Physical Examination Mnemonics part 4

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Physical
Examination
Mnemonics

Systems review: systems checklist I PUNCH EAR: Integumental
Pulmonary
Urogenital
Nerv ous
Cardiovascular
Hematolymphoid
Endocrine
Alimentary
Reproductive


History taking -past medical history ABCDEFGHI: Asthma
Blood pressure (say: 'blood pressure problems') CVA (say: 'stroke')
Diabetes mellitus (say: 'diabetes')
Epilepsy
Fev er, rheumatic
Gastrointestinal (jaundice)
Heart attack
Infection (TB)


Pain history checklist MR. C T FARADS:
Main site
Radiation
Character
Timing
Frequency
Associated factors
Relieving factors
Aggravating factors
Duration Sev erity


Abdomen assessment To assess abdomen, palpate all 4 quadrants for DR. GERM: Distension: liver problems, bowel obstruction Rigidity (board like): bleeding Guarding: muscular tension when touched Ev iseration/ Ecchymosis
Rebound tenderness: infection Masses


Pain history checklist "On Days Feeling Low Character, Run A Seven Pace Ra ce":
Onset
Duration
Frequency
Location
Character
Radiation
Sev erity
Precipitating factors
Relieving factors


Pain history checklist ASK LAST:
Aggravating/ Alleviating
Sev erity
Karacter
Location
Associated symptoms
Setting
Timing


Pain history checklist SOCRATES:
Site
Onset
Character
Radiation Alleviating factors/ Associated sy mptoms Timing (duration, frequency)
Exacerbating factors
Sev erity
· Alternatively, Signs and Symptoms with the 'S'.


Symptom attributes "FAST LQQ'S": Factors that make it better/worse
Associated manifestations
Setting
Timing
Location
Quality
Quantity Sev erity


Heart valve auscultation sites "All Patients Take Meds":
· Reading from top left:
Aortic
Pulmonary
Tricuspid Mitral · See diagram.
·
Alternatively: All Prostitutes Take Mo ney .
· Alternatively: APe To Man.
·
Alternatively: Always Pumps Too Muc h.


Four point physical assessment of a disease "I'm A People Person":
Inspection
Auscultation
Percussion Palpation
· Alternatively: "I'm A Perfect Person".


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notes.nursium.com: Physical Examination Mnemonics part 4
Physical Examination Mnemonics part 4
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