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94 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Headaches d/d?
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MEAT CAPS
Migraine, Meningitis, Epidural hematoma, Encephalitis Acute HTN Trigeminal Neuralgia, TMJ, Temporal Arteritis, Tension, Thrombus Carotid artery dissection, Cluster, Caffeine, Concussion A brain tumor Pseudotumor Cerebri Subdural Hematoma, Subarachnoid, Sinusitis |
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Dizzyness/Confusion d/d?
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MOVing LABS
Meniere's Orthostatic HTN Vestibular Neuronitis, Vertebrobasilar insuff. Labrynthitis Acoustic Neuroma BPV |
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Fatigue d/d?
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NAP PODS
Narcolepsy Anemia PTSD Post partum Depression OSA Depression Subthyroid |
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Confusion/Memory loss d/d?
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Memory VANISHED
Medications Vascular Events Alzheimers, Alcohol, Arrythmia NPH ICP, Insomnia Subdural, Syphillis Hypothyroid, Hypoglycemia, Head injury Emotional Dementia, Delerium, Drug Abuse |
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Numbness/Weakness d/d?
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GUMMY TOADS
Guillan Barre U need B12 Myositis Myasthenia Gravis,MS Y TIA Out of Ca, or sugar AML, Alcohol Diabetic Syringomyelia, Stroke, Subdural |
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Abdominal Pain d/d?
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Dev's GAS PAIN
Dysmenorrhea Ectopic, Endometriosis Vaginitis GERD, Gallstones Appendicitis Splenic infarct, sickle cell, sclerosing cholangitis Pyelonephritis, PUD, Pancreatitis Acute Ulcer Ischemic bowel, IBD Nephrolithiasis |
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Night Sweats d/d?
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HALT
Heat Acute HIV Lymphoma, Leukemia Tuberculosis |
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Insomnia d/d?
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MOCAS
MDD OSA Circadian disorder, Caffeine A Stress |
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Sore Throat d/d?
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My Throat SPAM
Mycoplasma, Strep, Smoking, Syphillis Pharyngitis Acute HIV/Hepatitis Mononucleosis |
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Cough/SOB d/d?
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CT Lung GAPS
COPD, CHF, Cryptococcus TB and The Bronchitis Lung Abscess, Cancer GERD Asthma, Atypical Pneumo Pneumonia, pneumothorax, PE Strep, Smoking |
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Chest Pain d/d?
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PAPA MI CHEST
Pericarditis, Pancreatitis Angina PE, pneumothorax Aortic dissection MI Costochondritis H Esophageal Spasm, esophagitis Sickle Cell The GERD |
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Dysphagia d/d?
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Throat SEEZA
Sclerosis Esophageal Cancer Esophageal Stricture Zencker's AML, Achalasia |
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Constipation/Diarrhea d/d
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DIGEAST
Diverticulosis IBD Gastritis, Giardiasis Enterocolitis Acidosis(Lactic), Angiodysplasia Small Bowel Lymphoma, Seritonin syndrome Thyroided |
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Blood in stool d/d?
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PAID Up CASH
PUD, proctitis Angiodysplasia Ischemic Bowel Dysentary, Diverticulosis Upper GI Bleed CRC Anal Fissure S Hemorrhoid |
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Hematuria d/d?
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PANIC
Pyelonephritis Acute Trauma Nephrolithiasis In the Glomerulus(GNitis) Cancer |
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Amenorrhea d/d?
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PHAT PUS
Pregnancy Hypothyroid, Hyperprolactinemia Anorexia, Anxiety, Anovulation Thyroid PCOS, Premature ovarian failure UTI S |
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Vaginal Bleeding d/d?
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CHROME PAD
Cervical Cancer Hypothyroid? Ruptured Cyst Ovarian Torsion Molar Pregnancy Ectopic pregnancy, Endometrial Cancer PID, Polyps Atrophic Endometrium DUB |
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Anemia d/d?
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TICS HAMS KAT MAPS B FORMAL
Thalessemia Iron deficiency Chronic Disease SIderoblastic Hemolytic Acute blood loss Medication Kidney(EP) Anemia of chronic disease, Aplastic Thyroid Myelopthistic Pituitary B12 Folate Meds(MTX) Liver Dz |
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Past Medical History Acronym
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PAM HUGS FOSS
Past medical problems Allergies Medications Hospitalizations Urinary Problems GI problems Sleep Family Hx ObGYN Hx Sexual Hx Social Hx |
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HEENT Investigations?
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1. X-Ray, MRI, CT
2. Eye - Snellen Chart, Visual Acuity 3. Ear - Audiometry, tympanometry and Culture/Sensitivity for discharge 4. CBC with Diff,ESR |
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CNS Investigations?
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1. CBC with Diff, ESR
2. X-Ray, CT, MRI 3. LP 4. Carotid Doppler 5. EEG 6. EMG 7. EchoCardiogram |
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Musculoskeletal Investigations?
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1. CBC with Diff, ESR
2. X-Ray 3. Joint Aspiration for Culture/Sensitivity, cytology and crystals 4. Rheumatic Factor, HLA B-27 5. Serum Uric Acid Levels 6. ANA, anti-DsDNA 7. Muscle Biopsy |
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CVS investigations?
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1. EKG and Echocardiogram
2. Cardiac enzymes 3. CXR 4. Lipid profile 5. Thyroid screen 6. Serum Electrolytes |
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Respiratory investigations?
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1. CBC with Diff, ESR
2. CXR 3. Sputum Studies(Culture/Sensitivity, gram stain, AFB) 4. PFT's and spirometry 5. PPD 6. ABG and pulse Ox |
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Abdominal Investigations?
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1. CBC with Diff, ESR
2. KUB 3. Abdominal X-ray 4. U/S abdomen 5. LFTs 6. CT abdomen/pelvis 7. UGI Series - Barium Swallow, Endoscopy, ERCP 8. LGI Series - Barium Enema, Colonoscopy 9. Fecal Occult Blood, Rectal Exam 10. Pancreatic Enzymes 11. Renal Function tests |
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Endocrine Investigations?
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1. CBC with Diff, ESR
2. Blood Sugar 3. Serum Electrolytes 4. Serum Calcium 5. Thyroid Panel(T4/T3/TSH) 6. 24 Hour urinary Catecholamines and metabolites 7. Urine ketones and sugar |
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Psych Investigations?
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1. CBC and ESR
2. CT, MRI of Brain 3. Thyroid Screen 4. Electrolytes 5. Urine Analysis 6. Drug Screen 7. HIV screen |
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History of Chief Complaint?
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FORDPAPP
Frequency Onset Relieving Duration Precipitating factors Associated Sx Previous Episodes Progression |
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Pain Questions?
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1. Do you have pain?
2. When start? 3. How Long had? 4. How long last? 5. How often? 6. Where is it? 7. Show me? 8. Radiates? 9. Quality? 10. Constant? 11. Scale of 1 to 10? 12. What caused it? 13. Anything makes it better? 14. Anything makes it worse? 15. Had similar pain before? |
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Nausea Questions?
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1. Are you nauseated?
2/ Do you feel sick to your stomach? |
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Vomitting Questions?
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1. Did you vomit?
2. What color? 3. Any blood? |
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Cough questions?
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1. Do you have a cough?
2. When started? 3. How often is it? 4. Any phlegm or is it dry? 5. Color? 6. Blood? 7. Amount? 8. Anything better? 9. Anything worse? |
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Headaches Questions?
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1. Do you get headaches?
2. Tell me about them 3. tell me what happens before/during/after your headaches 4. How often? 5. How long lasts? 6. Show me where it is? 7. What causes them? 8. Any time of day? 9. Do they wake you up? 10. Makes them worse? 11. Makes them better? 12. Describe them? sharp, dull, pulsating, pounding or pressure 13. Vision changes? 14. Numbness or weakness before or after? 15. Feel nauseated or do you vomit? 16. Stiff neck/fever? |
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Fever questions?
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1. Do you have a fever?
2. Do you have chills? 3. Do you have night sweats? 4. Do you sweat at night? 5. How high is the fever? |
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SOB questions?
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1. Do you get SOB?
2. Get SOB with climbing stairs? 3. How many steps before it starts? 4. When did it start? 5. When do you feel SOB 6. What makes it worse? 7. Makes it better? 8. Do you wake up SOB at night? 9. Do you need to prop yourself up with pillows at night? 10. How many? 11. How far can you walk without SOB? 12. Noticed any fluid retention in ankles? |
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Urinary questions?
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1. Any change in habits?
2. Any pain or burning? 3. Change in color? 4. How often do you pee? 5. Do you wake up at night? 6. Difficulty urinating? 7. Do you feel like you have not completely emptied your bladder afterwards? 8. Do you strain/push? 9. Any weakness in your stream or dribbling? 10. Any blood in urine? 11. Feel like you need to go all the time? 12. Do you feel like you have little time to make it to the BR once you feel the urge? |
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Bowel Sx Questions?
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1. Any change in movements?
2. Diarrhea? 3. Constipation 4. How long of either? 5. What color? 6. How many movements per day/week? 7. Any mucus or blood in it? 8. Any pain with passing? 9. did you travel anywhere? 10. Do you feel strain and little comes out? 11. Lost control of your bowels? 12. Do you feel like you have little time to make it to the BR once you feel the urge? |
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Weight Questions?
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11. Any change in weight?
2. How many lbs gain/lost? 3. Over what period of time? 4. Was it intentional? |
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Appetite?
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1. How is it?
2. Any changes? |
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Diet?
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1. Has there been any changes?
2. What do you eat normally? 3. Eaten anything unusual? 4. What did you eat before it started? 5. Are you on a specialized diet? |
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Sleep?
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1. Do you have problems sleeping?
2. Do you have probelms staying asleep? 3. Problems waking? 4. Do you feel refreshed? 5. Do you snore? 6. Feel sleepy during day? 7. How many hours do you sleep? 8. Use pills to help you sleep? |
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Dizzyness questions?
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1. Do you ever feel dizzy?
2. Tell me what you mean by dizzy? 3. Did you feel the room spiining or did you feel light headed and about to pass out? 4. Did you black out? 5. Did you lose conciousness? 6. Did you notice any change in your hearing? 7. Do your ears ring? 8. Do you feel nauseated? Do you vomit? 9. What causes the dizzyness to happen? 10. What makes you feel better? |
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Joint pain questions?
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1. Do you have any painful joints in your body?
2. Do you have pain in any of your joints? 3. Have you noticed any rash with your joint pain? 4. Is there any redness or swelling of the joint? |
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PMH wuestions?
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1. Have you had this problem or anything similar before?
2. Have you had any other major illnesses before? 3. Do you have any other medical problems? 4. Have you been hospitalized before? 5. Have you had any surgeries before? 6. Have you had any accidents before? 7. Are you taking any meds? 8. Are you taking OTC drugs, vitamins or herbs? 9. Do you have any allergies? |
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Family hx questions?
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1. Does anyone in your family have the same problem or something similar?
2. Are your parents alive? 3. Are they in good health? 4. What did they die of? 5. Are your siblings alive? 6. Are they in good health? |
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Social hx questions?
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1. Do you smoke?
2. How many packs a day? 3. How long? 4. Do you drink? 5. What do you drink? 6. How much do you drink per week? 7. Recreational drugs? 8. Which ones? 9. How often? 10. Do you smoke or inject them? 11. What type of work do you do? 12. Where do you live? With whom? 13. Tell me about your life at home? 14. Are you married? 15. Do you have children? 16. Do you have a lot of stress? 17. Are you exposed to environmental hazards at your job? |
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Alcohol hx questions?
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1. How much do you drink?
2. Tell me about your use of alcohol? 3. Have you ever had a drinking problem? 4. When was your last drink? 5. CAGE Cut down? Annoyed by criticism? Guilty? Eye opener? |
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Sexual Hx questions?
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1. Are you sexually active?
2. Do you use condoms? Or contraception? 3. Are you sexually active? With men, women or both? 4. Tell me about your partners? 5. How many have you had in the past year? 6. Do you currently have one or more than one? 7. Have you ever had an STD? 8. Do you have any problems with sexual function? 9. Do you have any problems with erections? 10. Ever been tested for HIV? |
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OBGYN hx questions?
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1. What age first menstrual period?
2. How often do you menstruate? 3. How long does it last? 4. When was your LMP? 5. Have you noticed any change in your periods? 6. Do you have cramps? 7. How many pads or tampons per day? 8. Have you noticed any spotting? 9. Have you ever been pregnant? 10. How many times? 11. How many children? 12. Have you ever had a miscarriage/abortion? 13. In what trimester? 14. Do you have pain during intercourse? 15. Do you have any vaginal discharge? 16. Do you have any problems controlling your bladder? 17. Have you had a pap smear before? |
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Pediatric hx questions?
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1. Was your pregnanacy full term?
2. Did you have routine checkups, how often? 3. Did you have any complications during pregnacy, delivery, or after delivery? 4. Was an U/S performed during pregnancy? 5. Did you smoke, drink or use any drugs? 6. Was it vaginal or C-section? 7. Did you child have any medical problems after birth? 8. When did your child have their first bowel movement? |
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Growth and development questions?
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1. When did your child first smile?
2. When first sit up? 3. When first start crawling? 4. When first start talking? 5. When first start walking? 6. When learned how to dress themselves? 7. When first tie shoes? 8. When start using short sentences? 9. When start putting things in mouth? |
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Feeding hx quesitons?
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1. Did you breast feed?
2. When first start eating food? 3. How is child's appetite? 4. Does your child have any allergies? 5. Is your childs formula fortified with iron? 6. Are you giving your child pediatric multi vitamins? |
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Routine care?
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1. Immunizations?
2. Date of last check up? 3. Any serious illnesses? 4. Any medications? 5. Ever been hospitalized? |
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Night Sweats
D/D? Investigations? |
MIME
Meds(SSRI, Cholinergics, Hypocalcemics) Infections (TB, HIV, Endocarditis) Malignancy (Lymphoma, Solid tumors) Endocrine (Hyperthyroid, Pheochromocytoma) |
CBC
ESR Blood Culture AFB CXR PPD TSH ELISA(HIV) CT Chest and Abdomen for Lymphoma |
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Back Pain
D/D? Investigations? |
DOMP
DJD, Disk Prolapse Osteoporosis vertebral fracture Muscular Strain Pathologic Fracture |
Lumbar XR
DEXA Scan Ca, PO4, Alk phos Protein Electrophoresis CBC ESR |
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Chronic Cough
D/D? Investigations? |
CT Lung GAPS
COPD, Chronic Bronch TB, The Job Lung Cancer, Lung Abscess GERD Asthma, Pneumonia, Post nasal Drip Strep, Smoking |
CBC w/ diff
Sputum Culture w/ AFB PPD Electrolytes CXR as needed PFTs |
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Chronic Diarrhea
D/D? Investigations? |
SOFI
Secretory (Bacterial Toxins, Endocrine-thyroid pheo) Osmotic (Laxatives, Carb malabsorption) Fatty (Celiac dz, Short bowel syndrome) Inflammatory (IBD, Infectious, Giardia) |
Rectal FOBT
CBC, BMP Stool analysis Stool Culture |
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Hemoptysis
D/D? Investigations? |
Lung PABST
Lung Abscess PE, Pneumonia Acute or chronic bronchitis Bronchogenic Carc Soft Tissue dz(Wegener's Goodpastures, SLE) TB |
CBC
Sputum Culture w/ AFB ANA ESR ANCA CXR |
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Night Sweats
D/D? Investigations? |
MIME
Meds(SSRI, Cholinergics, Hypocalcemics) Infections (TB, HIV, Endocarditis) Malignancy (Lymphoma, Solid tumors) Endocrine (Hyperthyroid, Pheochromocytoma) |
CBC
ESR Blood Culture AFB CXR PPD TSH ELISA(HIV) CT Chest and Abdomen for Lymphoma |
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Back Pain
D/D? Investigations? |
DOMP
DJD, Disk Prolapse Osteoporosis vertebral fracture Muscular Strain Pathologic Fracture |
Lumbar XR
DEXA Scan Ca, PO4, Alk phos Protein Electrophoresis CBC ESR |
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Chronic Cough
D/D? Investigations? |
CT Lung GAPS
COPD, Chronic Bronch TB, The Job Lung Cancer, Lung Abscess GERD Asthma, Pneumonia, Post nasal Drip Strep, Smoking |
CBC w/ diff
Sputum Culture w/ AFB PPD Electrolytes CXR as needed PFTs |
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Chronic Diarrhea
D/D? Investigations? |
SOFI
Secretory (Bacterial Toxins, Endocrine-thyroid pheo) Osmotic (Laxatives, Carb malabsorption) Fatty (Celiac dz, Short bowel syndrome) Inflammatory (IBD, Infectious, Giardia) |
Rectal FOBT
CBC, BMP Stool analysis Stool Culture |
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Hemoptysis
D/D? Investigations? |
Lung PABST
Lung Abscess PE, Pneumonia Acute or chronic bronchitis Bronchogenic Carc Soft Tissue dz(Wegener's Goodpastures, SLE) TB |
CBC, ESR
PT/INR/PTT Sputum Culture with AFB CXR PPD U/A BUN and Cr CT Chest for Bronchitis ANA ANCA |
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Nausea/Vomitting
D/D? Investigations? |
Food IPOD
Food Poisoning Inflammatory Dz (PID, Cholecystitis, Pancreatitis, Appendicitis, Pyelonephritis) Pregnacy Obstructive disorders (Pyloric stenosis, Intestinal-late) DKA, Diabetic Gastroparesis, Drugs(Chemo), Digoxin Anorexia |
CBC with Diff
Electrolytes Pregnancy test U/A, U/C Amylase and Lipase Ab XR U/S FBG Stool Studies EKG |
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MMSE questions
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5 W's
Who When Where World 3 Words |
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LOC/Spells
D/D? Investigations? |
CATCHES M VP
CAD Arrythmia, ACS, Aortic Sten TIA CARDIO HOCM Stroke, Seizure Migraine. Meds Vasovagal Psycho |
EKG
EEG CT, MRI Carotid Doppler 24 hr holter Stress test Tox Screen FOBT Tilt Table FBG and Electrolytes |
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Depression D/D?
Investigations? |
TOD
Thyroid Occult Carc. Depression |
Serum TSH
CBC with Diff Urine Serum and tox screen |
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Hot Flashes
D/D? Investigations? |
HOMS
Hyperthyroid Occult Malignancy Menopause factitious Syndromica |
CBC with Diff
TSH/T3/T4 LH and FSH if unsure Pap smear Mammograms Annual FOBT |
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Confusion Questions
Katz ADL's or IADLs? Investigations |
DEATH
Dressing Eating Ambulating Toileting Hygeine SHAFT Shopping Housekeeping Accounting Food Prep Transportation |
CBC with Diff
U/A EKG with 24 hours holter monitor Carotid Doppler CT head CXR |
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Rash
D/D? |
PIS ROD
Photo Dermatitis Infections, Insects SLE Rheumatoid Occupational Exposure Drugs |
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Weight Loss
D/D |
MAID Thyroid
Malabsorption, Malignancy Anorexia, Anxiety, Addison's Infection(TB, HIV) Depression, DM |
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Constipation
D/D? |
Full MOON
Functional Obstruction Metabolic(Hypothyroid, DM, Hyper CA), Medications (Iron,opiates) Obstructive(CRC) O Neurologic (Stroke, Autonomic neuropathy, MS, Spinal trauma, Parkinson's) |
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Impotence
D/D? |
DAM COPS
Diabetic Neuropathy Anxiety, Atherosclerosis Medications(Beta blockers) Chronic Alcohol O Pituitary dysfunction Spinal Cord injury |
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Baby with Fever
D/D? |
URGE EM
UTI RTI GE Exanthematous dz(measels, mumps, chicken pox) Ear infection Meningitis |
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Increased Urination
D/D |
P N D CaMp
Psychogenic Polydipsia Nephrogenic DI DM Central DI a Medications P |
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Jaundice
D/D |
Wilson's Primary IAD Hepatitis H
Wilson's Dz PBC Infectious Alcoholic Drug Induced Hepatits Hemochromatosis, Hemolytic jaundice |
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Leg Pain
B/L U/L |
TRAMADAL
Trauma Radiculopathy Atherosclerotic VD Medicationss(statins) DVT, Diabetic Polyneuropathy Lumbar Spinal Stenosis |
Gert C FROB
DVT Cellulitis Fracture Radiculopathy, Rheumatoid Osteomyelitis Baker's Cyst, Bleeding |
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Hematemesis
D/D |
Throat and Stomach
Esophageal Varices Mallory Weiss Gastric Erosions Duodenitis Perforated Ulcer |
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Hearing Loss
Conductive D/D |
COT
Cerumen Impaction, Cholesteatoma Otitis media effusion, Otosclerosis Tympanic Perforation, Tympanosclerosis Tumors |
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Hearing Loss
Sensorineural D/D |
PANDOM
Presbycusis Acoustic Neuroma Noise induced DM Ototoxicity Meniere's |
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Vision Loss
D/D |
HIT MAG DC
HTN retinopathy, Hyperviscosity syndromes Illegal drugs Temporal Arteritis, Trauma(Unilaterals both) Macular Degen Glaucoma DM Cataract Brain Tumor |
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Burning Urination
D/D |
CUP VP
Cystitis Urethritis PID Vulvovaginitis Pyelonephritis |
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Oropharyngeal dysphagia
D/D |
MR SPIT
MG, Meds Radiation Stroke Parkinsonism, Polymyositis I Thyromegaly |
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Phone Case
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ON CALL IDIOT
Onset Number of times/day Consistency, color, content Associated sx Listless baby, lethargic Liquids not passing? Immunizations? Diet change, Dehydration, day care, developmental milestones Infections in family, IC mom ORS counseling(oral rehydration solution) Travel |
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ORS?
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Oral rehydration solution
4 cups water 1 tsp salt 8 tsp sugar |
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Social Hx?
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SAD TONES
Smoke Alcohol Drugs Travel Occupation Nutrition Excercise Stress |
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Constipation
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STOOLED
S h/o surgery, SC trauma, MS Thyroid problem Oxycodone Occult blood(Colon Ca) Low fiber Excess calcium DM gastroparesis |
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Impotence
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LIMP P3ENIS
Libido changes Injury Medications Past/Present medical hx Previous prostate sugery Performance anxiety Erection at all? Nocturnal erections? Incontinence Depression |
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Vaginal Discharge
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ABCO
Amount Blood Consistency/color/content Odor |
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Dark Urine
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Fella Has DARK Pee
Foods Hematuria Drugs Alkaptonuria Rhabdomyolisis Kernicterus(HyperBili) PNH |
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Shoulder Pain
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DEFORMS
Dislocation Elderly abuse Fracture Osteoporosis Rotator cuff injury Myositis Sac inflammation(bursitis), sprain |
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Knee pain
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SPORTS
Septic Arthritis Pseudogout, psoriatic arthritis, patello-femoral pain syndromes Osteoarthritis Rheumatoid arthritis. Reactive arthritis Tophi(gout), Trauma Sac inflammation(Burisitis) |
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Heel Pain
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FOOT PAINS
Fat atrophy, foreign body Osteomyelitis Osteoarthritis Tarsal Tunnel Syndrome, Tendonitis Plantar fascitis, Periostitis(calcaneum) Arthritis, Apophysitis Ischemia(PVD) Nerve entrapment(joggers foot) Stress fracture, Spurs |
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Upper Extremity Pain
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CHART
Carpal Tunnel, Cervical Spondylitis Herniated disk Referred pain from cardiac ischemia Thoracic outlet syndrome,Tenosynovitis, Trauma |
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