Step II mneumonics for CS PLEASE?

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GonnaBeAnMD

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does anybody have good mneumonics for patient encounters for CS to ensure we don't miss anything under the time pressure? maybe to remember in our head or quickly jot down on our soap note ? thanks!
 
P= presenting complaint
A-allergies
M-medications


H=past medical hx (surgeries/hospitalizations)
U= uro sx
G= GI sx
S= Sleeping hx

F= family hx
O= obstetric hx
S=Social hx
S= Sexual hx
 
C - chief complaint
H - HPI
A - allergies
M - meds
O - occupation
S - social hx

P - PMHx
P - PSHx
P - PFHx

for more detail in the HPI use OPQRST
O nset
P rovoking/P alliating factors
Q uality
R adiation
S everity
T reatments tried
 
For pain:

S - Site
O - Onset
C - Character
R - Radiation
A - Associated Symptoms
T - Timing
E - Exacerbating and Relieving factors
S - Severity
 
Social Hx:
T-tobacco
O-Ocupation
A-Alcohol
D-Drugs (illicit)
D-Diet
E-Exercise
S-Sexual orientation, STDs

HPI:
O-Onset
P-Progression
Q-Quality (sharp, dull, burning)/Quantity(10/10)
R-Radiation
S-Similar Episode
T-Timing/freq
A-Associated symptoms
A-Alleviating
A-Aggravating

Hope it helps!!!
 
O-L-D-C-A-R-T-S
Onset
Location
Duration
Characteristics
Associated symptoms
Relieving factors
Timing
Severity

P-P-Q-R-S-T-A (I use this, flows better in the actual interview)
Palliation
Provocation
Quality
Radiation
Severity
Timing
Associated symptoms

C - try to Cutdown on alcohol?
A - get Angry when asked to stop?
G - feel Guilty about drinking?
E - need an Eye-opener in the morning?
 
O-L-D-C-A-R-T-S
Onset
Location
Duration
Characteristics
Associated symptoms
Relieving factors
Timing
Severity

P-P-Q-R-S-T-A (I use this, flows better in the actual interview)
Palliation
Provocation
Quality
Radiation
Severity
Timing
Associated symptoms

C - try to Cutdown on alcohol?
A - get Angry when asked to stop?
G - feel Guilty about drinking?
E - need an Eye-opener in the morning?


beat me to it!!! LIQORAAA PAMHUGSFOSS is the greatest pnemonic, wish that I knew it during medical school, its a great pnemonic....
 
P= presenting complaint
A-allergies
M-medications


H=past medical hx (surgeries/hospitalizations)
U= uro sx
G= GI sx
S= Sleeping hx

F= family hx
O= obstetric hx
S=Social hx
S= Sexual hx

Do you really have to ask Uro/GI/sleep questions for everyone in order to get all the points? It seems like those ROS systems would only need to be asked if it is relevant to the CC; otherwise it seems like a waste of time, I mean, if you ask those, why not ask Resp, cardio, and other ROS questions?
 
For describing pain, I like the following "LIQUOR" mnemonic better - if only for the fact that it preserves the spelling of "LIQUOR"

L = location
I = Intensity
Q = Quality
U = Upsetting (aggrevating) factors
O = Onset
R = Relieving factors and radiation.
 
NILDOOCARRF
Nature
Intensity
Duration
Onset
Offset
Concomitant factors
Aggravating
Relieving
Radiation
Frequency

For Depression - we use SADAFACES instead of SIGECAPS
SADAFACES
Sleep changes
Anhedonia
Dysthymia
Appetite changes
Fatigue
Agitation
Concentration difficulties
Excessive Guilt
Suicidal Ideation

And my bf and I made up - ID PSYMISTS (a bit silly - but it does the job in helping me remember)
Introduction
Demographics (including age, married/single, # of kids, occupation)
Presenting Complaint
Systems Review (GI, CVS, Resp, Neuro, GU, MSK)
Your Hx - Past Med, Surg & Hospitalizations, Family Hx
Medications
Immunizations & Allergies
Social Hx
Travel
SUMMARY

Hope this helps! =)
 
For social hx, try:

S: smoking
A: alchohol
D: drugs

O: occupation
N: nutrition
E: excercise


🙂 hope that helps guys! phew.....i need some sleep post call!