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Osce Prep > History Mneumonics > Flashcards

History Mneumonics Flashcards

1
Q

Palpitations

A

CTS carpal tunnel syndrome
Hx of cardiac problems
Thyrotoxicosis
Stress

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2
Q

Sudden onset weakness

A 
Heart Valve STenosis Chick 
Hx of headaches 
Visual disturbance 
Speech disturbance (stroke) 
Ever happened before (TIA) 
Cardiac (arrhythmia , MI, HTN, high cholesterol, claudication)
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3
Q

Headache and facial pain

A

VVSNSP
Visual disturbance (migraine, temporal arteritis, cranial HTN )
Vommiting (^ICP, meningitis)
Weakness or sensory change ( stroke )
Neck stiffness / fever (meningitis, SAH, cluster)
Recent stress (tension)
Regular painkillers

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4
Q

Rectal bleeding

A

FAHPUW
Defecation painful (fissure)
Tired / SOB, appetite / weight loss (anaemia)
Hx of heamorrhoids
Feeling of something dragging down (prolapse)
Urinary problems (colonic / prostatic tumour)
Warfarin

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5
Q

Collapse

A 
Collapses Sometimes Phuck Dem Epileptics 
Cardio (postural, aortic stenosis) 
Stroke (weakness / speech) 
Pregnancy 
Diabetes 
Epilepsy (ever before, head injury)
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6
Q

Abdo pain

A

GPIOUS
Gallstones (dark urine, pale stools)
Pregnancy
Infective (fever, night sweats, travel, anyone else)
Obstruction (nausea, vommiting, distension, change in bowel habit)
Urinary (blood or pain (stones))
Stricture (surgery)

Relationship to food, change in bowel habit, weight loss, NSAIDS

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7
Q

Intermittent claudication

A 
NICS 
nerve (spinal canal stenosis) 
Impotence (severe aorta) 
Cardio (HTN, cholesterol, diabetes, smoking, family Hx) 
Skin changes

Hx of angina, MI, Strokes

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8
Q

Chest pain

A

ASARD
Angina - ever before
Swelling - bilateral / uni
Associated symptoms (cough, SOB, haemoptysis, nausea, anxiety, sweating, syncope)
Risks of MI (family Hx, HTN, diabetes, smoking, cholesterol)
DVT - immobility, surgery, pregnancy
Contraception (combined oral -> DVT)

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9
Q

Cough

A

WAIGH
Weight loss
Asthma - conditions, associated symptoms
Infective - fever/night sweats, systemic, travel/contact, BCG
Gord- indigestion / reflux
History - of resp disease including childhood

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10
Q

Joint pain

A 
NISBevHD 
Night pain 
Injuries to joints in past 
Skin or nail changes 
Bowel, eye, urinary symptoms 
Hx (infections, IBD, psoriasis, diabetes, HTN, osteoporosis, malignancy)
Diuretics (gout)
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11
Q

Back pain associated symptoms

A

Numbness

Tingling

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12
Q

Back pain

A 
CIIBeM
Cancer - weight loss, night pain 
Injury 
Infective - fever, night sweats 
Bowel symptoms (IBD), Eye symptoms (ankylosing spond) 
Mood - is it low
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13
Q

Vomiting

A

GIO PPACE
Gastric outlet obstruction - residues of yesterday’s food
Infectious - fever, night sweats, travel, contact, food
Obstruction - constipation
Pressure (ICP) - morning headaches
Pregnancy
Alcohol
Eating disorder
Cancer - early filling, appetite, weight loss

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14
Q

Diarrhoea

A 
CIIbIT
Cancer - weight loss, tired / SOB 
Infectious - vomiting, travel, food 
Irritable Bowel - bloating , distension 
Thyrotoxicosis - heat intolerance, palpitations, irritable
Incontinent
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15
Q

Dysphagia

A

Easy Regurge Hurts Horse Lumps WAa
Does it ease after first few swallows - spasm
Regurge into throat -> choke - GOR, Neuro (MND)
Hx of heartburn - carcinoma / stricture
Horse voice, cough, SOB - bronchial carcinoma
Lumps in neck - retrosternal goitre, carcinoma (supraclavicular)
Weight loss
Abx - tetracyclines cause oesophageal irritation and dysphagia

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16
Q

Constipation

A 
FCO2I
Pain on defecation (fistula) 
Feeling of incomplete emptying, tired / SOB, weight loss (cancer) 
Vommiting (obstruction) 
Opiate use 
Incontinent
17
Q

Haematuria

A 
WHUPRS
weight loss 
Hx of bleeding, urinary, prostate 
Uti (frequency / urgency)
Prostate - poor stream, hesitancy, dribbling 
Rubber/ dye industry 
Smoking
18
Q

Jaundice

A

When - progressive / fluctuating
Symptoms - PPVB pale stool/dark urine, pain, vomiting, bruise/bleed
Weight loss
Causes- travel, surgery, transfusions, IV drug use, sex

19
Q

Diabetes

A 
Ws- water drinking, wee, weight loss
Symptoms - DIVM tired/drowsy, vision, infections, numbness/tingling 
Heart - hx, impotence
Medications/ alcohol 
Family Hx
20
Q

Thyroid

A

First 5- weight, hot/cold, lump, tremor, voice change
Cardio resp - palpitations, breathless, wheeze
GI - bowel habit
Uro - periods
Neuro - irritable, sight changes
Skin - sweating, coarse, weakness

21
Q

Dyspepsia

A

Describe, food, what makes worse(bending/lying) , better, vomit , blood, poo, cancer, bloating

22
Q

Sob

A 
PASTA PrINT
activities and progression 
Swelling of leg 
Timing, triggers - better or worse 
Associated - wheeze, cough, chest pain
Night - wakes from 
Infective 
PR bleeding 
Tingling or numbness in fingers / light headed

Osce Prep (9 decks)

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