DOCTORS' SLANG, MEDICAL SLANG AND MEDICAL ACRONYMS
AND VETERINARY ACRONYMS & VET SLANG
These have been mostly collected from the UK and USA, with a few non-English contributions (many thanks to all contributors from around the globe). Some of the acronyms are region-specific and have differing meanings in US and UK. It is noticeable that the US has numerous acronyms and slang terms relating to gun-related incidents and injuries. The slang/acronyms are directed variously at patients, other medical staff or mystifying medical conditions. I haven't included the slang terms for all of the various medical equipment. The veterinary appendix - due to popular demand - is at the foot of the page.
3H enema - Enema that is "high, hot, and a hell of a lot." Reputedly given to patients who give staff a hard time.
3P’s - Pill, Permissiveness and Promiscuity (relates to female patients with sexually transmitted disease)
4F - Fair, fat, female and forty OR fat, forty-ish, flatulent female (both mean abdominal pain patient who is candidate for gall bladder disease)
4H - (US) Haemophiliac, Hispanic, Homosexual, Heroin addict
404 moment – On card rounds - when a patient’s medical records cannot be located (from internet error message: 404 Page Not Found)
5-H-1-T - polite medical term for shit
10th Floor Transfer - dying (floor number is always the next number on from the highest floor in the hospital).
45C - patient is one chromosome short of a full set (thick)
AAA (or Triple A): Ay Ay Ay. Precursor to Status Hispanicus. Wound-up Hispanic female unable to tolerate even the small discomfort of removing an adhesive plaster, but not yet full-blown histrionics.
AALFD - Another A**hole Looking For Drugs
Acades vulgaris - medical students.
Acronymophilia - excessive reliance on TLAs /TLMs & XTLMs (extended 3 letter acronyms)
Acute Lead Poisoning - Gunshot wound
(Acute Lead Poisoning) 185 grain Injection - 9mm gunshot wound
(Acute Lead Poisoning) 240 grain Injection 44 calibre magnum wound
(Acute Lead Poisoning) Air-conditioned - Multiple gun shot wounds
Acute Hyponicotaemia - desperate for nicotine fix (cigarette)
Acute Pneumoencephalopathy - airhead
Adminisphere - where hospital managers work, reckoned to be "another planet"
Administrivia - pointless emails and notices that clog up real medical work
ADR - Ain’t Doing Right
AFU & BR - all f***ed up & beyond repair
AGA - Acute Gravity Attack (fell over)
Aggressive Euthanasia - A procedure that obnoxious patients would benefit from.
ALFI(e) - (Australia) Adelaide's Largest F*cking Idiot
AGMI - Ain't Gonna Make It (won't survive)
Agnostication - Substitute for prognostication; describes the usually vain attempt to answer the question: "How long have I got, doctor?”
AHF - Acute Hissy Fit
Airwolf - air-ambulance (after a popular US TV series)
Albatross - chronically ill patient who will remain with a doctor until one or other of them expire
ALC - a la casa (send the patient home)
ALS - Absolute Loss of Sanity (nutcase)
Amphoterrible - Amphotericin B, an antifungal medication with toxic side-effects
Amyoyo syndrome - Alright motherf*****, you're on your own (seen in head injury patients in Intensive Care); there will be no miracle recovery
Angel lust - a male corpse with an erection (not uncommon). Is also sometimes used to mean death that occurred during intercourse.
AOB - Alcohol On Board
APD - Acute Prozac Deficiency (depression)
Appy - person with suspected appendicitis
APRS - (US) Acute Puerto Rican syndrome (bouts of screaming and yelling)
APTFRAN - Apply Pillow To Face, Repeat As Necessary (for annoying patient)
AQP - Assuming the Q Position: deteriorating or dying with tongue hanging out
AQR - Ain't Quite Right
Arsenic in antifreeze - Melarsoprol (IV sleeping sickness drug) is exactly this!
ART - Assuming/Approaching Room Temperature (dead)
Ash Cash - money for signing a cremation form
Ash Point - where you collect the Ash Cash
Ass Grapes - badly thrombosed or strangulated haemorrhoids
Assmosis - promotion by "kissing ass"
AST - Assuming Seasonal Temperature (dead)
ATD - (US) Acute Tylenol Deficiency (simple fever or head cold)
ATFO - Asked To F*** Off
ATS - Acute Thespian Syndrome: faking illness; known in US as MGM syndrome
Aunt Minnie Lesion - once seen, never forgotten, much like certain aunts at the family wedding
AWTB/AWTF - Away With The Birds/Away With The Fairies; a patient who is totally confused
Ax(e) - surgeon
B-52 - combined 5mg of Haldol IV + 2mg of Ativan IV
Baby catcher - obstetrician
Babygram -x-raying (radiographing) a newborn
Bagged and Tagged (B&T) - Body ready for dispatch to morgue
Bagrinhos - (Brazil) interns ("bullheads" - type of fish that gets in the way of real fishing)
Banana - patient with jaundice
Basement admission - will end up in hospital morgue (located in the hospital basement)
Bash Cash: the money paid for completing accident (insurance) claim forms in A&E
BBCS - Bumps, Bruises, Cuts and Scrapes (i.e. no serious injuries)
BBL Sign (Belly-button Lint Sign) - male, middle-aged, overweight and hairy (an umbilicus that looks like the lint [fluff] trap in a tumble dryer is most common in overweight, hairy, older men). Known as Belly-button Fluff in Britain.
Beached whale - obese patient unable to do much for him/herself except lie there with flailing arms and legs
Beating off Angels - doing CPR in vain on a patient who won't make it
Benny - patient on benefit (welfare payments)
Betty - a patient with diabetes
BFH - Brat From Hell (usually accompanied by PFH - Parent(s) from Hell)
BFH - Big F****ing Head; hydrocephalus as in a "FLK with a BFH" (can be metaphorical for arrogant consultant)
BIT - burp in transit (gas seen in the stomach on an abdominal film)
Black cloud - a doctor who attracts difficult or prolonged cases or an unusually high number of code blues calls
Blade - Surgeon: dashing, bold, arrogant and often wrong, but never in doubt
Blamestorming - apportioning of blame for mistakes, usually to any locum or lowliest medic in sight
Blinky the Fish - radiologist (The 3-eyed, mutant goldfish from The Simpsons is the mascot of many radiology depts).
Blood-Brain Barrier - surgical drapes
Blood Suckers - those who take blood samples, e.g. lab techs
Blown Mind - gunshot wound to the head.
Blue Bloater - obese person in respiratory arrest
Blue Blower - patient with severe lung disease
Blue Pipe - vein (as opposed to 'red pipe' or artery)
BMT - Bowel-Movement Taco (faecal matter trapped in female genitalia)
BMW - Bitch Moan & Whine
Bobbing for apples - unblocking a badly constipated patient with one's finger
BOHICA - Bend Over, Here It Comes Again
Bone Break Need Fix - derogatory term for Orthopaedics
Boneheads - orthopaedics
Bones and Groans - non-specialist general hospital
BoneHo - an off-service resident working in Orthopedics
Boogie or Goober - tumour. A Roasted Goober is a tumour after intensive cobalt treatment; a Healthy Goober is a dead tumour patient.
Bordeaux - bloodstained urine
Bottle return - removing a bottle lodged in the anal canal
Bounce - returning a turfed patient back to original dept (see also turf and buff)
Bounceback - a (usually turfed) patient who keeps returning to the hospital with same condition
Box - to die
Brain Fry - Electroconvulsive Therapy (ECT) for depression
Bronze John's Law - (paediatrics) if the weight of the records exceeds the weight of the child, the prognosis is grim
Brothelizer test - microbiology test (on swab or sample) requested by the Genito-Urinary Clinic or STD clinic to check for sexually transmitted diseases. A positive test result means the patient has "failed the brothelizer test".
Brothel Sprouts - Genital warts
Brown trout - a stool that won't float (as opposed to an air biscuit, which does)
BSS - Bilateral Samsonite Syndrome: patient admitted with both their bags packed in preparation
BTSOOM - Beats The Sh*t Out Of Me
Buff - re-hash the patient's story to make it sound more appropriate for the patient to be referred to another dept (see also turfing and bouncing)
Buff Up - to ready a patient for release
Bug Juice - antibiotics
Bugs in the rug - pubic lice
Bull in the ring - blockage in the large intestine
Bumps and Lumps - junior doctor (intern) cases
BUNDY - But Unfortunately Not Dead Yet
Bungee jumper - a patient who pulls on his catheter tube
Bunnies - Sanitary Towels (sanitary napkins)
Bunny Boiler - (Psych) dangerously obsessive or unbalance woman (based on film "Fatal Attraction")
Burger - sunburned patient with ruptured blisters
Bury the Hatchet - accidently leave a surgical instrument inside a patient.
Butchers - Obstetrics & Gynaecology (also general derogatory term for surgeons)
BVA - Breathing Valuable Air
BWCO - Baby Won't Come Out (needs Caesarian)
C/C- "Cancel Christmas" (dead)
C2 - a "can't c**t"; lazy physician who passes off work to colleagues and often whine
C&T Ward - Coma ward - "cabbages and turnips"
Cabbage - heart bypass i.e. CABG (Coronary Artery Bypass Graft)
Cabbage and tomato ward - Ward for comatose patients
Calcified Penisitis Morbidium - male patient whose ailment is due to excessive or unprotected sex
Callbellectomy - minor operation, sadly not permitted, to remove over-used call bell from patient's hand/reach!
Call Button Jockey/Buzzer Junkie - patient that uses call button all night long for no good reason.
Calling Doctor Blue [to location] - public address system code for "baffling case needing more doctors to take a look in the hope that one of them will know what to do"
Captain Kangaroo - chairman of a paediatrics department.
Category 6 Patient - Triage is Cat 1 (major) to Cat 5 (minor) so Cat 6 means a timewaster
Cath Jockey - cardiologist that catheterizes every patient they see (or one that does cardiac catherizations)
CATS- Cut all to sh*t
Caveman - Derogatory term for Orthopaedic surgeons “so easy a caveman could do it”. Derived from an advert
CBT - Chronic Burger/Biscuit Toxicity (obesity)
cc - Complaint Corner, a patient that complains about everything; BCC is one that behaves nicely to medical staff and complains behind their backs (from business acronyms for carbon copy and blind carbon copy)
CCFCCP - Coo-coo for Co-Co Puffs (dementia or similar)
Ceiling Sign - near-levitation from the bed to the ceiling induced by examining for abdominal tenderness
Celestial discharge - died
Celestial transfer - died (transferred to the Eternal Care Unit)
Cephosplat - Domestos Antibiotic; Kills all known germs
CFT - Chronic Food Toxicity i.e. obesity
CFU - Complete(ly) F*ck(ed) Up
Champagne tap - bloodless lumbar tap
Chandelier's Sign - The result of any test or probing after which the patient must be removed from the chandelier
CHAOS - Chronic Hurts All Over Syndrome (PTSD/Fibromyalgia, etc.)
Chart Biopsy - check chart for other depts' plans on the patient
Chart Dehiscence - drop patient chart and everything falls out.
Chartomegaly - patient is so frequent s/he has a large (and growing) chart
Cheerioma - a patient with a highly aggressive, malignant tumour
CHIBLOC - Closed Head Injury, Brief Loss of Consciousness
Chocolate Hostage - constipated
Choly / Chole - patient with cholecystitis (inflammation of the gallbladder) or cholecystectomy patient.
Chrome Induced Ischaemia - patient that develops inexplicable chest pains when arrested and handcuffed
Chronic Slapping Deficiency - annoying/unruly family members hitting nurse's call button every 5 minutes with minor requests/inane questions or for fun
CIBS - Cast Iron Bum/Butt Syndrome: when the needle goes into the buttocks straight, but comes out curved
CKS - cute kid syndrome
Clip and Strip - remove staples and adhesive sutures
CLL - chronic Low Life
CLOMI - Cat Like Observation and Masterful Inactivity (patient under observation)
Clupea fallacius rufus - red herring
Cock Doc- urologist
Cockroach Factor - a patient's ability to survive trauma or serious treatment is inversely proportional to his contribution to society (see TTI).
Code 0 - (Ambulance) Time-waster/tax-waster (genuine codes are Code 1 [non-serious] to Code 4 [emergency])
Code Azure - message to other medics to do nothing extraordinary to save a very ill patient who will die shortly no matter what is done
Code Brown - faecal incontinence emergency (e.g. of bedlinen)
Code Pink (Triangle) - a likely homosexual (used back when HIV/Aids tests took a while to come back)
Code Pink (Paediatric) - baby taken without permission from maternity/nursery by family or staff
Code Surfer - medic straddling the patient on trolly (gurney) performing chest compressions while patient is being transported
Code Yellow - urinary incontinence emergency
Coffee and a Newspaper - Patient is Constipated (i.e. long time sitting on toilet with drink and reading matter)
Coffin Dodger - survived against expectations, or a very old person
Cold-tea Sign/Cold Tea Syndrome - refers to the several cups of cold tea on the bedside cabinet beside a dead geriatric (i.e. no-one noticed the patient had died)
COPD - Chronic Old Persons Disease (unwell, no specific cause)
COSMONAUT - Cat Owner, Smells, Made Of Nuts And Used Tampons ("mad cat lady" with poor hygiene and body odour)
Crackerjack referral - (UK) It's Friday, it's five to five, it's... (Crackerjack was a popular TV show) i.e. Friday afternoon job
CRAFT - Can’t Remember A F*cking Thing
Cranial rectosis - US: butthead (US term for idiot); UK: head-up-ass (arrogant/arrogant fool)
Cranio-faecal Syndrome - s**thead or s**t for brains
CRAP Score - Cynical Real Alternative Pain Score - an alternative method of scoring pain (see foot of page)
Creepers - geriatrics using walkers and wheelchairs
CRI - Cranial-Rectal Insertion or Cranial-Rectal Inversion (head-up-ass syndrome)
Crinkly - geriatric
Crispy critter - severe burns case
CROACC - Cannot Rule Out Anything, Correlate Clinically
Crock - Hypochondriac.
Crook-U - Prison Ward in a hospital (slang to match ICU - Intensive Care Unit etc)
Crop Rotation - Ambulance shuttle service from nursing home to surgery and back again
CRS - Can’t Remember Sh*t
CRT - Can't Really Treat
Crumble (crumbly) - elderly patient
Crump - (UK) RTA [Road Traffic Accident], (US) crash; trying to die
Crump, Gork or Vedgy - Intensive care patient incapable of movement and apparently unaware of his surroundings.
CTD - Circling the Drain (Close To Death)
CTF - Cletus the Fetus (US). A 23 week, or earlier, births that parents expect to survive against all odds
CTS - Crazier than sh*t
Cuckoo - alternative term for CCU
C*nts and Runts - Maternity and Paediatrics
Cut and Paste - To open a patient, discover that there is no hope, and immediately sew him up (or almost immediately - sometimes young surgeons practice surgical techniques for a while).
CYA - Cover Your Ass; unnecessary procedure/prescription done to avoid being sued
D&D - Divorced and Desperate (middle aged female who visits doctor weekly just for male attention)
D&D - Death and Donuts (night shift)
Dagenham - (psychiatry) or "Three Stops Beyond Barking": severely disturbed/mad (based on British train station names)
DACB - (US) Drunk As Cooter Brown (UK equivalent is PAAF/PIAF)
Dance (or Gown Dance) - the process of tying a surgical gown behind the surgeon's back (requires a 180-degree spin by the surgeon: Shall we dance?)
Dandruff on wheels - scabies or other transmissible flaky skin condition
DBI - Dirt Bag Index: number of tattoos x number of missing teeth = days since the patient last bathed
Death Camp - terminal nursing home
Death Star - that ward in every hospital where patients go to die
De-coke and Re-bore - Dilatation and curettage (gynae) op
Deep fry - cobalt therapy (radiation therapy)
Dement - Alzheimer patient
DENTIST - Doesn't Even Need Treatment - It's Sorted, Truly
Departure lounge - geriatric ward
Dermaholiday - nickname for dermatology dept used by staff in busier depts
DFO - (1) (US) Done Fell Out (anything from fainting to cardiac arrest)
DFO - (2) Drunk and Fell Over
DFO-SFJ - Done Fell Out - Screaming For Jesus
DIFFC - Dropped In For Friendly Chat (i.e. no medical problem)
Digging for Worms - varicose vein surgery
DIIK - Darned if I know
DILF - Doctor I'd Like to F*** (Fornicate with): Nursing slang for good-looking doctor
DILLIGAF - Do I Look Like I Give A F*ck
Dirtball - patient who enters the emergency room filthy and smelling badly
Discharged downstairs - transferred to the morgue
Disco Biscuit – Quaaludes (1980s), Estasy (2000s)
Dishwasher - sterilization machine
DKA - Don't/Doesn't Know Anything (but is explained to relatives as Diabetic Ketoacidosis if challenged)
DMFNFL - Dumb mother f*cker, not fit to live
Doc In A Box - a small clinic/health centre, with ever-changing staff.
Doing the Twirly - circling the drain (about to die)
Donorcycle - motorbike: the biggest cause of donated organs! (hence reckless motorcyclists are known as Organ Donors and rainy days are Donation Days)
Donut of Death - CT scanner
Doorknob Rounds - the entire presentation takes place in 5 seconds while the consultant's hand never leaves the doorknob to the entrance of the patient's room (US hospitals have small single occupancy rooms)
Dose of I Don't Care - pain-killing meds that make patient light-headed
Dose of I Don't Remember - pain-killing meds that leave patient without memory of painful procedure
Dose Sponge - Radiology Worker
DOTS- dead on the spot (of an accident), also FDOTS (F*cking Dead On The Spot)
Double bind trial - Two orthopods looking at an electrocardiogram
Double Whopper with Cheese - Obese female with genital thrush
Double Whopper with Mayo - obese female with vaginal discharge
Double Whopper with Ketchup - obese female with blood-stained vaginal discharge (often post-natal)
Doughnut - CT scanner
DPP - (Brazil) leave patient for the next shift to deal with ("Deixa para o Próximo Plantão")
DPS - Dumb Parent Syndrome
DPS - (General Practice) Droopy Penis Syndrome: a patient wanting Viagra prescription
DPS - (Hospital) Disappearing Penis Syndrome: the usual reaction of the male organ in response to insertion of catheter or endoscope
DQ - Drama Queen
Dr Feelgood - a doctor who is indiscriminate about prescribing drugs
Drinkectomy - separating a drunk from his can of lager (performed in A&E dept)
Drooler - catatonic patient.
Drop a Lung - when medical treatment causes a pneumothorax
DRT - Dead Right There (patient dead at scene of accident)
DRTTTT - Dead Right There, There, There and There (patient dead and in multiple parts at scene of accident)
DSB - Drug-Seeking Behaviour (faking illness to fuel narcotic addiction)
DSP - Dumb Sh*t Profile
DTMA - Don't Transfer to Me Again.
DTS - Danger To Shipping (in a particularly large patient's records)
DWPA - Death/Dying With Paramedic Assistance
DUB - Damn Ugly Baby
Duck - portable urinal for bedridden male hospital patients
Dude Factor - Survival scoring factor based on social worth. A high dude factor = an individual of questionable social worth who survives near-fatal injuries. A low dude factor = professional person who slips in the bathroom sustaining a fatal injury
Dump - patient that nobody seems to want (or to transfer a patient to another hospital); also a verb - arranging for patient to be off-loaded elsewhere
Dunlap Syndrome - belly done lapped over the waistband; obese (spare tyre, Dunlop being a brand of tyre)
DWPA - Death/Dying With Paramedic Assistance
Dys-Synaptogenic - stupid
Eating In - Intravenous feeding
Eating the Bill - (USA) providing care for indigent patients lacking insurance i.e. "We ate the bill on that guy."
ECU - Eternal Care Unit: heaven ("gone to the ECU = dead)
EDDU – eating drinking defecating urinating (but not much else)
EDGATWTTTF - Elevator Doesn't Go All The Way To The Top Floor (thick)
Eiffel Syndrome - (From I-fell on it) patient with a foreign object in the rectum
ELFs - Evil Little F*ckers (irritating children)
Embromed - (Brazil) imaginary health plan: postponement of solution through hoax.
Ego Boost Units - med students/junior doctors that follow a doctor
EMS - Earn Money Sleeping (joke at expense of Emergency Medical Service)
EMT - Extraordinary Masochistic Tendencies (joke at expense of Emergency Medical Technicians)
Engessar - (Brazil) to orient treatment so that the patient can't complain (literally "to place in a cast").
ERCP - Emergency Retrograde Clerking of Patient, an emergency procedure before the consultant rounds
ERNOBW - Engine Running, No One Behind the Wheel (thick)
ESBAM - Eat s**t and Bark At the Moon (or "not ruddy likely" in British English)
Estropício - (Brazil) poor, unkempt obstetric patient ("jeopardy").
Eternal Care - Intensive Care (for a patient who won't come out again)
ETOH - Extremely Trashed or Hammered (2 derivations given: corruption of "Etho" [ethanol addict] or from "EtOH" [chemistry abbreviation for ethanol])
Expensive care - intensive care
Expensive Scare - intensive care
FABIANS - Felt Awful But I'm Allright Now Syndrome
FAC - F*cking Awkward Client
Faecal Encephalopathy - Sh*t for brains
Fallaciopisces rufus - red herring
Family Care Plan - One child gets the sniffles, whole family gets a trip to A&E
Fanger - oral surgeon
Fascinectomy - long, but fascinating procedure
Fascinoma - Interesting pathology, but not as interesting as the ensuing politics over who gets first authorship when the case is written up
Father Jack - (the drunken old priest in Father Ted), confused and elderly patient who constantly shouts and tries to get out of bed
FCBP - Fellow of the College of Bystander Physicians i.e. doctor having a look-see
FD - F*cking drunk
FDGM - Fall Down, Go Boom (see LOLFDGB)
FDSTW - Found Dead Stayed That Way
Feather Count - measure of flakiness (e.g. high feather count)
Feed and Seed - care for vegetative patients in "the garden"
Feet-up General - a quiet district hospital
FFDID - Found Face Down In Ditch
FFDIG - Found Face Down In Gutter
FFF - see 4F (Fat, Fair, Female, Forty = gall bladder disease)
FHHS - (US) Female Hispanic Hysterical Syndrome (screaming and crying)
FIDO - F*ck It, Drive On (a waste of time/hoax ambulance all)
Fighting Darwin - patients refusing essential treatment through stubborness or stupidity
File 13 - The Trashcan
FINE - F*cked up , insecure, neurotic & emotional
Finger Wave - rectal exam
Fireballs of the Uticas - fibroids of the uterus
FIRT - Failed impact resistance test (crash victim)
Fish Filet - vaginal infection with discharge and odour
Fish Filet with Catsup/Ketchup - vaginal infection with discharge, odour and bleeding (e.g. post-natal)
FIT - fart in transit (gas seen in the intestines on an abdominal film)
FITH - F***ed in the head
Fluttering Eye Syndrome - Patient faking unconsciousness
FLBs - those "Funky Looking Beats" found on an EKG that no one can figure out
FLB - Funny Little Bumps (unexplained skin bumps)
Flea - (US) internists, (UK) ethnic nurses (used in 1970s during an influx of imported healthcare staff) i.e. "they get everywhere"
FLK - Funny Looking Kid (sometimes suggests rural inbreeding)
FLK w/ GLM - Funny Looking Kid with a Good Looking Mother
FLKBCOTP - Funny Looking Kid But Check Out The Parents
FLKOFS - Funny Looking Kid, Okay For Sunderland (one of many regional variants of NFN [Normal For Norfolk])
Floating - how ghosts (i.e. med students) get from "here" to "there."
Flower Sign - flowers at a bedside, denotes patient has a supportive family and might be candidate for early discharge
FLP - Funny Looking Parents (hereditary cause suspected for FLK)
FLUF - Funny Little Ugly F*cker
Fluttering Eye Syndrome - Patient faking unconsciousness
FMPS - Fluff My Pillow Syndrome (attention/sympathy seeker), like Call Button Jockey
FOALS NEIGH - F*ck Off And Let Someone Not Extremely Incompetent Get Here
FOB - Found on Bench
FODE - Falling On Deaf Ears
FOL, GOL, FOS - Fat Old Lady, Gone off Legs, Full Of S**t. Confused elderly female, unable to exercise at home, now unable to move unaided and badly constipated as a result (see also Toxic Confusional State).
Fonzie - Unflappable medic (Fonzie was the unltra-cool character in TV series Happy Days)
FOOBA - Found On Ortho Barely Alive (a play on FUBAR - F***ed Up Beyond All Recognition)
FOOSH - Fall Onto Outstretched Hand (as cause of broken wrist/arm)
FOOT - Flat Out On Tarmac (e.g. biker gone down in full flight)
FORD - Found On Road Dead
Foreverectomy - A surgical procedure that lasts a very long time
FOS - Full Of Sh*t (either severely constipated or metaphorically)
FOS - Found On Street: unidentified dead homeless person
FPO - For practice only (FTD)
FPT - (Brazil) beyond help, do not resuscitate ("Fora de Possibilidade Terapêutica").
Frequent Flyer - Someone who is transported to and from hospital on a routine basis (also someone who spends more time at the local hospital then most employees and is known by all staff members including Environmental Services)
Freud Squad - psychiatrists
Friday construction - Anatomical equivalent of the cars made on Fridays, when the workers mind was more on the weekend than the job in hand
Fruit Salad - group of stroke patients, all unable to take care of themselves
FTD - Fixing To Die
FTF - Failed to Fly (botched suicide)
FUBAR - Fucked up beyond all repair/recognition
FUBIL - F**k You Buddy, I'm Leaving. The act of a doctor at a small hospital dumping a critically ill patient on larger hospital on Friday afternoon before he leaves for the weekend
Full Moon - full or overcrowded waiting room/A&E/ER
FUPA - Fat Upper Pussy Area
FURB - Funny, Unusual, Rectal Blockage (people who use inappropriate objects as butt-plugs)
Galloping amputations - gangrene spreading up a limb so more and more has to be removed in consecutive surgeries
Garden - neurosurgical intensive care ward, so called because of the "vegetables" found there.
Gardening - attending to patients in neurological intensive care.
Gassers OR Gas Passers - anaesthetists
Gatekeeper - General practice doctor whose role is to keep costs low by only allowing a certain number of patients to go to specialists
GDA - Gonna die anyway
Genital hurties - genital herpes
Geosphere - Dirt Ball (Geo = dirt + sphere = ball)
Gerifix - that collection of broad spectrum antibiotics, diuretics and bronchodilators prescribed to elderly patients admitted to hospitals in wintertime
Ghost - Derogatory term for med students; they are largely invisible, are absent during difficult situations, silent when asked for volunteers and stealthily evade hard work
GI Rounds - a meal (GI = gastrointestinal)
GLF - Ground Level Fall (tripped over)
GLM - Good Looking Mum
GOA - Gone On Arrival (police turn up, ambulance turns up, fire brigade turns up, patient doesn't)
Goat Rodeo/Goat Rope - Emergency scene which goes badly (resembles a bunch of people riding or wrestling goats)
God's Waiting Room - intensive care unit and/or geriatric unit
GOK - God Only Knows
Goldbrick - patient who demands more attention than their (minor) condition warrants.
Golden ass - affluent mother who treats the obstetrics nurses like servants
Golden Child - jaundiced youngster
GOLP - Generalised Old Lady Pains
GOMER - Get Out of My Emergency Room; extended to mean elderly patient who is unable to communicate their symptoms and passed from one department to another
Gomergram - Ordering all available tests because the person is unable to explain what is wrong with them
Gone Camping - patient in oxygen tent
Goober - nutter
Gorillacillin - very powerful antibiotic
GORK - God Only Really Knows
Gork - comatose or brain dead
Gorked - unresponsive and nonverbal, either due to sedation or medical condition
Gorked Out - mental impairment through disease or substance abuse
Go to Ground - fall out of bed or chair
Go to Meet Joe Black/Consult Joe Black - die
Gown's Sign, positive - a patient who leaves (self-discharge ) without official discharge orders
GPH - Goddamns Per Hour
GPO - Good for Parts Only (won't survive)
GRAFOB - Grim Reaper At Foot Of Bed
GRAHOB - Grim Reaper At Head Of Bed
Granny Dumping - dumping elderly relative in A&E; often happens just before Christmas or family holiday aka the hospital granny-sitting service
Granny Farm - old persons' residential home, run by a Granny Farmer
Grape Sign - grapes at a bedside, denotes patient has a supportive family and might be candidate for early discharge
Grapes - haemorrhoids
Gravity Assisted Concrete Poisoning - jumped/fell from height
Gridiron Belly - scarred from multiple ops
GROLIES - (UK) Guardian Reader Of Low Intellect In Ethnic Skirt
GTMJACB - Gone To Meet Jesus, Ain't Coming Back (dead)
GTO - Gomer tip over (elderly person with injury from trip or fall)
GTTL - Gone to the light (died)
GUCCI - Genito-Urinary Clinc, Chlamydial Infection (posh female with sexually transmitted chlamydial infection)
Guessing tubes - stethoscope
Gun and Rifle Club - Trauma ward full of gunshot and stabbing victims
Gutectomy - major gastro-intestinal surgery; also abdominal fat removal (such as liposuction)
Guts and Butts - general surgery
HAIRY PSALMS - Haven't Any Idea Regarding Your Patient, Send A Lot More Serum
Hallucinoma - a mass seen on a scan or x-ray that wasn't really there
HALS - Hit And Left Standing (apparently uninjured but in shock after RTA/MVA)
Hamburger (Helper) - Train or juggernaut vs pedestrian
Hammer - local anesthetic
Hammered - to get numerous admissions while on call
Handbag positive - confused patient (usually elderly lady) lying on hospital bed clutching handbag
Happy feet - (US) patient having a grand mal epileptic seizure (in UK, Happy feet means smelly feet (feet which "hum" [stink])
Happy Little Campers - children in oxygen tents
Hasselhoff – emergency patient with bizarre explanation for their injury (David Hasselhoff's had a bizarre shaving accident in which he hit his head on a chandelier; the broken glass severed 4 tendons and an artery in his right arm)
Hat Trick - trauma patient with 3 tubes into him
HBD - Has Been Drinking or He Be Dead
Head - a brain-injury patient. Usage - "I’ve got a head I’ve got to deal with."
Head Bonk - an otherwise uninjured patient who was struck on the head and presented at A&E just to be sure
Head whack - head injury
Healthy Goober - dead tumour patient.
Hearts and Farts - unit specialising in geriatrics and cardiology
Heel Elevation Ataxia - a woman who appears staggering drunk, but is sober (or slightly tipsy) and can't walk on seriously high stiletto heels
Hepatology Conference - doctors meeting at a pub or bar (no late appointments, I'm going to a hepatology conference)
Hey Docs (or Haydock) - alcoholics handcuffed to wheelchairs in big-city medical wards who chorus "Hey, Doc! when they see a white coat" (sometimes disguised as "Haydock" which is a UK placename)
Hepatology Conference - doctors meeting at a pub or bar (no late appointments, I'm going to a hepatology conference)
Hi 5 - HIV positive ("V" being Roman for 5)
HIBGIA - Had it before, got it again
High Serum Porcelain Level - Patient is a crock of sh*t
High Slug Titre - lazy patient (slug) that won't get out of bed
High Speed Lead Injection - gunshot
Hippo - Hypochondriac or depressive
Hit and Run - the act of operating quickly so as not to be late for another engagement (often a non-medical appointment).
HIVI - Husband Is Village Idiot
HMF - Hysterical Mother Figure
HMO - From phrase, "Hey, Moe!", a concept pioneered by Dr Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked hard enough elsewhere. Modern "pokes" with same outcome include estimates for private treatment.
HMS: Hysterical Mexican Syndrome
HOPEFUL - Hard-up Old Person Expecting Full Useful Life (i.e. OAPs are not priority for most hospitals)
Hole-in-One - A gunshot wound through the mouth or rectum.
Hollywood code - see Slow Code
HONDA - Hypertensive, Obese, Non-compliant, Diabetic African-American
HOP - house of pain (nursing home)
Hope'n'Scope - exploratory laparoscopy where you hope to find no disease (unless you're the student, in which case you hope to see something interesting)
Horrendoectomy - a long and painful procedures
Horrendoma- an awful unknown disease
Horrendoplasty - A god-awful surgery with a probable poor outcome e.g. difficult operation for 12 hours on a patient with a BMI of 45
Hospital Hobo Syndrome - person who visits multiple hospitals seeking attention or accommodation
Hospitalismo - (Brazil) Revolving-door patient (in-and-out-and-in ....).
Hospital pilantrópico (Brazilo) - (sarcasm) dubiously charitable hospital where profits outweigh philanthropy.
House red - blood
HP - Hispanic Panic (see tachylordia)
HTD - Higher Than a Duck
HTK - Higher Than a Kite
HTT(A) - Hot Tots and Twats (Area): Paediatrics & Ob/Gyn wing of hospital
Humpty-dumpty doctor - a physiotherapist or rehabilitation doctor (from the nursery rhyme verse "all the king's horses and all the king's men could not put humpty together again")
HVLT - High Velocity Lead Poisoning: gunshot wound
Hypoxanaxemia - patient with anxiety symptoms (Xanax deficiency)
Icing on the Cake - lethal tumor discovered in the X-rays of a heart attack victim.
I fell on it - (also Eiffel Syndrome) universal explanation given by a patient with a foreign object in the rectum
Imaginascope - what you use during radiology rounds to see the lesion the clinician is showing you but you don't see
Improving His Claim - Victim of minor accident, needs no treatment but wants something to support his insurance/legal claim.
Inbreds - doctors whose parents are also doctors
Incarcaphobia - patient is hypochondriac prisoner who prefers hospital to jail cell
Incarceritis - becoming dubiously ill when arrested or in court
Incidentaloma - a usually benign mass (needing removal) found on a scan while looking for something else entirely
Infernal Medicine - Internal Medicine department
Insurance Pain - Neck pain secondary to a minor car bump
Insurance Whiplash - Neck pain secondary to a minor car bump
Interesting Case - A patient transferred from a non-specialist hospital who is an unmitigated disaster with no accompanying chart or documentation
International House of Pancakes - neurology ward full of patients (usually stroke victims) all babbling in a different language.
Intubate Junior/Intubate Willy - catheterise a man (often results in DPS - Disappearing Penis Syndrome)
ISQ - In Status Quo ("no change"): often used during the weekend surgical round
ITBNTL - In The Box, Nail The Lid (dead or dying)
IWB - Intercourse With Biscuits (F**king Crackers)
Jack Bauer - a doctor still up and working after 24 hours (after character in "24")
JAFFA - Just Another Fat, F***ing Administrator
Jailitis - becoming dubiously ill while in custody or in a jail cell
Janitor's fracture - a fracture so obvious that a janitor (cleaner) could diagnose it
JAR or JAR Syndrome – Just Ain’t Right (often used when a patient has multiple issues)
JDFR - Just Doesn't Feel Right - most common complaint of LOL's (Little Old Ladies) and SOG's (Sick Old Guys)
JDLR - Just Doesn't Look Right (something is wrong, but no diagnosis has been made yet)
JIC - Jesus is calling
JLD - Just Like Dad (often used to explain an FLK)
JNR- Just Not Right (something is wrong, but no diagnosis has been made yet)
John Thomas sign (UK), Johnson's Sign (US) - according to tradition, the side that the penis (John Thomas, Johnson) points to (if visible on x-ray) will have an abnormality (see also Throckmorton sign).
Journal of Anecdotal Medicine - favourite, but unwritten, source of medical wisdom
J P FROG - Just Plain F***ing Ran Out Of Gas (old age etc)
JPS - Just Plain Stupid (self induced injury involving lack of common sense)
Kaiser Soze - Registrar with an uncanny ability to disappear (not answer phone or pager) when there is work to be done (from movie 'The Usual Suspects')
KFO - Knock the F*cker Out (patient either obnoxious or screaming in pain)
Kidney Stone Squirm - a spot diagnosis in A&E
Killing Fields - that ward in every hospital where patients go to die
Knife-happy - an overly enthusiastic surgeon
Knife and Gun Club - (US) local street gangs or criminal organizations that keep ER in business OR the emergency departments that care for patients with the results of street gang violence
Knuckledragger - Orthopedic Doctor/Surgeon
KOKO - Keep on Keeping on.
Lancelot - a medic who drains abscesses (called Pokemon in the USA)
Lantern Test - shine a torch in the subject's mouth and the eyes light up (no brain)
Larry - Locum, as in "doing a Larry"
Last Flea To Jump Off A Dead Dog - Oncologists (sometimes other disciplines) who seem unable to let people die with diginity
Laying Crepe - dismal prognosis (i.e. prepare the coffin)
LDF - Lying Down Fit
Leave 'Em Dead - Levofed (aka norepinephrine) , the drug given to cardiac patients to prop up their blood pressure until they die in the ambulance
Leeches - those who take blood samples, e.g. lab techs
Lerner/Bernstein Fracture - the injury suffered by a patient who is intent on suing someone over his trip or fall (Lerner/Bernstein are ambulance-chasing lawyers in one region).
LFTWM - Looking for 3 Wise Men (applied to young pregnant females who deny having had intercourse)
LGFD - looks good from door (but not closely examined, possibly an obnoxious patient)
LGFTC - looks good from the corridor (but not closely examined)
Lignocephalic - wooden-headed (i.e. dense [thick] or stubborn)
Lipstick Sign - if a female patient is well enough to put on, she is well enough to be discharged
Liver rounds - staff party, so called because of liver-damaging alcohol
LLS - Looks Like Sh*t
LMC - Low marble count (low IQ)
Load the Boat - call in senior medical staff as ass-covering exercise
LOBNH - Lights On But Nobody Home
Lobster - sunburned patient
LOFD - Looks Okay From Door
LOL - Little Old Lady
LOLFDGB - Little Old Lady, Fall Down, Go Boom
LOLINAD - Little Old Lady In No Acute Distress
LOLITS - US: Little Old Lady In Tennis Shoes (60+ year old); UK: Little Old Lady In Twin-Set (50-60 yera old)
Loop-the-loop - flamboyant surgical rearrangement of the intestines.
Loose Change - dangling limb in need of amputation.
LPT - Low pain threshold
LRO - Luck Ran Out (cheated death before, but not this time)
LWS - (US) Low Wallet Syndrome (No medical insurance or money)
M & Ms - mortality and morbidity conferences where medics discuss epidemics, mistakes and patient deaths
M sign - Patient just goes "Mmmm"
MacTilt - how a Macmillan nurse (cancer care nurse) tilts his or her head to convey sympathy
MAFAT (May-fat) - Mandatory Anasthaesia F**k Around Time, precedes any incision
Map of Antarctica - (NZ) appearance of fatal spontaneous brain haemorrhage on CT scan
MARPs - Mind Altering Recreational Pharmaceuticals
Marriageable Monster - young female patient who has successfully undergone major plastic surgery.
Masochist - Trauma surgeon; Sadomasochist - Neurosurgeon
Matern-a-taxi - when a pregnant woman calls an ambulance because the contractions are every 2 minutes, but she doesn't have a single contraction during a 30 minute journey to hospital
MCBP - Member of the College of Bystander Physicians i.e. doctor having a look-see
Meat hooks - surgical instruments.
Metabolic clinic - the tea room
Metal Poisoning - what a patient allegedly dies of when he's held together with staples (also gunshot wound)
Meth Mouth – common symptom in methamphetamine addicted patients
MFB - Measure for box
MFC - Measure For Coffin
MFD, CFD - Measure For Box, Call For Dirt (severely ill [or dead or nearly so])
MFI - very large myocardial infarction
MGM syndrome - Faker putting on a real good show
Michelin's Disease/Disorder - multiple spare tyres (obese)
MICO - Masterly Inactivity and Catlike Observation
MICOS - Masterly inactivity, cat-like observation and steroids
Microdeckia - Micro = small, deck = deck of cards; patient playing with less that a full deck (low IQ)
MIDI - myocardial infarction during intercourse (heart attack during sex)
MILF - Mother I'd Like to F**k. US version of GLM who is also PHAT
Milk of Amnesia - Propofol
Mini me - Trainee or medical student who copies their senior colleague too much but doesn’t say a lot (from Austin Powers films)
Mobile Drip Stands - Fire Dept (often found at emergencies alongside paramedics)
MOFAT (Moh-fat) - Mandatory Orthopaedic F**k Around Time, precedes any incision (alternative to MAFAT)
Molar masher - dentist
Mononeuronis Asynapsis - thick (one neuron, not connected!)
MooMoo-Mover - the big blue sheet used for moving obese patients
Mow The Lawn/Trim the Hedge - remove a long line of sutures
MTF - Metabolize to Freedom (i.e., let the person sober up, and then they can leave)
MUH - Messed up heart
Mulambo - (Brazil) poor patients in public outpatient clinics (literally rag + beggar)
MU Pain - Made Up pain (especially for sick notes and insurance claims)
Mushroom syndrome - suffered by lowly medics who are kept in the dark and have crap piled on them
MVA Special - CT scan of head, neck, chest, abdomen and pelvis (on car crash patient)
MVA Special With Gravy (aka MVA Full Meal Deal) - MVA Special plus face
n=1 trial - polite term for experimenting on a patient
NAD - Not actually done
Nastioma – mass that looks like aggressive neoplasia
NARS - Not a rocket scientist (low IQ)
Nebulopathy- strange clinical signs with no "normal" disease apparent
Necrophiles - derogatory term for Pathologists (the love the dead)
Nectar of the Gods - coffee; without which many hospital services would shut down
Negative Wallet Biopsy - (US) patient transferred to cheaper hospital because s/he has no insurance/funds
NETMA - Nobody Ever Tells Me Anything (generally a doctor's gripe on a patient's chart)
Neuro-faecal Syndrome - s**t for brains
Neuron - Neurologist.
Neuroslavery - Derogatory term for Neurosurgery based on the extreme long hours compared to orthopaedic surgery
NFF - Normal Fae Fife (Scottish version of NFN below)
NFN - Normal for Norfolk (rural area, suggests inbreeding or quaint rural oddness), might explain FLK
NFP - Normal for Portsmouth - repeat abortion, said to be particularly rife in Portsmouth, Hampshire, UK (a sailing port)
NFR - Not For Resuscitation; used on elderly patients’ charts where the DNR (Do Not Resuscitate) instruction is without the knowledge of the patient themselves or their family
NGMI - Not Going to Make It
NKDA - Not known, didn’t ask
NLPR - No longer playing records (dying)
NOCTOR- Nurse tht has done a 6 week training course and acts like s/he's a Doctor
No Hopeamine - Dopamine
Not even in the ball game - confused, senile patient
NPS - New Parent Syndrome
NQR - Not Quite Right
NQRITH - Not Quite Right In the Head
NSA - Non-Standard Appearance (what a FLK grows into)
O sign - Patient unconscious with mouth open
OAP - Over-Anxious Patient
OB/GYN - actually means Obstetric/Gynaecology, rumoured to mean "Oh Boy-Got You Naked"
OBE - Open Both Ends (known in UK as DNV - Diarrhoea and Vomiting)
OBECALP - placebo (the rationale being that patients don't realise it's "placebo" in reverse)
OBS - Obvious bullsh*t
Obs and gobs - obstetrics and gynaecology
OCWTL - Overcome With The Lord (Tachylordia)
OFIG - One Foot In the Grave
OFIGATOOS - One Foot In the Grave And The Other One Slipping
Ohno-second - The time from making an error (e.g. dropping that hard-to-get sample immediately after you got it) to going "oh-no"
Oil slick - (1991, NZ) - appearance on CT scan of a porencephalic cyst
Old Man's Friend - (US) pneumonia, an illness which often carried off the elderly
Oligoneuronal - "few brain cells" i.e. thick (not very bright) (Note: In the UK, "dumb" means "mute")
OMGWTFBBQ - a person mangled in a car crash
Ooh-Aahs - Those who gather to gawk at an emergency and go "Oooh, Aaah"
OPD - Obnoxious Personality Disorder
Optorectomy- operation to disconnect the eyeball from the anus, due to such a sh*tty outlook on life
Organ recital - a hypochondriac’s medical history
Orthopod - orthopaedic doctor
Osteocephaly - boneheaded
Ostrich Treatment - pretend it's not there and hope it goes away
OTD&DDR - Out The Door and Down The Road.
OTDPDS - Out The Door Pretty Damn Soon
OTLP - n the launch pad (to be discharged to home)
Overpriced Carpenter - orthopaedic doctor
P4P - Penicillin for Prick (peniecille for penile discharge)
P5T/P-to-the-fifth (see PPPPP) - can also mean bad genetic material or syndromic patient with numerous medical system problems
PAAF - Pissed as a fart (also PIAF -PIssed as A Fart)
PAFO - Pissed [Drunk] And Fell Over
Paint - Betadine (medication)
Pale face - (Brazil) child with leukaemia/severe anaemia.
Paninvestigram - order all the tests; for when you haven't got a clue what's going on
Pan-man Scan - Whole body scan (e.g. after car crash)
Paperweight - (NZ) very small patient with severe congenital mental retardation
Papoterapia - (Brazil) to give the patient a pep talk, chitchat therapy ("papo" = chitchat).
Parentectomy - removing parents as an effective cure for a child's problems
Pathology consult - referral when the patient dies
Pathology outpatients - Follow-up for dead people
Paws Up - dead
PBAB - Pine Box At Bedside
PBABLTO - Pine Box at Bedside, Leave Top Off
PBTB - "pine box to bedside"; indicates an imminent demise
PBS - Pretty bad shape
PBOO - Pine Box On Order
PD - Pencil D**k. General US insult. It gets applied to lazy doctors who pass work on to their peers and should not be confused for that other PD, Program Director (US terminology)
Peanut Butter Balls - Phenobarbital
Pecker Checker - either a urologist or a sexual diseases doctor (also the ship's doctor in Naval slang)
Peek and Shriek - open a patient surgically, discover an incurable condition, and close the incision immediately
Pee Pee Docs - urology
PEFYC - Pre Extricated For Your Convenience (RTA victim that has gone through windscreen)
Penal Colony - renal ward/dept, especially when a superbug is on the loose
Percussive maintenance - the sharp tap/bang which cures faulty equipment
Permanent room - as in "He's here so often we should just give him his own room"
Pest control - term applied to psychiatrists by casualty officers
PFH - Parent(s) from Hell (custodians of BFH - Brat From Hell)
PFO - Pissed [Drunk] and Fell Over
PGT - Pissed [Drunk] and Got Thumped
Pharmaceutically Enhanced Personality - stoned or medicated
Pharmaceutically Gifted - admissions with altered mental states as a result of drug use
PHALS - Post-Harmless Accident Lawsuit Syndrome
PHAT - Pretty Hot and Tempting (warning to others)
PHD = Pakistani Healing Dance (a useless procedure performed for benefit of patient and family)
PIA - Pain in the ass
PIAF - PIssed as a fart (also PAAF -Pissed As A Fart)
Pediatron - paediatrician
PID - Pus In 'Dere (PID actually means Pelvic Inflammatory Disease)
PID shuffle - spot diagnosis in A&E (Pelvic Inflammatory Disease)
Pig In A Blanket - Patient (esp an overweight one) in Bed With Fevr
Piles - (at beach resort clinics), sunburn cases: angry, hot and red (better known as lobsters)
Pillow Consult - wanting to smother a difficult patient
Pillow positive - (Wales) patients who are repeated admissions for prolonged periods with no physiological cause of their problems. It is joked they go to hospital with their own pillows ready for admission
Pillow Therapy - describes the urge to smother annoying patient (aggressive euthanasia, tontine treatment).
PIMBA - (Brazil) swollen-footed, drunk, run-over beggar ("Pé Inchado Mulambo Bêbado Atropelado")
Pineboxatosis - collection of conditions which lead to transfer to the ECU, usually accompanied by PBTB with positive Q-sign or O-sign
Pink puffer - patient breathing rapidly due to lung disease
Pinky Cheater - Latex finger cover used in gynecological and proctological examinations.
Pit - the emergency room
PITA - Pain in the ass
Pitiático - (Brazil) patients feigning illness.
Plank Positive - stupid, as in "thick as 2 short planks"
Plano Pafúncio - (Brazil) alleged preferential treatment of relatives of hospital employees.
Player - complaining, irritating patient
Please Consult Us If New (Surgical) Issues Arise - please never page me again
Please Optimize Medical Treatment - don't call us until you've done your job first
PLH - Pray Long and Hard
PLTDP - Practice Limited To Dead People
Plumbii Pendulosus - swinging the lead (malingering) anecdotally used on medical certificates to be presented in Court, esp in Magistrates' Court where the Magistrate is known to the Doctor
Plumboscillation - swinging the lead (malingering)
Plumbum oscillans - Latin for "swinging the lead" (malingering) i.e seeking a sick note to take time off work
Pneumo-cephalic - airhead
PNR - person needed ride i.e. minor ailment but called ambulance instead of taxi
Podo-Oral - Foot in Mouth (i.e. put one's foot in it - rarely used BY senior staff, sometimes used ABOUT them)
Pokemon (pronounced Pokey-man) - the medic who drains abscesses (Lancelot (lance-a-lot) in the UK)
Policeman Lesion - lesion on an X-ray so obvious that a policeman would spot it
Poliesculhambado - (Brazil) multi-f*cked-up patient.
Polybabydaddia - a mother who presents to the ER (Casualty) dept with 8 or 9 kids in tow, most of whom were fathered by a different men
Polydipose Dysfunction - big, fat patient (polydipose being invented plural of adipose [fat])
Pop Drop - granny dumping (dumping elderly relative at Casualty dept)
POPTA - Passed Out Prior To Arrival
Porcelain Level - fictitious blood test ordered to communicate to colleague that the patient is malingering (crock of sh*t)
Porch People, Walmart Greeters - Confused patients sitting in chairs in hall for close observation
PORG - Person Of Restricted/Retarded Growth (dwarf/midget)
Positive Blue Legs Sign - (US) resuscitation behind closed curtains (US ER medics wear blue scrubs)
Positive Gobbler - turkey i.e. faking illness to get out of drill (used by army medics)
Positive Hilton Sign - demanding patient expects Hilton Hotel luxury; indicates patient well enough to leave!
Positive Suitcase Sign - patients who are repeated admissions for prolonged periods with no physiological cause of their problems. They turn up at hospital with packed suitcases ready for admission
Possible This Possible That - consent form in case exploratory surgery
Post-Weekend Fatigue Syndrome - an ailment which presents at GP surgeries on Monday mornings
Pot Plant - person in a Persistant Vegetative State (often used in plural to mean coma ward)
Pox Docs - clap clinic (sexually transmitted disease clinic) doctors
PPP - Piss poor protoplasm
PPP,PPP - Piss-Poor Protoplasm, Probable Placement Problem
PPPPP - piss poor protoplasm poorly put-together (really old and/or decrepit)
PPA - Practicing Professional Alcoholic
PRATFO - Patient Reassured And Told to F*** Off
Pre-Detention Stress Disorder - a person who feigns medical symptoms when police handcuff him
Pre-stiff - terminally comatose patient.
PSLM (Por Si Las Moscas - because of the flies) (South America) - try some medications just in case (on a no-hope case)
Psychoceramics - psycho-geriatrics
Psycode - Code Blue in a psychiatric hospital i.e. patient passing out from the side effects of medication
Pucker Factor - the degree/speed of constriction of the surgeon's anal sphincter is directly proportional to the patient's risk of sudden death
Pumpkin Positive - a penlight shone into the patient's mouth/ear would encounter a brain so small that the whole head would light up
Purple (code purple) - when paramedics are called out to a dead body
Purple Plus - called out to collect a dead body that's started to fester
PVC Challenge - To intubate someone.
PWT - Po' (poor) White Trash (with a condition related to their lifestyle)
Q sign - Patient unconscious/terminal with mouth open and tongue hanging out; "Dotted Q" means flies land on tongue (dead/dying). Reversible Q-sign means you can push the patient's tongue back into the mouth to form the O-sign. Irreversible Q-sign means the tongue keeps falling back out of the mouth after it’s pushed back in (very bad sign)
Q-Tip - Elderly person (white haired old person) (Q-Tip is a cotton bud)
Quackpractor - chiropractor
Qwertyitis - what a doctor suffers from when he spends more time on a computer than with actual patients
QID - Queen in distress (hissy fit)
Rabbit - over-talkative (from slang "Rabbit & Pork - talk)
Radio-I-suppose-otope - imaging agent used in Unclear Medicine (Nuclear Medicine)
Raisin Farm - old person's home, geriatric ward etc (also Raisin Farmer - person who runs old persons' home)
Ralphie McYakkers - young drunks vomiting
Rapid Lead Infusion - obnoxious patient ought to be shot
Rays - radiology dept
RBG - Received by God (a person in receipt of a Celestial Transfer)
RBS - Really Bad Shape
Rear Admiral - proctologist
Rear Admiralty - proctology dept
Rectoencephalitis - head-up-own-ar5e syndrome
Red dot - physicians from India, relates to red dot on their forehead
Red pipe - artery (as opposed to "blue pipe" or vein)
Reeker - smelly patient
Removal men - dept of care of elderly people
Retrospectoscope - instrument of hindsight
Rheumaholiday - rheumatology (considered by hard-pressed juniors to be a less busy dept)
Ringo – (after Beatles drummer Ringo Starr) an expendable team member
Roach - a patient, usually a dirtbag/ingrate, that can't be killed despite near lethal complications of an already serious ailment
ROAD - Dermatologist. Acronym "Retired On Active Duty" Akin to "dermaholiday"
Road Chilli - Unrestrained driver/motorcyclist or passenger, ejected and splattered
Road Map - injuries incurred by going through a car windshield face first.
Road Map Abdomen - scarred from multiple ops (same as Gridiron Belly, Zorro Belly)
Road Pizza - Unrestrained driver/motorcyclist or passenger, ejected and splattered
Road Test - to get a drunk patient to walk up and down a corridor; if they pass they are turfed, if they fail they need a bit longer to sober up.
Roasted Goober - tumour after intensive cobalt treatment.
Rock - a patient that stays on your service forever
Rocket Room - a ward/unit where there are many deaths (many transfers to heaven)
Rocking horse stool - even rarer than hen's teeth
Rooters - indigents and hangers-on who gather in big-city emergency rooms in order to be entertained by legitimate cases.
Rose cottage - mortuary
Rothman's sign - tobacco staining of fingers
Rounding Up The Usual Suspects - Ordering a set of tests for a given set of symptoms
RPVU - Relative Porsche Value Unit: surgical index of potential income from the repair of patient injuries, usually orthopaedic in nature. Fractured finger = a windscreen wiper; a fractured hip = new tyres etc.
RT - Room Temperature (dead)
RTT with a BBB - Rat-a-Tat-Tat with a Baseball Bat (hit with blunt instrument).
Rudy Baga - Patient with terminal brain injury, persistent vegetative state (rutabaga is a vegetable).
Rule of Five - if more than five of the patient's orifices are obscured by tubing, he has no chance
Running Towards the Light - dying
S2 - Sit the f**k down and shut the f**k up
Saddles - Maternity sanitary towels (napkins), so called for their size and the bow-legged effect of wearing them
Samsonite Positive (Positive Samsonite Test) - someone who turns up in emergency with all their luggage (and insists on being admitted to a ward)
San Fran Twist - performing a prostate examination by hooking the index finger in a half-circle upon insertion into the rectum
Sarcoidosis - an actual disease, but a perfectly acceptable answer that may be included in ANY differential diagnosis
SAS - Sick As Sh*t
SBI - Something Bad Inside e.g. undiagnosed cancer/unexpected serious condition found when performing surgery
SBLEO - (pronounced S-B-Leo) Suicide By Law Enforcement Officer
SBOD - Stupid bitch/bastard on drugs
Scepticaemia - chronic condition suffered by two doctors in a debate over which therapy
Scrape and Staple - burns unit
Scratch and sniff - gynaecological examination
Scumdex - 1 pt for every tattoo, extra piercing, IVDU scar, etc. The higher the scumdex, the greater the likelihood of survival. See also TTI
Search and Rescue - Medics allocated to look after the patients dotted in non-medical wards
Sellout - Derogatory term for plastic surgeon in private practice
Sent Over the Hedges - sent to radiology
SEP - Somebody else's problem (not to be confused with sepsis)
September club - the students who have to return after summer holidays for retakes
Serum porcelain - battery of blood tests on an elderly patient
Serum rhubarb - What they test for at tertiary centres
SFS - Stinky Foot Syndrome (often related to homeless)
SF Scale - Sphincter Factor Scale: 1 to 10 scale indicating degree of bowel-loosening in response to an emergency
SHA - Ship His Ass (when patients refuse to be discharged).
SHAD - Syphilitic, Hypochondriac, Alcoholic Degenerate
Shadow gazer - radiologist
Shandy Tap - bloodless lumbar puncture
Shit and Get - to access a trauma patient, say to yourself "Oh Shit!", stabilize and transfer
Sh*ts & Spits - lab tech term for a patient's stool and sputum samples; also the instruction to obtain these samples
Short-Order Chefs - mortuary workers.
Shotgun Labs - to order many lab tests, hoping one will turn up an answer to a puzzling case
Shotgunning - Ordering of a vast array of tests in the hopes that one or other of them will give an idea of what is wrong with a patient
SHPOS - Sub-Human Piece of Sh*t
SHS - Sullen, Hostile, Stupid (often an inner city drug/alcohol addict)
Shy Turd - severe constipation
Sick - Really sick i.e. FTD (Fixing To Die) or CTD (Circling The Drain)
Sidewalk Souffle - (US) suicide-by-jumping
Sieve - a doctor who admits almost every patient he sees
SIG - Stroppy Ignorant Girl
SIG - (certain US regions) self-inflicted gerbil (anecdotal)
Significant History - HIV positive
Silver Bracelet Award - patient is a prisoner brought in wearing cuffs
Silver Goose, Silver Stallion - proctoscope.
Síndrome JEC - (Brazil) terminal patient ("Jesus Está Chamando" = "Jesus is calling").
SIO - Sleeping It Off
Slashers - general surgeons
Slough - a patient inappropriately or unfairly unloaded from one hosptial unit on another
Slow Code (to China) - elderly very ill patient who wants everything done so they will not die. Everyone on the medical team disagrees
Smashola - patient with multiple blunt trauma injuries e.g. from car smash
Smellybridge - area between the anus and the back of the scrotum (perineum)
Smiling Mighty Jesus - (US) spinal meningitis (also Screamin' Mighty Jesus)
Smoke the Anaesthetic Cigar/Smoke the Camel - intubated
Smurf Sign - patient blue or going blue
SNEFS/M SNEFS - Subnormal (or Mentally Subnormal) Even For Suffolk (a rural English county)
Snow - to accidently give a patient too much medication/mixed medication so they go into an altered state of consciousness ("Don't snow that patient with Drug X and Drug Y at the same time!)
Snowed - being in a state of altered consciousness due to too much/mixed medication
SNUD - Sick Nigh Unto Death
SOB, SOB, SOB - Silly Old Bugger/B*stard/Bitch, Sitting Out of Bed/Sitting On Bed, Short Of Breath
SOCMOB - Standing On Corner Minding Own Business (when inexplicably injured)
SODDI - Some Other Doctor Did It (when one medic's botched jobs must be put right/answered for by someone else)
Sofa Surfer - homeless person who sleeps on friends' sofas and floors (ends up at A&E for "3 hots and a cot" when s/he has nowhere else to stay)
Soft Admission - an admission that only a "Sieve" would accept
SOG - Sick Old Guy (male version of LOL (Little Old Lady))
Solomf yoyo - So long, mother-f*****, you're on your own (see "amyoyo syndrome")
Space cadet/Buzz Lightyear - confused patient (dementia or drug-related)
SPAK - Status Post Ass Kicking
Speed bumps - haemorrhoids
Spin the Patient - CT scan
Spots and dots - traditional set of childhood diseases - measles, mumps, and chicken pox
Squash - brain.
Squirrel - eccentric or hypochodriac ("squirrelly") patient who can make life difficult. Found in the phrase "squirrels get sick too" to remind staff that even eccentric patients may have a real medical problem
SRI - Something Wrong Inside (undiagnosable problem)
SSDD - Same Sh*t Different Day (in conjunction with Frequent Flyer)
Stage Mother - person accompanying patient and encouraging patient to exaggerate the complaint (often to obtain a particular diagnosis or to get an unnecessary prescription)
Stamp - skin graft
Status Hispanicus - (US) much like Acute Puerto Rican Syndrome.
Steel Sign - surgical metalwork from previous ops visible on x-ray
St Elsewhere - medical academia's term for any non-teaching hospital
Stem to Stern - throat to pubis incision
Stream team - urology dept
Stupidity Panel - lab test (for patient stupidity) that, when invented, will earns its inventor a fortune (i.e. thick patient)
Sturgeon - surgeon
Sucking The Peace Pipe – intubated
Summer Teeth - some are teeth and some aren't ...
Sunshine - how one addresses an entitled, arrogant patient
Supratentorial - above the falx tentorium/cerebellum i.e. psychosomatic e.g. supratentorial pain
SVRI - Something Very Wrong Inside (usually terminal)
SWAG - Scientific Wild Ass Guess
Sweet Milk/ Mother's Milk - Propofol; a reference to its milky appearance and pain-relieving use
SWI - Something Wrong Inside
SWW - Sick, wet and whiny (infant)
SYB - Save Your Breath (for patients who don't take advice)
Tachylordyosis (with the junctional Jesus) - Usually a middle-aged to older
black female American with a complaint of "lordy, lordy, lordy, lordy,
lordy, lordy", occasionally with the interspersed "Jesus" i.e. "lordy, lordy,
lordy, lordy, Jesus help me, lordy, lordy"
Tachylawdia - as above (variant spelling), but without the "Jesus"
TAPS - Thick As Pig Sh*t
TARFU - Things are really f**cked up
Tash Test - observation suggestive of HIV status (presence of a Freddie Mercury-esque moustache)
TATT (or TAT) - Talks All The Time (also "Tired All The Time")
Tattoo Titre/T&T Sign - indication of patient insanity: more than 5 tattoos indicates likely crazy person
T&T Sign - Tattoo-to-Teeth Sign: survival indicator; those who are tattooed and toothless will survive major injuries
Taint Spot - Perineum: "It ain't this and it ain't that"
Taxidermy Consult - call for a taxidermist's consultation i.e. person about to die
Tax-Sucker - Someone who does not need an ambulance, but calls anyway because it's free
TBC - Total Body Crunch: multiple injuries
TBD - total body dolor i.e. complains of pain everywhere
TBP - Total body pain
TDS - Terminal deceleration syndrome (e.g. RTA death, high-rise syndrome, jump-suicides and parachute-failed-to-open)
TEC - Transfer to Eternal Care i.e. dead
TEETH - Tried Everything Else, Try Homeopathy
Testiculation – (male) consultant holds forth on a subject with expressive hand gestures, but has little knowledge of the subject.
TF BUNDY - Totally f*cked, but unfortunately not dead yet
TFO - Too F*cking Old (person dying of old age).
TFTB - Too Fat To Breathe
Thank You For This Interesting Consult - this is complete b*llsh*t
THC - Three hots and a cot; sought in A&E by the local homeless
The Fish Plant - Gynaecology/Obstetrics Ward (from Newfoundland, where fisheries is the main industry)
The Garden - neurological ICU where the vegetables (coma patients) live
The Promised Land - private practice/final year of medical school
Therapeutic Monitoring - monitoring a patient purely because it makes the doctor feel better.
Thorazine shuffle - the slow, lumbering gait of psychiatric patients dosed up on phenothiazines
Three-toed sloth - patient with diminished capacities, usually from long-term alcoholism
Throckmorton’s Sign - in the unconscious male, the penis points to the injury
TLC - Tube, Lavage & Charcoal (given to poisoning victim)
TLGP -Two Legged Guinea Pig - patient undergoing experimental or extreme treatments
TLR - Two Legged Rat - refers to a patient undergoing experimental or extreme treatments
TMB - Too Many Birthdays: person dying of "old age"
TMI - Three Meaningless Initials (e.g. John Smith, TMI - applied to medics with qualifications rather than ability)
Toaster - defibrillator
TOBP - Tired of Being Pregnant (especially patient demanding caesarian)
TOG - Tears of Gratitude
Tontine Treatment - Urge to put pillow over face of irritating patient (Tontine is a leading brand of pillows in Australia, also a type of will)
Tooth to Tattoo Ratio - Visual determination of basic intelligence. A positive ratio (more teeth then tattoos) is generally better than a negative ratio is bad.
Torture Room - Intensive Care Unit (due to invasive tubes and monitors and experimental treatments).
Tough stick - patient whose veins are hard to find when drawing blood
Toxic Confusional State - Confused, usually elderly, person whose problem is due to constipation (toxic build up in body)
Train Wreck / Shipwreck - a person with more hospital visits/diagnoses then they have years of life
Trambiclínica - (Brazil) a clinic staffed by medical students in order to maximise profits ("fraudulent clinic").
Transcranial Lead Therapy - gunshot wound passing through head
Trans-occipital implants - bullet wound to the head
Trauma Gods - Mythological deities whom A&E personnel believe to be the cause of major emergencies
Trauma Handshake - digital rectal examination - every major trauma patient gets one
Trauma Twinkie - ambulance (one of the smaller or European-style ones)
Treat ’n’ street - A&E's term for quick patient turnaround
Trick cyclists - psychiatrists
Trigger Happy - a medic that gives a shot [injection] for everything or patient that used call button excessively.
TRO - Time ran out
Trubufu - (Brazil) African-Brazilian obstetric patient (literally "fat, ugly black woman").
T-sign (UK) - the number of untouched cups of cold tea at a deceased patient's bedside. Used as an indicator of approximate time of death (i.e. the patient died but nobody noticed)
TSL - To Stupid to Live
TSS - Toxic Sock Syndrome (often related to homeless)
TTFO - Told To F*ck Off
TTJ – transfer to Jesus
TTR - (UK) Tea Time Review (a ripping yarn?)
TTOAST - Take Them Out and Shoot Them
TTR - (US) Tattoo-to-Tooth Ratio (Dirtbag Ratio)
TUBE - Totally Unnecessary Breast Examination (might happen to a GLM)
Turf - get rid of patient by referring to another team (see also buffing, sloughing and bouncing)
Turn and Baste - incontinence care (roll and clean up patient after a code brown)
Turtle's Head - in severe constipation where the anus is dilated and a faecal mass is visible (aka "shy turd") - the problem is, it starts to come out and then, like a turtle's head, it goes back in again!
TVTP - Tried Vancomycin, Try Prayer (Vancomycin is anti-MRSA drug – it’s resistant to anything else)
TWA - third world assassins. Slang for the allegedly poor medical care delivered by physicians who went to medical school in foreign countries
Twitch - hypochondriac
Two beers - the number of beers every patient involved in an alcohol-related automobile accident claims to have drunk before the accident
Two Dudes - a patient who was in a fight "Two dudes jumped me for no reason" (implying the patient would have one against one assailant)
Two Stops Short of West Ham - (Psychiatry) Barking mad. Barking is slang for "mad" and also the name of a station; it is 4 stops from West Ham, but the psych slang follows the formula "2 sandwiches short of a picnic", "Tuppence short of a shilling" (simple-minded/nuts) - the deficit is alway 2 items. Severe madness is "Dagenham" i.e. "3 stops beyond Barking".
TWSAM - Trash Will Survive And Multiply
UBI - Unexplained Beer Injury
UDI - Unidentified Drinking Injury
UFO - Unidentified Frozen Object: unidentified dead homeless person in the winter
UGLI – Ugly: a patient (usually a child) who looks a bit odd but has nothing wrong with them ULPP - Unlicensed Pharmaceutical Provider (drug dealer)
Unborn Farts/Retained Farts - abdominal bloating due to trapped wind (gas)
Unclear medicine - nuclear medicine
Unfascinectomy - long slog of a procedure
Unfascinoma - long procedure, now getting longer or a procedure that fascinates specialist diagnosticians, but isn't fascinating surgeons
UNIVAC - Unusually Nasty Infection, Vultures are Circling
UPF - Un-Passed Fart (gaseous distended abdomen)
Urban Outdoorsman - Homeless person
VAC - Vultures are Circling (dying)
Vampires - those who take blood samples, e.g. lab techs (also slang for blood donor service)
VBA - Valuable Breathing Air i.e. what some patients or doctors are wasting
VBT - Very Bad Thing
VD - Veak and Dizzy; older person feeling vaguely unwell and presents at ER at 2am complaining of feeling "weak and dizzy"
Vedgy - a patient requiring intensive care, incapable of movement
Vegetable garden - Coma ward
Velcro - Family or friends accompanying patient everywhere
Veranda - area in front of nurse's station where the porch people sit (see Porch People)
Very Close Veins - varicose veins
Viaggravation - what a doctor gets from a patient who is demanding erectile dysfunction medication on the NHS (not all areas of the UK provide this on NHS)
VOMIT - Victim Of Modern Imaging Technology (i.e. try treating the patient, not the report from radiology; particularly referring to invasive procedures for false positives.
VIP - Very intoxicated person
Virgin Abdomen - patient that has never had abdominal surgery before and therefore has little intra-abdominal scarring
Vitamin A - Ativan
Vitamin D – Diesel (ambulance term). "Give it some Vitamin D" means drive faster
Vitamin H - Haldol; in the case of a drug addict, it means Heroin
Vitamin K - Ketamine. Also called "Special K" (street name)
Vitamin L - Lasix, Levaquin or other familiar drug beginning with L
Vitamin M – Morphine
Vitamin P - Lasix (diuretic) given to stimulate urination (peeing) in post-operative patients; can also mean Prozac
Vitamin V - Valium, Diazepam or any intravenous sedative; in General Practice it is Viagra
Vitamin Z – Zosyn or Zoloft
VOMIT - Victim Of Modern Imaging Technology (i.e. try treating the patient, not the report from radiology; particularly referring to invasive procedures for false positives.
VTMK - Voice To Melt Knickers (the voice deliberately cultivated by some doctors)
WADHAO - weak and dizzy and hurt all over
WAFTAM - ("woff-tam"): Waste Of F***Ing Time And Money
Wall - a doctor who resists admitting patients at all costs
Wallet Biopsy - (US) free medical test performed by hospital insurance department before patient is treated (UK) similar test in private health sector
Walmart Greeters (Porch People) - Confused patients sitting in chairs in hall for close observation
Ward 101 - The source of referrals that fills the recipient with dread. (after Room 101 in George Orwells novel 1984)
Ward X - the morgue
Weed Puller - Obstetrician
White cloud - a on-call doctor who has uneventful call nights. As opposed to a Black Cloud
White Lizard - the white coloured "cocktail" given for stomach problems (Black Lizard is similar "cocktail" but contains activated charcoal)
White Mice - tampons
Wifty - Mildly confused, but seems oriented most of the time
Wilkinson's Syndrome - a patient who has slashed their wrists with a razor blade (after a popular brand of razor)
Will Follow From A Distance - will check your lab results, but will never set foot in your room again
William - (UK) chiropedist i.e. William the corn-curer (William the Conqueror)
Win the Game (or Yahtzee) - to discharge all of the patients from your service, so that you have no inpatients (i.e. no ward rounds) next day.
Winner - a patient with very good luck
Witch doctor - specialist in internal medicine
WITPOMS - Why Is This Patient On My Service
WNL - (Ambulance/casualty) Within Normal Limits, but more often interpreted as We Never Looked
WNL - Will Not Listen; patient won't take medical advice
WoGS - Wrath of God Syndrome (visited upon junior medics by more senior staff)
WOMBAT - Waste Of Money, Brains And Time
Woolly jumper - any non-acute physician
Woolworth's Test - (UK anaesthesia) if you can imagine patient shopping in Woolies, it's safe to give a general anaesthetic
WWI - Walking while intoxicated (and fell over)
Wrinkly - geriatric
YAVIS - Young, attractive, verbal, intelligent, successful.
YMRASU - Your Medical Records Are Screwed Up
YOYO - You're on your own; see "amyoyo" and "solomf yoyo" (also message passed from one doctor to another regarding problem/mystifying cases)
Zebra - an unusually strange or unexpected disease (from the saying "When you hear hoofbeats, the smart money is on horses, not zebras")
Zorro belly - (Brazil) patient who has had multiple abdominal surgeries.
Note: Any dept ending in "-ology" is likely to be nicknamed "-holiday" by those working in busier depts.
THE INFORMAL FAECAL HARDNESS SCALE
As used in microbiology depts runs from "Hard as Bullets" (self-explanatory) to "Could go through the Eye of a Needle" (watery, no solids) with appropriate analogies inbetween.
Agroceryosis - lack of groceries i.e. owner hasn't been feeding the animal
BDLDLDL big dog, little dog, little dog lost (usually Chihuahuas that try to fight a German Shepherd)
BSBF buy small bags of food (almost dead)
CFT - chronic food toxicity i.e. obese
CSTO - Cat Smarter Than Owner
DIC - dead in cage or death is coming (technically, it means Disseminated Intravascular Coagulation, which is just as lethal)
DSTO - Dog Smarter Than Owner
HBC - hit by car
HBO – hit by owner
PU - paws up (dead)
ROBO – run over by owner
SBI - something bad inside (undiagnosed cancer etc discovered during surgery)
A number of the human ones are also used e.g. TTJ (Transfer to Jesus), Nastioma/Cheerioma (aggressive tumour).
CRAP Score - Cynical Real Alternative Pain Score
CRAP Score = (OPS+AF) x (SC)x (EC)
OPS = 10-point pain score (Old Pain Scale)
AF = Adjustment Factor (see below)
SC = Story Credibility
EC = Exam Credibility
For LPT (Low Pain Threshold) patients; calculate CRAP score:
* If the patient reports their pain as being more than 10 on the conventional 10-point pain scale, subtract 1 point for every point over
10. If a patient claims their pain is 12, subtract 2 points and start with an 8.
* For every visit the patient has had to your a&E in the past 12 months claiming a "chronic" or "undiagnosed" painful condition subtract 1 point.
* Every time the patient says "ow" when you push on a non-painful or uninjured area of their body, subtract 1 point.
* For every claimed allergy to a non-narcotic pain relief medication, subtract 1 point.
* If they are wearing sunglasses/wrist-splints/neck-brace/insist on wheelchair/lying down, subtract 1 point.
* If they have tape or ECG lead residue on their body from a prior hospital exam, subtract 2 points.
(Waive the wheelchair/neck-brace penalty is the patient is registered with a disability)
For HPT (High Pain Threshold) patients, you add to their reported pain
* If a spouse or family member forced them to come in, add 1.
* If patient history shows that every A&E visit for a painful condition related to something torn, broken, ischaemic or perforated, add 2.
* If they have no allergies add 1.
* If they are tachycardic (racing heart) or hypertensive (high blood pressure) add 1.
* If they have visible major injuries they may be in shock and won't feel the true pain till the endorphins wear off
Worked example 1
Young guy/gal goes to A&E for the 7th time in the past year for migraine (-6) reporting his headache as 12 on a 10 point scale (-2). He claims to be allergic to 5 over-the-counter pain meds (-5). He has been to A&E 5 times in the past year claiming other painful ailments e.g. back pain, belly pain, but tests found no disease or injury (-5). He is in the examination cubicle eating crisps/choccy and yelling into his mobile phone. He claims his migraine is a killer. When his abdomen is pressed he claims it is tender (-1), but he hadn't noticed due to the migraine being so bad.
CRAP score = (10 -6 -2 -5 -5 -1) x (0.5) x (1) = -4.5.
Even without Story Credibility of 0.5 and Exam Credibility of 1 that's a CRAP score of -9.
Worked example 2
Limping guy/gal is taken to A&E by spouse, but reports "fuss about nothing" and pain score of 4. Blood pressure and heartbeat are increased (+1). They've taken a couple of aspirin. Examination finds torn ankle ligaments, probable fractured tarsals plus fluid retention around ankle plus abrasions to forehead and forearms. Patient states s/he fell on icy pavement. Patient history over several years shows 3 previous visits for fractures/torn ligaments/open wounds requiring stitching.
OPS + AF = (4 +1 +1 +2) = 7
Even without a Story Credibility and Exam Credibility, that's a CRAP score of +8 and they've sustained real damage.
In the days when patients had no access to their own medical records, some slang recorded uncomplimentary or non-technical observations about them. It is also a way of insulting (humourously or seriously) other staff or depts. Some slang provides a vocabulary where none previously existed or is simply an informal short form. In hospitals, morbid humour, irreverence and euphemism is a way of coping with daily exposure to injury, disease and death. As euphemisms go, "Eternal Care Unit" (died) is little different from the myriad other euphemism for death. Even in the path labs where I did a stint, staff coped with serious situations by seeking refuge in humour. Nowadays, such slang is considered unethical and its use is decreasing in hospitals and surgeries because of the dangers of being sued by patients. However it is being preserved in the medical labs and staff tea rooms where patients do not go! As more and more genuine abbreviations and acronyms come into existence, there is also the danger of being misunderstood.
Many thanks to all the doctors, nurses, medical staff, non-medical hospital staff and other insiders who have emailed their contributions. Some have been personally collected during my stints working in hospital labs. Some of these terms have been in annual reviews of medical slang written by Dr Adam Fox (who has charted the prevalence and decline of medical slang over the last several years) and printed in medical and nursing journals, in newspapers and featured by BBC News. Others have been popularised on TV dramas/series set in hospitals e.g. Casualty, Holby City and ER.