Mnemonic
Mnemonic
to remmember the items in
present history look at this,eg pain
- Site: where, local/ diffuse, "Show me where it is
worst".
- Onset: rapid/ gradual, pattern, worse/ better,.
- Character: vertigo/ lightheaded, pain: sharp/ dull/
stab/ burn/ cramp/ crushing.
- Radiation [usually just if pain].
- Alleviating factors, "
- Time course: when last felt well, chronic: why came now.
- Exacerbating factors, " Severity:.
- Associated symptoms.
- Impact of symptoms on life:
"Does it interrupt your life
NB-TO
REMMEMBER ITEMES OF PAST HISTORY LOOK AT THIS
· MJ THREADS:
MI in older
Jaundice
TB
HTN ["Anyone told you, you have high BP?"]
Rheumatic fever
Epilepsy
Asthma
Diabetes
Stroke
MI in older
Jaundice
TB
HTN ["Anyone told you, you have high BP?"]
Rheumatic fever
Epilepsy
Asthma
Diabetes
Stroke
·
Problems with the anesthetic in surgery
- Pre-exm checklist: WIPE:
- Wash your hands
[thus warming them].
- Introduce
yourself to pt, explain what going to do.
- Permision (get
permision)
- Examine systemically
Examine from the R
side of the pt
- DDx: CLUBBING:is CLUBBING
• Cyanotic heart dz
• Lung dz: hypoxia, lung CA, bronchiectasis, CF
• UC, Crohn's
• Biliary cirrhosis
• Birth defect
• IE
• Neoplasm [esp. Hodgkins]
• GI malabsorption
- What: small, linear hemorrhages under
the nail.
- DDx: SPLINT:
• Sepsis elsewhere
• PAN/SLE/RA
• Limey [vitamin C deficiency]
• IE
• Neoplasm [hematologic]
• Trauma
DD.Anemias
- MICS are TICS:
- Thalassemia
- Iron deficiency
- Chronic dz
- Sideroblastic
anemia
- MACdonald's has FAB FOOD and DRINK:
- Folate deficiency
- Alcohol abuse
[since concurrent thiamine deficiency]
- B12 [thiamine]
deficiency
- All MACrocytics are due to a
NUTRITIONAL deficiency or ALCOHOL.
- MCV>100 is macrocytic.
- Patient profile rule of thumb:
• Old/alcoholic: B12 deficiency.
• Young/pregnant: folate defiency. - DDx folate from B12 deficiency: B12
deficiency has the neurological signs.
- ABCD:
- Acute blood loss
- Bone marrow
failure
- Chronic dz
- Destruction:
hemolytics, which are SHEEP TIT:
• Sickle cell
• Hereditary spherocytosis
• Enzyme deficiencies: G6P, pyruvate kinase
• Erythroblastosis fetalis
• Paroxysmal nocturnal hemoglobinuria
• Trauma to RBCs
• Immunohemolytics: warm Ab, cold Ag
• Thalassemias
Skin Colors
- COLD
PALMS:
- Peripheral cyanosis: Cold.
• Cold.
• Obstruction.
• LVF and shock.
• Decreased cardiac output. - Central cyanosis: PALMS
• Polycythemia.
• Altitude.
• Lung dz.
• Met-, sulphaemoglobinaemia.
• Shunt.
NB.. a person has SLE
(systemic lupus) if
any 4 out of 11 symptoms are present simultaneously or serially on two separate
occasions. Useful mnemonic for remembering the
diagnostic findings or symptoms of SLE is SOAP BRAIN MD (S=serositis, O=oral ulcers, A=arthritis,
P=photosensitivity, pulmonary fibrosis, B=blood cells, R=renal, Raynauds,
A=ANA, I=immunologic (anti-Sm, anti-dsDNA), N=neuropsych, M=malar rash,
D=discoid rash),
- Direct: DROP:
• Dubin-Johnson/ Diffuse hepatocellular dz [drug or viral hepatitis, cirrhosis].
• Rotor.
• Obstruction.
- Indirect: ABCDEFGHI:
• Anemia [hemolytic,].
• Breast feeding jaundice.
• Craig-Najjar.
• Diffuse hepatocellular dz [drug or viral hepatitis, cirrhosis].
• EPO insufficiency].
• Fetus [physiologic jaundice of newborn].
• Gilbert's.
• Heart failure.
• Internal bleeding.
"Really Sick Must Children
Must Take No Exercise":
Days after fever onset, that rash appears:
Days after fever onset, that rash appears:
1: Rubella
2: Scarlet fever/ Smallpox
3: Chickenpox
4: Measles [with Koplik spots 1 day earlier]
5: Typhus, rickettsia [variable]
6: Nothing
7: Enteric fever [salmonella]
2: Scarlet fever/ Smallpox
3: Chickenpox
4: Measles [with Koplik spots 1 day earlier]
5: Typhus, rickettsia [variable]
6: Nothing
7: Enteric fever [salmonella]
Roseola:
rash appears when fever disappears
- Rubella: forehead to face to torso to
extremities.
- Measles: both appears, and disappears
from head to toe.
Fifth disease
"slapped cheeks"
Dominant R in v1
Remember
W(double u),double P,doubleR,doubleD
Ie wpw syndrome ,pulm
HT,postMI,RVH,RBBB,Dextrocardia,DMD
DMD=duchene muscular dystrophy
Wiskott Aldrich syndrome remember TIME
Ie..thrombocytopenia,immunodefecincy,
malignancy,eczyma
THE MISFITS” – A Mnemonic for neonatal emergency
• Trauma/Abuse (NAI)
• Heart and Lung
• Endocrine
• Metabolic disturbances
• Inborn errors of metabolism
• Sepsis
• Formula
• Intestinal
• Toxins
• Trisomies
• Seizures
mnemonic for intestinal obstruction ,double aim
diagnosis of
a bowel obstruction using the mnemonic
A-A-I-I-M-M:
Adhesions
Appendicitis
Intussusception
Inguinal hernia
Malrotation
·
Miscellaneous
(Meckel's, tumor, duplication, etc.)
·
·
Acute
Respiratory Deterioration on Ventilator (DOPES Mnemonic)
Complication of down syndrome
Is VALIDATE
V
….vsd
A…..atlantoaxial instability
L……leukemia
I,…..immunodifffeciency
D …..diabetus,duodenal atresia &other GIT
problem eg hurshspreng disease or imperforate anus
A …..alzhymer in older
T…..thyroid dysfunction mainly hypothyroidism
E ….. endocardial cushion
defect
KUSSMAL BREATHING
K… ketone….DKA
U….uremia
S….sepsis
S….salicylate
M….methanole
A….aldehydes
L….lactic acidosis
one clinical mnemonic for Reiter's syndrome(reactive artheritis) is
"Can't see, can't pee, can't climb a tree."[9] The classic triad consists of:
P ulmonary hypoplasia O ligohydrominios T wisted skin (wrinkly skin) T wisted face (Potter facies) E xtremities defects R enal agenesis (bilateralone clinical mnemonic for Reiter's syndrome(reactive artheritis) is
"Can't see, can't pee, can't climb a tree."[9] The classic triad consists of:
- Nongonococcal urethritis
- Asymmetric oligoarthritis
- Conjunctivitis
Alagille syndrome 5 p
pointed chin / broadened forehead
paucity of bile duct
posterior embryotoxon
peripheral pulmonic stenosis
Butterfly hemivertebrae
A mnemonic for the underlying anatomic defects in tetralogy of fallot is:
- PROVe
Mnemonic
- P: pulmonary stenosis
- R: right ventricular hypertrophy
- O: overriding aorta
- V: ventricular septal defect
)
0 comments: