Mnemonics

LOC CONSCIOUSNESS
1) WHAT HAPPENED BEFORE LOC : always ask here who was next to you!!!
EYE : Did you see anything?
EAR hear anything?
NOSE smell anything.
BRAIN dizziness/spinning/lightheadedness
HEART palpitations/chest pain/SOB
GI nausea or vomit
2) WHAT HAPPENED DURING LOC
BLADDER INCONTINENCE
SEIZURES: duration/what part you hit
Tongue biting
Head trauma
3) WHAT HAPPENED AFTER REGAINED CONSCIOUSNESS
GAIT CHANGES
CONFUSION
WEAKNESS
NUMBNESS
SPEECH CHANGES
VISION CHANGES
HEADACHE
NAUSEA/VOMITING/PASSING URINE/CHEST PAIN and may add any additional question related
to the pertinent case.

4)PREMENOPAUSAL SYMPTOMS
HAVOC
HOT FLASHES
ATROPY OF VAGINA
VAGINAL DRYNESS
OSTEOPOROSIS
CORONARY ARTERY DISEASES

5)SEXUAL ABUESE CASE

B2EING ( BEING) R2APED ( RAPED) C3OM (COndoMs)
BRUISES/BLEEDING
EJACULATION
INTERCOURSE
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Mnemonics
NUMBNESS/WEAKNESS
GENITAL BLEEDING
REPORT/RECOGNIZE
ASSAULT OBJETC
PALPITATIONS/PAIN
EXACERBATING/ALLEVIATING FACTORS
DESCRIPTION OF ASSAULT
CONDOMS/CONTRACEPTION/LOC
ORAL/ANAL/VAGINAL
MENSTRUAL PERIOD.
6)DPS ROAST RJW SPRAY TICK AND HAIR: MUST KNOW THIS FOR JOINT CASES!!!
( DPS is a guy who killed and roasted his friend RJW, after that he sprayed a tick
on his hair)
DEFORMITY
PAIN
STIFFNESS IN THE MORNING
REDNESS
ORAL ULCERS
APPETITE
SWELLING
TRAUMA
RASHES
J :OTHER JOINTS SWELLING
WEAKNESS IN SURROUNDING MUSCLES
STD'S HX
PHOTOSENSITIVITY
REYNAULDS' SYNDROME
ABORTIONS
Y umyy ALCOHOL
TICK: FOR LYME DISEASE
HAIR; SLE
5)DOMESTIC ABUSE
SAFEGARDS: Already explained in a previous post
6)DEPRESSION AND FATIGUE : ALL PATIENTS FEELING TIRED MUST ASK SIGEM CAPS
SIGEM CAPS
7)DYSPAREUNIA
LMP RTV CS PAPA
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Mnemonics
LAST MESNTRUAL PERIOD
MENARCHAE
PERIODS: DAYS/LAST FOR/
REGULARITY: WEEKS/EVERY MONTH/EVERY 2 MONTHS/
TAMPOONS/PADS HOW MANY PER DAY
VAGINAL DISCHARGE/ITCHING/DRYNESS
CRAMPS
SPOTTING
PREGNANCY
ABORTIONS/MISCARRIAGES
PAS SMEAR
8)HOARSENESSS OF VOICE
OPEN INCH
OVERUSE OF VOICE
PAIN IN THROAT
EXPOSURE TO ANY DUST COLD
NECK SWELLING
RECENT INFECTIONS/ILL CONTACTS
NIGHT SWEATS
CVA
HEART BURN (GERD)

9) FATIGUE: MUST RULE OUT: DEPRESSED OR DOMESTIC VIOLENCE OR DEPRESSED W/ CANCER

ALL CASES ASK SIGEM CAPS.
ADD SAFE GARDS IN DOMESTIC VIOLENCE

PREMENSTRUAL SYMPTOMS: HAVOC: HOTFLASHES/ATROPHY OF VAGINA/VAGINAL

DRYNESS/OSTEOPOROSIS/CORONARY ARTERY DISEASES.
DYSPAREUNIA: DATIVE ( YOU HAVE TO BE ON A DATE TO HAVE SEX)
Domestic abuse
Atrophic vaginitis
Tumor, pelvic
Infection: vulvovaginitis/cervicitis/PID
Vaginismus
Endometriosis
DISCHARGE:
Duration/dyspareunia/dysuria
Itching
Smell
Color
High fever
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Mnemonics
Abdomen
Recurrent infection or discharge
Gonorrhea
Endocervical smear or pap smear
SLEEP :
O P D A A A Activities which make uDIES and CRIES
Ask DIES daytime nap ,daytime sleepinesss ,interruption , early awakening ,
snoring
Ask CRIES caffeine (hw much? , tremors ? palpitation ? sweating ?) , relationships
, illness, irritability , exercise , stress
Ask 3Cs , joint pains/body aches
Psychiatric Hx TRIM DR. WADE ASAP
Talk to (someone to talk to when he is in distress), traumatic episodes; think (why
is he here)
routine, daily
Interests and hobbies
Mood throughout the day and memory loss
Delusions and hallucinations
Realize, he has a problem
Weight, willing to get help
Appetite
Diet
Energy
Attitude towards life
Suicide
Affinity to his family
Plan (gun or pills)
DM follow up
O ISC MLRH5 VIP MGUN
O
I
S
C

onset
insulin Rx
schedule intake
compliant ( regular intake )

M monitor glucose level

LR last glucose reading
H5 ( HBA1c, heart symptoms( palpation , chest pain), HT, Hypercholesterolemia,
hypoglycemia attack )
V vision changes ( blurring vission , last check up )
I infection ( Gum , feet )
P pulmonary symptom ( cough ...
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Mnemonics
M mood ( deprees, stress.....)
G git ( abd pain , bowel changes, dyspepsia )
U urine changes ( polyuria, dysuria, hematuria)
N neuro ( headache , numbness , weakness , dizziness, TIA Hx , Stroke Hx
Passed out (PASS the BLT SANDWICH)
Palpitations
Aura
Shaking (duration)
Spinning/ lightheaded
Bladder, incontinence
Loss of consciousness (duration)
Tongue biting
Speech difficulties
Atraumatic (head trauma)
Numbness
Difficulty breathing
Weakness
Irregular gait
Confusion after the event
Headache
Domestic abuse: SAFEGARD
S Safety
A Afraid of anyone?
F Family/friends?
E Emergency plan?
G Gun at home?
A Alcohol?
R Relationship with spouse.
D Drugs? Depression?

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