Physical exam for 'lumps and bumps' "6 Students and 3 Teachers go for CAMPFIRE":
Site, Size, Shape, Surface, Skin, Scar Tenderness, Temperature, Transillumi nation Consistency
Regional lymph nodes Edge
Surgical sieve VANISHED:
Accident & trauma
Differential diagnosis checklist "I
Endocrinal and metabolic
Symptom sieve "TIN CAN BED DIP POG":
Alcohol abuse screening questions CAGE:
1. Ever felt it necessary to Cut down on drinking?
2. Has anyone ever said they felt Annoyed by your drinking? 3. Ev er felt Guilty about drinking?
4. Ev er felt a need to have a morning drink as an Eye opener?
Abdominal swelling causes 9 F's:
Patient examination organization SOAP:
Subjective: what the patient says. Objective: what the examiner observ es. Assessment: what the examiner thinks is going on. Plan: what they intend to do about it.
Vomiting: non-GIT differential ABCDEFGHI:
Acute renal failure
Brain [increased ICP]
Cardiac [inferior MI]
Foreign substances [Tylenol, theo,
etc.] Glaucoma Hy peremesis gravidarum
Infection [pyelonephritis, meningitis]
History: quick EMS medical history checklist SAMPLE:
Last oral intake
Ev ents preceding this incident
Pain history checklist OPQRSTU:
Onset of pain (time, duration)
Palliative factors for pain Quality of pain (throbbing, stabbing, dull, etc.)
Region of body affected
Sev erity of pain (usually scale of 1 -10) Timing of pain (after exercise, in ev ening, etc.) U: How does it affect 'U' in y our daily life?
· May wish to expand to OPPQRRSTTUVW, with the extra
letters representing: Prov ocative factors
Radiation (how does pain spread)
Treatments tried Deja Vu: Has this happened before? Worry: What do y ou think or fear that it is?
Differential diagnosis checklist "A VITAMIN C" A and C stand for Acquired and Congenital · VITAMIN stands for:
Inflammatory (Infectious and nonInfectious)
· Example usage: List causes of decreased vision: Central retinal artery occlusion, Retinitis pigmentosa,
Perforation to gobe, Chronic
Gentamycin use, Ruematoid arthritis, Diabetes, Idiopathic, Any eye tumor, Myopia.
Sign vs. symptom sIgn: something I can detect ev en if patient is unconscious. sYMptom is something only hYMknows about.
Eyes: abbreviations for the eyes You look OUt with Both ey es.
Take the Right dose so y ou won't OD [ov erdose]. The only one that is Left is OS. · Both ey es=OU, Right eye=OD, Left ey e=OS.
Medical history: disease checklist MJ THREADS:
My ocardial infarction
Hy pertension Rheumatic fever/ Rheumatoid arthritis Epilepsy
Strokes · Aside: "History" album was by Michael Jackson (MJ).