SOME CLINICAL SHORTHAND

Dr. Dino SgarabottoMalattie Infettive e Tropicali

Azienda Ospedaliera di Padova

• OE On examination• CO Complaining of • PH Previous history• FH Family history• SH Social history • HPC History of present complaint• IV Intravenously• IM Intramuscularly • SC Subcutaneously

The Most Used Shorthand

Other common shorthand• PUO Pyrexia of unknown origin• URTI Upper respiratory tract infection• CA Cancer• CCF Congestive cardiac failure• POP Plaster of Paris cast • BP Blood pressure• PR Per rectum • PV Per vagina • OD once daily • BD or BID Bis in die, twice daily• TID Ter in die, thrice daily• QID quarter in die, four times a day • NR Not relevant• NAD Nihil ad demonstrandum, 'nothing to show’

Plus Notation

- Negative ± Doubtful + Mild + + Moderate + + + Strong + + + + Very strong

Time shorthand 5/7 5 days

3/7 3 days2/52 2 weeks1/52 1 week2/12 2 months3/12 3 months

PN Percussion note

VF Vocal fremitus

BS Breath sounds