Physical Examination Mnemonics part 5

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Physical
Examination
Mnemonics
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
Attachment
Mobility
Pulsation
Fluctuation
Irreducibility
Regional lymph nodes Edge


Surgical sieve VANISHED:
Vascular
Accident & trauma
Neoplastic
Inflammatory
Septic
Haematologic/ Hereditary
Endocrinological Degenerative


Differential diagnosis checklist "I
VINDICATE AIDS":
Idiopathic
Vascular
Infectious
Neoplastic
Degenerative
Inflammatory
Congenital
Autoimmune
Traumatic
Endocrinal and metabolic
Allergic
Iatrogenic
Drugs
Social


Symptom sieve "TIN CAN BED DIP POG":
Trauma
Infection
Neoplasm
Cardiac
Autoimmune
Neurological
Blood/ Bone
Endocrine
Disintegration/ Degeneration
Drugs
Iatrogenic/ Idiopathic
Psy chological
Paediatric
Obstetric
Gy naecological


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:
Fat
Feces
Fluid
Flatus
Fetus
Full-sized tumors
Full bladder
Fibroids
False pregnancy


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]
DKA
Ears [labyrinthitis]
Foreign substances [Tylenol, theo,
etc.] Glaucoma Hy peremesis gravidarum
Infection [pyelonephritis, meningitis]


History: quick EMS medical history checklist SAMPLE:
Signs/ Symptoms
Allergies
Medications
Pertinent history
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:
Vascular
Inflammatory (Infectious and nonInfectious)
Trauma/ Toxins
Autoimmune
Metabolic
Idiopathic
Neoplastic
· 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
Jaundice
Tuberculosis
Hy pertension Rheumatic fever/ Rheumatoid arthritis Epilepsy
Asthma
Diabetes
Strokes · Aside: "History" album was by Michael Jackson (MJ).

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notes.nursium.com: Physical Examination Mnemonics part 5
Physical Examination Mnemonics part 5
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