Mnemonics Page Flashcards
HPI-Pain
L-locaiton I-intensity Q-quality O-onset P-precipitating events, previous episode, progression R-radiation A-alleviating factors A-aggrevating factors A-associated sxs
Time of the day it happes
HPI-No pain
D-duration/describe it
O-onset
C-constant/intermittent
P-precipitating event, past episode, progression
A-associated sxs
F-frequency
A-alleviaiting
A-aggrevating
PMHx-Adult
P-pmhx
A-allergies
M-meds
H-hospitlizations
I-ill contacts
T-trauma/travel
S-pshx
F-family history
O-obgyn (LMP RTV CS PAP)
S-sexual problems, std hx
S-social (SAW LSD)
S-support
A-alcohol
W-work/workout
L-living with
S-smoking
D-drugs, diet, weight change
Pmhx-OBGYN
L-LMP
M-menarche
P-period after how many days cycle
R-regularity
T-tampons/pads
V-vaginal BOIDS (ACCOD)
C-cramping/contraception
S-spotting (post coital/intermenstrual)
P-pregnancy history (GTPAL)/complications
A-abortions/miscarriage
P-pap smear
PMHx-Discharge
A-amount C-color C-consistency O-odor D-duration
PMHX-child
P-pmhx
A-allergies
M-meds
I-ill contacts
F-family history
birth hx I-immunizations N-neonatal hx D-development/day care E-eating habits/exercise/weight change R-rash S-sleep pattern
Pmhx- neo nate
PAM IF BINDERS
D-delivery
C-complications (blood incomp.)
T-terms
S-substance abuse during pregnancy
F-first bowel movement
D-dipaers per day
C-color of urine and stool
ROS Adults
HEENT
F- fever/chills
R-rash/racing heart
C-cough/cold/chest pain/sob
D-diarrhea
P-palpitations
U-urine problem/uri
B-bowel problems
S-skin/sleep
A-appetite change
W-weight change
I-infection
D-dizziness
E-energy
ROS - kids
F-fever/chills E-ear pulling V-vomiting/nausea E-ear/eye discharge R_rash
C-cry/cough/cold/chest pain
U-urine problems
D-diarrhea
S-sleep/seziure
A-appetite change/eating change/et change
D-dehydration
D-dizzy
I-infection
E-energy level
menopause
HAVOC h-hot flash a-atrophy of vagina v-vaginal dryness o-osteoporosis c-CAD
dementia
DEATH SHAFT D-dressing e-eating a-ambulation t-toilet h-housing
s-shopping h-housekeeping a-accounting f-food t-transport
Abuse
SAFEGARDS
s-safe at home a-alcohol f-freinds and family know? e-emergency plan g-guns in the home a-any escape plan r-relation to abuser d-depressed/drugs s-SI/HI
syncope
PDS DBLP
p-palpitatins
d-dizzy
s-shaking
d- duration
b-bit tongue
l-loss of urine
P- post syncope sxs (weak, speech difficulty)
smoking
5 A’s
Ask-do you smoke
Advise-i have to advise that you stop smoking because it can lead to cancer and heart diease
Assit-we have medications that can assist you to stop smoking, and I will be here for you eery step of the way
Arrange - Lets make you an appointment in the next 2 weeks and we can start then
Alcohol
CAGE
cut down ?
annoyed when critiscied/asked to stop
g-guilty
e-eye opener
Depression
SIGE E CAPs sleeping change intrest lost guilty energy low
e-eating/low appetite
c-concentration off
p-psyhcomotor, like aggitation
s-si/hi
hearing loss
NOSIE HITS D DRS N-NOSIE EXPOSURE in the past O-objects inserted I-infection URI S-sound type (high or low pitch) E-ear pain or discharge
H-HA
I-imbalance
T-trauma/tx tried (hearing aids, cleaning)
S-source of sound recognition
D-distortion of sounds/voice distortion when listening to people
D-dizziness
R-ringing
S-spinning
tremor
TEACH FACT T-TIA sxs E-emotion (depressed) A-alcohol use C-caffeine use H-handwritting (we need to have you bring in old note)/HA
F-falls
A-activites of daily living (clean, cook, dress, cloth, shop, account)
C-change in voice
T-trauma to head
some important questions to ask pregnant patients
breast tenderness plan? desired? abuse at home morning sickness urinary problems swelling (preeclampsia) exercise LMP GP EDD EDA immunizations during pregnancy
MVA
ABCDE
A-alcohol B-breathing problems C-loc, confusion D-discharge from ears or nose E-eat last time?
hematuria
B FUN HIDE PISS
B-burning
F-freq
U-urgency
N-nocturia
H-how do you know it is blood
I-incomplete empty
D-dribbling
E-epsiodes in the apst
P-painful urination/pyuria/painful pelvis
I-incontinence
S-stone hx/std hx
S-stream weak/strain
Back pain
C-SSTTERRUUM
C- cold exposure (rayunad) S-SIGNS of inflammation (morning stiffness) S-stinging/numb T-tingling T-trauma E-eye infection R-rash (tick bite) R-ROM U-urinary sxs (urethritis) U-ulcers in the mouth M-menopause
diabetes and diabetes f/u
DIAABEETICS D-duration of DM I-insuin or other med A-appetite change A-diet or weight change B-blurry vision E-eye exam (last) E-extremity problem (foot numb/tingling) T-tests (A1c, glucose last) I-infections C-Cholesterol level control s-sexual performance
Assualt/rape
DORA SEXPLORER D DESCRIBE THE ASSUALT O onset R recognize them A assault method
S sexual assault E ejaculation? X unkonwn object P pain? lmp? L latex condom O oral, vaginal, anal R report to the cops E estrogen replacement (OCP?) R
jaundice in adults
JAUNDICE B J-joint pain/journey (travel) A-abdominal pain U-up temp (fever) N-nausea vomiting D-diarrhea/constipation I-itchiness/immunizations (hep B vac) C-color of urine and stool , CA screening E-eating plan
B-blood transfusions hx
calf pain
VCS
V-varicose veins
C-contraception
S-signs of inflammation
MSK Pain
WET SURF D
W weakness/numbness
E exposure to cold
T trauma, temperature, tick bite, time of stiffness
S stiffness in other joints, swelling, standing long houra
U use (work)
R rash, red, ROM
F fatigue, foot wear, fever
D disability
hoarsness
OPEN CHIIN O overuse of voice (profession) P pain while talking E exposure to cold N neck mass
C cerebrovascular disease H heartburn I infections I ill contacts N night sweats
neck pain
TIC PHD
T tingling/trauma/travel
I ill contacts/infection
C cancer screening
P photophobia
H heavy lifting
D dizziness
abdominal pain
BRAVO
B blood poo R relation with food A anorexia V vaginal discharge/penile discharge O orthostatic hypotension/fainting due to bleed
headache
ATNT WIRELESS
A-aura
T-time of day
N-nausea and vomiting
T tearing/vision change
W-weakness and numbness I-injury to the head R-rhinorrhea during pain E-estrogen OCP use L-limb-muscle pain E-energy leve S-stress S-speech probs
chest pain
CHEST P
C-cough H-hemoptysis/heartburn E-emesis/edema S-SOB,sweating,syncope T-trauma,tenderness,temp
P-palpitations
shoulder pain
C SSTTERRUUM
C-cold exposure
S- signs of inflammation S-stiffness T-tingling T-trauma E-eye infection (reactive arthritis) R-rash(lyme disease) R-ROM U-urine problems(reactive arthritis) U-ulcers in the mouth (SLE) M-menopause (osteo)
dizziness
DTH FFFUN
D- describe the dizzines
T-tinnitus
H-hearing loss, HA
F-fever F-falls F-fullness in the ear U-uri N-nausea
child with noisy breathing
CBS DASH
C-cyanosis/cough
B-barking cough
S-SOB
D-drooling
A-allergy hx
S-snore/swallowing problems
H-hoarsness
counseling for enuresis
SMILE SAM
S- (be)supportive M-monitor I-intake L-limit intake at night E-encourage bathroom before bed
S-sheets (rubber flannel)
A-alarms (>5yo)
M-motivate (w/rewards)
menstrual irregularities or amenorhea
FLAG HIV
F-fat pill to lose weight
L-libido status
A-anorexia
G-galactorrhea
H-hot flashes
I-insomnia
V-visual changs
Diabetes and HTN Counseling
MEDOWS
M- med (take them) E-exercise D-diet modification (low salt) )-ophthalmoscopic exam W-weight managment S-sugar check uo daily
Knee pain
CITRUS
C-color change/crackles when moved I- infection T-trauma/time/temp/tick bite R-redness/rash/raynaud U-ulcer in mouth (sle) S-swelling/stiff/std
erectile dysfunction
LIMP PENIS L-libido I-injury M-meds P-present medical condtion
P-prostate exam in the past E-erecition at all? N-nocturnal erection I-incontinence S-stress/depressed
enuresis
ENURESIS E-environemtal change N-nocturia/night wakening/neuro prob U-urinary habit R-reward or punish/re;atove with same issue E-eat or drink before bed S-stress to child or parents I-interventions/drugs used S-snoring/stressors
insomnia
INSOMNIA STIKES HIM
I-INTERUPTION OF SLEEP AT NIGHT N-naps during the dail S-snoring O-on the clock (what time do you sleep) M-morning awakening N-narcolpesy I-illness recently A-activity before going to sleep
S-sadness/stress T-tremor I-irritability K-k-cups (coffee) E-exercise S-sweating
H-heat/cold intolerance
I-
M-menstrual irregularities
*hypnogogic or hypnopompic hallucinations
child with fever DDX
PASS GUUM
P-pneumonia
A-acute OM
S-scarlet fever
S-sepsis
G-gastroenteritis
U-uri
U-uti
M-meningoccocal meningitis/ measles/ mumps
cough
B PRODUCTVE
B-blood in sputum
P-produtcive? R-recent travel O-odor D-duration, time of the day when worse U-uri C-color T-TB exposure/profession I-infection V-volume of sputum E-energy level
dysphagia
HARD PC FOOD
H-heartburn
A-appetitie change / anemia
R-regurgitation/raynuad
D-detail (solids, liquids?)
P-pain on swallow (esophagitis)
C-cough at night
F-food craving (ice, dirt,clay)
O-odor
O-overseas travel
D-drugs (bisphosphonates)
STD/HIV counseling
STRIP BIMBO
S-safe sex practice T-transmission to partner R-risks I-immunizations (HPV) P-prevention counseling
B-behavior counseling I-interventiona; counseling M-meds B-barrier methods (condoms) O-opportunistic infection risk
LOC DDX
CAMP SS
C-CAD
A-arryhtmia/aortic stenosis
M-migraine/medications
P-psychiatric/personality disorder (hyperventilation)
S-syncope
S-seziures/stroke
altered mental status DDX
MOVE STUPID M metabolic (B12/thiamine) O o2 (hypoxemia) V vascular (htn emergency) E electrolye prob
S seziure T tumor,truama,temo,toxinz U uremia P psychiatric I infection D drugs
forgetfullness/memory loss
FORGETS HIM + DEATH SHAFT F-FALL, HX OF ALZHEIMERS O- ORTHOSTATIC HYPO R- RUNNING URINE (INCONTINCE) G- GAIT PROB E- EYE CHANGE T- TRAUMA TINGLING S-SEZIURES,SPEECH SUPPORT
H-HA
I-INFECTION (SYPHILIS)
M-MOOD
D-DRESS YOURSELF E-EAT ALONE A-AMBULATE T-TOILET H-HYGEINE
S-SHOPPING H-HOUSEWORK A-ACCOUNTING F-FOOD PREP T-TRANSPORT YOURSELF
