Physical
Examination
Mnemonics
Heart
ausculation sites: ribs Apt. M 225A:
Aortic
valve
Pulmonary
valve
Tricuspid
valve
Mitral
valve · In order they correspond with the following landmarks: 2nd intercostal space (right)
2nd
intercostal space (left)
5th
intercostal space (left)
Apex
(still the 5th intercostal space)
Patient's
model of illness (illness history) "DC REF Fears Similar Decision At ER":
Definition
Cause
Reasoning
Effect
Future
Fears
and concerns
Similar
experiences
Decision-making
Attempts
at treatment
Expectations
of treatment Results
Pain
history checklist DOCS ARE FIT:
Duration
Onset
Character
Site
Associatied
symptoms
Radiation
Exacerbating
and relieving factors
Frequency
Intensity
Timing
Breast
history checklist LMNOP:
Lump
Mammary
changes
Nipple
changes
Other
symptoms
Patient
risk factors
Pain
history checklist COLDER BARS:
Character
Onset
Location
Duration
Exacerbating
factors
Radiation
Before
(ev er happened before)
Associated
symptoms
Relieving
factors Sev erity
Pain
history checklist SO CRAP:
Site
Onset
Character
Radiates
to
Associated
symptoms/ Alleviating and
exacerbating factors Periodicity
History,
HCFA components for E+M coding Q LSD
MCAT:
Quality
Location
Sev
erity
Duration
Modify
ing factors
Context
Associated
signs and symptoms Timing
Surgical
sieve for diagnostic categories INVESTIGATIONS:
Iatrogenic
Neoplastic
Vascular
Endocrine
Structural/
Mechanical
Traumatic
Inflammatory
Genetic/
Congenital
Autoimmune
Toxic
Infective
Old
age/ Degenerative
Nutritional
Spontaneous/
Idiopathic
Mental
state examination: stages in order "Assessed Mental State To Be Positively Clinically
Unremarkable":
Appearance
and behavior [observe state, clothing...]
Mood
[recent spirit]
Speech
[rate, form, content]
Thinking
[thoughts, perceptions]
Behavioral
abnormalities
Perception
abnormalities
Cognition
[time, place, age...] Understanding
of condition [ideas, expectations, concerns]
Branham
sign: definition BRAnham sign: BRAdy cardia after compression or
excision of a large AV fistula.
COMMENTS