General

• AMTS Abbreviated mental test score (10 point test)
• BM Blood sugar level (bedside pinprick test)
• Bpm Beats per minute
• BS Bowel sounds
• CPR Cardiopulmonary resuscitation
• CVS Cardiovascular system
• DNA Did not attend
• D/N+V Diarrhoea/nausea and vomiting
• EBM Evidence based medicine
• ESM Ejection systolic murmur
• GA General anaesthetic
• GCS Glasgow coma score
• GIT Gastrointestinal tract
• GUT Genitourinary tract
• HS I + II +? Heart sounds 1 and 2 (+? Added sounds)
• ICP Intracranial pressure
• JACCOL Jaundice, anaemia, clubbing, cyanosis, oedema, lymphadenopathy
• JVP Jugular venous pressure
• LA Local anaesthetic
• LIF/RIF Left/right iliac fossa
• LMN/UMN Lower/upper motor neurone
• MAU Medical assessment unit
• MMSE Mini-mental test exam (30 point test)
• NAD Nothing abnormal detected
• NG (T) Nasogastric (tube)
• NBM Nil by mouth
• NNT Numbers needed to treat
• OT Occupational therapis
• OPD Outpatients department
• PERLA Pupils equal and reactive to light and accommodation.
• PR Rectal examination
• PSM Pan systolic murmur
• Pt Patient
• PV Vaginal examination
• R/L U/LQ Right/left upper/lower quadrant
• SOB Shortness of breath
• SOBOE Shortness of breath on exertion
• TPR Temperature, pulse and respiratory rate
• WR/PTWR Ward round/ Post-take ward round

DIAGNOSES

• AAA Abdominal aortic aneurysm
• ACS Acute coronary syndrome
• AF Atrial fibrillation
• Ca Carcinoma
• CCF Congestive cardiac failure
• CHD/IHD Coronary/Ischaemic heart disease
• COPD Chronic obstructive pulmonary disease
• DM Diabetes mellitus
• LVF/RVF Left/right ventricular failure
• MI Myocardial infarction
• PE Pulmonary embolism
• PUO Pyrexia of unknown origin
• TIA Transient ischaemic attack
• URTI Upper respiratory tract infection
• UTI Urinary tract infection
• VF Ventricular fibrillation

BLOOD TESTS

• APTT Activated partial prothrombin time
• CRP C-reactive protein
• ESR Erythrocyte sedimentation rate
• FBC Full blood count
• Hb Haemoglobin
• INR (PT) International normalised ratio (prothrombin time)
• LFTs Liver function tests
• MCV Mean corpuscular volume
• U+Es Urea and electrolytes
• TN Troponin
• WCC White cell count
• TFTs Thyroid function tests

WRITING NOTES

• C/o Complaining of
• PC Presenting complaint
• HPC History of presenting complaint
• PMHx Previous medical history
• DHx Drug history
• FHx Family history
• SHx Social history
• FE/SE Functional enquiry/systems enquiry
• O/e, Ex On examination
• Ddx Differential diagnosis
• Dx Diagnosis
• Mx Management
• Rx Treatment
• D/w Discuss with

INVESTIGATIONS

• ABG Arterial blood gases
• AXR Abdominal X-ray
• CT Computed tomography
• CXR Chest X-ray
• ECG Electrocardiogram
• EEG Electroencephalogram
• LP Lumbar puncture
• MCS Microscopy, culture and sensitivity
• MRI Magnetic resonance imaging
• MSU Mid-stream urine
• OGD Oesophagogastroduodenoscopy
• USS Ultrasound scan
• V/Q Scan Ventilation perfusion scan

DRUG CHARTS

• od Once daily
• bd Twice daily
• tds Three times daily
• qds Four times daily
• prn As required
• nocte At night
• mane In the morning
• X/12 X months
• X/52 X weeks
• X/7 X days
• CI Contraindications
• IM Intramuscular
• IV Intravenous
• NKDA/NKA No known (drug) allergies
• OD Overdose
• po Orally
• pr Per rectum
• pv Per vaginum
• SE Side effects
• sc Subcutaneous
• sl Sublingual