Physical Examination Mnemonics part 3

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Physical
Examination
Mnemonics
Health related behavior (HRB) topics: history taking "Healthy SEEDS":
Substances (alcohol, tobacco, IV drugs?) Env ironment (hazards at home or work? feel safe?) Exercise (what do y ou do? how often do y ou do it?) Diet (any special diet?)
Sex (active with m/f/both? >1 partner? safe sex? STD history? difficulty with arousal or orgasm? history of abuse?)
· I find this order works well: patients most expect to be asked about alcohol and they least want to talk about their STD history, but taking a solid HRB history first reassures them that it's all part of good medical care.


Pain history checklist LOST WAR:
Location
Onset
Severity
Time
Worsening factors
Alleviating factors

Radiation


Short statue causes RETARD HEIGHT:
Rickets

Endocrine (cretinism, hy popituitarism, Cushing's)

Turner syndrome
Achondroplasia
Respiratory(suppurative lung disease)
Down sy ndrome
Hereditary

Environmental (postirradiation, postinfectious)
IUGR
GI (malabsorption)
Heart (congenital heart disease)
Tilted backbone (scoliosis)


Ascultation: crackles (rales) "PEBbles":
Pneumonia
Edema of lung

Bronchitis


Pain history checklist CHLORIDE:
CHaracter (stabbing, throbbing, etc.)
Location
Onset
Radiation
Intensity
Duration
Exacerbating and alleviating factors


Differential diagnosis CIMETIDINE:
Congenital
Infection/ Inflammatory
Metabolic
Endocrine

Trauma
Iatrogenic
Degenerative
Idiopathic
Neoplastic
Everything else


Sign vs. symptom Remember Ace of Base's song that goes like this:
"I Saw the Sign, and it opened up my eyes". The physician sees the signs.

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notes.nursium.com: Physical Examination Mnemonics part 3
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