Step 2 CS Mnemonics

7/28/2019 Step 2 CS Mnemonics

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MNEMONICS FOR STEP 2 CS

HPI (history of present illness)

Ask for: LIQOR AAA

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

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.....)

WAD SAD TOES for social history.

W-Weight

A-Appetite

D-Diet

S-Smoke

A-Alcohol

D-Drugs

T-Travel


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O-Occupation

E-Excercise

S-Stress

Differential diagnosis checklist

DIRECTION:

Drugs

Infection

Rheumatologic

Endocrine

Cardiovascular

TraumaInflammatory

Other

Neoplasm

For Social History I use TIA SHOE:

T obacco

I llicit drigs

A lcohol

S exual

H ouse life

O ccupation

E ating (diet)

LIQOR AAAAAlast 2 A = associated q for d/d like weight lifting, travel history

A= associated effect on sleep,diet & functioning

FOR PEDIATRIC HISTORY.


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O- odor

D- duration

Depression.SIGEMCAPS

S-sleep

I-interest

G-guilt,gun

E-energy

M-mood

C-concentration

A-appetite

P-psycomotor

S-suicide

want to add few more to these.......

M- mood ( already in list )

D - Delusion / hallucination

M - memory

A- attitude towards life ( positive negative frame of mind)

T - thyroid dysfunctions

also need to ask ----- do u realize that u have problem ?????

and do u want help ??????( if patient was sent or asked by anyone to consult doc )fatigue...IMP

ADH

I-infectin

M -malignancy

P-ptsd

A-abuse

D-depression

H-hypothyroidism

For Spousal abuse, I have read the acronym SAFEGARDS some

where.Can some complete it for me or give more add ons

S= Safety inquiry (Do you feel safe at home?)

A= Alchol abuse (does your hubby abuses alchol?)

F= Friends/Family who are aware/Fractures ( Dos any1 f ur friend/Fx

knw f dis/Abuse ever resulted in fractures?

E=Emergency plan (do u hav an emergency plan?/Ever tried to leave/


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divorce? why not?

G=Guns at home (are dere any weapons @ home?

A=any escape plan ?

R=Relationships with husband (how is ur relationship wid hubby? -->

do you feel threatened wen he is around?

D=Depression/Drugs (hav u lost wt appetite sleep ) does hubby dos

drugs

S=Suicidal ideation (ever felt like ending it all up? )

Insomnia counselling =ABCDEFGHJKLMN

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 = SMILE SAM

Supportive (of the child)Monitor Intake (@ Day)

Limit (@ Night)

Encourage Washroom( @ bedtime)

Sheets ( Rubber flannel sheets)

Alarms ( >5yrs )

Motivate (thru Rewards)

Conselling DM & HTN= MEDOWS

Medications (regularity)

Excercise ( for obese/sedentary life styles)Diet Modification( Salt/Fatty foods)

Opthalmoscopic exams (annual routine)

Weight Management (/control)

Suger Check ups

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Smoking Cessation counselling = SPANCSTER

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

STRIP BIMBO !

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

(b)FINISHED PUBS(/b)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)

CC of Memory Loss/Dementia/Alzheimers/MID/Creutfeldt jakob/

Pseudotumor cerebrii etc

HOPI Particularts to ask -ADL = Activities of daily living = DEATH


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Dressing

Eating

Ambulation (can u find ur way thru home)

Toiletry (do u manage ur toiletry un assisted)

Housing

IADL - Instrumental acitivities of daily living =SHAFT

Shopping

Housekeeping? unsure about that

Accounting

Food (do u do ur cooking ,etc)

Transportation (do u drive )

Shoulder pain case ( I read this one somewhere)

DEFORMS

Dislocation ( Ant/Post)Elderly Abuse

Fracture ( Head/Shaft)

Osteoporosis /Osteoarthritis

Rotator Cuff Tear

Multiple myeloma

Subacromial Bursitis

OBESITY

OBESITY-DISC

OsteoarthritisBreathing problems

Excess Cholestrol

Sleep Apnea

Increased Incidence Ca's (Endomet/Breast/Colon)

Type 2 DM

hYpertension

Depression

Incontinence

Stress

Cholelithiasis/Cycle disturbances/Cardiac

Psychiatric Hx Checklist

MISS SPEARS PAD MATCHED


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Check list accordingly :- Numbness weakness/Headach ,Flashes, N/V /

Jerky movements, LOC/ Insulin use /PHx Trauma/FHx of Alzheimer +

Risk factor screen (Cholestrol,HTN,DM etc). For Suspected DEMENTIA

=Instrumental inquiry = SHAFT Q's (Shop/Housekeep/Aaccount/Food

prep/ Transport) , & Daily activity inquiry =DEATH Q's (Dress/Eat/

Ambulate/Toilet/Hygiene)

D/D = BACK PAIN

Pneumonic = LIMCOTS

Lumbar Spinal stenosis

Intervertebral disc herniation

Multiple Myeloma/ Mets (Prostate, Breast ,Lung)

Cauda equina synd/ Cancer

Osteoporosis/Osteoarthritis Trauma/ TB

Strain (muscle)

Check list= SIQQOR AAA & then ROS =Age/ Bone pains/

constipation=MM/Bowel, bladder/Relieving factors/ Phx of trauma/

Surgical Hx(Prostate) /Chest pain,hemoptysis ,Fever &chills/ With bone

& joint problems =Functional impairment (SOS=Help)Q's i.e Sleep/

Occupation/Suport

Nasuea & Vomiting = A MOPING Anorexia

Metabolic( DKA)/Meds

Obstruction (pyloric /Intestinal)

Pregnancy

Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID)

Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess

Gastroenteritis

Dizziness is 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

Here's a mnemonic for the ObGyn Hx :


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B-BOWEL HABITS.,

C-CONSTIPATION

D-diarrhea

E-EATING HABITS.

F-FEVER

H-HAEM IN STOOL

I-incontinence

J-JAUNDICE

M-medications eg iron tabs causin constipation or antibiotics causin

diarrhea

N-nausea

O-OFCOURSE nausea followed by VOMITING

P-pain abdomenTrauma pt ask for AMPLE

A Allergy

M Medication

P past med Hx

L Last meal

E Events before accident

Menstrual History FM DIAL

F Frequency

M Menarche


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Documents

Step 2 CS Mnemonics