Most Important Mnemonics for Step 2 Cs Free Essays

HISTORY PHYSICAL EXAMINATION HPI (history of present sickness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, blockage, hack, vaginal release) O Onset of the side effect + encouraging variables P Progression D Duration C Constant/Intermittent S Settings F Frequency L Location of the side effect (temple, wrist†¦ ) I Intensity of the indication (scale 1-10, 6/10) Q Quality of side effect.. BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the indication ( to left shoulder and arm) An Associated side effects ( palpitations, brevity of breath) An Alleviating factors (sitting with my chest on my knees) An Aggravating components (exertion, smoking, huge dinners) An Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How successive do u need to pass pee? ) I Incontinence (Do u experience difficulty holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incomplete discharging (do u feel totality significantly after Ux) S Stream (How is ur stream of pee? is it cont. We will compose a custom article test on Most Important Mnemonics for Step 2 Cs or on the other hand any comparable point just for you Request Now or on the other hand is there any spilling after Ux? ) Strain (Do u need to strain during Ux) Stone (have u passed stones previously? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 hold up b4 beginning Ux) P Pyuria (was there any discharge in ur Ux? ) U Urgency (do u have 2 race to BR to Ux? ) B Burning (dysuria) (does it consume) C COLOR 1 drkhalilezekiel@yahoo. com PMH (past clinical history) PAM HUGS FOSS P Previous nearness of the manifestation (same CC), Past Medical issues (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) An Allergies (drugs, nourishments, synthetic compounds, dust †¦ ) M Medicines (R U taking any professionally prescribed meds/any over-the-counter prescription. ), H Hospitalization for any disease previously (Trauma, medical procedure) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal gripes (diet changes, gut movements†¦ ) S Sleep pattern(difficulties falling/keep up asleep,wake up,snoring,med. to help rest , how long, bad dreams) F Family history (comparable boss grumblings/genuine ailment)/Fevers, Chills/Fatigue O OB/GYN history (LMP, premature births, para†¦ LMP RTV CS PAP S Sexual propensities (dynamic/inclinations/STD/no. of accomplices/contraception/pregnancy/last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners would you say you are dynamic with? † Q 3. â€Å"Are your accomplices male or female or both? † [Unless the SP says spouse or husband in Q 2] Q 4. â€Å"Do you use insurance during intercourse? † Q 5. On the off chance that yes in Q. 4 â€Å"What sort of assurance do you use? † Q 6. Get some information about butt-centric intercourse in male gay people Q 7. h/o STD’s; Rx for STD’s S Social Hx (work/house/smoking/liquor/recreational medications/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOES W Weight An Appetite D Diet S Smoke (cigarettes, maryjane, how much, how long) An Alcohol (what sort of liquor, how regularly, how much ,consider doing CAGE question. ) D recreational Drugs (what sedate, how would you use it, any IV tranquilize use? ) T Travel/Trauma O Occupation (what do you accomplish for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head injury/Seizure/Weak,Numb Tears/visual changes Flu Vomit/Speech Neck firmness 2 drkhalilezekiel@yahoo. com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest torment, quick respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-expanded or diminished pee, # of diapers, any scent, shade of pee Ulcers in mouth B Bowel changes: Diarrhea-recurrence, beginning, bodily fluid/discharge/blood in stool, any crying during poo Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever chills E Ear pulli ng V Vomiting E Ear/eye release, Ear hearing, Eye vision R Rash S Seizure-any jerky developments, which part of body? Any spillage of pee or stool during fits, and postictal touchiness or loss of cognizance. Stress (wager wet, DM) P Past clinical/Past careful Hx/Previous Hospitalizations. An Allergies, impact on youngster/guardians (wager wet, DM), Activities M Medications, Menstruating (female kid 10yo) I Ill contacts F family ancestry B Birth Hx I Immunizations G Growth n advancement, ht, wt, achievements SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) grin, sit, creep, walk, talk, dress wks: 1,6,9,12,15,30 D Day care/Difficult gulping E Eating propensities, taking care of infant An Appetite L Look of the child or appearance, Last registration S Sleep T Travel as of late Premenopause : H Hot flashes An Atrophy of vagina D Dryness of vagina O Osteoporosis (chamber) C Coronary course ailment HADOC drkhalilezekiel@yahoo. com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur first period? P Period (how long ur period last? ) R Reglarity ( R ur periods ordinary? ) T Tampoons (what number of cushions do u use in a substantial day? ) V Vaginal DID: release, tingling , dryness (have u at any point had any vag release? ABCDO. do u have any vag. Tingling? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual/post coital ) have u at any point drained (. ) ur cycles? Did u ever see any seeping after intercourse? P Pregnency ( Hx difficulties) have u at any point been pregnant? How often? An Abortion/unnatural birth cycle (Any unsuccessful labors or premature births? In ? month of ur pregnancy? ) P PAP smear(have u been getting standard PAP sm ? when did u have the last PAP sm ) (any Female50 yo:ask about:1-R u taking vit D Ca,2-have u at any point attempted HRT? ) If suspect maltreatment SAFE GARDS S Safety request (Do you feel safe comfortable? ), Sex at any point constrained? An Alcohol misuse (does your hubby manhandles alchol? ), Attacked Children? F Friends/Family who know( Dos any1 f ur companion/Fam know about this) Fractures (Abuse at any point brought about breaks? ) E Emergency plan (u have crisis plan? ), Ever attempted to leave/separate? why not? G Guns at home (are there any weapons @ home? Assaulted with it? ) An Afraid of spouse R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is near? For to what extent? D Depression (lost wt/hunger/rest), Drugs (does spouse utilize recreational medications) S Suicidal (thought/plan/endeavor) (at any point wanted to end everything up? ) 4 rkhalilezekiel@yahoo. com Diabetic pt â€Å"FU/Med Refill† D Duration of malady I Insulin routine/oral hypoglyemics routine An A1c hg - Gluc. observing (quick, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/contamination T Tingling/deadness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart illness) Counseling DM HTN M Medications (normality) E Exercise ( for stout/inactive ways of life) D Diet Modification( Salt/Fatty nourishments) O Opthalmoscopic tests (yearly daily schedule) W Weight Management (/control) S Sugar Check ups DIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations An Aura â€Å"b4 problem† S Shaking (length) S Spinning/dazed B Bladder incontinence/Bowel incontinence L Loss of awareness (term) T Tongue gnawing/tinnitus hearing misfortune S Speech challenges/Sleep unsettling influence An Ataxia â€Å"gait† N Numbness/sickness upchuck D Difficulty breathing W Weakness I (injury) fall C Confusion after the occasion/Visual aggravation H Headache PASS BLT SANDWICH - And to ensure you got it totally don’t overlook the MinMental Stat. Test 5 drkhalilezekiel@yahoo. com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to state 3 objects†Ã¢â‚¬ ¦ then recurrent An Attention â€Å"spell world backwards† R Recall what were those 3 things once more? L Language â€Å"Repeat after me.. â€Å"No, uncertainties, ands, or buts† 2 Identify two articles â€Å"what is this.. pen.. also, this†¦ paper† 3 Obey 3 orders â€Å"take a bit of paper, overlay in ? , put on floor† R â€Å"Read 3 orders on this paper and do what it says† W Write a sentence D Draw, duplicate the picture ORARL23RWD Absent mindedness/Memory Loss/Dementia/Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING/Flashes/FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL †Activities of day by day living D Dressing E Eating An Ambulation (would you be able to discover your direction through home) T Toiletry (do you deal with your toiletry unassisted) H Hygiene IADL †Instrumental exercises of every day living S Shopping H Housekeeping An Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 drkhalilezekiel@yahoo. com Foot/Heel/Knee/Back torment OPD-CSF-LIQORAAA +WET SURF-D - ‘CIS’ W Work/Weakness/Walking propensities/Wt misfortune E Eye contamination redness T Trauma to foot/Tingling Numbness/Tender S Stifness in different joints/leg Swelling/long Standing hours/morning Stiff /solid U Urethral release/ulcer R Rash/Redness of skin of joint F Fever chills night sweat D Deformity/Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx/IV DRUGS/Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (troubles falling/keep up snoozing, wake up, wheezing, medications. o help rest, how long, bad dreams), Stress, Support I Interest, What do you do in your extra time? How are you getting along in your activity? do you appreciate what you do? G Guilty M Mood. ( on edge, tragic, miserable, desolate? Memory issues E Energy C Concentration An Appetite, changes in your Weight P Psychomotor tumult/hindrance (do you feel effectively unsettled or irate/do u feel not to isn't that right? ) S Suicide: musings, plan, attempts(do u have pills/weapons @ home? D Delu

How would you describe the protagonist of The Snows of Kilimanjaro Essay

How might you depict the hero of The Snows of Kilimanjaro Name three of his most significant qualities and supp - Essay Example While Henry hangs tight for the methodology of the inescapable hour, the plot of the story pushes forward through the memory of his musings of tremendous experience of poor people and â€Å"interesting lot†. The story is likewise enraptured with the regret and atonement of Henry during his last hours as he gauges the time he has squandered in his wanton life as opposed to recording his awesome encounters. A careful understanding and profound depiction of the story would dispatch the perusers into three most relevant attributes of Henry’s character. The first evident attribute in quite a while character is his anxious nature. Henry supposedly is anxious and doubter all through the story. He is in a constant journey and his point of view is likewise watched moving quicker. He is miserable and he is certain that no guide can be given to him aside from a serene demise which as indicated by him he is denied at the camp too, â€Å"Don't be senseless. I'm biting the dust now. Ask those mongrels. He glanced over to where the colossal, soiled winged creatures sat, their bare heads soaked in the slouched plumes. A fourth planed down to run snappy legged and afterward waddle gradually toward the others†. (Hemingway, 1998). Henry is seen censuring others for his disappointment which means that an extremely annoying conduct.

Capstone Workshop Women and Property Rights in Uganda COLUMBIA UNIVERSITY - SIPA Admissions Blog

Capstone Workshop Women and Property Rights in Uganda COLUMBIA UNIVERSITY - SIPA Admissions Blog Workshops at SIPA apply the practical skills and analytical knowledge learned to a real-world issue.  Students are organized into small consulting teams and assigned a substantive, policy-oriented project with an external client.   Clients include public agencies (from the local to national level), international NGOs and multi-national organizations, and major firms in the private sector.   Student teams, working under the supervision of a faculty expert, answer a carefully defined problem posed by the client.   Each team produces an actionable report at the close of the workshop that is designed to translate into real change on the ground. Essentially, capstone workshops give students not only a chance to further refine their skills and knowledge, but to make a positive contribution to the world around them.   And capstone projects provide valuable experience and contacts for post-graduate employment. One example of   a workshop took some SIPA students to Uganda.   People and communities who understand their property rights are usually more empowered to defend them. In a SIPA Capstone Workshop, a student team traveled to Uganda to develop a system intended to track the progress of the Womens Land, Housing and Property Rights Project. The project is attempting to empower and educate women about their rights with respect to land, housing and property ownership. You can read the teams final report by clicking here.