Pneumonics

Question 1

SCALPS indications for head CT 0-2 years after trauma

Answer 1

• Subdural hematoma
• Caregiver concern
• Altered level of consciousness
• Loss of consciousness > 5 seconds
• Palpable skull fracture
• Severe mechanism of injury

Question 2

BASILAR indications for head CT 5 years + after trauma

Answer 2

• Basilar skull fracture (racoon eyes)
• Altered level of consciousness
• Severe headache
• Injury mechanism severe
• Loss of consciousness > 5 seconds
• Regurgitation/vomitting

Question 3

STOP LIMPING

Answer 3

• Septic arthritis
• Toddler’s fracture
• Osteomyoletis
• Perthes disease
• Limb length discrepancy
• Inflammation (transient synovitis)
• Malignancy
• Pyomyositis–sore calves
• Iliopsoas injury
• Neurologic
• Gu/Gi (celiacs/guillian barre)

Question 4

A rash points MD

Answer 4

• Arhritis in 2 or more joints
• Renal
• ANA positive
• Serositis
• Hematological
• Photosensitivity
• Oral ulcers
• Immunologic
• Neurologic
• Malar rash
• Discoid rash

Question 5

ACID for hypersensitivity

Answer 5

• A Type 1 antigen/IGE cross linking. Think allergic rhinitis, asthma, anaphylaxis
• C Type 2 Cytotoxic IgG/IgM activates complement. Think good pasture, myasthenia gravis, graves
• I Type 3 Immune complex formation, b/w IgG and antigen. Think SLE/post strep glomerulonephritis
• D Type 4 Delated, cell mediated, CD8+, TH1 directly kill cells, DM, Dermatitis

Question 6

SOAP note

Answer 6

Subjective (age, race, pmhx, opqrst, ROS, meds)
Objective (vitals, labs, phys exam)
Assessment + Plan (summarize pt and give differential/work up)
Disposition (what are we going to do w pt, admit? dx?)

Question 7

4-2-1 fluid rule

Answer 7

4cc per first 10 kg
2cc per second 10kg
1 cc for each remaining kg

Question 8

AEIOU for infections that people miss

Answer 8

abscess
endocarditis
indwelling catheter
otseomyelitis
UTI