CS things Flashcards

1
Q

SAD SAD

A

Smoking
Alcohol
Drugs

Sex
Activity
Diet

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2
Q

Mini Mental Status Exam Mnemonic

A

ORAL Recall

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3
Q

ORAL Recall

A

Orientation (person, place, time)
Recognition (name 2-3 objects)
Attention (spell world backwards)
Language (say “no ifs, ands or buts”)

Recall (name the 3 objects from recognition)

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4
Q

SIG EM CAPS

A

Sleep
Interest
Guilt

Energy
Mood

Concentration
Appetite
Psychomotor sx’s
Suicidal ideation

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5
Q

HITTERS

A
Heme
Infection
Trauma
Tumor
Exercise
Renal dz
Stones

*for ddx’s of hematuria

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6
Q

THEN FR CS

A

Travel
HA
Edema
N/V

Fever/chills
Racing heart

CP/Cough
SOB

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6
Q

PUB SAW

A

Pain in joints
Urinary changes
Bowel changes

Sleep changes
Appetite changes
Weight changes

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6
Q

RAGE SADR

A
Relationship w/ abuser
Afraid
Guns
Emergency plan
Social support
Alcohol/drugs
Depression
Regularity of abuse
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7
Q

SPIKES

A
Setting
Perspective
Invitation
Knowledge
Empathy
Summarize/teachback
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8
Q

LIQOPRAAA

A
Location
Intensity
Quality
Onset
Precipitation/Progression
Radiation
Aggravating
Alleviating
Associated sx’s (ROS)
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9
Q

PAM HITS OF SAD SAD

A
Previous episode
Allergies
Medications
Hospitalization/Illness/Trauma/Surgery
OB/gyn
FHx
Sex/Activity/Diet
Smoking/Alcohol/Drugs
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10
Q

CAGE

A

Cut down?
Annoyed?
Guilty?
Eye-opener?

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11
Q

When to ask CAGE?

A

Females: >2/day, >4/week
Males: >3/day, >5/week

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12
Q

FEVER CUDDS

A
Fever
Eyes
Vomiting
Ears
Rash
Cough
Urinary
Diarrhea
Dehydration
Seizure
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13
Q

PAM IF BIG DEALS

A
Previous episodes
Allergies 
Medications
Ill contacts
FHx
Birth hx
Immunizations
Growth hx
Development
Eating
Appetite
Look
Sleep
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14
Q

DOCPAFAAA

A
Duration
Onset
Constant/intermittent
Precipitation/Progression
Frequency
Aggravating
Alleviating
Associated sx’s (ROS)
15
Q

Neuro Exam (Head)

A

Mental status: orientation (person, place, time)
CNs: vision (snelling eye chart), H test, sensory (forehead/cheek/chin), facial expressions, hearing tongue movement, cough/swallow, shrug shoulders

16
Q

Neuro Exam (extremities)

A

Tone, strength, DTRs, sensory (sharp/dull dermatomes), vibration, proprioception, gait

  • finger-to-nose
  • lap flap (dysdiadokinesis)
  • heel-to-shin
17
Q

Respiratory exam

A
Inspect
Palpate for tenderness
Chest expansion
Tactile fremitus
Percussion (resonant is normal)
Auscultation
18
Q

Abdominal exam

A
Inspect
Auscultation
Percussion (tympanic is normal)
Palpation (superficial then deep)
CVA tenderness
McBurney/Rovsing’s/Psoas
Murphy sign
Shifting dullness
Liver span for hepatomegaly
19
Q

Cardiac exam

A
Inspect chest
Look at neck WITH LIGHT
Heaves
Thrills
Palpate PMI
Palpate carotids
Auscultate valves while palpating carotid
Auscultate carotids
Palpate radial and DP/PT pulses
20
Q

HEENT exam

A
Conjunctiva
Oropharynx
Pupils
Nares
TMs
LNs
21
Q

MSK extremities exam

A

Inspect, palpate, tone, ROM (active then passive if there’s limitation)

22
Q

PE for Diabetic pt

A

Extremities: inspection for ulceration, edema; palpate for pulses; DTRs; proprioception/vibration/sensation
HEENT: pupils, visual acuity (Snelling chart)

23
Q

Thyroid exam

A

HEENT: eyes inspection for lid lag and exophthalmos; inspect neck and have pt swallow water then palpate thyroid lobes R and L; examine hair
Extremities: inspect skin for dryness; DTRs (> 2+ for hyperthyroid)

24
Q

LFTs to order

A

AST/ALT/GGT/ALP
PT/PTT
Bilirubin total and direct

25
Q

Cardiac enzymes to order

A

Troponin, CK-MB, total CK

26
Q

Hypothyroidism

A
Low energy
Cold intolerance
Dry skin coarse hair
Weight gain, poor appetite
Constipation
Myopathy, myalgia
Menstrual irregularities
Lack of concentration
Anhedonia (MDD)
\+FH
Hyporeflexia
27
Q

Hyperthyroidism

A
Palpitations
Weight loss, increased appetite
Insomnia
Hyperdefecation (diarrhea)
Heat intolerance
Tachycardia
Fine tremor
Lid lag
Goiter
HTN
Myopathy, muscle weakness
Amenorrhea
Anxiety, agitation
Hyperreflexia
28
Q

BPH

A
Nocturnal
Increased urinary frequency
Urinary urgency
Weak stream
Difficulty starting stream
\+ FH
Gross hematuria
Hesitancy
Straining to urinate
Prolonged terminal dribbling
Sensation of incomplete voiding
29
Q

Major Depressive Disorder

A
(At least 5 of following sx’s - one being anhedonia - for > 2 weeks)
Anhedonia
Low energy
Guilt
Insomnia/hypersomnia
Anorexia/hyperphagia 
Anxiety
Lack of concentration
Suicidal ideation
Decreased libido
No dry skin, cold intolerance, coarse hair
30
Q

Asthma

A
Episodic SOB
Wheezing
Cough (productive of clear/white sputum)
Precipitated by exercise
Alleviated by rest
Dry cough worse at night
PMH of allergies/eczema
\+ FH
Afebrile
HEENT exam wnl
31
Q

Acute Bronchitis

A
Cough > 5 days
Productive of green/yellow sputum
Resolves in 2-3 weeks
CP
SOB
HA
Malaise
Myalgia
Fever
32
Q

Panic disorder

A
Sweating
Palpitations
Episodic symptoms
Anxiety
SOB
Lightheaded
Tachycardia
Normal DTRs
No goiter
No skin/hair changes
No lid lag