{"id":8063,"date":"2016-04-15T14:03:12","date_gmt":"2016-04-15T18:03:12","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=8063"},"modified":"2022-05-11T12:25:02","modified_gmt":"2022-05-11T16:25:02","slug":"mystifying-abbreviations-daily-medical-rounds","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/mystifying-abbreviations-daily-medical-rounds\/2016\/04\/15\/","title":{"rendered":"Mystifying Abbreviations on Daily Medical Rounds"},"content":{"rendered":"<p><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2016\/04\/acronym-cartoon.png\" rel=\"attachment wp-att-8065\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-8065\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2016\/04\/acronym-cartoon.png\" alt=\"acronym cartoon\" width=\"331\" height=\"247\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2016\/04\/acronym-cartoon.png 499w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2016\/04\/acronym-cartoon-300x224.png 300w\" sizes=\"auto, (max-width: 331px) 100vw, 331px\" \/><\/a>I am currently attending on the inpatient medical service &#8212; always a treat, and a great learning experience for me each year.\u00a0Aside from the refresher on inpatient general medicine &#8212; hey, no amount of repetition is too much when it comes to working up\u00a0hyponatremia &#8212; I&#8217;m\u00a0also fascinated by the steady proliferation\u00a0of abbreviations and acronyms, bits of absurd sounding non-words or letters that sprout like weeds in the conversations and notes of these fine young doctors.<\/p>\n<p>Below a select list of some of the commonly used terms bandied about by our skillful interns and residents. Some are nationally used, others are\u00a0just local-isms that are highly relevant for our hospital&#8217;s\u00a0patient population.<\/p>\n<ul>\n<li>MOLST<\/li>\n<li>BMP &#8212; not to be confused with <a href=\"http:\/\/my.clevelandclinic.org\/services\/heart\/diagnostics-testing\/laboratory-tests\/b-type-natriuretic-peptide-bnp-bloodtest\" target=\"_blank\" rel=\"noopener\">BNP<\/a>, which also wasn&#8217;t in circulation when I was a resident (because it wasn&#8217;t available), but is now pretty established<\/li>\n<li>CIWA<\/li>\n<li>G and G &#8212; originally I thought it was GNG, but it&#8217;s not.<\/li>\n<li>CTPE<\/li>\n<li>TTP &#8212; <em>not<\/em>\u00a0<strong><a href=\"https:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000552.htm\" target=\"_blank\" rel=\"noopener\">the hematologic disorder<\/a><\/strong><\/li>\n<li>WOB<\/li>\n<li>DOAC<\/li>\n<li>HDS<\/li>\n<li>PNA<\/li>\n<li>TROPE<\/li>\n<li>RUCKUS &#8212; at least that&#8217;s how it&#8217;s spoken, as in making a lot of noise (a ruckus), but (hint) not spelled that way.<\/li>\n<li>APLAS<\/li>\n<\/ul>\n<p>Note that none of these abbreviations or acronyms\u00a0was in circulation when I was a house officer, but of course that was some time ago (ahem), so that&#8217;s not surprising. What&#8217;s remarkable is that many of them weren&#8217;t even used much <em>last year<\/em>, showing the remarkable fluidity of medical language, and ensuring an unending supply of confused medical students and gray-haired doctors.<\/p>\n<p>So how\u00a0many of them do you know? Please offer some guesses in the comments section. Upfront warning &#8212; the degree of difficulty is highly variable, and using the google machine (or even <em>UpToDate<\/em>)\u00a0may not help.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am currently attending on the inpatient medical service &#8212; always a treat, and a great learning experience for me each year.\u00a0Aside from the refresher on inpatient general medicine &#8212; hey, no amount of repetition is too much when it comes to working up\u00a0hyponatremia &#8212; I&#8217;m\u00a0also fascinated by the steady proliferation\u00a0of abbreviations and acronyms, bits [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,6,8],"tags":[],"class_list":["post-8063","post","type-post","status-publish","format-standard","hentry","category-health-care","category-medical-education","category-patient-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=8063"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8063\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=8063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=8063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=8063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}