CS things Flashcards
SAD SAD
Smoking
Alcohol
Drugs
Sex
Activity
Diet
Mini Mental Status Exam Mnemonic
ORAL Recall
ORAL Recall
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)
SIG EM CAPS
Sleep
Interest
Guilt
Energy
Mood
Concentration
Appetite
Psychomotor sx’s
Suicidal ideation
HITTERS
Heme Infection Trauma Tumor Exercise Renal dz Stones
*for ddx’s of hematuria
THEN FR CS
Travel
HA
Edema
N/V
Fever/chills
Racing heart
CP/Cough
SOB
PUB SAW
Pain in joints
Urinary changes
Bowel changes
Sleep changes
Appetite changes
Weight changes
RAGE SADR
Relationship w/ abuser Afraid Guns Emergency plan Social support Alcohol/drugs Depression Regularity of abuse
SPIKES
Setting Perspective Invitation Knowledge Empathy Summarize/teachback
LIQOPRAAA
Location Intensity Quality Onset Precipitation/Progression Radiation Aggravating Alleviating Associated sx’s (ROS)
PAM HITS OF SAD SAD
Previous episode Allergies Medications Hospitalization/Illness/Trauma/Surgery OB/gyn FHx Sex/Activity/Diet Smoking/Alcohol/Drugs
CAGE
Cut down?
Annoyed?
Guilty?
Eye-opener?
When to ask CAGE?
Females: >2/day, >4/week
Males: >3/day, >5/week
FEVER CUDDS
Fever Eyes Vomiting Ears Rash Cough Urinary Diarrhea Dehydration Seizure
PAM IF BIG DEALS
Previous episodes Allergies Medications Ill contacts FHx Birth hx Immunizations Growth hx Development Eating Appetite Look Sleep
DOCPAFAAA
Duration Onset Constant/intermittent Precipitation/Progression Frequency Aggravating Alleviating Associated sx’s (ROS)
Neuro Exam (Head)
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
Neuro Exam (extremities)
Tone, strength, DTRs, sensory (sharp/dull dermatomes), vibration, proprioception, gait
- finger-to-nose
- lap flap (dysdiadokinesis)
- heel-to-shin
Respiratory exam
Inspect Palpate for tenderness Chest expansion Tactile fremitus Percussion (resonant is normal) Auscultation
Abdominal exam
Inspect Auscultation Percussion (tympanic is normal) Palpation (superficial then deep) CVA tenderness McBurney/Rovsing’s/Psoas Murphy sign Shifting dullness Liver span for hepatomegaly
Cardiac exam
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
HEENT exam
Conjunctiva Oropharynx Pupils Nares TMs LNs
MSK extremities exam
Inspect, palpate, tone, ROM (active then passive if there’s limitation)
PE for Diabetic pt
Extremities: inspection for ulceration, edema; palpate for pulses; DTRs; proprioception/vibration/sensation
HEENT: pupils, visual acuity (Snelling chart)
Thyroid exam
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)
LFTs to order
AST/ALT/GGT/ALP
PT/PTT
Bilirubin total and direct
Cardiac enzymes to order
Troponin, CK-MB, total CK
Hypothyroidism
Low energy Cold intolerance Dry skin coarse hair Weight gain, poor appetite Constipation Myopathy, myalgia Menstrual irregularities Lack of concentration Anhedonia (MDD) \+FH Hyporeflexia
Hyperthyroidism
Palpitations Weight loss, increased appetite Insomnia Hyperdefecation (diarrhea) Heat intolerance Tachycardia Fine tremor Lid lag Goiter HTN Myopathy, muscle weakness Amenorrhea Anxiety, agitation Hyperreflexia
BPH
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
Major Depressive Disorder
(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
Asthma
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
Acute Bronchitis
Cough > 5 days Productive of green/yellow sputum Resolves in 2-3 weeks CP SOB HA Malaise Myalgia Fever
Panic disorder
Sweating Palpitations Episodic symptoms Anxiety SOB Lightheaded Tachycardia Normal DTRs No goiter No skin/hair changes No lid lag
