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relievepain: 贴些cs的mnemonics
作者:USMedEdu
发表时间:2015-10-10
更新时间:2015-10-10
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发信人: relievepain (bready), 信区: MedicalCareer
标 题: 贴些cs的mnemonics
发信站: BBS 未名空间站 (Tue Sep 22 12:05:21 2015, 美东)

自己当时整理了不少。。等有空了再整理出来分享。现在先分享下网上当时找到的一些
觉得不错的。
PANICS( taken from FA for step 1)

1.Panic, paresthesia
2.Abdominal disturbances, anxiety
3.Nausea
4.Intensive fear of dying
5.Chest pain, chills, chocking
6.Sweating, shacking, shortness of breath

Jaundice case.

JAUNDICE B

1.Journey overseas/Joint pain
2.Abdominal pain/appetite changes
3.Up temperature( fever)
4.Nausea/vomiting
5.Diarrhea/constipation
6.Itch(rash)/Immunizations
7.Color of urine and stool
8.Eating habits -weight changes

9.Blood transfusion in the past

ENURESIS

1. Enviromental changes(changing schools, parental divorce etc)
2. Nighttime awakening/Neuro problems
3. Urinary habits changes(frequency, amount, color etc)
4. Relative with similar issue
5. Eating/drinking late
6. Stress to a child and parents(to describe)
7. Interventions/drugs used before and effectivity
8. Snoring

Assault/rape case. Here, I have to explain. Here is a cartoon for toddlers,
called "Dora the explorer", so its based on the name of this cartoon

DORRA SEXPLOER

1. Description of assault
2. Onset
3. Report of assault
4. Recognition of assailants
5. Assault objects

6. Sexual assault
7. Ejaculation
8. X-unknown- foreign objects used
9. Past menses
10. Latex- if condom was used
11. Oral, vaginal or anal intercourse
12. ER-estrogen replacement which is Contraception

Picky eater case.I got this from one of my skype friends.

ON CALL IDIOTS
1.Onset
2.Number of meals during day

3.Constipation/Cravings/Color of stool
4.Assosiated symptoms (fever+ROS)
5.Liquids amount
6.Lethargy

7.Immunization
8.Diet
9.Infection
10.Other complaints if present
11.Tiredness/To give rewards or panishment

Now, for DDX of this case mnemonic will be H-FLIP
H-Habitual eating disorder
F-Fiber lack diet
L-Lead poisoning
I-Iron deficiency
P-Parasitic infection

Dysphagia case

HARD C FOOD

1.Heartburn (GERD,Achalasia)
2.Appetite changes/Anemia(anemia questions would be vegetarian diet, heavy
menstrual flow,easy bruising) (Cancer, Plummer-Vinson)
3.Regurgitation/Reynaud phenomenon (Achalasia/CREST)
4.Dysphagia- details- onset, for solid, liquids etc

5.Cough at night (GERD)

6.Food cravings (Plummer Vinson)
7.Odor(halitosis) (Zenker diverticulum)
8.Overseas travel (Chagas disease)
9.Drugs, infections


DDX for Lower back pain.Im thankful to my former SP drssbaz for this one! I
also listed questions Id ask in such a case

SCOT MILS

1.Strain of muscle (sudden increase of physical activity)
2. Cauda equina (urinary/bowel incontinence, ED)
3. OA/Osteoporosis (other joints involvement,hx of fractures)
4.Trauma/TB( aka Potts disease)- exposure to TB, PPD

5.Mets/Multiple Myeloma ( app/weight changes, night sweats, fatigue, dysuric
symptoms for male, obgyn - for females)
6.Intervertebral disk herniation ( numbness/ weakness anywhere)
7.Lumbar Stenosis ( pain increases with walking, prolonged standing and
allevates by leaning forward position while sitting up)

TREMOR

1.Type(rest, intentional)/Time( onset, duration)
2.R-sided(or L)- Location
3.Exacerbating/Alleviating factors
4.Meds, drugs, alcohol, coffeine
5.Other (small hand writting, voice changes, drooling etc)
6.Retro episodes( similar episodes in the past)

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