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    Thread: Mnemonics for USMLE Step 2 CS cases

    1. #1
      CøMa's Avatar
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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
      binita's Avatar
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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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