Hx Mnemonics Flashcards Preview

Step 2 CS - Minicases > Hx Mnemonics > Flashcards

Flashcards in Hx Mnemonics Deck (15):
1

OB/GYN Hx

First Menarche
LMP -- Regular? Length? Flow? Pads?
Grava Para

LMP RTV CS PAP L => LMP (when was ur LMP?)M => Menarchae, Menopause (how old were u when u had ur 1st period?)P => Period (how many days ur period last?), Pain during intercourse => dyspareuniaR => Regularity (R ur periods regular?)T => Tampoons/pads (how many pads do u use in a heavy day?)V => Vaginal DID : Discharge, Itching, Dryness (have u ever had any vag discharge? ABCDO - Amount, Blood, Color, Consistency, Content, Duration, Odor; do u have any vag. Itching?)C => Cramps (Dysmenorrhea) (do u have abd cramps with ur period?)S => Spotting (intermenstrual / post coital) (Have u ever bled btw ur cycles? Did u ever notice any bleeding after intercourse?)P => Pregnency ( Hx & complications) (Have u ever been pregnant? How many times?)A => Abortion/miscarriage (Any miscarriages or abortions? In which month of ur pregnancy?)P => PAP smear (Have u been getting regular PAP sm? When did u have the last PAP sm? Was it normal?)

2

Amenorrhea

FLAG HIV WC F => FatigueL => LibidoA (2) => Anorexia nervosa; Anxiety & Depresion G (2) => Galactorrhea; Gonnorhea - STDs H (3) => Hair & skin changes ( for Hypothyroid/Hirsutism of PCOS); Headaches; Hot flushes I => InsomniaV (2) => Visual disturbance / Voice change “Deep” WAD => Weight change & Appetite & DietC (2) => Cold intolerance & Constipation

3

Premenopause

Hot Flash
Vaginal Dryness
Bone Density
DrynessHA! DOC  H => Hot flashesA => Atrophy of vaginaD => Dryness of vaginaO => Osteoporosis (council) “increase wt bearing exercise, vit D-Ca” C => Coronary artery diseaseAny Female >50 yr : R u taking vit.D & Ca? Have u ever tried HRT?

4

Neuro cases

CAP HIT NSGB + MMSEC (2) => Confusion “after the event”; Consciousness “LOC; duration?” A => Aura “b4 problem; Sounds, Lights, Smell” P => Palpitations H (2) => Headache/lightHeaded & Hearing loss/tinnitus I => Incontinence “urine/Bowel”T (2) => Tongue biting & Trauma& fall N => Nausea/vomit & Numb/tingling/weakness S (5) => Sleep disturbance; Sight difficulties; Speech difficulties; Seizure (duration?); Spinning G => GaitB => Breathing difficulty  NB: in case of MVA (Motor Vehicle Accident); ask about last meal !

5

“LOC” => Loss Of Conciousness

Before -- Aura? Palpitation? Dizzy? Vision? Nausea/vomit? Difficulty breathing? 

During -- Attending person? Seizure? Foam at mouth?Incontinence? Bite Tongue? 

After-- Confusion? Unable to Concentration? Weakness? tingling? numbness? Gait?

6

MMSE

NLB=R,SIR N => Name (Please tell me your full name?)L => Location (Where are we right now?)B => Birth (What is your date of birth?)R => Remember (I’m going to tell you 3 different names and you have to repeat after me => C-A-T “Cat, Apple, Tree”, now please try to remember them, I will ask you to repeat them later)S => Spell backwards (spell ‘rain’ backwards?)I => Instruction => Eye (close/open your eyes)I => Identify (Now I'm going to point at 3 different objects - Please tell me their names)R => Recall (Now tell me what were the three names I told you to remember earlier)

7

Forgetfulness (Memory Loss /Dementia/Alzheimer’s); ADL - Activities of Daily Living; IADL - Instrumental Activities of Daily Living 

FORGETS HIM + DEATH (ADL) SHAFT (IADL) + MMSE F => Fall/ FAINTING / Flashes/ FHx of AlzheimerO => ORTHOSTATIC HYPOTENSION “Lightheadedness”R => RUNNING URINE “INCONTINENCE”G => GAITE => EYE “VISION”T => TRAUMA/TINGLING & Numbness & WeaknessS => SEIZURES/ Sleep/ Speech/ Support H => HEADACHEI => INFECTION [SYPHILIS, MENINGITIS] M => MOOD “feel sad” D => Dressing E => EatingA => Ambulation (can you find your way thru home)T => Toiletry (do you manage your toiletry unassisted) H => HygieneS => ShoppingH => HousekeepingA => Accounting “pay bills”F => Food prep (do u do your cooking )T => Transportation (do you drive? How is your sight, hearing?)

8

Foot/Heel/Knee/Shoulder/Back pain

WET SURF-D-CIS
* Weakness / weight loss
* Eye infection / exposure to cold effects
* Trauma / tenderness / tingling or numbness / tick bite
* Stiffness (morning) / swelling / standing hours 
* Urethral discharge / ulcer / use 
* Rash / redness / rom / rheumatologic 
* Fever, chills, night sweats / fatigue / footwear 
* Deformity / disability / dysuria
* Cancer 
* IV drugs 
* Steroids for a long time 

9

Depression

SIGME CAPT + 2 + MMSE 
* Sleep, suicide, support, stress
* Interest
* Guilt
* Mood, memory
* Energy level
* Concentration
* Appetite, weight / Attitude
* Psychomotor, psychiatric Thyroid => ABCD HV for hypothyroidism
* Do you realize you have a problem ? 
* Do you accept getting help ?

10

Hearing loss

PDF IN RST
* Pain 
* Discharge 
* FB 
* Infection / Imbalance
* Noise 
* Ringing
* Spinning
* Trauma / tinnitus

11

THYROID

ABCD HV
* Appetite, weight, diet / Apathy
* Bowel movements 
* Cold intolerance 
* Depression => SIGME CAPT 
* Hair and skin
* Voice change 

12

Nasuea & Vomiting

MANGO IP
* Metabolic / Meds 
* Anorexia 
* Neurological => BETA => Bleed, Encephalitis, Tumor, Abscess
* Gastroenteritis 
* Obstruction
* Inflammation - Itis 
* Pregnancy 

13

Erectile dysfunction

LIM PENIS
* Libido
* Injury
* Medication use , Mellitus - diabetes 
* PMH, Pyrenoi's, Performance anxiety 
* Erections in the morning
* Nocturia, neurologic disorders
* Incontinence - urine, stool 
* Stress / depression 

14

Domestic Abuse

SAFE GARDS 
Safety/Sex ever inforced : do you feel safe at home ?
Alcohol abuse/Addictions : does your husband use recreational drugs ? does your husband drink alcohol ? 
Family/Fractures - does anyone from your family/friends know about your situation ? Have you ever had fractures from the abuse ?
Emergency plan - do you have an emergency plan ? have you planned your escape ? why ?
Guns at home - are there guns at your home ?
Afraid/Attacked with weapons/Attacked children
Relationship with husband
Depression - SIGME CAPT

Suicidal - idea/plan/attempt, have you ever felt like ending it all up ?

15

Diabetic patient

DIABETICS
* Duration of disease; Diet; 
* Insulin treatment or oral drugs ? - type, dosages, times, injections sites, side effects 
* A1c Hg => glucose monitoring, Appetite, diet weight, Abdomial complaints - gastroparesis ?
* Blurry vision - retinopathy 
* Extriemities - foot ulcer/infection; Exercise; Eye exam on yearly basis 
* Tingling/numbness/neuropathy, Treatment compliance
* Infections
* Cardio : hypertesion, angina, hypercholesterolemia, 
* Sugar checkup/Sexual performance;