H&E

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. Ever felt Guilty about drinking? 4. Ever felt a need to have a morning drink as an Eye opener? Show Details / Rate It ---Anonymous Contributor

Abdominal swelling causes

9 F's: Fat Feces Fluid Flatus Fetus Full-sized tumors Full bladder Fibroids False pregnancy Show Details / Rate It ---Richard Thompson and Alex Queens University, Belfast, NI and Not Specified

Patient examination organization

SOAP: Subjective: what the patient says. Objective: what the examiner observes. Assessment: what the examiner thinks is going on. Plan: what they intend to do about it. Show Details / Rate It ---Richard Rathe, MD University of Florida

Vomiting: non-GIT differential

ABCDEFGHI: Acute renal failure Brain [increased ICP] Cardiac [inferior MI] DKA Ears [labyrinthitis] Foreign substances [Tylenol, theo, etc.] Glaucoma Hyperemesis gravidarum Infection [pyelonephritis, meningitis] Show Details / Rate It ---Ken Evans Saskatchewan Health, Acute and Emergency Services

History: quick EMS medical history checklist

SAMPLE: Signs/ Symptoms Allergies Medications Pertinent history Last oral intake Events preceding this incident Show Details / Rate It ---Midnight Medic Paramedic in Texas

Pain history checklist

OPQRSTU: Onset of pain (time, duration) Palliative factors for pain Quality of pain (throbbing, stabbing, dull, etc.) Region of body affected Severity of pain (usually scale of 1-10) Timing of pain (after exercise, in evening, etc.) U: How does it affect 'U' in your daily life? · May wish to expand to OPPQRRSTTUVW, with the extra letters representing: Provocative factors Radiation (how does pain spread) Treatments tried Deja Vu: Has this happened before? Worry: What do you think or fear that it is? Show Details / Rate It ---Midnight Medic and Robert Lueken and Michael Waddell Paramedic in Texas and Eastern Virginia Medical School and University of Wisconsin Medical School

Differential diagnosis checklist

"A VITAMIN C" A and C stand for Acquired and Congenital · VITAMIN stands for: Vascular Inflammatory (Infectious and non-Infectious) 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. Show Details / Rate It ---Nizaar Lilla University Of Cape Town Medical School

Sign vs. symptom

sIgn: something I can detect even if patient is unconscious. sYMptom is something only hYM knows about. Show Details / Rate It ---Anonymous Contributor

Eyes: abbreviations for the eyes

You look OUt with Both eyes. Take the Right dose so you won't OD [overdose]. The only one that is Left is OS. · Both eyes=OU, Right eye=OD, Left eye=OS. Show Details / Rate It ---Deborah Belty, RN, MS Tulsa Community College

Medical history: disease checklist

MJ THREADS: Myocardial infarction Jaundice Tuberculosis Hypertension Rheumatic fever/ Rheumatoid arthritis Epilepsy Asthma Diabetes Strokes · Aside: "History" album was by Michael Jackson (MJ). Show Details / Rate It ---Soumendra Datta University College London Medical School

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Pain history checklist

"On Days Feeling Low Character, Run A Seven Pace Race": Onset Duration Frequency Location Character Radiation Severity Precipitating factors Relieving factors Show Details / Rate It ---Carrie Davis, RNC, MSN, WHNP Obici Health System

Pain history checklist

ASK LAST: Aggravating/ Alleviating Severity Karacter Location Associated symptoms Setting Timing Show Details / Rate It ---Miguel Gonzalez Chicago Medical School

Pain history checklist

SOCRATES: Site Onset Character Radiation Alleviating factors/ Associated symptoms Timing (duration, frequency) Exacerbating factors Severity · Alternatively, Signs and Symptoms with the 'S'. Show Details / Rate It ---Piyush and Shirish Toshniwal and Jonathan Round and Neil Mckeon Cambridge and Smt. NHL Medical College, Ahmedabad and RFUCMS

Symptom attributes

"FAST LQQ'S": Factors that make it better/worse Associated manifestations Setting Timing Location Quality Quantity Severity Show Details / Rate It ---Ron Norman AECC

Heart valve auscultation sites

"All Patients Take Meds": · Reading from top left: Aortic Pulmonary Tricuspid Mitral · See diagram. · Alternatively: All Prostitutes Take Money. · Alternatively: APe To Man. Show Details / Rate It ---Anonymous Contributor and Raarsi and Dana M. Not specified and University of Birmingham Medical School and MCC Michigan

Four point physical assessment of a disease

"I'm A People Person": Inspection Auscultation Percussion Palpation Show Details / Rate It ---Anonymous Contributor

Physical exam for 'lumps and bumps'

"6 Students and 3 Teachers go for CAMPFIRE": Site, Size, Shape, Surface, Skin, Scar Tenderness, Temperature, Transillumination Consistency Attachment Mobility Pulsation Fluctuation Irreducibility Regional lymph nodes Edge Show Details / Rate It ---Lau Yue Young Geoffrey

Surgical sieve

VANISHED: Vascular Accident & trauma Neoplastic Inflammatory Septic Haematologic/ Hereditary Endocrinological Degenerative Show Details / Rate It ---Anonymous Contributor University of Otago Medical School, New Zealand

Differential diagnosis checklist

"I VINDICATE AIDS": Idiopathic Vascular Infectious Neoplastic Degenerative Inflammatory Congenital Autoimmune Traumatic Endocrinal and metabolic Allergic Iatrogenic Drugs Social Show Details / Rate It ---Michael A. Chaplin SUNY-HSCB Downstate College of Medicine

Symptom sieve

"TIN CAN BED DIP POG": Trauma Infection Neoplasm Cardiac Autoimmune Neurological Blood/ Bone Endocrine Disintegration/ Degeneration Drugs Iatrogenic/ Idiopathic Psychological Paediatric Obstetric Gynaecological Show Details / Rate It ---Anonymous Contributor

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Pain history checklist

LOST WAR: Location Onset Severity Time Worsening factors Alleviating factors Radiation Show Details / Rate It ---Jane Day Nottingham Medical School

Short statue causes

RETARD HEIGHT: Rickets Endocrine (cretinism, hypopituitarism, Cushing's) Turner syndrome Achondroplasia Respiratory(suppurative lung disease) Down syndrome Hereditary Environmental (postirradiation, postinfectious) IUGR GI (malabsorption) Heart (congenital heart disease) Tilted backbone (scoliosis) Show Details / Rate It ---Lau Yue Young Geoffrey Medical Student '03, Hong Kong University

Ascultation: crackles (rales)

"PEBbles": Pneumonia Edema of lung Bronchitis Show Details / Rate It ---Samuel Atom Baek-Kim

Pain history checklist

CHLORIDE: CHaracter (stabbing, throbbing, etc.) Location Onset Radiation Intensity Duration Exacerbating and alleviating factors Show Details / Rate It ---Anonymous Contributor Student

Differential diagnosis

CIMETIDINE: Congenital Infection/ Inflammatory Metabolic Endocrine Trauma Iatrogenic Degenerative Idiopathic Neoplastic Everything else Show Details / Rate It ---Chng Chiaw Ling NUS, Singapore

Sign vs. symptom

Remember Ace of Base's song that goes like this: "I Saw the Sign, and it opened up my eyes". The physician sees the signs. Show Details / Rate It ---Lee

Systems review: systems checklist

I PUNCH EAR: Integumental Pulmonary Urogenital Nervous Cardiovascular Hematolymphoid Endocrine Alimentary Reproductive Show Details / Rate It ---Beth Ann Young and Robert O'Connor Kent State Univeristy, Nursing Student and University College Dublin

History taking -past medical history

ABCDEFGHI: Asthma Blood pressure (say: 'blood pressure problems') CVA (say: 'stroke') Diabetes mellitus (say: 'diabetes') Epilepsy Fever, rheumatic Gastrointestinal (jaundice) Heart attack Infection (TB) Show Details / Rate It ---Dave Gale Sheffield University Medical School

Pain history checklist

MR. C T FARADS: Main site Radiation Character Timing Frequency Associated factors Relieving factors Aggravating factors Duration Severity Show Details / Rate It ---Anonymous Contributor

Abdomen assessment

To assess abdomen, palpate all 4 quadrants for DR. GERM: Distension: liver problems, bowel obstruction Rigidity (board like): bleeding Guarding: muscular tension when touched Eviseration/ Ecchymosis Rebound tenderness: infection Masses Show Details / Rate It ---Lyssa Lenske Mount Saint Mary's College BSN Program

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Pain history checklist

CLITORIS: Character Location Intensity Timing Onset Radiating Irritating and relieving factors Symptoms associated Show Details / Rate It ---Nick Rukin Birmingham Medical School, UK

Heart valve auscultation sites

"All People Try Marijuana": Aortic Pulmonic Tricuspid Mitral Show Details / Rate It ---Leah Harris Tufts University School of Medicine

Consolidations: sound

Consolidations Conduct Consonants Clearly Show Details / Rate It ---Elden Rand BAMC, San Antonio, TX

Past medical history (PMH)

VAMP THIS: Vices (tobacco, alcohol, other drugs, sexual risks) Allergies Medications Preexisting medical conditions Trauma Hospitalizations Immunizations Surgeries Show Details / Rate It ---Michael Waddell University of Wisconsin Medical School

Patient profile (PP)

LADDERS: Living situation/ Lifestyle Anxiety Depression Daily activities (describe a typical day) Environmental risks/ Exposure Relationships Support system/ Stress Show Details / Rate It ---Michael Waddell University of Wisconsin Medical School

Family history (FH)

BALD CHASM: Blood pressure (high) Arthritis Lung disease Diabetes Cancer Heart disease Alcoholism Stroke Mental health disorders (depression, etc.) Show Details / Rate It ---Michael Waddell University of Wisconsin Medical School

Differential diagnosis checklist

DIRECTION: Drugs Infection Rheumatologic Endocrine Cardiovascular Trauma Inflammatory Other Neoplasm Show Details / Rate It ---Michael Waddell University of Wisconsin Medical School

Pathologic classification

NIT DIT FIT: Neoplastic Infectious Traumatic Degenerative/ Drugs Immune Toxic Vascular Inflammatory Totally obscure Show Details / Rate It ---Darren Markland University of Alberta

Pyrexia of Unknown Origin: history taking

SIT ON FRAD: Sexual history Immunisation status Travel history Occupational history Nutrition (consumption of dairy products, etc.) Family history Recreational habits Animal contacts (including ticks and other vectors) Drug history Show Details / Rate It ---Dr. Sonali Vadi

Health related behavior (HRB) topics: history taking

"Healthy SEEDS": Substances (alcohol, tobacco, IV drugs?) Environment (hazards at home or work? feel safe?) Exercise (what do you do? how often do you do it?) Diet (any special diet?) Sex (active with m/f/both? >1 partner? safe sex? STD history? difficulty with arousal or orgasm? history of abuse?) · I find this order works well: patients most expect to be asked about alcohol and they least want to talk about their STD history, but taking a solid HRB history first reassures them that it's all part of good medical care. Show Details / Rate It ---Patrick Lee UCSF Medical School

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Breast history checklist

LMNOP: Lump Mammary changes Nipple changes Other symptoms Patient risk factors Show Details / Rate It ---Gajan Rajeswaran Final Year Medical Student, Imperial College School Of Medicine, London

Pain history checklist

COLDER BARS: Character Onset Location Duration Exacerbating factors Radiation Before (ever happened before) Associated symptoms Relieving factors Severity Show Details / Rate It ---Marcus Chia University of Sydney Medical Program

Pain history checklist

SO CRAP: Site Onset Character Radiates to Associated symptoms/ Alleviating and exacerbating factors Periodicity Show Details / Rate It ---Polly Weston Bristol University Med School

History, HCFA components for E+M coding

Q LSD MCAT: Quality Location Severity Duration Modifying factors Context Associated signs and symptoms Timing Show Details / Rate It ---Robert P Lemmon III, MD Village Family Medicine

Surgical sieve for diagnostic categories

INVESTIGATIONS: Iatrogenic Neoplastic Vascular Endocrine Structural/ Mechanical Traumatic Inflammatory Genetic/ Congenital Autoimmune Toxic Infective Old age/ Degenerative Nutritional Spontaneous/ Idiopathic Show Details / Rate It ---Neil Curran Medical Student, Otago University New Zealand

Mental state examination: stages in order

"Assessed Mental State To Be Positively Clinically Unremarkable": Appearance and behaviour [observe state, clothing...] Mood [recent spirit] Speech [rate, form, content] Thinking [thoughts, perceptions] Behavioural abnormalities Perception abnormalities Cognition [time, place, age...] Understanding of condition [ideas, expectations, concerns] Show Details / Rate It ---Hafizur Rahman MRI-Manchester Med School

Branham sign: definition

BRAnham sign: BRAdycardia after compression or excision of a large AV fistula. Show Details / Rate It ---Anonymous Contributor

Glasgow coma scale: components and numbers

· Scale types is 3 V's: Visual response Verbal response Vibratory (motor) response · Scale scores are 4,5,6: Scale of 4: see so much more Scale of 5: talking jive Scale of 6: feels the pricks (if testing motor by pain withdrawl) Show Details / Rate It ---Rinku Uberoi and Robert O'Connor

Physical examination - correct order

"I Palpate People's Abdomens": Inspection Palpation Percussion Auscultation Show Details / Rate It ---Jim McHugh St George's, London

Clinical examination: initial Inspection of patient from end of bed

ABC: Appearance (SOB, pain, etc) Behaviour Connections (drips, inhalers, etc connected to patient) Show Details / Rate It ---Jamal Khan Birmingham University Medical Student

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Heart ausculation sites: ribs

Apt. M 225A: Aortic valve Pulmonary valve Tricuspid valve Mitral valve · In order they correspond with the following landmarks: 2nd intercostal space (right) 2nd intercostal space (left) 5th intercostal space (left) Apex (still the 5th intercostal space) Show Details / Rate It ---John Medical school

Patient's model of illness (illness history)

"DC REF Fears Similar Decision At ER": Definition Cause Reasoning Effect Future Fears and concerns Similar experiences Decision-making Attempts at treatment Expectations of treatment Results Show Details / Rate It ---Michael Huang School of Medicine, University of Melbourne, Australia