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CREATING AND USING MACROS

TO INCREASE YOUR PRODUCTIVITY

Using macros when typing medical transcription will


increase your production without the need to type faster.
This means less time spent sitting at your computer, less
stress and strain on your body, and more money in your
paycheck.

By following these simple guidelines and incorporating


the macros provided in this book into your daily typing
routine, you will increase your production by over 50
PERCENT!

You can never have too many macros. Anytime you type
a word or phrase more than three times in one day, you
need to make a macro for it. Use the pages provided at
the back of this guide to list the macros you create.
Keep this guide by your computer for reference until you
begin to get familiar with the macros you have started
using and in no time, using the macros will become habit
and you will start seeing your production rate increase.

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12 TIPS FOR CREATING MACROS

1. The simplest and most common way to make a macro


is to use the first letter of each word. Leave out words
such as a, the, and, etc.

Example: hrrr/heart has a regular rate and rhythm

2. When making macros for two words, you can use the
first two letters from each word.

Example: otne/otherwise negative

3. For longer words, use the first and last letter of the
word.

Example: ory/originally

4. Add letters to the beginning or ending of words to


increase their use.

Example: rom/range of motion – then add farom/full


active range of motion

5. Create macros for words that are often spelled


incorrectly.

Example: adn/and, hten/then, caues/cause, etc.

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6. Design macros for all of the headings you type.

Example: hpi/HISTORY OF PRESENT ILLNESS:

7. Make macros for common drugs and phrases that you


type on a daily basis.

8. Personalize your macros for particular doctors and the


repetitive phrases that they use, such as physical
exams, impressions, follow-ups, etc.

9. Add frequently typed names and addresses to your


macro file.

10. Macro frequently typed dates and numbers. Typing


numbers can drastically reduce your typing speed and
production. Macro numbers whenever possible.

11. Use capitalization in the macros whenever needed.

Example: Drug names, physicians, days of the week,


months of the year, etc.

12. Don't be afraid to make your own macros or change


the ones provided to better fit your needs.

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A
aaa/abdominal aortic aneurysm
aao/alert and oriented
abd/abdomen
abdc/abdominal cramping
abg/ABG
abgx/arterial blood gas
abn/abnormal
abno/above noted
abnx/abnormalities
abo/abortion
abs/active bowel sounds
absc/abscess
abt/about
acet/acetaminophen
acex/acute exacerbation
achgs/acute changes
achp/atypical chest pain
acj/acromioclavicular joint
acl/ACL
acoag/anticoagulation
acub/antecubital
acyc/acyclovir
ada/as described above
adca/adenocarcinoma
addi/admission diagnosis
addx/addition deficit disorder
adec/adenocarcinoma
adepr/anti-depression
adh/adhesion
adhd/ADHD
adhdx/attention deficit hyperactivity disorder
adls/ADLs
adlx/activities of daily living
adly/additionally
adm/admission
ady/adenopathy
af/atrial fibrillation
agax/appropriate for gestational age
ah/adequate hemostasis
ahd/arteriosclerotic heart disease
ai/antiinflammatory

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ain/aortic insufficiency
aka/above-the-knee amputation
ala/Alavert
alas/alleged assault
alc/alcohol
alcm/alcoholism
ale/Allegra
alg/allergies
alkp/alk phos
alkx/alkaline phosphatase
aloc/altered level of consciousness
alt/ALT
alz/Alzheimer's
ama/against medical advice
amap/as much as possible
amfx/amaurosis fugax
amit/amitriptyline
ams/altered mental status
amt/amount
amts/amounts
anas/anastomosis
anb/antibiotic
anbt/antibiotic treatment
anes/anesthesia
anesl/ANESTHESIA: Local
anesg/ANESTHESIA: General
anlg/analgesia
ant/anterior
anty/anteriorly
aodm/adult-onset diabetes mellitus
ao3/alert and oriented x3
ap/auscultation and percussion
aplas/angioplasty
appt/appointment
appx/appendicitis
appy/appendectomy
apr/April
apx/approximately
arom/artificial rupture of membranes
arthev/arthroscopic evaluation
arthex/arthroscopic examination
arry/arrhythmia
arty/artery
asa/aspirin
asap/as soon as possible

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ascvdx/atherosclerotic cardiovascular disease
ashd/atherosclerotic heart disease
asme/as mentioned
asno/As noted in history of present illness
asp/Assessment and Plan:
ass/assessment
assx/ASSESSMENT
ast/asthma
asta/asthma attack
aste/asthma exacerbation
aten/atenolol
ath/at the
atno/atraumatic, normocephalic
attn/attention
aty/atypical
aug/August
aus/auscultation
ava/available
avn/Avandia
axa/anxiety attack
az/Alzheimer’s disease
azi/azithromycin
azm/Azmacort

baci/bacitracin
bact/bactrim
bbb/bundle branch block
bbd/bowel or bladder dysfunction
bbs/bilateral breath sounds
bc/bradycardia
bcc/basal cell carcinoma
bcn/BRIEF CLINICAL NOTE
bcp/birth control pills
bda/Band-Aid
ben/Benadryl
bh/BRIEF HISTORY
bid/b.i.d.
bih/bilateral inguinal hernia
bili/bilirubin
bim/bimanual
bip/BiPAP
bix/Biaxin
bka/below-the-knee amputation

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bla/bladder
bld/blood
blg/bleeding
blgas/blood gases
blt/bilateral
bly/bilaterally
bm/bowel movement
bmi/BMI
bmu/buccal mucosa
boso/bowel sounds
bp/blood pressure
bph/BPH
bphx/benign prostatic hypertrophy
bpm/beats per minute
bpv/benign positional vertigo
brb/bright red blood
brd/bronchodilator
brp/bilateral retrograde pyelography
bs/blood sugar
bsa/bowel sounds are active
bse/breast self exam
bso/BSO
bsox/bilateral salpingo-oophorectomy
btl/bilateral tubal ligation
bun/BUN
bupi/bupivacine
busp/BuSpar
bx/biopsy
bxd/biopsied
bxs/biopsies

c12/C1-2
c23/C2-3
c34/C3-4
c45/C4-5
c56/C5-6
c67/C6-7
c71/C7-T1
ca/cancer
cau/Caucasian
cs/culture and sensitivity
cabg/CABG
cabgx/coronary artery bypass graft

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caca/cardiac catheterization
cad/CAD
cadx/coronary artery disease
calc/calcifications
carar/cardiac arrest
card/Cardizem
cardy/cardiology
cath/catheterization
catl/cataract, left eye
catr/cataract, right eye
cbap/chronic back pain
cbc/CBC
cbcx/complete blood count
cbx/Celebrex
cbv/cerebrovascular
cc/chief complaint
ccath/cardiac catheterization
cce/cyanosis, clubbing, or edema
ccl/clamped, cut and ligated
ccm/continue current medicines
ccx/CHIEF COMPLAINT:
cd/coronary disease
cderm/chronic dermatitis
cdif/C.difficile
cds/Crohn’s disease
ce/cardiac enzymes
cef/Ceftin
cele/Celebrex
ces/cesarean section
cft/capillary filling time
cfx/compression fracture
cgvr/caregiver
ch/CLINICAL HISTORY
chemo/chemotherapy
chf/CHF
chfx/congestive heart failure
chh/chest heaviness
chl/chloride
chm/chondromalacia
cht/chest tightness
chole/cholecystectomy
cholel/cholelithiasis
cholex/cholecystitis
chrp/chronic pain
chx/chest x-ray

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ci/contraindications
cig/cigarette
cigs/cigarettes
cil/Ciloxan
cimp/clinical impression
cip/Cipro
citri/Citrical
cj/conjunctivae
clart/Claritin
clarx/clarinex
clbap/chronic low back pain
clig/collateral ligament
clith/cholelithiasis
cll/chronic lymphocytic leukemia
cly/colonoscopy
cm/centimeter
cmcj/carpometacarpal joint
cmp/comprehensive metabolic panel
cms/centimeters
cmt/cervical motion tenderness
cn/cranial nerves
cns/CNS
cnsx/central nervous system
co/complications
cod/condition on discharge
col/Colace
coly/colonoscopy
comb/combination
combi/Combivent
comf/comfortable
compl/complications
cond/condition
cong/congestion
cons/consultation
contra/contraindications
copd/COPD
copdx/chronic obstructive pulmonary disease
cops/colonic polyps
cor/coronary
cora/coronary artery
cos/cataract, left eye
cou/cataracts, both eyes
coum/Coumadin
coz/Cozaar
cp/chest pain

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cpap/CPAP
cpe/complete physical examination
cpk/CPK
cpox/chicken pox
cprx/cardiopulmonary resuscitation
cpu/cardiopulmonary
cr/cervical radiculopathy
cra/Cardura
cre/creatinine
crf/chronic renal failure
cri/chronic renal insufficiency
crn/cranial nerves
crne/cranial nerves II-XII intact
crt/creatinine
cs/cesarean section
cstest/cardiac stress test
ct/CT
cta/clear to auscultation
ctap/clear to auscultation and percussion
ctn/calf tenderness
cts/carpal tunnel syndrome
cuspl/cock-up splint
cv/cardiovascular
cva/CVA
cvax/cerebrovascular accident
cvd/cardiovascular disease
cx/circumflex
cxpl/chest x-ray, PA and lateral.
cxr/chest x-ray

da/drug allergies
dar/Darvocet
dax/DRUG ALLERGIES:
dbe/diabetic education
dbre/difficult breathing
dc/discontinue
dcd/discontinued
dcol/discoloration
dd/discharge diagnosis
ddd/degenerative disk disease
dec/December
deg/degrees
degen/degenerative

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dem/Demerol
dep/depression
derm/dermatological
deve/develop
deved/developed
deves/develops
dexas/DEXA scan
dfy/difficulty
diar/diarrhea
dic/dictation
dicb/Dictated by:
dif/difficult
diflc/Diflucan
difx/differential
dify/difficulty
digx/digoxin
dila/diagnostic laparoscopy
dimp/diagnostic impression
dins/deep inspiration
dip/DIP
dirv/direct visualization
dis/disease
disd/discharged
diskx/diskectomy
disp/disposition
dit/Ditropan
djd/DJD
djdx/degenerative joint disease
dl/deciliter
dlp/dorsal lithotomy position
dls/dizziness, lightheadedness or syncope
dm/diabetes mellitus
doa/date of admission
doe/dyspnea on exertion
doxy/doxycycline
dp/dorsalis pedis
dr/drainage
dres/dressing
drp/diabetic retinopathy
dtex/during the exam
dtr/DTRs
dtrx/deep tendon reflexes
du/decubitus ulcer
dub/dysfunctional uterine bleeding
dv/double vision

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dvt/DVT
dvtx/deep venous thrombosis
dx/diagnosis
dya/Dyazide

eac/external auditory canal


eacs/external auditory canals
ean/except as noted above
eart/endarterectomy
ebl/estimated blood loss
ecc/ecchymosis
ecep/encephalopathy
ecg/ECG
ech/echocardiogram
ecoli/E-coli
ecopd/exacerbation of chronic obstructive pulmonary disease
ecor/excoriation
ed/emergency department
ede/edema
eden/edentulous
eef/estimated ejection fraction
eeg/EEG
eegx/electroencephalogram
ef/ejection fraction
eff/Effexor
egax/estimated gestational age
egd/EGD
egdb/ esophagogastroduodenoscopy with biopsy
egdx/esophagogastroduodenoscopy
ekg/EKG
ekgx/electrocardiogram
ekgy/electrocardiography
ela/Elavil
eld/elderly
ele/electrolyte
eles/electrolytes
elli/eillicit
emet/endometriosis

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emp/emperic
endo/endoscopy
ent/ENT
entx/ears, nose and throat
entxx/Ears, Nose and Throat
eomi/EOMI
eomix/extraocular muscles are intact
eomvx/extraocular movements are intact
eos/eosinophils
epi/epinephrine
er/emergency room
ert/estrogen replacement therapy
ery/erythema
eryx/erythematous
eso/esophagus
esol/esophageal
esp/especially
esrd/end-stage renal disease
est/estimated
et/endotracheal
etd/eustachian tube dysfunction
eti/etiology
ett/exercise treadmill test
eval/evaluation
evi/evidence
evth/even though
ex/examination
exac/exacerbation
exc/excision
excd/excised
exg/external genitalia
exla/exploratory laparotomy
exo/extraocular
exp/exploration
exsg/exploratory surgery
ext/extremity
exts/extremities

f4/figure-of-four
f8/figure-of-eight
fahr/fahrenheit
fas/fasciitis
fatu/fallopian tube

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fbs/fasting blood sugar
fcon/fair condition
fd/found
fdeg/first-degree
fe/female
feb/February
fem/femoral
fev1/FEV1
fh/family history
fido/first dose
flag/Flagyl
flesig/flexible sigmoidoscopy
flet/flexor tendon
flov/Flovent
fluo/fluorescein
fluor/fluoroscopy
fna/fine needle aspiration
fol/following
folc/Foley catheter
fos/Fosamax
fre/frequently
fth/for the
ftn/finger-to-nose
fs/fingerstick
fsbs/fasting blood sugar
fu/follow up
fx/fracture
fxd/fractured

g1/Grade I
g2/Grade II
g3/Grade III
g4/Grade IV
ga/general appearance
galb/gallbladder
gcneg/guaiac negative
gcon/good condition
gcpos/guaiac positive
gent/gentleman
geny/generally
gerd/GERD
gerdx/gastroesophageal reflux disease
gh/glenohumeral

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gi/GI
gix/gastrointestinal
gluc/Glucometer
goo/gradual onset of
gor/guarding or rebound
grom/good range of motion
gtm/gentleman
gu/genitourinary
gyn/GYN
gyne/gynecological

h2b/H2 blocker
ha/heart attack
hal/hallucinations
hap/history and physical
hapx/HISTORY AND PHYSICAL:
hbgc/hemoglobin A1C
hbn/heartburn
hbt/heartbeat
hcm/health care maintenance
hct/hematocrit
hctz/HCTZ
hctzx/hydrochlorothiazide
heent/HEENT
hemen/heme-negative
hemep/heme-positive
hfy/hopefully
hgb/hemoglobin
hgc/hemoglobin A1C
hihe/hiatal hernia
hiss/he is scheduled to see
hle/Heart and lung exams are normal.
hlif/heavy lifting
hmo/hemostasis
hmt/hematocrit
hn/head and neck
hna/head is normocephalic and atraumatic
hnxn/head and neck is normal
ho/however
hos/hospital
hosd/hospitalized

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hospx/hospitalization
hpf/high-powered field
hpi/HPI
hpix/HISTORY OF PRESENT ILLNESS:
hpn/hypertension
hpy/H pylori
hr/heart rate
hrrr/heart has a regular, rate and rhythm
hrt/hormone replacement therapy
hs/h.s.
hsom/hypersomnolence
hv/have
hvg/having
hyc/hypercholesterolemia
hyl/hyperlipidemia
hyn/hypertension
hys/hysterectomy

ia/in addition
ibu/ibuprofen
ic/iliac crest
icd/incision and drainage
ics/intercostal space
id/infectious disease
ida/iron-deficiency anemia
iddm/insulin-dependent diabetes mellitus
iden/identified
ie/i.e.
ihak/I have asked
ihav/I have advised
ihd/I have discussed
ihe/I have explained
ihg/I have given
ihi/I have instructed
ihp/I have provided
ihr/I have reviewed
ihrf/I have reviewed the findings
imi/Imitrex
imm/immediately
immu/immunizations
imp/impression
inad/inadvertently

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inap/inappropriately
inc/incision
inci/incised
inco/incontienence
incy/incidentally
ind/indications
inf/inferiorly
infc/informed consent
infl/inflammatory
ing/inguinal
inr/INR
ins/instrument
insuff/insufficiency
int/internal
inth/in the
intro/introduction
inty/intermittently
io/intraocular
iol/intraocular lens
ioli/intraocular lens implant
ipj/interphalangeal joint
ipt/inpatient
ira/irrigation/aspiration
ird/irrigation and debridement
irir/irregularly irregular
ir/intrauterine
irr/irrigate
irrn/irrigation
isc/ischemia
ishd/ischemic heart disease
iud/IUD
ivc/infrerior vena cava
ivp/IVP
ivpx/intravenous pyelogram
lwk/last week

jan/January
jl/joint line
jpd/Jackson-Pratt drain
jul/July
jun/June
jvd/JVD

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jvdx/jugular venous distention
jvp/JVP
jvpx/jugular venous pressure

kdur/K-Dur
kef/Keflex
klo/Klonopin
kub/KUB

l12/L1-2
l23/L2-3
l34/L3-4
l45/L4-5
l5s/L5-S1
laa/light and accommodation
labd/laboratory data
labs/LABS
labx/laboratory
laby/labyrinthitis
lac/laceration
lach/laparoscopic cholecystectomy
lad/LAD
lado/last dose
ladx/left anterior descending
lam/laminectomy
lan/Lanoxin
lanesa/local anesthesia
lanesc/local anesthetic
lank/left ankle
lankp/left ankle pain
lao/left anterior oblique
lape/laparoscope
lapo/laparoscopic
lapy/laparoscopy
lari/lactated Ringer’s
larm/left arm

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lat/lateral
laty/laterally
lavh/laparoscopic assisted vaginal hysterectomy
lbbb/left bundle branch block
lc/lungs clear
lcap/lungs clear to auscultation and percussion
lcm/left costal margin
ld/lumbodorsal
ldut/light duty
le/lower extremity
leb/left elbow
lebx/left elbow fracture
les/lower extremities
lesi/lumbar epidural steroid injection
levq/Levaquin
levx/Levoxyl
lfrm/left forearm
lfs/liver function studies
lft/liver function test
lgtoe/left great toe
lgtr/left greater than right
lh/lightheadedness
lhip/left hip
li/lidocaine
lig/ligament
lih/left inguinal hernia
lipd/lipids
lipi/Lipitor
lk/left knee
lkna/left knee abrasion
lkne/left knee effusion
lknf/left knee films
lkp/left knee pain
lld/lipid lowering drugs
lldp/left lateral decubitus position
lle/left lower extremity
lleg/left leg
llegf/left leg fracture
lll/left lower lobe
llq/left lower quadrant
lmf/left middle finger
lml/left middle lobe
lmp/LMP
lmpx/last menstrual period
ln/lymph node

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loc/loss of consciousness
lop/Lopid
lor/loss of resistance
lotn/Lotensin
lov/Lovenox
lq/Levaquin
lr/lumbar radiculopathy
lri/lumbar radiculitis
lrom/limited range of motion
ls/lumbosacral
lsb/left sternal border
lsd/left-sided
lsk/liver, spleen, and kidneys
lst/long-standing
lsx/Lasix
lt/left
ltkr/left total knee replacement
ltm/long-term memory
ltym/left tympanic membrane
lue/left upper extremity
luea/left upper extremity abrasion
lul/left upper lobe
luq/left upper quadrant
lumpx/lumpectomy
lv/left ventricle
lvf/left ventricular function
lvh/LVH
lvhx/ left ventricular hypertrophy
lyp/lymphadenopathy

ma/male
mac/Macrodantin
mal/malignant
maly/malignancy
mam/mammogram
mar/March
marc/Marcaine
mastx/mastectomy
mc/midclavicular
mcar/miscarriage
mcl/midclavicular line
mcmr/McMurray’s

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mcp/MCP
mdi/metered-dose inhaler
med/medication
medr/Medrol
meds/medications
medx/MEDICATIONS:
mel/melena
meq/mEq
meta/metastatic
mgr/murmur, gallop or rub
mht/murmurs, heaves or thrills
mm/mucous membrane
mmcp/measles, mumps and chickenpox
mmhg/mmHg
mms/mucous membranes
mmt/medial meniscus tear
mo/masses or organomegaly
mse/mental status examination
mgr/murmur, gallop, or rub.
mgt/management
mi/MI
mimy/minimally
min/minute
mins/minutes
mmt/medial meniscus tear
mo/masses or organomegaly
mol/more or less
mon/Monday
monc/monocytes
monp/Monopril
mot/Motrin
mpj/metacarpophalangeal joint
mrg/murmur, rub or gallop
mri/MRI
mrx/mitral regurgitation
mse/mental status examination
msk/musculoskeletal
mtp/MTP
mur/murmur
mva/MVA
mvax/motor vehicle accident
mvi/multivitamin
mvis/multivitamins
mvp/mitral valve prolapse
mx/myocardial infarction

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N

nabs/normoactive bowel sounds


nad/no acute distress
naps/Naprosyn
napx/Naproxen
nav/nausea and vomiting
nc/noncontributory
ncbh/No change in bowel habits.
ncx/Noncontributory.
ncat/normocephalic/atraumatic
nda/NO KNOWN ALLERGIES
nec/necessary
neg/negative
neu/neurologic
neut/neurtrophils
neuv/neurovascular
neuvy/neurovascularly
nh/nursing home
niddm/non-insulin dependent diabetes mellitus
nk/unknown
ndk/no known drug allergies
nkda/NO KNOWN DRUG ALLERGIES
nlith/nephrolithiasis
nm/neuromuscular
nml/normal
nmu/nasal mucosa
noac/normoactive
noat/normocephalic, atraumatic
noce/normocephalic
nond/nondistended
nonr/nonreactive
nons/nonspecific
nont/nontender
norv/norvasc
nos/not otherwise specified
nov/November
nph/NPH
npo/NPO
nrom/normal range of motion
nrop/neuropathy
nsaid/NSAID
nsnjb/neck supple with no JVD or bruits

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nvr/neurovascular
nwbg/nonweightbearing

obgyn/OB/GYN
obs/obstruction
obser/observation
obst/obstetrical
obt/obtain
obtd/obtained
oc/o’clock
ocon/oral contraceptives
oct/October
od/right eye
oft/of the
og/ongoing
ogly/originally
om/otitis media
omu/oral mucosa
ont/on the
op/oropharynx
oph/ophthalmologist
opn/opinion
oppy/opportunity
org/organomegaly
orif/ORIF
orifx/open reduction internal fixation
orth/orthopaedic
osa/obstructive sleep apnea
osp/osteoporosis
osta/osteoarthritis
otc/OTC
otcx/over-the-counter
otne/otherwise negative
otp/othopnea or PND.
ou/otherwise unremarkable
ov/office visit
ovcy/ovarian cyst
ow/otherwise
oxsa/oxygen saturation
oxy/oxygen

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P

pa/patient
pac/premature atrial contractions
padd/prepped and draped
pal/palpable
panc/pancreatitis
pap/Pap smear
papi/palpitations
pat/paroxysmal atrial tachycardia
path/pathology
pax/Paxil
pb/piggyback
pbo/partial bowel obstruction
pcd/primary care doctor
pco2/pCO2
pcon/poor condition
pcp/primary care phycisian
pda/posterior descending artery
pdf/prepped and draped in the usual fashion
pe/physical examination
pex/PHYSICAL EXAMINATION:
ped/peripheral edema
peef/pericardial effusion
pem/pulmonary embolism
pen/Penicillin
pep/Pepcid
perc/percussion
perl/PERRLA
perlx/pupils equal, round, and reactive to light and accommodation
pf/plantar fasciitis
pft/PFT
pftx/pulmonary function test
phen/phenomenon
ph/pH
pheng/phenergan
phli/physical limitations
php/peripheral pulses
pita/plan is to admit the patient
plav/Plavix
plc/platelet count
plef/pleural effusion
pm/pelvic mass
pmh/past medical history
pmhx/PAST MEDICAL HISTORY:

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pmi/PMI
pnd/paroxysmal nocturnal dyspnea
pndr/post nasal drip
pne/pneumonia
poaf/precipitating or aggravating factors
pop/postoperative
popp/postoperative plan
pos/positive
pota/potassium
poty/posteriorly
pp/post prandial
ppi/proton pump inhibitor
prav/Pravachol
prd/prior to discharge
prdr/prepped and draped
pred/prednisone
preg/pregnant
pregy/pregnancy
prem/Premarin
preop/preoperative
preopy/preoperatively
pres/presence
prev/Prevacid
pri/primary
pril/Prilosec
prin/Prinivil
prit/prior to
prn/p.r.n.
proc/procedure
prog/prognosis
prol/prolonged
prophy/prophylaxis
prov/Provera
prox/proximal
proz/Prozac
prp/pre prandial
prt/Please refer to
prur/pruritis
ps/positive
psgm/polysomnogram
psh/past surgical history
pshx/PAST SURGICAL HISTORY:
psy/psychiatric
pta/prior to admission
pto/The patient tolerated the procedure well.

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ptsd/post-traumatic stress disorder
ptx/physical therapy
pud/peptic ulcer disease
pul/pulmonary
pule/pulmonary embolism
pup/The patient understands the procedure.
pvc/premature ventricle contractions
pvd/peripheral vascular disease
pvv/posterior vaginal vault
pw/progressively worse
px/Pneumovax
py/pathology

q12h/q.12h.
q24h/q.24h.
q4-6h/q.4-6h.
q4h/q.4h.
q6h/q.6h.
q8h/q.8h.
qam/q.a.m.
qd/q.d.
qdy/q. day
qhs/q. h.s.
qid/q.i.d.
qod/q.o.d.
qpm/q.p.m.
qwa/questions were answered

ra/rheumatoid arthritis
rab/risks and benefits
rad/radiation
radc/radiculopathy
radg/radiating
radr/radicular
radt/radiate
rank/right ankle
ranki/right ankle injury
rarm/right arm
rbbb/right bundle branch block
rbc/RBC

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rbcs/RBCs
rbcx/red blood cells
rbs/random blood sugar
rbse/risks, benefits, and side effects
rc/return to clinic
rca/right coronary artery
rcan/return to clinic as needed
rcm/right costal margin
reap/reapproximate
reb/right elbow
rec/recommendation
recd/recommended
recs/recommendations
recx/RECOMMENDATIONS:
reg/regular
regl/Reglan
regur/regurgitation
rehab/rehabilitation
res/respirations
resy/respiratory
rev/reveal
revd/revealed
rey/respiratory
reye/right eye
rf/remarkable for
rfa/reason for admission
rfc/reason for consultation
rfh/reason for hospitalization
rfv/reason for visit
rgm/rebound, guarding or masses
rgtl/right greater than left
rgtoe/right great toe
rh/right-handed
rhip/right hip
rhiptn/right hip tenderness
ri/renal insufficiency
rkn/right knee
rkne/right knee effusion
rkni/right knee injury
rle/right lower extremity
rll/right lower lobe
rlq/right lower quadrant
rmf/right middle finger
rml/right middle lobe
ro/rule out

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robi/Robitussin
roc/Rocephin
rom/range of motion
ros/review of systems
rosx/REVIEW OF SYSTEMS:
rpg/retrograde pyelogram
rr/recovery room
rrr/regular rate and rhythm
rrs/regular rate and rhythm, normal S1 and S2
rrw/rhonchi, rales, or wheezing
rs/right-sided
rshoi/right shoulder injury
rsis/resistance
rsr/regular sinus rhythm
rtkr/right total knee replacement
rtm/right tympanic membrane
rue/right upper extremity
rul/right upper lobe
ruq/right upper quadrant
ruqp/right upper quadrant pain
rv/right ventricle
rvf/right ventricular function
rvh/right ventricular hypertrophy
rx/prescription

s12/S1 and S2
s34/S3 or S4
sabd/sharp and blunt dissection
sal/saline
salic/salicylate
sanc/sponge and needle counts were correct
saph/saphenous
sas/signs and symptoms
scon/satisfactory condition
satu/Saturday
satis/satisfactory
sc/supraclavicular
scc/squamous cell carcinoma
schiz/schizophrenia
scl/sclerae

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scm/sternocleidomastoid
sd/seizure disorder
sda/several days ago
sdeg/second degree
sds/same day surgery
se/side effects
sec/secondary
secd/secondary diagnosis
sedr/sedimentation rate
sem/systolic ejection murmur
sep/September
sept/Septra
sere/Serevent
serz/Serzone
sg/specific gravity
sig/signficant
sigy/significantly
si/SI
sil/sacroiliac
sk/seborrheic keratosis
slr/straight-leg raise
slrg/straight-leg raising
slsc/sliding scale
slsci/sliding scale insulin
sm/Solu-Medrol
snf/skilled nursing facility
snt/soft, nontender
sob/shortness of breath
solu/solution
soo/salpingo-oophorectomy
sos/signs or symptoms
sp/status post
spb/suprapubic
spc/supraclavicular
spec/specifically
spl/spondylolisthesis
spv/SUPERVISING PHYSICIAN:
sq/subcutaneous
srom/spontaneous rupture of membranes
ss/Steri-Strips
ssgf/serosanguineous fluid
sst/she states that
stco/stable condition
std/STD
stds/STDs

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stdx/sexually transmitted disease
stm/short-term memory
stom/stomach
subs/subsequently
suco/subconjunctivae
sund/Sunday
sup/superior
supi/supine position
supn/supination
supp/suppository
supy/superiorly
sur/surgery
surl/surgical
sury/surgically
sus/subsequent
susy/subsequently
svca/superior vena cava
svd/spontaneous vaginal delivery
sw/swelling
swal/swallow
symm/symmetric
symp/symptoms
sympy/symptomatology
symy/symmetrically
syn/Synthroid

ta/tonsillectomy and adnoidectomy


tachy/tachycardia
tag/Tagamet
tah/total abdominal hysterectomy
tanesa/topical anesthesia
tax/Taxol
tb/TB
tbd/to be determined
tcca/transitional cell carcinoma
tch/total cholesterol
tcp/thrombocytopenia
tdeg/third degree
tdy/today
te/transesophgeal
tec/technique

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tee/transesophageal echocardiogram
teg/Tegretol
telan/telangiectasia
temp/temperature
tex/the examination
tft/thyroid function test
tfx/tibial-fibular fracture
thc/triamterene/hydrochlorothiazide
theo/theophylline
thev/this evening
thex/The patient was taken to the operating room
thg/thyromegaly
thor/thoroughly
thr/throughout
thur/Thursday
tia/TIA
tiax/transient ischemic attack
tid/t.i.d.
tis/tissue
tlc/total lung capacity
tm/tympanic membrane
tma/taken by medical assistant
tmd/taken by medical doctor
tmj/TMJ
tmjx/temporomandibular joint
tmx/TMs
tntc/too numerous to count
toa/temperature on admission
tod/Type 1 diabetes
tons/tonsils
tonsr/tonsillar
tonsre/tonsillar exudate
tonsrh/tonsillary hypertrophy
tnd/tenderness
topa/Topamax
topp/There is no obvious purulence or polyps.
topr/Toprol
toth/to the
tp/the patient
tpc/the patient complains
tpp/the patient presents
tpr/the patient reports
tps/the patient stated
tpw/the patient was
traf/transferred

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trig/triglycerides
trl/Toprol
trp/troponin
trts/treatments
trx/tricuspid regurgitation
trz/Trazadone
tss/toxic shock syndrome
ttd/Type 2 diabetes
ttp/tenderness to palpation
tue/Tuesday
tuli/tubal ligation
turp/TURP
turpx/transurethral resection of the prostate
tuvm/Thank you very much
tvh/total vagainal hysterectomy
tww/the wound was
tx/treatment
tyl/Tylenol

ua/UA
ual/upper and lower
uasp/ulnar aspect
uax/urinalysis
ucc/urgent care center
ucol/ulcerative colitis
ue/upper extremity
ues/upper extremities
uf/urinary frequency
ug/undergoing
uhcg/urine HCG
ui/urinary incontinence
ule/upper and lower extremities
ulmwk/upper or lower extremity motor weakness
ult/Ultram
umb/umbilical
umbh/umbilical hernia
unc/unchanged
unf/unfortunately
unr/unremarkable
upj/UPJ
uptd/up-to-date
ure/ureter

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uri/URI
urix/upper respiratory infection
uro/urological
us/ultrasound
usf/usual sterile fashion
usty/ulnar styloid
uti/UTI
utix/urinary tract infection
uvj/ureterovesical junction
uw/underwent

vava/vaginal vault
vad/valvular disease
val/Valium
vas/vasectomy
vd/visual disturbance
ver/verapamil
versed/Versed
vert/vertigo
vh/ventricular hypertrophy
vhl/visual hallucinations
vic/Vicodin
vis/visualized
vr/ventricular rate
vs/vital signs
vu/versus
vv/vasovagal

wbc/WBC
wbcs/WBCs
wbcx/white blood cells
wbg/weightbearing
wbi/was brought in
wc/well-controlled
wdn/withdrawn
wdwn/well-developed, well-nourished
wedn/Wednesday
wepr/wet prep
wh/well-healed

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whrd/watching her diet
whsd/watching his diet
whsl/what sounds like
wh/well-healed
wi/with
wktm/well-known to me
wn/well-nourished
wnl/within normal limits
wnwd/well-nourished, well-developed
wo/woman
wr/which revealed
ws/was
wsd/within several days
wsm/within several minutes
wso/was started on
wsym/worsening symptoms
wt/weight
wtd/wet-to-dry
wteo/with the exception of
wth/with the
wwa/we will arrange
wv/well-visualized

x3/times three
xan/Xanax
xer/Xeroform
xo/extraocular
xr/x-ray
xrs/x-rays
xyl/Xylocaine

zan/Zantac
zes/Zestoretic
zest/Zestril
zith/Zithromax
zoc/Zocor
zol/Zoloft
zyp/Zyprexa
zyr/Zyrtec

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SUTURES:

1b/1-0 Biosyn
1c/1-0 chromic
1d/1-0 Dexon
1e/1-0 Ethibond
1m/1-0 Monocryl
1n/1-0 nylon
1p/1-0 Prolene
1s/1-0 silk
1v/1-0 Vicryl
2b/2-0 Biosyn
2c/2-0 chromic
2d/2-0 Dexon
2e/2-0 Ethibond
2m/2-0 Monocryl
2n/2-0 nylon
2p/2-0 Prolene
2s/2-0 silk
2v/2-0 Vicryl
3b/3-0 Biosyn
3c/3-0 chromic
3d/3-0 Dexon
3e/3-0 Ethibond
3m/3-0 Monocryl
3n/3-0 nylon
3p/3-0 Prolene
3s/3-0 silk
3v/3-0 Vicryl
3w/three-way
4b/4-0 Biosyn
4c/4-0 chromic
4d/4-0 Dexon
4e/4-0 Ethibond
4m/4-0 Monocryl
4n/4-0 nylon
4p/4-0 Prolene
4s/4-0 silk
4v/4-0 Vicryl
5b/5-0 Biosyn
5c/5-0 chromic
5d/5-0 Dexon
5e/5-0 Ethibond
5m/5-0 Monocryl
5n/5-0 nylon

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5p/5-0 Prolene
5s/5-0 silk
5v/5-0 Vicryl
6b/6-0 Biosyn
6c/6-0 chromic
6d/6-0 Dexon
6e/6-0 Ethibond
6m/6-0 Monocryl
6n/6-0 nylon
6p/6-0 Prolene
6s/6-0 silk
6v/6-0 Vicryl
7b/7-0 Biosyn
7c/7-0 chromic
7d/7-0 Dexon
7e/7-0 Ethibond
7m/7-0 Monocryl
7n/7-0 nylon
7p/7-0 Prolene
7s/7-0 silk
7v/7-0 Vicryl
8b/8-0 Biosyn
8c/8-0 chromic
8d/8-0 Dexon
8e/8-0 Ethibond
8m/8-0 Monocryl
8n/8-0 nylon
8p/8-0 Prolene
8s/8-0 silk
8v/8-0 Vicryl
9b/9-0 Biosyn
9c/9-0 chromic
9d/9-0 Dexon
9e/9-0 Ethibond
9m/9-0 Monocryl
9n/9-0 nylon
9p/9-0 Prolene
9s/9-0 silk
9v/9-0 Vicryl

AGES:

1mo/one-month-old
2mo/two-month-old

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3mo/three-month-old
4mo/four- month-old
5mo/five-month-old
6mo/six-month-old
7mo-seven-month-old
8mo/eight-month-old
9mo/nine-month-old
10mo/ten-month-old
11mo/eleven-month-old
1yo/one-year-old
2yo/two-year-old
3yo/three-year-old
4yo/four-year-old
5yo/five-year-old
6yo/six-year-old
7yo/seven-year-old
8yo/eight-year-old
9yo/nine-year-old
10yo/ten-year-old
11yo/11-year-old
12yo-12-year-old
13yo/13-year-old
14yo/14-year-old
15yo/15-year-old
16yo/16-year-old
17yo/17-year-old
18yo/18-year-old
19yo/19-year-old
20yo/20-year-old
21yo/21-year-old
22yo/22-year –old
23yo/23-year-old
24yo/24-year-old
25yo/25-year-old
26yo/26-year-old
27yo/27-year-old
28yo/28-year-old
29yo/29-year-old
30yo/30-year-old
31yo/31-year-old
32yo/32-year-old
33yo/33-year-old
34yo/34-year-old
35yo/35-year-old
36yo/36-year-old

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37yo/37-year-old
38yo/38-year-old
39yo/39-year-old
40yo/40-year-old
41yo/41-year-old
42yo/42-year-old
43yo/43-year-old
44yo/44-year-old
45yo/45-year-old
46yo/46-year-old
47yo/47-year-old
48yo/48-year-old
49yo/49-year-old
50yo/50-year-old
51yo/51-year-old
52yo/52-year-old
53yo/53-year-old
54yo/54-year-old
55yo/55-year-old
56yo/56-year-old
57yo/57-year-old
58yo/58-year-old
59yo/59-year-old
60yo/60-year-old
61yo/61-year-old
62yo/62-year-old
63/yo/63-year-old
64yo/64-year-old
65yo/65-year-old
66yo/66-year-old
67yo/67-year-old
68yo/68-year-old
69yo/69-year-old
70yo/70-year-old
71yo/71-year-old
72yo/72-year-old
73yo/73-year-old
74yo/74-year-old
75yo/75-year-old
76yo/76-year-old
77yo/77-year-old
78yo/78-year-old
79yo/79-year-old
80yo/80-year-old
81yo/81-year-old

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82yo/82-year-old
83yo/83-year-old
84yo/84-year-old
85yo/85-year-old
86yo/86-year-old
87yo/87-year-old
88yo/88-year-old
89yo/89-year-old
90yo/90-year-old
91yo/91-year-old
92yo/92-year-old
93yo/93-year-old
94yo/94-year-old
95yo/95-year-old
96yo/96-year-old
97yo/97-year-old
98yo/98-year-old
99yo/99-year-old

MY MACROS

____________________ __________________

____________________ __________________

____________________ __________________

____________________ __________________

____________________ __________________

____________________ __________________

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Here are the instructions from Word to start creating your
own macro list: (It can be a cumbersome process, but it is
way worth the effort in the end!) I would recommend
keying in 10 or so a day until you get the list you want.
Start with terms from the specialty you are currently
transcribing for. You will constantly be adding new
macros of the course of your career. Good Luck!

Create a macro
You can create a macro (macro: An action or a set of actions you can use to automate tasks.
Macros are recorded in the Visual Basic for Applications programming language.) by using the
macro recorder to record a sequence of actions, or you can create a macro from scratch by
entering Visual Basic for Applications (VBA: A macro-language version of Microsoft Visual
Basic that is used to program Windows applications and is included with several Microsoft
applications.) code in the Visual Basic Editor (Visual Basic Editor: An environment in which you
write new and edit existing Visual Basic for Applications code and procedures. The Visual Basic
Editor contains a complete debugging toolset for finding syntax, run-time, and logic problems in
your code.).

You can also use both methods. You can record some steps, and then enhance them with
additional code.

By recording steps

1. On the Tools menu, point to Macro, and then click Record New Macro.
2. In the Macro name box, type a name for the macro.
3. In the Store macro in box, click the template (template: A file or files that contain the
structure and tools for shaping such elements as the style and page layout of finished
files. For example, Word templates can shape a single document, and FrontPage
templates can shape an entire Web site.) or document in which you want to store the
macro.
4. In the Description box, type a description for the macro.
5. If you don't want to assign the macro to a toolbar (toolbar: A bar with buttons and options
that you use to carry out commands. To display a toolbar, use the Customize dialog box

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(point to Toolbars on the View menu and click Customize). To see more buttons, click
Toolbar Options at the end of the toolbar.), a menu (menu: A list of commands that is
displayed when you click a menu name on a menu bar or other toolbar.), or shortcut
keys (shortcut key: A function key or key combination, such as F5 or CTRL+A, that you
use to carry out a menu command. In contrast, an access key is a key combination, such
as ALT+F, that moves the focus to a menu, command, or control.), click OK to begin
recording the macro.

To assign the macro to a toolbar or menu, click Toolbars, and then click the Commands
tab. In the Commands box, click the macro you are recording, and drag it to the toolbar
or menu you want to assign it to. Click Close to begin recording the macro.

To assign the macro to shortcut keys, click Keyboard. In the Commands box, click the
macro you are recording. In the Press new shortcut key box, type the key sequence, and
then click Assign. Click Close to begin recording the macro.

6. Perform the actions you want to include in your macro.

You can use the mouse to click commands and options, but the macro recorder cannot
record mouse actions in a document window. To move the insertion point or select, copy,
or move text, for example, you must use shortcut keys.

7. To stop recording your macro, click Stop Recording .

From scratch using Visual Basic for Applications

1. On the Tools menu, point to Macro, and then click Macros.


2. In the Macros in list, click the template (template: A file or files that contain the structure
and tools for shaping such elements as the style and page layout of finished files. For
example, Word templates can shape a single document, and FrontPage templates can
shape an entire Web site.) or document in which you want to store the macro.
3. In the Macro name box, type a name for the macro.
4. Click Create to open the Visual Basic Editor.

Note If you give a new macro the same name as an existing built-in command in Microsoft
Word, the new macro actions will replace the existing actions. To view a list of built-in macros in
Word, point to Macro on the Tools menu, and then click Macros. In the Macros in list, click
Word Commands.

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