Clinical Mnemonics

 

General Emergency Medicine Bugs
Drugs Neuro Psych Other

 

 

General

What could be causing this? ("vitamin c"):
Vascular
Inflammatory / Infectious
Trauma
Autoimmune
Metabolic
Idiopathic
Neoplastic / Neurologic
Congenital
(& Psych)

Admit Orders ("adc van diml"):
Admit
Dx
Condition
Vitals
Allergies
Nursing
Diet
IV, I's & O's
Meds
Labs

 

 

Emergency

First Aid / Trauma ("abcde"):
Airway
Breathing
Circulation
Disability (neurologic)
Exposure & Environment

Causes of metabolic acidosis ("mudpiles"):
Methanol
Uremia
DKA
Paraldehyde / Phenformin
Iron tablets, INH, Ispropyl alcohol
Lactic Acid
EtOH, Ethylene Glycol
Salicylates

Pain questions (especially chest pain "opqrst"):
Onset
Progression / Progression
Quality
Radiation / Relief / Risk factors
Symptoms (associated with pain)
Time

Treatment for MI ("mona"):
Morphine
O2
Nitrates
ASA

Acute RLQ or LLQ pain ("chix r made ok"):
Cancer (perf)
Hernia (strangulation)
Ischemia / Infarct
seX - PID, ectopic, ovarian torsion, ruptured cyst, endometritis
Retroperitoneal abscess or peritonitis
Muscle asbcess (psoas)
Aortic Aneurysm, Appendicitis
Diverticulitis / Meckel's
Enteritis
Obstruction
Kidney stone

Ranson's Criteria ("wagal"):
WBC > 16K
Age > 55
Glucose > 200 mg/dl
AST > 250 IU/dl
LDH > 350 IU/L

Pancreatitis ("bad shits"):
Biliary Colic
Alcohol
Drugs
Sarcoidosis
Hypercalcemia, hyperlipidemia
Idiopathic
Trauma
Scorpion bites

Diagnosis of coma ("AEIOU TIPPS"):
Alcohol
Encephalopathy, epilepsy, electrolytes
Insulin
Opiates
Uremia
Trauma
Infection
Poisoning
Psychiatric
Syncope / stroke

 

 

Medicine

Indications for dialysis ("aeiou"):
Acidosis
Electrolyte imbalance
Intoxication
Overload
Uremia ( encephalopathy)

Gallbladder risk factors (5 f's):
Fair
Forty
Fat
Female
Fertile

Differential Dx of Wheezing ("ASTHMATIC"):
Asthma
Stasis (PE)
Toxins
Heart
Mechanical disease
Allergy / Aspiration
Trauma / Tumor
Infection
Chronic or Congenital lung disease

Treatment of CHF ("MOIST N DAMP"):
Morphine
Oxygen
Inotropes
Sit up
Tourniquet
Nitrates
Dig
Aminophylline
Mercurials (diuretics - lasix)
Phlebotomy (dialysis)
(also bipap and captopril)

Causes of eosinophilia ("NAACP"):
Neoplasm
Allergy
Addison's Disease
Collagen vascular disease
Parasites

 

 

Bugs

Reportable diseases ("SSSH(I)T, My Chicken Has Aids"):
Shigella
Salmonella
Syphillis and gonorrhea
Hep A
Tuberculosis
MMR (measels, mumps and rubella)
Chicken pox
Hep B
Aids (not HIV)

Birth canal diseases ("TORCH"):
Toxoplasmosa
Other (syphilis)
Rubella
Cytomegalovirus
Herpes virus

UTI Bugs ("SEEKS PP"):
Staph saprophyticus
E. coli
Enterobacter cloacae
Klebsiella pneumoniae
Serratia marcescens
Proteus mirabilis
Pseudomonas aeruginosa

Hepatitides ("ABCDE"):
Hep AAsymptomatic
Hep BBlood-borne
Hep CChronic, Cirrhosis, Carcinoma, Carriers
Hep DDependent (requires B)
Hep EEnteric, Expectant mothers
     Also, A&E are fecal/oral - think Eating Ass.

Strep Pyogenes Effects ("GRIPS"):
Glomerulonephritis
Rheumatic fever
Impetigo
Pharyngitis
Scarlet fever

Staph Aureus Effects ("STAGE"):
Scalded skin syndrome
Toxic shock syndrome
Abscess
Gastroenteritis
Endocarditis

Gram Positive Rods ("BC Clan" (using blue rods as weapons):
Bacillus
Clostridium
Corynebacterium
Listeria
Actinomyces
Nocardia

Argyle-Robertson Pupil:
Seen in syphilis. Like a prostitute, the pupil Accomodates, but doesn't Respond (Argyle Robertson)

 

 

Drugs

ACE Inhibitor side effects ("CAPTOPRIL"):
Cough
Angioedema
Proteinuria
Taste changes
hypOtension
Pregnancy problems, fetal renal damage
Rash
Increased renin
Lower Angiotensin II

Drugs metabolized by P450 ("Mind Those P's & Q's When Nobody's Looking"):
Mindmetoprolol
ThoseTheophyllin
Ppropranolol
Pprocainamide
P'sphenytoin
(and)
Q'squinidine
WhenWarfarin
Nobody'sNifedipine
LookingLidocaine

Warfarin ("wept"):
Warfarin = Extrinsic = check PT

 

 

Neurology

Cranial Nerve Names:
OhOnOlfactoryI
OhOldOpticII
OhOlympus'OculomotorIII
ToToweringTrochlearIV
TouchTopTrigeminalV
AndAAbducensVI
FeelFinnFacialVII
AAndAuditoryVIII
Girl'sGermanGlossopharyngealIX
VaginaViewedVagusX
AhhAAccessoryXI
HeavenHopHypoglossalXII

Cranial Nerve Types:
SomeSensory
SaySensory
MarryMotor
Money,Motor
ButBoth
MyMotor
BrotherBoth
SaysSensory
BigBoth
BoobsBoth
MatterMotor
MostMotor

Erection & Ejaculation ("PS"):
Point (erection)Parasympathetic
Shoot (ejaculation)     Sympathetic

 

 

Psychiatry

Depression ("sig e caps"):
Sleep
Interest
Guilt
Energy
Concentration
Anhedonia
Psychomotor
Suicidality

Mania ("digfast"):
Distractibility
Indiscretion (sex, drugs, rock-n-roll, take your pick)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit (decreased need for sleep)
Talkativeness (pressured speech)

Kubler-Ross Stages of Dying:
DeathDenial
ArrivesAnger
BringingBargaining
GreatGrieving
Adjustments   Acceptance

Limbic System Tasks ("5 F's"):
Feeding
Fighting
Flight
Feeling
F   (sex)

 

 

Other

Adolescent PMH ("heads"):
Health
Education
Activities
Drugs / Diet
Sex / birth control

Iliac vessels ("navy van"):
n a v Y v a n (the Y is a crotch). Vein, artery, nerve.

 


 
Find an excellent mnemonics site with a free Palm application at www.medicalmnemonics.com.