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Step 2 CS > Mnemonics Page > Flashcards

Mnemonics Page Flashcards

1
Q

HPI-Pain

A 
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

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2
Q

HPI-No pain

A

D-duration/describe it
O-onset
C-constant/intermittent

P-precipitating event, past episode, progression
A-associated sxs

F-frequency
A-alleviaiting
A-aggrevating

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3
Q

PMHx-Adult

A

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

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4
Q

Pmhx-OBGYN

A

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

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5
Q

PMHx-Discharge

A 
A-amount
C-color
C-consistency
O-odor
D-duration
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6
Q

PMHX-child

A

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
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7
Q

Pmhx- neo nate

A

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

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8
Q

ROS Adults

A

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

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9
Q

ROS - kids

A 
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

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10
Q

menopause

A 
HAVOC
h-hot flash
a-atrophy of vagina
v-vaginal dryness
o-osteoporosis
c-CAD
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11
Q

dementia

A 
DEATH SHAFT 
D-dressing
e-eating
a-ambulation
t-toilet
h-housing
s-shopping
h-housekeeping
a-accounting
f-food
t-transport
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12
Q

Abuse

A

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
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13
Q

syncope

A

PDS DBLP
p-palpitatins
d-dizzy
s-shaking

d- duration
b-bit tongue
l-loss of urine
P- post syncope sxs (weak, speech difficulty)

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14
Q

smoking

A

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

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15
Q

Alcohol

A

CAGE

cut down ?
annoyed when critiscied/asked to stop
g-guilty
e-eye opener

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16
Q

Depression

A 
SIGE E CAPs
sleeping change
intrest lost
guilty
energy low

e-eating/low appetite

c-concentration off
p-psyhcomotor, like aggitation
s-si/hi

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17
Q

hearing loss

A 
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

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18
Q

tremor

A 
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

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19
Q

some important questions to ask pregnant patients

A 
breast tenderness
plan? desired?
abuse at home
morning sickness
urinary problems
swelling (preeclampsia)
exercise
LMP
GP
EDD
EDA
immunizations during pregnancy
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20
Q

MVA

A

ABCDE

A-alcohol
B-breathing problems
C-loc, confusion
D-discharge from ears or nose
E-eat last time?
21
Q

hematuria

A

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

22
Q

Back pain

A

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
23
Q

diabetes and diabetes f/u

A 
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
24
Q

Assualt/rape

A 
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
25
Q

jaundice in adults

A 
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

26
Q

calf pain

A

VCS
V-varicose veins
C-contraception
S-signs of inflammation

27
Q

MSK Pain

A

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

28
Q

hoarsness

A 
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
29
Q

neck pain

A

TIC PHD
T tingling/trauma/travel
I ill contacts/infection
C cancer screening

P photophobia
H heavy lifting
D dizziness

30
Q

abdominal pain

A

BRAVO

B blood poo
R relation with food
A anorexia
V vaginal discharge/penile discharge
O orthostatic hypotension/fainting due to bleed
31
Q

headache

A

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
32
Q

chest pain

A

CHEST P

C-cough
H-hemoptysis/heartburn
E-emesis/edema
S-SOB,sweating,syncope
T-trauma,tenderness,temp

P-palpitations

33
Q

shoulder pain

A

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)
34
Q

dizziness

A

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
35
Q

child with noisy breathing

A

CBS DASH
C-cyanosis/cough
B-barking cough
S-SOB

D-drooling
A-allergy hx
S-snore/swallowing problems
H-hoarsness

36
Q

counseling for enuresis

A

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)

37
Q

menstrual irregularities or amenorhea

A

FLAG HIV

F-fat pill to lose weight
L-libido status
A-anorexia
G-galactorrhea

H-hot flashes
I-insomnia
V-visual changs

38
Q

Diabetes and HTN Counseling

A

MEDOWS

M- med (take them)
E-exercise
D-diet modification (low salt)
)-ophthalmoscopic exam
W-weight managment
S-sugar check uo daily
39
Q

Knee pain

A

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
40
Q

erectile dysfunction

A 
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
41
Q

enuresis

A 
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
42
Q

insomnia

A

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

43
Q

child with fever DDX

A

PASS GUUM

P-pneumonia
A-acute OM
S-scarlet fever
S-sepsis

G-gastroenteritis
U-uri
U-uti
M-meningoccocal meningitis/ measles/ mumps

44
Q

cough

A

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
45
Q

dysphagia

A

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)

46
Q

STD/HIV counseling

A

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
47
Q

LOC DDX

A

CAMP SS

C-CAD
A-arryhtmia/aortic stenosis
M-migraine/medications
P-psychiatric/personality disorder (hyperventilation)

S-syncope
S-seziures/stroke

48
Q

altered mental status DDX

A 
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
49
Q

forgetfullness/memory loss

A 
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

Step 2 CS (2 decks)

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