Abbreviations for the Patient Note for usmle step 2 CS
m male
f female
b black
w white
yo year-old
ext extremities
L left
R right
c/o complainig of
hx history
h/o history of
PE physical exam
ROS review of sistems
SP standardized patient
SH social history
cig cigarette
ETOH alcohol
FH family history
DM diabetes melitus
HTN hypertension
Abd abdomen
GI gastrointestinal
GU genitourinary
U/A urinalysis
CXR chest x-ray
MRI magnetic resonance imaging
Neuro neurologic
NAD no acute distress
W/D well developed
W/N well nourished
BP....Blood pressure
P....pulse
R....respiatory rate
T.....temperature
DTR...deep tendon reflexes
PERLA...pupils equal react to light & accomodation
EOM...extraocular muscles
WNL....within normal limits
NKA...No known allergies
NKDA....no known drug allergies
WNL ... Within normal limits
JVD ... Jugular Venous Distention
BS ... Bowel sounds
RRR ... Rate Rhythm Regular
PPD ... Purified Protein Derivative (TB skin test)
HPI ... History of present illness
PMH .. Past Medical History
OTC .. Over the Counter
COPD . Chronic Obstructive Pulmonary Disease
ACE.. Angiotension Converting Enzyme
CXR ...Chest X-ray
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