CLINICAL MNEMONICS

By | 20th May 2012

 

Meckel’s diverticulum- rule of 2’s

2 inches long,

2 feet from the ileocecal valve,

2% of the population

commonlly presents in the first 2 years of life

may contain 2 types of epithelial tissue

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Pheochromocytoma-rule of 10s:

10% malignant

10% Bilateral

10% extraadrenal

10% calcified

10% children

10% familial

* discussed 10 times more often than actually seen

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Aphasia

“BROKen aphasia” (Broca’s aphasia-broken speech)

&”Wordys aphasia” (Wernicke’s aphasia- wordy, but making no sense)

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GET SMASH’D–Causes of Acute pancreatitis

Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)

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(Multiple endocrine neoplasia) Each of the MENs is a

disease of three or two letters plus a feature.

“MEN I” is a disease of the 3 Ps (pituitary, parathyroid and pancreas)

plus adrenal cortex.

“MEN II ” is a disease of the two Cs (carcinoma of the thyroid and

catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or

mucocutaneous neuromas for MEN IIb (aka MEN III).

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Acute pneumonia caused by Pyogenic bacteria–PMN infiltrate

Acute pneumonia caused by Miscellaneous microbes –Mononuclear infiltrate

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Takayasu’s diz = pulseless diz, therefore when you have

Takayasu’s, I can’t Tak’a yu pulse.

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Argyll-Robertson Pupil–syphilitic pupil (AKA “Prostitute’s pupil” – Accommodates, but doesn’t react )

Accommodation reflex present, Pupillary reflex absent

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CAGE–alcohol use screening

1. Have you ever felt it necessary to CUT DOWN on your drinking?

2. Has anyone ever told you they were ANNOYED by your drinking?

3. Have you ever felt GUILTY about your drinking?

4. Have you ever felt the need to have a drink in the morning for an EYE OPENER?

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P-Q-R-S-T–eliciting and HPI and exploring symptoms

P–palliative or provocative factors for the pain

Q–quality of pain(burning, stabbing, aching, etc.)

R–region of body affected

S–severity of pain(usually 1-10 scale)

T–timing of pain(eg.-after meals, in the morning, etc.)

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The five W’s–post-operative fever

Wind–pneumonia, atelectasis

Water–urinary tract infection

Wound–wound infections

Wonderdrugs–especially anesthesia

Walking–walking can help reduce deep vein thromboses and pulmonary embolus

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ACID or “Anna Cycled Immediately Downhill”

classification of hypersensitivity reactions

Type I – Anaphylaxis

Type II – Cytotoxic-mediated

Type III – Immune-complex

Type IV – Delayed hypersensitivity

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WBC Count:

“Never Let Momma Eat Beans(60, 30, 6, 3, 1)

Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1%

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A-P-G-A-R:

A – appearance (color)

P – pulse (heart rate)

G – grimmace (reflex, irritability)

A – activity (muscle tone)

R – respiratory effort

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Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T–trauma

O–obesity

M–malignancy

S–surgery

C–cardiac disease

H–hospitalization

R–rest (bed-bound)

E–estrogen, pregnancy, post-partum

P–past hx

F–fracture

E–elderly

R–road trip

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The 4 P’s of arterial Occlusion: pain pallor pulselessness paresthesias

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The 4 T’s of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma

Treatment of Malignant Hyperthermia

Some Hot Dude Better Give Iced Fluids Fast!!!

S: Stop all triggering agents, give 100% O2

H: Hyperventilate

D: Dantrolene 2.5mg/kg

B: Bicarbonate

G: Glucose and Insulin

I: IV Fluids, Cooling Blanket

F: Fluid Output; Furosemide

F: Tachycardia, be prepared to treat V Tach

Oxyhemoglobin Dissociation Curve:
Think of exercising muscle for a rightward shift: Exercising
muscle is Hot, Acidic (Lactic Acid), Hypercarbic, Benefits from
oxygen unloading and has an increased 2,3 DPG. Also think Bohr
effect with a rightward shift(_CO2 = _O2). Realize that the
Haldane effect means (O2 =CO2 carried by Hgb).

 

Back Pain: DISK MASS

D == Degeneration: DJD, Osteoporosis, spondylosis

I == Infection: UTI, PID, Potts, osteomyelitis, prostatitis, Injury/fractur
e, compression fracture.

S == Spondylitis, ankylosing
Spondyloarthropathies (rheum. arthritis, Reiters, SLE)

K == Kidney stones/infarction/infection (pyelo/abscess)

M == Multiple myeloma
Metastasis from breast, prostate, lung, thyroid,
kidney CA

A == Aneurysm Abdominal pain referred to the back (see acute abdominal pain)

S == Slipped disk, spondylolisthesis

S == Strain, scoliosis/lordosis
Skin: herpes zoster.

CAUSES OF ACUTE PANCREATITIS:
“GET SMASH’D”
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)

A-P-G-A-R:
A – appearance (color)
P – pulse (heart rate)
G – grimmace (reflex, irritability)
A – activity (muscle tone)
R – respiratory effort

Multiple Endocrine Neoplasia: Each of the MENs is a disease of three or two letters plus a feature.
MEN I is a disease of 3 P’s (pituitary, parathyroid, and pancreas) plus adrenal cortex
MEN II is a disease of 2 C’s(carcinoma of thyroid and catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB(aka MEN III)

Acute pneumonia caused by Pyogenic bacteria–PMN infiltrate
Acute pneumonia caused by Miscellaneous microbes–Mononuclear infiltrate

Takayasu’s diz = pulseless diz, therefore when you have Takayasu’s, I can’t Tak’a yu pulse.

CAGE–alcohol use screening
Have you ever felt it necessary to CUT DOWN on your drinking?
Has anyone ever told you they were ANNOYED by your drinking?
Have you ever felt GUILTY about your drinking?
Have you ever felt the need to have a drink in the morning for an EYE OPENER?

P-Q-R-S-T–eliciting and HPI and exploring symptoms
P–palliative or provocative factors for the pain
Q–quality of pain(burning, stabbing, aching, etc.)
R–region of body affected
S–severity of pain(usually 1-10 scale)
T–timing of pain(eg.-after meals, in the morning, etc.)

A-S-C-L-A-S-T–eliciting and HPI and exploring symptoms
A–aggravatiing and alleviating factors
S–severity
C–character, quality
L–location
A–associated sx
S–setting
T–timing
note: ASCLAST means let the patient talk first, then ask him/her specific questions

Argyll-Robertson Pupil–syphilitic pupil: Accommodation reflex present, Pupillary reflex absent due to damage at pretectal area. Also called the “prostitute’s pupil” (accommodates but does not react).

The five W’s–post-operative fever
Wind–pneumonia, atelectasis
Wound–wound infections
Water–urinary tract infection
Walking–walking can help reduce deep vein thromboses and pulmonary embolus
Wonderdrugs–especially anesthesia

Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T–trauma
O–obesity
M–malignancy
S–surgery
C–cardiac disease
H–hospitalization
R–rest (bed-bound)
E–estrogen, pregnancy, post-partum
P–past hx
F–fracture
E–elderly
R–road trip

ARTERIAL OCCLUSION:
pain
pallor
pulselessness
paresthesias

HYPERSENSITIVITY REACTIONS: “Anna Cycled Immediately Downhill–Gell & Goombs” or “ACID.”
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity

WBC Count: “Never Let Mom Eat Beans” and “60, 30, 6, 3, 1”
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1:

Anatomy Mnemonics

Biochemistry
Mnemonics