Mnemonics and Things Flashcards Preview

RC: Exam 2017-2015 + 2017- CPS > Mnemonics and Things > Flashcards

Flashcards in Mnemonics and Things Deck (67):
1

SIGECAPS

Depression:

Depressed or anhedonia x 2 weeks
4 of:
1. Guilt
2. Energy (low)
3. Concentration (low)
4. Appetite (up or down)
5. Psychomotor Agitation or Retardation
6. Sleep up or down
7. Death or SI

Cause distress or impair function
Not due to substance or med dx
Trial med: min. 6-12 months.
Recurrence: 50% in first year.

2

Psychiatry General Treatment Saying

Education
Crisis
Therapy
Pharmacology

3

Bipolar mania criteria

DIGFAST
Elation or irritable x 1 week
3-4 of:
- Distractibility
- Irresponsible (high risk behaviour)
- Grandiosity
- Flight of Ideas
- Activity goal directed or agitated
- Sleep less
- Talkative

+ cause impairment
+ not due to medical dx

4

Separation Anxiety Criteria

Developmental inappropriate
Excessive anxiety w/ separation
x1 month
Min 3 of:
- distress if separated
- refusal to go to school
- fear to be alone
- refusal to sleep without attachment
- worry can lead to separation
- physical (h/a, abdo pain, N/V)

TX: CBT +/- SSRI. Back to school now!

5

Separation Anxiety Associated

Think Panic!

- Panic Disorder
- Tics

6

Generalized Anxiety Dx DSM

What is BE SKIM?

Most day x 6 months (think of things that take a while need a while for dx).

excessive anxiety and worry
hard to control
associated with 1 of: "BE SKIM"
BE SKIM"
- Blank mind (hard to concentrate)
- Easy fatigue
- Sleep disturbance
- Keyed up/ on edge
- Irritable
- Muscle Tension

Tx: CBT +/- SSRI

7

Students Fear the 3 C's

Panic Attack= min. 4 of
- Sweat
- Tremble
- Unsteady/ Dizzy
- De-realization
- Excess HR
- Nausea
- Tingling/ Paresthesia
- SOB/smothering
- Fear of death

Choking, Chills/Flush, Chest Pain

Note: peak 10 min and resolve by 40

8

Which DSM-5 Need one month versus 6 versus 12 months?

1 m= You would do something if this last 1 mo!
- separation anxiety
- panic attack
- PTSD

6 months
- generalized anxiety
- ADHD
- ODD
- CD (6 month of minimal 1 symp and 12 month of 3 symp)
- Schizophrenia

12 months:
- Tourette
- CD (6 month of minimal 1 symp and 12 month of 3 symp)

9

Panic Dx Criteria

min. 1 month
Recurrent panic attack
Worry of more OR change behaviour related to attack (i.e. avoid unfamiliar situation)

Tx: CBT +/- SSRI +/- short term benzo

10

Panic Disorder... and triad of:

= panic!
- separation anxiety
- Tourette
- ADHD

11

OCD DSM5 Criteria

Obsession and/or compulsion
time consuming/distress
not due to substance or psych dx

Obsession= recurrent persistent thought/ urge/ image
Unwanted
Causing distress
Try to ignore or neutralize (i.e. compulsion)

Compulsion= repetitive behaviour, act
To respond to obsession
NOT logically tied
Time consuming

Tx: CBT +/- SSRI

12

Tourette Definition

2 motor + 1 vocal tic
min. 1 year
<18 y.o.
Tx: reassure +/- clonidine

13

PTSD Mnemonic

TTRAUMA
- traumatic event (exposed or actual)
- negative thought (amnesia, blame)
- re-experience (intrusive, flashback)
- avoidance (trauma or related stimuli)
- unable to f'n
- month= x 1 month
- arousal up= irritable, aggressive, self-destructive.

14

ADHD: 6 by 6 mean?

6 symptom x 6 month
< 12 y.o. + 2 settings
w/ functional impairment

RF: M, low birth weight, in utero smoke, FHx

15

ADHD Meds: DAV and RBC

dextroamphetamine class:
DAV = Dexedrine -> Adderall -> Vyvanse

methylphenidate class
RBC = ritalin -> Biphentin -> Concerta

16

ODD DSM criteria

6 month
4 of:
Anger- lose temper, annoy, resentful
Defiant- argue, won't follow rules, blame
Vindictive

Tx: Triple P parents, youth anger management, stimulant, risperidone

17

VTAP psych mnemonic

Conduct Disorder
min. 3 x 12 month and min. 1 x 6 month
- Violation of rules: runs away, stay out
- Theft and defeceitfulness
- Aggression- people + animal
- Property- destroy via fire setting, damage

18

Delirium/Psychosis

DIMS
= drugs (withdrawal, substance use, steroid AE, lead)
= infection (meningitis, encephalitis)
= Metabolic (BG, lytes, low B12, thyroid, adrenal HTN crisis)
= Structure/Sz/ Syncope (trauma, injury, bleed, brain tumour, seizure dx)

19

Bilateral palpable kidney with pulmonary hypoplasia and HTN

Polycystic kidney dx

20

Nephrotic syndrome Triad

Edema (proteinuria > 3.5 g/24h or Pr:Cr > 250)

Low albumin

High Cholesterol

21

MUDPILES

AG Met Acidosis
= Metformin, Methanol
= Uremia
= DKA
= Propylene glycol
= IEM/Iron/ Ibuprofn/ Isoniazid/ Inhalant (cyanide, carbon monoxide)
= Lactic acidosis
= Ethylene glycol
= Salicylates (aspirin)

22

Prune belly syndrome

Deficient abdo muscle
B/L undescended testes
GU (uretheral obstruction, VUR, hydro)

23

HSP triad

Petechiae/purpua
+ 1 of:
- arthritis
- GI (pain, V/D, intussusception)
- renal (IgA nephropathy)
- histology

24

Bartter Syn Mnemonic

Metabolic "Alka-LOW-sis"

high pH + Low K

25

RTA : How to remember distal versus proximal

Type 1= 1 letter= H issue
= I in distal before proximal= Distal tubule

Proximal is opposite= type 2 = bicarb issue.

26

Dialysis Indications

AEIOU
- acidosis (severe intractable)
- electrolytes (high persistent K)
- Ingestion (ASA, Warfarin, Lithium, Carbamazepine)
- Overload or not enough
- Uremia (encephalopathy, pericarditis, bleeding, neuropathy)

27

HTN with low K persistently=

hyperaldosteronism

28

Admission criteria for ED

T < 36.1
HR < 50; < 45 asleep
BP < 80/50; orthostatic
long QT
SI
low K, phosphate, BG, Cl
liver or renal complication
failed outpatient

29

Anorexia Nervosa DSM5

Restricted intake (leading to wt loss)

Fear of gaining weight

Disturbance in weight/shape

30

Bulimia Nervosa DSM5

1/week x 3 months (B= put a 1 and then 3)

Binge eating (eat excessive amount + lack of control)

Compensatory behaviour (laxative, vomit, fast)

(+) Self-evaluation influenced by shape or weight

31

Avoidant Restrictive Food Intake DSM5 Disorder

Eating disturbance

Cause weight in loss OR nutritional deficiency OR dependence on enteral feed OR interfere w/ function

Not due to body image or fear of wt

Not due to other cultural or medical dx

32

Gender Dysphoria DSM5

Incongruence between experienced gender+ assigned x 6 months.

Tx:
no puberty= Lupron
no menses= continued OCP
masculline= T
feminize= estrogen, spironolactone
Top-Sx; bottom as adult

33

Primary screening for substance abuse mnemonic

CRAFT
- Car (driven or ridden along w/)
- Relax (used to relax)
- Alone (used alone)
- Fam and friends tell you to cut down
- Forgotten things while using
- Trouble (gotten into it while using)

34

List contraindication to OCP

Migraine w/ aura
uncontrolled severe HTN
severe cirrhosis
DM w/ late findings
DVT, PE, hx of stroke
SLE w/ (+) antiphospholipid antibody

35

Pelvic Inflammatory Disease Clinical Dx

lower abdo pain + 1
> adnexal tender
> uterine tender
> cervical motion tenderness

More likely if:
- fever
- mucopurulent d/c or WBC on saline prep
- high ESR or CRP

Tx: Cefotriaxone x 1 + Doxy x 14d
PID compilation: chronic pelvic pain, abscess, peritonitis, infertility, fitz-hugh-syndrome

36

Paediatric migraine Criteria

Min. 5 attack
Last 1-72 hour
H/a with: uni/bi lateral, throbbing, mod-severe pain, worse w/ activity
1 of: n/v or photo, phonophobia

37

What is the med overuse h/a rule?

3x3

3x/week x 3 month

38

Epidural hematoma shape

E= F
Foot ball shape= LOC -> Lucid -> Sudden GCS

versus subdural= crescent

39

TS Mnemonic

FAT SEGA RASH

- fibroma (ungal, angiofibroma)
- angiomyolipoma of kidney
- tubers (cortical dysplasia)
- subependymal nodules -> risk of change to supependymal giant cell astrocytoma
- retinal hamartoma
- ash leaf (min. 3; 5 mm hypo pigmented)
- shagreen patch
- heart= rhabdomymoma

Minor Criteria: confetti skin, dental pit, intramural fibroma, multiple renal cyst

Confirm Dx via genetic (TSC1 or 2) OR MRI.
MRI and AUS q 1-3 year.

40

Febrile Seizure age range?

6 mo-6 y.o.
Higher risk if 1d of DTAP or 2 week after MMR.

LP if < 12 month or meningitis.
Risk of febrile sz later= 50%
risk of epilepsy= 2% (vs. 1 % usual)

Higher risk epilepsy= FHX, abnormal neurodevelopment, complex sz (focal, > 15 minute, > 1 sz/24 hour)

41

NF1 mneomonic

CAFEFOGS

Need min. 2 of 7
- cafe au lait (min. 6; 5mm if prepubertal, 15mm if post pubertal)
- axillary or inguinal freckling
- neurofibroma
- eye: Lisch nodule (min. 2)
- (+) FHX
- optic glioma
- skeletal (cortical thinning, sphenoid dysplasia, pseudo arthroses)

42

Sturge Weber Syndrome

SKIN- EYES-BRAIN
= port wine V1
= glaucoma
= leptomeningeal angiomas

43

Breath holding spell age range

Remember same as febrile sz= 6 to 6
6 month- 6 y.o.

Typical 1 minute
cyanotic or pallid
link w/ Fe deficiency
100% resolve by school age

44

Sinus development saying

Ego Means SelF
= ethmoid (air at birth)
= maxillary (present at birth but air @4)
= sphenoid (air at 5)
= frontal (air at 7-8 but not done till teens)

45

AOM Criteria

Acute symptom (i.e. otalgia, fever)
+ Middle ear effusion (otorrhea, immobile TM)
+ Inflammation (bulging, colour TM)

if unwell or fever > 39 and otalgia or waited > 48h= treat (Amox x 5 d versus 10d if < 2y.o.)

46

Tympanostomy Indications

Mastoiditis
Recurrent AOM with middle ear effusion
B/L otitis media > 3 mo. + hearing loss

47

Absolute indication for tonsillectomy

Obstruction
Hemorrhage
CA
TB
Cor pulmonale

48

Obstructive sleep apnea triad

Sleep disruption
Hypoxemia
Daytime Sleepiness

Sequelae: pul HTN, R+ LVH, cor pulmonale

49

Recurrent tonsillitis paradise criteria

7 in 1; 5 in 2; 3 in 3

50

When to bronch a FB:

witnessed episode
object= peanut
P/E findings (wheeze, reduced AE, long expiration)
XR: air trapping or consolidation.

51

What is an enlarged RPA/cellulitis on XR

soft tissue > 1X width of vertebral body
C2 > 7mm
C6 > 14 mm

52

Neck mass mnemonic

COIN
= congenital
= other
= infection/ inflam
= neoplasm (i.e. SCM tumour)

53

Malignant node on US

> 1 cm
not echogenic
necrotic
high resistance index

BX if > 2 cm, neonate, firm, supraclavicular, no change x 4 week or B symptoms.

54

What are the four steps in big picture management of all PID?

Abx - Immunoglobulin -- Prophylaxis -- HSCT

> Antimicrobial (Tx active infection)

> Immunoglobulin (i.e. IgG for XLA, SCID, Wiskott)

> Prophylaxis (i.e. PCP = Septra for SCID, Wiskott-Aldrich, and CGD, Hyper IgE, Leukocyte adhesion, Pen for Complement)

> Vaccinate (mening + pneumo for Complement) (think complement!)

>HSCT (for combined type SCID, Wiskott, CGD, Leukocyte Adhesion)= cellular + phagocyte!

55

TIE mnemonic for which PID

Wiskott Aldrich Syndrome
= Thrombocytopenia
= Immunodeficiency (combined; recurrent pyogenic infection)
= Eczema

56

How do you remember the pattern of immunoglobulin in Wiskott-Aldrich?

Wiskott Whiskey
= EthAnol make Mentation go down

IgE, IgA UP
IgM down

57

Neuromalignant Syndrome versus Serotonin Syndrome

BOTH autonomic dysf'n

NMS= Hot Lost Rigid
= temp up, altered LOC, muscle rigidity
*check CK*

Serotonin Syn= HARMED
= hyper-Temp
= Autonomic
= Rigid, DTR ++
= myoclonic jerk, myradiasis
= Encephalopathy
= DTR ++ or dilated pupil

58

Shwachman-Diamond Triad

Exocrine pancreas issue (low DAEK)

Cytopenia (neutropenia esp)

Bone (metaphyseal dystosis, thoracic dystrophy, short stature)

Remember: cancer risk (AML)

59

Meckel's Diverticulum. Rule of __?

2's!

2y.o.
2% of population
2X M> F
2 feet proximal to ileoceccal valve
2 inches long
2 mucosa (gastric, pancreatic)

Test: Radionuclide Meckel's (Tc99 m) scan
Tx: Sx resection

60

Intussusception triad

Pain-Mass-Blood

Abdominal pain
Palpable Sausage shaped abdo Mass
Bloody currant jelly stool

61

Celiac Association

Williams
T21
Turners
T1 DM
Sjogren
Addison
Primary Sclerosing Cholangitis

62

Pancreatitis Saying

GOTCHA IBD and CF
- IBD
- CF
- Gallstones or biliary slide
- Other= Meds (imuran, steroids, idiopathic)
- Trauma
- Ca2+
- HSP, hyper lipid
- Aziothioprine/Imuran

63

Intrahepatic biliary atresia or butterfly vertebrae?

Alagille Syndrome

Broad forehead with long straight nose
Posterior embryotoxon
Conjugated bili
Butterfly vertebrae
PPHS murmur
Pancreatic insufficiency
Short

64

Hep B interpretation rules

Any antigen= infection

C= current or chronic (core ANTIGEN is either; core antibody means chronic!)

65

GIR formula

% dextrose x TFI / 144

66

Expected survival for extreme prem BB

22 wk= 20% (1/2 NDD)
23 wk= 40% (1/2 NDD)
24 wk= 60% (1/3 NDD)
25 wk= 80% (1/4 NDD)

67

Trisomy 18 versus 13 ways to remember?

T18= Eighteen= E= Edward
"Tiny cute dysmorphic"
- Elongated skull
- Digits clenched
- Warrior or shield chest
- Apnea
- Rocker Bottom Feet
- Dysplasia feet and low IQ

T13= Patau= PPP= All midline!
- cleft palapte
- dysplastic ears
- polydactyly
- undescended testes