Physical Examination Mnemonics part 1

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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.


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