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Thread: Mnemonics for USMLE Step 2 CS cases

  1. #1
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    Thumbs up Mnemonics for USMLE Step 2 CS cases

    Mnemonics for USMLE Step 2 CS cases


    HPI (history of present illness)

    Ask for: LIQOR AAA

    Code:
    L Location of the symptom (forehead, wrist…)
    I Intensity of the symptom (scale 1-10, 6/10)
    Q Quality of the symptom (burning, pulsating pain…)
    O Onset of the symptom + precipitating factors
    R Radiation of the symptom ( to left shoulder and arm)
    
    A Associated symptoms ( palpitations, shortness of breath)
    A Alleviating factors (sitting with my chest on my knees)
    A Aggravating factors (effort, smoking, large meals)
    PMH (past medical history)

    Search for: PAM HUGS FOSS

    Code:
    P Previous presence of the symptom (same chief complaint)
    A Allergies (drugs, foods, chemicals, dust …)
    M Medicines (any drugs the patient used)
    
    H Hospitalization for any illness in the past
    U Urinary changes ( esp if diabetic, elderly…)
    G Gastrointestinal complains (diet changes, bowel movements…)
    S Sleep pattern (waking up/going to sleep…)
    
    F Family history (simmilar chief complaints/serious illness)
    O OB/GYN history (LMP, abortions, para…)
    S Sexual habits (active/preferences/STD…)
    S Social life (job/house/smoking/alcohol…..)
    Pain history checklist

    mnemonic:CLITORIS:

    Code:
    Character
    Location
    Intensity
    Timing
    Onset
    Radiating
    Irritating and relieving factors
    Symptoms associated
    Differential diagnosis checklist

    mnemonic:DIRECTION:


    Code:
    Drugs
    Infection
    Rheumatologic
    Endocrine
    Cardiovascular
    Trauma
    Inflammatory
    Other
    Neoplasm


    For Social History

    mnemonic:TIA SHOE

    Code:
    T obacco
    
    I llicit drigs
    
    A lcohol
    
    S exual
    
    H ouse life
    
    O ccupation
    
    E ating (diet)
    ————-

    premenopausal symptoms

    mnemonic:HAVOC

    Code:
    H- hotflahes
    A-atropy of vagina
    V-vaginal dryness
    O- osteoporosis
    C- coronary artery diseases
    ————

    Depression.

    mnemonic:SIGEMCAPS

    Code:
    S-sleep
    I-interest
    G-guilt,gun
    E-energy
    M-mood
    C-concentration
    A-appetite
    P-psycomotor
    S-suicide
    ————

    Fatigue…

    mnemonic:IMP ADH

    Code:
    I-infectin
    M -malignancy
    P-ptsd
    A-abuse
    D-depression
    H-hypothyroidism
    ————

    Insomnia counselling

    mnemonic=ABCDEFGHJKLMN



    Code:
    Avoid
    Bedtime
    Concerns (worries)
    Drugs (nicotine/caffeine/Alcohol)
    Excercise/Excitement (TV Shows)
    
    Follow
    Good
    Habits for sleep.
    Jetlag
    Keep
    List (Diary)
    Monitor
    Naps (day time)
    —————-

    Enuresis Counselling

    mnemonic= SMILE SAM


    Code:
    Supportive (of the child)
    Monitor Intake (@ Day)
    Limit (@ Night)
    Encourage Washroom( @ bedtime)
    Sheets ( Rubber flannel sheets)
    Alarms ( >5yrs )
    Motivate (thru Rewards)
    Conselling DM & HTN

    mnemonic= MEDOWS


    Code:
    Medications (regularity)
    Excercise ( for obese/sedentary life styles)
    Diet Modification( Salt/Fatty foods)
    Opthalmoscopic exams (annual routine)
    Weight Management (/control)
    Suger Check ups
    ————————

    Smoking Cessation counselling

    mnemonic= SPANCSTER



    Code:
    Stressor ( any stress in life/tension etc )
    Problems ( Heart /Lung/ CA)
    Advantages ( Improved breathing & Increased energy)
    Nicotine Patch ( I can offer you reading materials )
    Counsellors ( I can refer u/ give # )
    Support systems ( I can refer u /give #)
    Taper down ( if u cant do cold turkey den just taper down a bit)
    Excercise Programs ( eg Swimming )
    Rewards ( reward urself, treat urself with a dinner 4m money saved off of quitting)
    ——————-

    STD / HIV Counselling


    mnemonic:STRIP BIMBO !


    Code:
    SAFE SEXUAL PRACTICES
    TRANSMISSION ( to partners )
    RISKS ( acquiring more STD’s)
    IMMUNIZATIONS ( for Influenza/ Pneumococcal )
    PREVENTION COUNSELLING ( REFER TO SW /CAN GIVE #)
    BEHAVIOUR COUNSELLING (REFER / CAN GIVE #)
    INTERVENTIONAL COUNSELLING ( REFER /CAN GIVE #)
    MEDICATIONS
    BARRIER METHODS (CONDOMS
    OPPURTUNISTIC INFECTIONS/OBSERVATION (FOR LABS)
    ——————–

    HOPI For A CC OF URINARY COMPLAINT

    mnemonic:FINISHED PUBS


    Code:
    Frequency ( How frequent do u Ux)
    Incontinence( Do u hav trouble holding Ux)
    Nocturia ( do u hav 2 wak up @ Night)
    Incomplete emptying ( do u feel fullnes after Ux)
    Stream (How is ur stream?)
    Hematuria ( did u notic any blood)
    Hesitancy (do u hav 2 wait b4 starting Ux)
    Dysuria (Did u hav diff Ux)
    Pyuria ( did u pus in Ux)
    Urgency (do u hav 2 rush)
    Burning (dysuria) (does it burn)
    Strain (Do u hav to strain during Ux)
    ———————-

    OBESITY

    mnemonic:OBESITY-DISC

    Code:
    Osteoarthritis
    Breathing problems
    Excess Cholestrol
    Sleep Apnea
    Increased Incidence Ca’s (Endomet/Breast/Colon)
    Type 2 DM
    hYpertension
    Depression
    Incontinence
    Stress
    Cholelithiasis/Cycle disturbances/Cardiac
    ——————

    Syncope/ Loss of Consciousness/Spells

    mnemonic:CAMPUS


    • CAD
    • Arrythmias/ Aortic Stenosis
    • Migraine/ Meds
    • Psychiatric /Personality disorder( hyperventilation)
    • Unexplained Syncope
    • Seizures/Strokes


    —————–

    D/D Confusion

    mnemonic = DEMENTIA


    • Diabetes /Dementia/ Drugs
    • Epilepsy
    • Migraine/Mult Infarct Dementia
    • Ethanol (withdrawl / Toxicity)
    • Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis)
    • TIA/ Trauma
    • Insulin/ Infections
    • Alzheimers/Abscess




    D/D = BACK PAIN

    mnemonic = LIMCOTS


    • Lumbar Spinal stenosis
    • Intervertebral disc herniation
    • Multiple Myeloma/ Mets (Prostate, Breast ,Lung)
    • Cauda equina synd/ Cancer
    • Osteoporosis/Osteoarthritis
    • Trauma/ TB
    • Strain (muscle)




    Nasuea & Vomiting

    mnemonic= A MOPING

    • Anorexia
    • Metabolic( DKA)/Meds
    • Obstruction (pyloric /Intestinal)
    • Pregnancy
    • Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID)
    • Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess
    • Gastroenteritis




    Dizziness

    mnemonic: DENTAL CAMPUS

    • Diabetic comp ( Orthostatic )
    • Ear problems (Meniere’s/ BPV)
    • Neural tumors/Neuropathy
    • Thyroid
    • Anemia
    • L leave me
    • CAMPUS is same as is for SPELLS/LOC/SYNCOPE




    Mnemonic for orderly HOPI questions

    mnemonic= ABCDF- SIQOR AA ROS

    • Appear/Begin=Duration
    • Context= Precipitation (wht were u doin b4, during ?Anythin different?)
    • Development = Progression (sudden / progressive, Any changes overtime)
    • Frequency= persistent/intermittent ( how often/how long)
    • Site
    • Intensity= 0-10/10
    • Quality = character
    • Other sympt = ROS
    • Radiation= move
    • Aggravation
    • Alleviation
    • ROS

  2. #2
    maxe is offline MedicalGeek Verified
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    Nice Thread

  3. #3
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    binita is offline MedicalGeek Resident
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    wonderful buddy.good going

  4. #4
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    Wow, very helpful stuff! Thank you, some are quite funny!

  5. #5
    amc_friend is offline MedicalGeek Resident
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    very helpful............

  6. #6
    Josiah is offline MedicalGeek Verified
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    very helpful!!! thanks for the sharing! =)

  7. #7
    mazinadel is offline MedicalGeek Verified
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    thank you

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