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?

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

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:

Abdominal swelling causes 5 F's: Fat Feces Fluid Flatus Fetus Full-sized tumors

Vomiting: non-GIT differential ABCDEFGHI: Acute renal failure Brain [increased ICP] Cardiac [inferior MI] DKA Ears [labyrinthitis] Foreign substances [Tylenol, theo, etc.] GlaucomaHyperemesis gravidarum Infection [pyelonephritis, meningitis] 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. Sign vs. symptoms Ign: something I can detect even if patient is unconscious. sYMptom is something only hYM knows about. 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 Differential diagnosis checklist "I VINDICATE": Iatrogenic Vascular Infectious Neoplastic Degenerative/ Drugs Inflammatory/ Idiopathic Congenital Allergic/ Autoimmune Traumatic Endocrinal & metabolic

Branham sign: definition BRAnham sign: BRAdycardia after compression or excision of a large AV fistula.

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)
Aphasia "BROKen aphasia" (Brocas aphasia-broken speech) "Wordys aphasia" (Wernickes aphasia- wordy, but making no sense) The 4 P's of arterial Occlusion: pain pallor pulselessness paresthesias The 4 T's of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma

Anti-arrythmics: for AV nodes [ID 2508] "Do Block AV": Digoxin B-blockers Adenosine Verapamil Aortic regurgitation: causes [ID 3074] CREAM: Congenital Rheumatic damage Endocarditis Aortic dissection/ Aortic root dilatation Marfans Aortic stenosis characteristics Hi Yield [ID 197] SAD: Syncope Angina Dyspnoea Atrial fibrillation: management Hi Yield [ID 2469] ABCD: Anti-coagulate Beta-block to control rate Cardiovert Digoxin Beck's triad (cardiac tamponade) Hi Yield [ID 660]

3 D's: Distant heart sounds Distended jugular veins Decreased arterial pressure Betablockers: cardioselective betablockers Hi Yield [ID 1537] "Betablockers Acting Exclusively At Myocardium" _ Cardioselective betablockers are: Betaxolol Acebutelol Esmolol Atenolol Metoprolol Coronary artery bypass graft: indications Hi Yield [ID 1607] DUST: Depressed ventricular function Unstable angina Stenosis of the left main stem Triple vessel disease Heart compensatory mechanisms that 'save' organ blood flow during shock [ID 433] "Heart SAVER": Symphatoadrenal system Atrial natriuretic factor Vasopressin Endogenous digitalis-like factor Renin-angiotensin-aldosterone system _ In all 5, system is activated/factor is released Heart failure: signs [ID 3194] TAPED TORCH: Tachycardia Ascites Pulsus alternans Elevated jugular venous pressure Displaced apex beat Third heart sound Oedema Right ventricular heave

Crepitations or wheeze Hepatomegaly (tender) MI: therapeutic treatment MONAH: Morphine Oxygen Nitrates Aspirin Heparin Mitral stenosis (MS) vs. regurgitation (MR): epidemiology [ID 996] MS is a female title (Ms.) and it is female predominant. MR is a male title (Mr.) and it is male predominant. Murmurs: louder with inspiration vs expiration Hi Yield [ID 3061] LEft sided murmurs louder with Expiration RIght sided murmurs louder with Inspiration. Murmurs: questions to ask [ID 3073] SCRIPT: Site Character (eg harsh, soft, blowing) Radiation Intensity Pitch Timing Myocardial infarctions: treatment Hi Yield [ID 2181] INFARCTIONS: IV access Narcotic analgesics (eg morphine, pethidine) Facilities for defibrillation (DF) Aspirin/ Anticoagulant (heparin) Rest Converting enzyme inhibitor Thrombolysis IV beta blocker Oxygen 60% Nitrates

Stool Softeners Pericarditis: EKG Hi Yield [ID 1067] "PericarditiS": PR depression in precordial leads. ST elevation. Sino-atrial node: innervation [ID 1713] Sympathetic acts on Sodium channels (SS). Parasympathetic acts on Potassium channels (PS). Supraventricular tachycardia: treatment Hi Yield [ID 1737] ABCDE: Adenosine Beta-blocker Calcium channel antagonist Digoxin Excitation (vagal stimulation) Ventricular tachycardia: treatment Hi Yield [ID 1739] LAMB: Lidocaine Amiodarone Mexiltene/ Magnesium Beta-blocker