Hx Mnemonics Flashcards
OB/GYN Hx
First Menarche
LMP – Regular? Length? Flow? Pads?
Grava Para
LMP RTV CS PAPL => LMP (when was ur LMP?)M => Menarchae, Menopause(how old were u when u had ur 1st period?)P => Period (how many days ur period last?), Pain during intercourse => dyspareuniaR => Regularity (R ur periods regular?)T => Tampoons/pads (how many pads do u use in a heavy day?)V => Vaginal DID : Discharge, Itching, Dryness (have u ever had any vag discharge? ABCDO - Amount, Blood, Color, Consistency, Content, Duration, Odor; do u have any vag. Itching?)C => Cramps (Dysmenorrhea) (do u have abd cramps with ur period?)S => Spotting (intermenstrual / post coital) (Have u ever bled btw ur cycles? Did u ever notice any bleeding after intercourse?)P => Pregnency ( Hx & complications) (Have u ever been pregnant? How many times?)A => Abortion/miscarriage (Any miscarriages or abortions? In which month of ur pregnancy?)P => PAP smear (Have u been getting regular PAP sm? When did u have the last PAP sm? Was it normal?)
Amenorrhea
FLAG HIV WCF => FatigueL => LibidoA (2) => Anorexia nervosa; Anxiety & DepresionG (2) => Galactorrhea; Gonnorhea - STDsH (3) => Hair & skin changes ( for Hypothyroid/Hirsutism of PCOS); Headaches; Hot flushesI => InsomniaV (2) => Visual disturbance / Voice change “Deep”WAD => Weight change & Appetite & DietC (2) => Cold intolerance & Constipation
Premenopause
Hot Flash
Vaginal Dryness
Bone Density
DrynessHA! DOC H => Hot flashesA => Atrophy of vaginaD => Dryness of vaginaO => Osteoporosis (council) “increase wt bearing exercise, vit D-Ca”C => Coronary artery diseaseAny Female >50 yr : R u taking vit.D & Ca? Have u ever tried HRT?
Neuro cases
CAP HIT NSGB + MMSEC (2) => Confusion “after the event”; Consciousness “LOC; duration?”A => Aura “b4 problem; Sounds, Lights, Smell”P => PalpitationsH (2) => Headache/lightHeaded & Hearing loss/tinnitusI => Incontinence “urine/Bowel”T (2) => Tongue biting & Trauma& fallN => Nausea/vomit & Numb/tingling/weaknessS (5) => Sleep disturbance; Sight difficulties; Speech difficulties; Seizure (duration?); SpinningG => GaitB => Breathing difficultyNB: in case of MVA (Motor Vehicle Accident); ask about last meal !
“LOC” => Loss Of Conciousness
Before – Aura? Palpitation? Dizzy? Vision? Nausea/vomit? Difficulty breathing?
During – Attending person? Seizure? Foam at mouth?Incontinence? Bite Tongue?
After– Confusion? Unable to Concentration? Weakness? tingling? numbness? Gait?
MMSE
NLB=R,SIRN => Name (Please tell me your full name?)L => Location (Where are we right now?)B => Birth (What is your date of birth?)R => Remember (I’m going to tell you 3 different names and you have to repeat after me => C-A-T “Cat, Apple, Tree”, now please try to remember them, I will ask you to repeat them later)S => Spell backwards (spell ‘rain’ backwards?)I => Instruction => Eye (close/open your eyes)I => Identify (Now I’m going to point at 3 different objects - Please tell me their names)R => Recall (Now tell me what were the three names I told you to remember earlier)
Forgetfulness (Memory Loss /Dementia/Alzheimer’s); ADL - Activities of Daily Living; IADL - Instrumental Activities of Daily Living
FORGETS HIM + DEATH (ADL) SHAFT (IADL) + MMSEF => Fall/ FAINTING / Flashes/ FHx of AlzheimerO => ORTHOSTATIC HYPOTENSION “Lightheadedness”R => RUNNING URINE “INCONTINENCE”G => GAITE => EYE “VISION”T => TRAUMA/TINGLING & Numbness & WeaknessS => SEIZURES/ Sleep/ Speech/ SupportH => HEADACHEI => INFECTION [SYPHILIS, MENINGITIS]M => MOOD “feel sad”D => DressingE => EatingA => Ambulation (can you find your way thru home)T => Toiletry (do you manage your toiletry unassisted)H => HygieneS => ShoppingH => HousekeepingA => Accounting “pay bills”F => Food prep (do u do your cooking )T => Transportation (do you drive? How is your sight, hearing?)
Foot/Heel/Knee/Shoulder/Back pain
WET SURF-D-CIS
- Weakness /weight loss
- Eye infection / exposure to cold effects
- Trauma / tenderness / tingling or numbness / tick bite
- Stiffness (morning) / swelling/ standing hours
- Urethral discharge / ulcer / use
- Rash / redness / rom / rheumatologic
- Fever, chills, night sweats / fatigue / footwear
- Deformity / disability / dysuria
- Cancer
- IV drugs
- Steroids for a long time
Depression
SIGME CAPT + 2 + MMSE
- Sleep, suicide, support, stress
- Interest
- Guilt
- Mood, memory
- Energy level
- Concentration
- Appetite, weight / Attitude
- Psychomotor, psychiatric Thyroid => ABCD HV for hypothyroidism
- Do you realize you have a problem ?
- Do you accept getting help ?
Hearing loss
PDF IN RST
- Pain
- Discharge
- FB
- Infection / Imbalance
- Noise
- Ringing
- Spinning
- Trauma / tinnitus
THYROID
ABCD HV
- Appetite, weight, diet / Apathy
- Bowel movements
- Cold intolerance
- Depression => SIGME CAPT
- Hair and skin
- Voice change
Nasuea & Vomiting
MANGO IP
- Metabolic / Meds
- Anorexia
- Neurological => BETA => Bleed, Encephalitis, Tumor, Abscess
- Gastroenteritis
- Obstruction
- Inflammation - Itis
- Pregnancy
Erectile dysfunction
LIM PENIS
- Libido
- Injury
- Medication use, Mellitus - diabetes
- PMH, Pyrenoi’s, Performance anxiety
- Erections in the morning
- Nocturia, neurologic disorders
- Incontinence - urine, stool
- Stress / depression
Domestic Abuse
SAFE GARDS
Safety/Sex ever inforced : do you feel safe at home ?
Alcohol abuse/Addictions : does your husband use recreational drugs ? does your husband drink alcohol ?
Family/Fractures - does anyone from your family/friends know about your situation ? Have you ever had fractures from the abuse ?
Emergency plan - do you have an emergency plan ? have you planned your escape ? why ?
Guns at home - are there guns at your home ?
Afraid/Attacked with weapons/Attacked children
Relationship with husband
Depression - SIGME CAPT
Suicidal - idea/plan/attempt, have you ever felt like ending it all up ?
Diabetic patient
DIABETICS
- Duration of disease; Diet;
- Insulin treatment or oral drugs ? - type, dosages, times, injections sites, side effects
- A1c Hg => glucose monitoring, Appetite, diet weight,Abdomial complaints - gastroparesis ?
- Blurry vision - retinopathy
- Extriemities - foot ulcer/infection; Exercise; Eye exam on yearly basis
- Tingling/numbness/neuropathy, Treatment compliance
- Infections
- Cardio : hypertesion, angina, hypercholesterolemia,
- Sugar checkup/Sexual performance;
