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