IV intravenously
JVD jugular venous distention
KUB kidney, ureter, and bladder
LMP last menstrual period
LP lumbar puncture
MI myocardial infarction
MRI magnetic resonance imaging
MVA motor vehicle accident
Neuro neurologic
NIDDM non-insulin-dependent diabetes mellitus
NKA no known allergies
NKDA no known drug allergy
NSR normal sinus rhythm
PA posteroanterior
PERLA pupils equal, react to light and accommodation
po orally
PT prothrombin time
PTT partial prothrombin time
RBC red blood cells
SH social history
TIA transient ischemic attack
U/A urinalysis
URI upper respiratory tract infection
WBC white blood cells

Note : This is not intended to be a complete list of acceptable abbreviations, but rather represents the types of common abbreviations that may be used on the patient note. When in doubt - write it down! Also this list is available in every cubicle that you will sit in to write/type your patient notes.

From usmle.org

4 comments:

  1. Can we use HAART? Highly active antiretroviral therapy?

    ReplyDelete
  2. I for the most part spelled out everything. I passed. Thanks!

    ReplyDelete
  3. Can u use RRR for regular rate and rhythm when describing pulse

    ReplyDelete

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