MNEMONICS Flashcards
HPI (history of present illness)
LIQ OR AAA
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)
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 (similar chief complaints/serious illness)
O- OB/GYN history (LMP, abortions, para…)
S- Sexual habits (active/preferences/STD…)
S- Social life (job/house/smoking/alcohol…..)
Differential diagnosis checklist
DIRECTION:
Drugs Infection Rheumatologic Endocrine Cardiovascular Trauma Inflammatory Other Neoplasm
Social History
TIA SHOE:
T- Tobacco
I- Illicit drigs
A- Alcohol
S- Sexual
H- House life
O- Occupation
E- Eating (diet), Exercise, TravEling, pEt
PEDIATRICS HISTORY
F E V E R C U D Seizure +
P A M I F B I G D E A L S.
FEVER- Fever, Ear pulling, Vomiting, Ear discharge,eyes discharge, Rash,
CUD- Chest symptoms n Cold-runny nose,cough,chest painfast respirations,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
Pre-menopausal symptoms
HAVOC
H- hotflahes A-atropy of vagina V-vaginal dryness O- osteoporosis C- coronary artery diseases
Depression
SIGE M CAPS
S-sleep I-interest G-guilt,gun E-energy M-mood C-concentration A-appetite P-psycomotor S-suicide want to add few more to these.......
M- mood ( already in list ) D - Delusion / hallucination M - memory A- attitude towards life ( positive negative frame of mind) T - thyroid dysfunctions
also need to ask —– do u realize that u have problem ?????
and do u want help ??????
( if patient was sent or asked by anyone to consult doc )
Fatigue
IMP ADH I- infection M- malignancy P- PTSD A- abuse D- depression H- hypothyroidism
Discharges
FOR all Discharges…. including Diarrhoea,Cough ……………ACCOD
A-amount C -consistency C- color O- odor D- duration
Spousal abuse
SAFEGARD S- Safety @ home A- Afraid of Hubby? F- Family ? Friends aware ? E- Emergency plan? G- Gun @ home? A- Alcohol? R- Relationship with Hubby? D- Drugs? Depression ?
Insomnia counselling
ABCDEFGHJKLMN
A- Avoid B- Bedtime C- Concerns (worries) D- Drugs (nicotine/caffeine/Alcohol) E- Exercise/Excitement (TV Shows)
F- Follow Good Habits for sleep.
J- Jetlag
K- Keep List (Diary)
Monitor Naps (day time)
Enuresis Counseling
SMILE SAM Supportive (of the child) Monitor Intake (@ Day) Limit (@ Night) Encourage Washroom( @ bedtime) Sheets ( Rubber flannel sheets) Alarms ( >5yrs ) Motivate (thru Rewards)
Counseling DM & HTN
MEDOWS Medications (regularity) Excercise ( for obese/sedentary life styles) Diet Modification( Salt/Fatty foods) Opthalmoscopic exams (annual routine) Weight Management (/control) Sugar Check ups
Smoking Cessation counseling
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)
Excercise Programs ( eg Swimming )
Rewards ( reward urself, treat urself with a dinner from money saved off of quitting)
STD / HIV Counseling
STRIP BIMBO !
SAFE SEXUAL PRACTICES
TRANSMISSION ( to partners )
RISKS ( acquiring more STD’s)
IMMUNIZATIONS ( for Influenza/ Pneumococcal )
PREVENTION COUNSELLING ( REFER TO SW /CAN GIVE #)
BEHAVIOUR COUNSELLING (REFER / CAN GIVE #)
INTERVENTIONAL COUNSELLING ( REFER /CAN GIVE #)
MEDICATIONS
BARRIER METHODS (CONDOMS
OPPURTUNISTIC INFECTIONS/OBSERVATION (FOR LABS)
URINARY COMPLAINT
FINISHED PUBS
Frequency ( How frequent do you have to Ux)
Incontinence( Do you have trouble holding Ux)
Nocturia ( do you have to wake up @ Night)
Incomplete emptying ( do you feel fullness after Ux)
Stream (How is your stream?)
Hematuria (did you notice any blood)
Hesitancy (do you have to wait before starting to Ux)
Dysuria (Did you have difficulty Ux)
Pyuria ( Do you have pus in Ux)
Urgency (do you have to rush)
Burning (dysuria) (does it burn)
Strain (Do you have to strain during Ux)
Memory Loss/Dementia/Alzheimers/MID/Creutfeldt jakob/Pseudotumor cerebrii
ADL = Activities of daily living = DEATH Dressing Eating Ambulation (can u find ur way thru home) Toiletry (do u manage ur toiletry un assisted) Housing
IADL - Instrumental acitivities of daily living =SHAFT Shopping Housekeeping? unsure about that Accounting Food (do u do ur cooking ,etc) Transportation (do u drive )
Shoulder pain
DEFORMS Dislocation ( Ant/Post) Elderly Abuse Fracture ( Head/Shaft) Osteoporosis /Osteoarthritis Rotator Cuff Tear Multiple myeloma Subacromial Bursitis
OBESITY
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
Obesity counseling
ABCDEF
Avoid Advice (Eg.Sedentary/Steroids) /Advantages Advice (Low Heart/Brain/Ca etc risk)
Books (self help reading material)
Counseling/Consult/ Cholesterol checks
Dietitian
Exercise Fatty Food (cut backs)
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
Syncope/ Loss of Consciousness/Spells
CAMPUS
CAD Arrythmias/ Aortic Stenosis Migraine/ Meds Psychiatric /Personality disorder( hyperventilation) Unexplained Syncope Seizures/Strokes
CAD Arrythmias,Aortic stenosis ( chest pain/palpitations/PHx of MI)
Migraine ( Light flashes, Nasea /Vomiting/ Heachachs)
Psychiatric (breathing problems/Anxiety( fear of death etc)
Seizures /strokes (jerky move,Numbness & weakness, Vision,Speech, Bowel,bladder)
FHx of heart/HTN/DM/Migraine/Stroke
D/D Confusion
DEMENTIA Diabetes /Dementia/ Drugs Epilepsy Migraine/Mult Infarct Dementia Ethanol (withdrawl / Toxicity) Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis) TIA/ Trauma Insulin/ Infections Alzheimers/Abscess
Check list accordingly :- Numbness weakness/Headach ,Flashes, N/V /Jerky movements, LOC/ Insulin use /PHx Trauma/FHx of Alzheimer + Risk factor screen (Cholestrol,HTN,DM etc). For Suspected DEMENTIA =Instrumental inquiry = SHAFT Q’s (Shop/Housekeep/Aaccount/Food prep/ Transport) , & Daily activity inquiry =DEATH Q’s (Dress/Eat/Ambulate/Toilet/Hygiene
D/D BACK PAIN
LIMCOTS Lumbar Spinal stenosis Intervertebral disc herniation Multiple Myeloma/ Mets (Prostate, Breast ,Lung) Cauda equina synd/ Cancer Osteoporosis/Osteoarthritis Trauma/ TB Strain (muscle)
Check list= SIQQOR AAA & then ROS =Age/ Bone pains/ constipation=MM/Bowel, bladder/Relieving factors/ Phx of trauma/Surgical Hx(Prostate) /Chest pain,hemoptysis ,Fever &chills/ With bone & joint problems =Functional impairment (SOS=Help)Q’s i.e Sleep/Occupation/Suport
D/D Nausea & Vomiting
A MOPING Anorexia Metabolic( DKA)/Meds Obstruction (pyloric /Intestinal) Pregnancy Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess Gastroenteritis
D/D Dizziness
DENTAL CAMPUS Diabetic comp ( Orthostatic ) Ear problems (Meniere's/ BPV) Neural tumors/Neuropathy Thyroid Anemia L leave me CAMPUS is same as is for SPELLS/LOC/SYNCOPE
Neuro cases
Imagine an old guy who got hit on the head , lost his memory and is looking for his imaginary girl friend who is thin and cute and he’s making a video of her ! and he asks you :
HaVe yoU SaW my Cute THiN GirLL FFriend ViDeo ?
( the grammer and speech are affected as well ! grin )
HV U SW C THN GLL FF VD ? Headaches Visual disturbance Urinary incontinence Sleep disturbance Weakness/Numbness Confusion/Convulsion Tinnitus Hearing loss Nausia Gait Loss of conc. Light headedness Falls/trauma Fullness of ears Vomiting Discharge , Ear
Mini Mental Status Exam
MINI MENTAL
ORArL23RWD
O-Orientation (5)-Country, state, city, hospital, floor
R-Registration “I’m going to say 3 objects”… then they repeat
A-Attention “spell world backwards, or serial 7’s from 100” (5)
r-Recall what were those 3 items again? (3)
L-Language “Repeat after me.. “No, ifs, ands, or buts” (1)
2- Identify two objects “what is this.. pen.. and this… paper”
3- Obey 3 commands, “take a piece of paper, fold in ½, put on floor”
R-“Read 3 commands on this paper and do what is says”
W-Write a sentence
D-Draw, copy the image:
Indications of Dialysis
I HAF to PE Intoxication ( Ethylene glycol , Methanol) Hyperkalemia Acidemia Fluid overload Pericarditis Encephalopathy
ObGyn Hx
LMP RTV CS PAP
LMP !! Menarchae Period ( lasts .... days?) Reglarity ( every .... wks?) Tampoons/Pads # per day Vaginal discharge, itching , dryness Cramps (Dysmenorrhea) Spotting ( intermenstrual / post coital ) Pregnency ( Hx & complications) Abortion /miscarriage PAP smear ( last time result ?, Hx of past abnormal result ? )
Associated symptoms of Amenorrhea
a HAG with a Very Fou(W)l Hea(I)DaChe
HAG V FWL HiDC
( i know it’s kinda lame , but it’s the best i could come up with to remind me of a Gyn case (HAG means an old lady) with one possible Amenorhea symptom (Headache in Prolactinoma and Peri-menopause )
Hair & skin changes ( for Hypothyroidism/Hirsutism of PCOS) /Headaches Anorexia nervosa /Anxiety & Depresion Galactorrhea Visual disturbance / Virilization Fatigue Wt change , Appetite & Diet Libido Hotflushes insomnia Deep voice change Cold intolerance & Constipation
Dyspareunia
DATIVE ! ( u have to be on a date to have sex )
Domestic abuse
Atrophic vaginiyis ( don’t forget to ask about s/s of Menopause)
Tumor ,Pelvic
Infection ( lower : Vulvovaginitis - Cervicitis / Upper : PID )
Vaginismus
Endometriosis ( don’t forget to ask ‘bout Cyclic pelvic pain )
i didn’t bother making a mnemonic for the S/S (signs & sympt.) of Dyspareunia’s causes because if u ask the Sex. Hx and the ObGyn Hx (LMP RTV CS PAP) u’ll be covering most of them automatically
Skin review of systems
aReNT SIMMBEL :-)
R (rash)
N (nail changes)
T (temperature)
S (sensation) I (itching) M (masses) M (moles) B (bleeding/bruises) E (edema) L (lesions)
This mnemonic screens for a lot of conditions that might leave skin findings. after all the skin is our largest organ. And NO, i DONT want to become a dermatologist!
Gastroinestinal Hx
ABCDEFGHIJ+.MNOP
A-appetite
B-BOWEL HABITS.,
C-CONSTIPATION
D-diarrhea
E-EATING HABITS.
F-FEVER
H-HAEM IN STOOL
I-incontinence
J-JAUNDICE
M-medications eg iron tabs causin constipation or antibiotics causin diarrhea
N-nausea
O-OFCOURSE nausea followed by VOMITING
P-pain abdomen
D/D Dry Mouth
DRI
D Drugs/Dehydration
R Renal/Radiation
I Immuno(Sjorgen)/Intense emotion
Trauma pt history
AMPLE
A Allergy
M Medication
P past med Hx
L Last meal
E Events before accident
Menstrual History
FM DIAL
F Frequency
M Menarche
D Duration
I Intensity
A Amount
L LMP
Foot pain history
WET SURF
Work
Eye infection redness
Trauma to foot
Stiffness in other joints
Urethral discharge
Rash/reiter synd
Fever
