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).
COMMENTS