Mnemonics Flashcards
HPI (history of present illness)
Ask for: LIQOR AAA F/H/N/V
L Location of the symptom (forehead, wrist…)
I Intensity of the symptom (scale 1-10, 6/10)
Q Quality of the symptom (burning, pulsating pain…)
O Onset of the symptom + precipitating factors
R Radiation of the symptom (to left shoulder and arm)
A Associated symptoms ( palpitations, shortness of breath)
A Alleviating factors (sitting with my chest on my knees)
A Aggravating factors (effort, smoking, large meals)
PMH (past medical history)
Search for: PAM HUGS FOSS
P Previous presence of the symptom (same chief complaint) A Allergies (drugs, foods, chemicals, dust ...) M Medicines (any drugs the patient used)
H Hospitalization for any illness in the past
U Urinary changes ( esp if diabetic, elderly…)
G Gastrointestinal complains (diet changes, bowel movements…)
S Sleep pattern (waking up/going to sleep…)
F Family history (simmilar chief complaints/serious illness)
O OB/GYN history (LMP, abortions, para…)
S Sexual habits (active/preferences/STD…)
S Social life (job/house/smoking/alcohol…..)
social history
WAD SAD TOES W-Weight A-Appetite D-Diet S-Smoke A-Alcohol D-Drugs T-Travel O-Occupation E-Excercise S-Stress
FOR PEDIATRIC HISTORY.
FEVER CUD Seizure + PAM IF BIG DEALS.
FEVER
Fever,
Ear pulling,
Vomiting,
Ear/eyes discharge
Rash
CUD-
Chest symptoms n Cold-runny nose,cough,chest pain, fast respiration’s, shortness of breath
Urination-any increased or decreased urination,no. of wet diapers,any odour,colour of urine
Diarrhea-frequency,onset,mucus in stool,blood in stool,any cryin during defecation ,
Seizure-any jerky movements,any leakage of urine or stool during fits,ant post ictal irritability,or loss of consciousness.
PAM – P-Past medical,past surgical hx, previous hospitalizations. A-Allergies M-Medications, IF I-Ill contacts, F -family history, BIG – B- birth hx, I-Immunizations, G-Growth n development,ht,wt,milestones. DEALS- Day care, E-Eating habits,feeding of da baby, A-Appetite, L-Look of tha baby or appearance, S- Sleep
Premenopausal symptoms
“HAVOC”
H- hot flahes A-atrophy of vagina V-vaginal dryness O- osteoporosis C- coronary artery diseases
FOR all Discharges…. including Diarrhoea, Cough
ACCOD
Amount Consistency Color Odor Duration
Depression
Sleep Interest Guilt,gun Energy Mood Concentration Appetite Psycomotor Suicide
Insomnia counselling
ABCDEFGHJKLMN Avoid Bedtime Concerns (worries) Drugs (nicotine/caffeine/Alcohol) Exercise/Excitement (TV Shows) Follow Good Habits for sleep. Jetlag Keep List (Diary) Monitor Naps (day time)
Enuresis Counselling
SMILE SAM Supportive (of the child) Monitor Intake (@ Day) Limit (@ Night) Encourage Washroom( @ bedtime)
Sheets ( Rubber flannel sheets)
Alarms ( >5yrs )
Motivate (thru Rewards)
Counselling DM & HTN
MEDOWS
Medications (regularity) Exercise (for obese/sedentary life styles) Diet Modification (Salt/Fatty foods) Opthalmoscopic exams (annual routine) Weight Management/control Sugar Check ups
Smoking Cessation counselling
SPANCSTER
Stressor ( any stress in life/tension etc )
Problems ( Heart /Lung/ CA)
Advantages ( Improved breathing & Increased energy)
Nicotine Patch ( I can offer you reading materials )
Counsellors ( I can refer u/ give # )
Support systems ( I can refer u /give #)
Taper down ( if u cant do cold turkey den just taper down a bit)
Exercise Programs ( e.g. Swimming )
Rewards ( reward yourself: by nice dinner)
STD / HIV Counselling
STRIP BIMBO!
Safe sexual practices
Transmission (to partners)
Risks ( acquiring more STD’s)
Immunizations ( for Influenza/ Pneumococcal )
Prevention counselling ( REFER TO SW /CAN GIVE #)
Behavior counselling (REFER / CAN GIVE #)
Intervention counselling ( REFER /CAN GIVE #)
Meds
Barrier methods (CONDOMS)
Opportunistic infection/Observe (FOR LABS)
CC OF URINARY COMPLAINT
FINISHED PUBS
Frequency ( How frequent do u Ux) Incontinence( Do u hav trouble holding Ux) Nocturia ( do u hav 2 wak up @ Night) Incomplete emptying ( do u feel fullnes after Ux) Stream (How is ur stream?) Hematuria ( did u notic any blood) Hesitancy (do u hav 2 wait b4 starting Ux) Dysuria (Did u hav diff Ux) Pyuria ( did u pus in Ux) Urgency (do u hav 2 rush) Burning (dysuria) (does it burn) Strain (Do u hav to strain during Ux)
Psychiatric Hx Checklist
MISS SPEARS PAD MATCHED
Mood
Idea ( abt de problem?)
Stress
Support
Sleep Plan Energy Aims Routine Suicide
Pills (drugs)
Apetite
Duration
Memory Alone Concentration Hopes Hallucinations Delusions
CC of Memory Loss/Dementia/Alzheimers/MID/Creutfeldt jakob/Pseudotumor cerebrii etc
FORGETS HIM I SHAFT DEATH Fall/Fhx of Alz Orthostatic hypotn Running uring (inconitnence) Gait abnormality Eye (visual changes) Trauma/Tingling/numbness/weakness Seizure/Speech/Sleep/Support
Headache Infection (R/o Syphilis, Meningitis) Mood ( R/o Depression) IADL - Instrumental activities of daily living: SHAFT Shopping Housekeeping? Unsure about that Accounting Food (do u do ur cooking ,etc) Transportation (do u drive ) Dressing Eating Ambulation (can u find ur way thru home) Toiletry (do u manage ur toiletry un assisted) Housing
OBESITY problems
“OBESITY-DISC”
Osteoarthritis Breathing problems Excess Cholestrol Sleep Apnea Increased Incidence Ca's (Endomet/Breast/Colon) Type 2 DM hYpertension
Depression
Incontinence
Stress
Cholelithiasis/Cycle disturbances/Cardiac
