Step 2 CK Mnemonics for Cases

Discussion in 'USMLE Step 2 CS' started by Guide, May 28, 2017.

  1. Guide

    Guide Administrator Staff Member

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    Below is a good list of Mnemonics for USMLE Step 2 CS, feel free to add to this thread as needed.

    HPI (history of present illness) - LIQUOR 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) - 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…..)


    Pain history checklist - CLITORIS
    Character
    Location
    Intensity
    Timing
    Onset
    Radiating
    Irritating and relieving factors
    Symptoms associated


    Differential diagnosis checklist - DIRECTION
    Drugs
    Infection
    Rheumatologic
    Endocrine
    Cardiovascular
    Trauma
    Inflammatory
    Other
    Neoplasm


    For Social History - TIA SHOE
    T obacco
    I llicit drigs
    A lcohol
    S exual
    H ouse life
    O ccupation
    E ating (diet)


    Premenopausal symptoms - HAVOC
    H- hotflahes

    A-atropy of vagina
    V-vaginal dryness
    O- osteoporosis
    C- coronary artery diseases

    Depression - SIGEMCAPS
    S-sleep
    I-interest
    G-guilt,gun
    E-energy
    M-mood
    C-concentration
    A-appetite
    P-psycomotor
    S-suicide


    Fatigue - IMP ADH
    I-infectin
    M -malignancy
    P-ptsd
    A-abuse
    D-depression
    H-hypothyroidism

    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 - MEADOWS
    Medications (regularity)
    Excercise ( for obese/sedentary life styles)
    Diet Modification( Salt/Fatty foods)
    Opthalmoscopic exams (annual routine)
    Weight Management (/control)
    Suger Check ups


    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 - FINISHED PUBS
    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)

    OBESITY - OBESITY-DISC
    Osteoarthritis
    Breathing problems
    Excess Cholestrol
    Sleep Apnea
    Increased Incidence Ca’s (Endomet/Breast/Colon)
    Type 2 DM
    hYpertension
    Depression
    Incontinence
    Stress
    Cholelithiasis/Cycle disturbances/Cardiac

    Syncope/ Loss of Consciousness/Spells - CAMPUS
    CAD
    Arrythmias/ Aortic Stenosis
    Migraine/ Meds
    Psychiatric /Personality disorder( hyperventilation)
    Unexplained Syncope
    Seizures/Strokes

    D/D Confusion - DEMENTIA
    Diabetes /Dementia/ Drugs
    Epilepsy
    Migraine/Mult Infarct Dementia
    Ethanol (withdrawl / Toxicity)
    Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis)
    TIA/ Trauma
    Insulin/ Infections
    Alzheimers/Abscess


    D/D = BACK PAIN - LIMCOTS
    Lumbar Spinal stenosis
    Intervertebral disc herniation
    Multiple Myeloma/ Mets (Prostate, Breast ,Lung)
    Cauda equina synd/ Cancer
    Osteoporosis/Osteoarthritis
    Trauma/ TB
    Strain (muscle)


    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 - 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


    Orderly HOPI questions - ABCDF- SIQOR AA ROS
    Appear/Begin=Duration
    Context= Precipitation (wht were u doin b4, during ?Anythin different?)
    Development = Progression (sudden / progressive, Any changes overtime)
    Frequency= persistent/intermittent ( how often/how long)
    Site
    Intensity= 0-10/10
    Quality = character
    Other sympt = ROS
    Radiation= move
    Aggravation
    Alleviation
    ROS


     
  2. elgato

    elgato New Member

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    Insomnia case

    OD INSOMNIA STRIKE HIMS
    1. Onset
    2. Duration
    3. Interruptions during night
    4. Naps during the day
    5. Snoring
    6. On the clock(total time of sleep and time when pt is falling asleep)
    7. Morning awakenings
    8. Narcolepsy(daytime sleepiness)
    9. Illness/ stress
    10. Activity before patient goes to sleep(watching TV etc)
    11. Sadness(mood)
    12. Tremor
    13. Irritability
    14. K-Coffeine
    15. Exercise
    16. HI-Heat Intolerance
    17. Menstrual irregularities
    18. Sweating
     
  3. elgato

    elgato New Member

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    Psych case.

    VOICES HARM MEN
    1.Visual hallucinations(onset, duration, context)
    2.Open/close eyes(if patient can see "writtings" with close and open eyes)
    3.Imperative ( voices can control patient)
    4.Changes in vision/ vision loss
    5.Ear(audio hallucinations- onset, duration, context)
    6.Sleeping problems

    7.Headache/head trauma
    8.Attacking himself/others
    9.Recreational drug use
    10.Major changes in life

    11.Mental illness in the family
    12.Enjoying daily activities
    13.Narcolepsy (sleepiness during the day)