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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Vet-Speak

January 30, 2012 / (15) comments


I’ve heard that one of the most useful parts of my book, Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian, is the "commonly used acronyms" appendix. One of the best medical acronyms I’ve ever run across is "FLK."  Anybody out there know what that one means? Here’s a hint: think pediatrician rather than veterinarian.

 

People often accuse doctors of using jargon solely to confuse or obfuscate (the latter probably does apply to the FLK example. I know how I’d feel if I saw it written out on my daughter’s chart!). In all honesty, however, acronyms are usually just a quick and simple way to refer to something with a very long or confusing name, or to shorten a phrase that needs to be written down over and over again.

Here is a sample of some of the acronyms that I use in practice on an almost daily basis:

 

AD: right ear

ADR: ain’t doing right

AS: left ear

AU: both ears

BAR: bright, alert and responsive

BCS: body condition score

BID: twice daily, every 12 hours

BPM: beats or breaths per minute

CBC: complete blood count

CHF: congestive heart failure

CNS: central nervous system

CRT: capillary refill time

D/C: discontinue

Dx: diagnosis

EENT: eyes, ears, nose and throat

EOD: every other day

F/S: spayed female

FNA: fine needle aspirate

FUO: fever of unknown origin

Fx: fracture

HBC: hit by car

HCT: hematocrit

HR: heart rate

Hx: history

IM: intramuscular

IN: intranasal

IV: intravenous

M/N: neutered male

NDR: not doing right

NPO: nothing by mouth

NSF: no significant findings

OD: right eye

OS: left eye

OU: both eyes

PCV: packed cell volume

PE: physical exam

PO: by mouth

PRN: as needed

PU/PD: polyuria/polydipsia (i.e., drinking and urinating more than normal)

q: every (e.g., q4hrs means every 4 hours)

QAR: quiet, alert and responsive

QD: once daily, every 24 hours

QID: four times daily, every 6 hours

QOD: every other day

ROM: range of motion

RR: respiratory rate

Rx: prescription

S/R: suture removal

SC: under the skin

SID: once daily, every 24 hours

SOAP: subjective, objective, assessment, plan — a method of organizing medical records

SQ: under the skin

STAT: immediately

Sx: surgery

TID: three times daily, every 8 hours

TPR: temperature, pulse and respiration rates

Tx: treatment

UA: urinalysis

URI: upper respiratory infection

UTI: urinary tract infection

WNL: within normal limits

 

 

Dr. Jennifer Coates

 

 

Image: Natalia Sinjushina & Evgeniy Meyke / via Shutterstock

 

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COMMENTS (15)
1
Thanks!
by on 01/30/2012 07:12am

Thanks, Dr. Coates. This is exceptionally good information for tucking into my phone so it's handy.

2
FLK
by on 01/30/2012 11:10am

Funny looking kid. I'm an MD, no one would really write that on a chart both for appropriateness and since the lawyers are always looking over our shoulder. I'm jealous that you actually can use stuff like ADR, I thought it was slang like FLK until I saw IDEXX offers and ADR profile.

3
A couple more
by on 01/30/2012 12:45pm

- that I remember from my vet tech days:
BD/LD - Big Dog/ Little Dog. Usually refers to the consequence of a mismatched dog fight.
DFL - Dog Fight Loser.

I don't know why both examples that came to mind were fight related!

Oh, and one doctor I worked with had another one - if there was a "P" written on the corner of the chart you knew he felt like he was talking to a post. In case that's a regional expression, it is the same as talking to a brick wall :-)

4
Some pet peeves
by on 01/30/2012 01:05pm

Using acronyms like ADR (ain't doing right) really cheapens the veterinary profession and makes us look like a bunch of country bumpkins.

Now it's bad that Idexx offers an "ADR" and, even more silly, "Huff and Puff" blood panels.

by on 01/30/2012 01:48pm

I couldn't believe when I first saw it that the ADR panel meant "ain't doing right" and even asked my vet if there was some other meaning for it. She groaned and said how much she hates that they named it that as it is so unprofessional.

5
Vet-Speak
by on 01/30/2012 03:20pm

Well call me a "country bumpkin" - but I really try not to talk down to my clients.
When I have an animal in the exam room who is "ADR" - I will explain to the owner, "Every couple of weeks we get the dog or cat like Fluffy here, in who isn't acting normally. They are eating, drinking, urinating, defecating normally. They aren't vomiting. They just aren't acting like they feel good. They have an astute and worried owner who typically says words to the effect of, 'I don't know, doc, he just ain't doing right'. We have an acronym for this condition - it's ADR - Fluffy 'ain't doing right' - Fluffy isn't telling us what's wrong - just that something is wrong. We need to run XYZ test to try to figure it out what Fluffy wants us to know so we can help him/her." Usually the client will laugh when I explain what ADR means. It let's them relax just a bit.

One of my favorite (or not) acronyms is saved for the snarling, lunging, large dog - LGFD - "looks good from door".

by on 01/30/2012 03:25pm

Instead of using really poor English such as "Ain't doing right", why not instead use the acronym NFW for "not feeling well" or something similar?

by on 01/30/2012 07:30pm

Because NFW wouldn't make the owner laugh.

by on 01/31/2012 10:18pm

You said the magic words, Dr. Ken...laughter, as Norman Cousins said, is often the best medicine. Personally, I think that the acronyms not only make good sense, but sort of "lighten" the situation, when explained as Dr . Ken and Dr. Coates have done so well. Nothing wrong with acronyms, pneumonic devices, or anything of that sort.
However, be on the lookout for the bad patient/"owner" acronym...shades of that famous Seinfeld episode. :) I often wonder what physicians/vets write in the charts of those of us who are the more outspoken, "I want to be a partner in my own care or the care of my pets') kind of people.

6
RE: ADR
by on 01/30/2012 04:55pm

I think it's a great acronym, and it has never struck me that it made my vet seem "unprofessional".

It's just a good summary for that feeling a pet owner gets that it's "just not right", even when it's hard to pinpoint objective symptoms. This is very common in Bassets, who are quite stoic with pain. So our first indication of problems with this breed is often indeed an ADR observation.

By the way, I have a master's degree. I write for a living. And I'm from the Pacific Northwest, not a southern or mid-western state.

Lighten up, folks!

7
Khuly Returns
by on 01/30/2012 06:13pm

Dr. Coates:

First, why not give us the answer to your question? What does the acronym FLK stand for? It took a comment from your blogship to provide the answer.

Second, obfuscate? This is Khuly's revenge. Why not conceal, confuse or obscure? Obfuscate? Really? Do you use this word often?

by on 01/30/2012 06:20pm

FLK = Funny Looking Kid

8
FUBAR
by on 01/30/2012 06:55pm

Some say the acronyms are too casual or illiterate.
Another's strangely upset with Dr Khuly as well as the question about FLK. And oh BTW, the word "obfuscate" is too high falutin'.
No doubt someone else has a problem with "high falutin'".
Can't win for losing today.

9
Thank-you Doctor Coates
by on 01/30/2012 08:58pm

Every-One is not the same. Good to know, Our Pet Doctor, Tell us how it is, what ever His says goes. We have total trust in Him.

10
Great List
by on 02/03/2012 06:18pm

I love the effort to share out insider veterinary lingo with the pet loving petMD community. I have an additional term that I don't commonly use which fits the bill in this list: PTS (Put To Sleep). I prefer and use the term euthanasia, because we are not actually inducing "just" sleep. Euthanasia is a irreversible/terminal step beyond sleep.
Dr PM
www.PatrickMahaney.com

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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