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CME: So I’m Reading Your Note, Can You Explain a Few Abbreviations to Me?

Excuse me?  Hey!  Sorry to bother you.  Did you write this note?  You did?  Okay, good!  See, I’m trying to read your note, which is quite sloppy might I add, and you use a lot of abbreviations.  A LOT.  Would you mind, if it wouldn’t be too much trouble, if you could answer a few questions for me?

With your help, I can figure out what kind of note this is. Thank you so much!

Now, what do you mean by PE?

Physical education

Physical exam

Pulmonary edema

The People’s Elbow

Correct!

Wrong!

-

Ah, I see. How about when you write the medication “levo,” which one do you actually mean?

Levodopa

Levothyroxine

Levofloxacin

Levophed

Levonorgestrel

Correct!

Wrong!

-

Never would’ve guessed that. It’s really unfortunate about the patient’s HD, assuming you mean…

Harley-Davidson

Heart disease

Hemodialysis

Hot dog

Huntington’s disease

Correct!

Wrong!

-

Oh, I see, I see. How about MS? It means so many things - Miss, Microsoft, Master of Science, Martha Stewart, Mississippi State, Michigan State, Minesweeper, musculoskeletal - but I assume those aren’t it.

Marfan syndrome

Medical student

Mitral stenosis

Morphine sulfate

Multiple sclerosis

Correct!

Wrong!

-

Yikes, I really need a crash course on abbreviations. How about LOL? It can’t be laugh out loud, right? It can’t be that.

Land O’Lakes

Large obese lobster

Little ole lady

Loads of laundry

Lots of lube

Correct!

Wrong!

-

Wow, this is so confusing. I really appreciate your time. And what about IM? What do you mean by that? I think I know but can’t be too safe.

Incompetent moron

Infectious mononucleosis

Instant messenger

Internal medicine

Intramuscular

Correct!

Wrong!

-

And I’ve never seen SZ used before. What could that possibly mean?

Schizophrenia

Seizure disorder

Swaziland

Switzerland

Jay Z’s sibling

Correct!

Wrong!

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Geez, what’s the point of using abbreviations? You also mention BP a lot. Clue me in.

Bedpan

Bipolar disease

Blood pressure

British Petroleum

Bypass

Correct!

Wrong!

-

You must be tired and frankly I’m tired. You mention ID too. Am I safe in guessing it’s not Freud’s id, identification, Idaho, or Indonesia? Which means it is…

Immunodeficiency

Ill-defined

Incision/drainage

Infectious diseases

Intradermal

Correct!

Wrong!

-

Okay, last one. AF?

Adult female

Air Force

Amniotic fluid

As f**k

Atrial fibrillation/flutter

Correct!

Wrong!

-

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