Mneumonics

 

Urinary Incontinence = D.R.I.P.

D: drugs- diuretics, anticholinergics

R: restricted mobility

I: infection or impaction

P: polyuria : hyperglycemia, CHF 

 

Differential of "i''s for generating DDx. 

ischemic

infection

injury

indocrine

inherited

immunologic

infiltrative

insane

intoxication

idiot-pathic

i-did it

intern did it

 

4 Famous Discharge Criteria

Walking 

Talking

Peeing

Pooping

 

7 components of an HPI

1. Location-Radiation

2. Quality

3. Quantity

4. Chronology

5. Situational

6. Aggravating and Alleviating Circumstances

7. Associated Manifestations

 

OLDCART Method for HPI/Complaints

Onset

Location

Duration

Character

Aggravating / Alleviating

Radiation

Temporal Factors (Time)

 

OPQRST Method for HPI/Complaints

O= Onset

P = Provoking / Pallating

Q = Quality 

R = Radiates 

S = Severity / Site

T = Time / Temporal Factors

 

TAILS for Microcytic Anemia

Thallasemia

Anemia of Chronic Disease

Iron Deficiency Anemia

Lead Poisoning

Sideroblastic Anemia -abnl production of red blood cells as part of myelodysplastic syndrome,

 

MUDPILES for metabolic acidosis

Methanol

Uremia

Diabetes

Paraldehyde

Infection, Iron, Isoniazid 

Lactic Acidosis

Ethylene Glycol, Ethanol 

Salicylates

 

MASH for H&P

Medications

Allergies

Surgeries

Hospitalizations

 

HALT for Target Cells

HbC Disease

Asplenia

Liver Disease

Thallassemia

 

Hypercoaguable workup List

Protein C def

Protein S def

Prothrombin 20210A

Factor V Leiden

MTHFR Gene mutation (use Homocysteine levels)

ANTI CARDIOLIPIN AB PANEL

LUPUS REFLEX <  LUPUS CUSTOM ANTICOAGULANT PANEL>

Activated protein C resistance. 

 

SIRS = 2 or more of the following

1. T <36 or > 38°C 

2. HR > 90 bpm

3. RR> 20 bpm or PC02 < 32 mm Hg

4. WBC <4K or > 12K or >10% bands

 

Sepsis = SIRS + infection

Severe Sepsis = Sepsis + organ dysfunction, hypoperfusion, or hypotension.

Septic shock = Sepsis + refractory arterial hypotension or hypoperfusion abnormalities

 

TTP vs. HUS

Fever

Anemia

Thrombocytopenia

Renal Failure

Neurological manifestations

TTP is "FATRN" (fever,anemia,thrombocytopenia,renal failure.neurological symptoms)

remove F and T it becomes HUS