Systemic features of Marfan syndrome:
MARFANS
Mitral prolapse
Aortic dissection
Regurgitant aortic valve
Fingers long (arachnodactyly)
Arm span>height
Nasal voice (high arched palate)
Sternal excavation
· Multiple Endocrine Neoplasia: Each of the MENs is a disease of three or two letters plus a feature.
MEN I is a disease of 3 P's (pituitary, parathyroid, and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB(aka MEN III)
· Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
· Acute pneumonia caused by Miscellaneous microbes--Mononuclear infiltrate
· The five W's--post-operative fever
Wind--pneumonia, atelectasis
Wound--wound infections
Water--urinary tract infection
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
Wonderdrugs--especially anesthesia
· Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma
O--obesity
M--malignancy
S--surgery
C--cardiac disease
H--hospitalization
R--rest (bed-bound)
E--estrogen, pregnancy, post-partum
P--past hx
F--fracture
E--elderly
R--road trip
· ARTERIAL OCCLUSION:
pain
pallor
pulselessness
paresthesias
· HYPERSENSITIVITY REACTIONS: "Anna Cycled Immediately Downhill--Gell & Goombs" or "ACID."
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity
· WBC Count: "Never Let Mom Eat Beans" and "60, 30, 6, 3, 1"
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1:
Abdominal swelling causes 5 F's:
Fat Feces Fluid Flatus Fetus Full-sized tumors
Patient examination organization SOAP:
Subjective: what the patient says.
Objective: what the examiner observes.
Assessment: what the examiner thinks is going on.
Plan: what they intend to do about it.
Vomiting: non-GIT differential ABCDEFGHI:
Acute renal failure Brain [increased ICP] Cardiac [inferior MI] DKA Ears [labyrinthitis] Foreign substances [Tylenol, theo, etc.] Glaucoma Hyperemesis gravidarum Infection [pyelonephritis, meningitis]
History: quick EMS medical history checklist SAMPLE:
Signs/ Symptoms Allergies Medications Pertinent history Last oral intake Events preceding this incident
Medical history: disease checklist MJ THREADS:
Myocardial infarction Jaundice Tuberculosis Hypertension Rheumatic fever/ Rheumatoid arthritis Epilepsy Asthma Diabetes Strokes
Heart valve auscultation sites "All Patients Take Meds":
· Reading from top left:
Aortic
Pulmonary
Tricuspid
Mitral
· See diagram.
· Alternatively: All Prostitutes Take Money.
· Alternatively: APe To Man.
Short statue causes RETARD HEIGHT:
Rickets Endocrine (cretinism, hypopituitarism, Cushing's) Turner syndrome Achondroplasia Respiratory (suppurative lung disease) Down syndrome Hereditary Environmental (postirradiation, postinfectious) IUGR GI (malabsorption) Heart (congenital heart disease) Tilted backbone (scoliosis)
Ascultation: crackles (rales )"PEBbles":
Pneumonia Edema of lung Bronchitis
Family history (FH)
BALD CHASM:
Blood pressure (high) Arthritis Lung disease Diabetes Cancer Heart disease Alcoholism Stroke Mental health disorders (depression, etc.)
Blood clotting factors
"Foolish People Try Climbing Long Slopes After Christmas Some People Have Fallen"
Factor I = Fibrinogen
Factor II = Prothrombin
Factor III = Tissue factor
Factor IV = Calcium
Factor V = Labile factor
Factor VI - Does not exist as it was named initially but later on discovered not to play a part in blood coagulation.
Factor VII = Stable factor
Factor VIII = Antihemophilic factor A
Factor IX = Antihemophilic factor B or Christmas factor (named after the first patient in whom the factor deficiency was documented)
Factor X = Stuart Prower factor
Factor XI = Antihemophilic factor C
Factor XII = Hageman factor Factor
XIII = Fibrin stabilising factor
Branham sign: definition
BRAnham sign:
BRAdycardia after compression or excision of a large AV fistula.
Glasgow coma scale: components and numbers
· Scale types is 3 V's: Visual response Verbal response Vibratory (motor) response
· Scale scores are 4,5,6:
Scale of 4: see so much more Scale of 5: talking jive Scale of 6: feels the pricks (if testing motor by pain withdrawl)
Meckel’s diverticulum- rule of 2’s
2 inches long,
2 feet from the ileocecal valve,
2% of the population
commonlly presents in the first 2 years of life
may contain 2 types of epithelial tissue
Pheochromocytoma-rule of 10s:
10% malignant
10% Bilateral
10% extraadrenal
10% calcified
10% children
10% familial
* discussed 10 times more often than actually seen
Aphasia
"BROKen aphasia" (Broca’s aphasia-broken speech)
"Wordys aphasia" (Wernicke’s aphasia- wordy, but making no sense)
GET SMASH'D--Causes of Acute pancreatitis
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)
(Multiple endocrine neoplasia) Each of the MENs is a
disease of three or two letters plus a feature.
"MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas for MEN IIb (aka MEN III).
Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
Acute pneumonia caused by Miscellaneous microbes --Mononuclear infiltrate
Takayasu's diz = pulseless diz, therefore when you have
Takayasu's, I can't Tak'a yu pulse.
Argyll-Robertson Pupil--syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )
Accommodation reflex present, Pupillary reflex absent
The five W's--post-operative fever
Wind--pneumonia, atelectasis
Water--urinary tract infection
Wound--wound infections
Wonderdrugs--especially anesthesia
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
ACID or "Anna Cycled Immediately Downhill"
classification of hypersensitivity reactions
Type I - Anaphylaxis
Type II - Cytotoxic-mediated
Type III - Immune-complex
Type IV - Delayed hypersensitivity
WBC Count:
"Never Let Momma Eat Beans(60, 30, 6, 3, 1)
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1%
A-P-G-A-R:
A - appearance (color)
P - pulse (heart rate)
G - grimmace (reflex, irritability)
A - activity (muscle tone)
R - respiratory effort
Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma
O--obesity
M--malignancy
S--surgery
C--cardiac disease
H--hospitalization
R--rest (bed-bound)
E--estrogen, pregnancy, post-partum
P--past hx
F--fracture
E--elderly
R--road trip
The 4 P's of arterial Occlusion: pain pallor pulselessness paresthesias
The 4 T's of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma
-causes of Hematuria
H-Hemorrhagic diseases
E-Endocarditis
M-maignant hypertension
A-A.G.N-acute glomerulonephritis
T-TB kidney,tumor bladder
U-U.T.I
R-renal infarct
I-Idiopathic
A-Anticoagulants
S-Stones in urinary tract,snake bite
MARFANS
Mitral prolapse
Aortic dissection
Regurgitant aortic valve
Fingers long (arachnodactyly)
Arm span>height
Nasal voice (high arched palate)
Sternal excavation
· Multiple Endocrine Neoplasia: Each of the MENs is a disease of three or two letters plus a feature.
MEN I is a disease of 3 P's (pituitary, parathyroid, and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB(aka MEN III)
· Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
· Acute pneumonia caused by Miscellaneous microbes--Mononuclear infiltrate
· The five W's--post-operative fever
Wind--pneumonia, atelectasis
Wound--wound infections
Water--urinary tract infection
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
Wonderdrugs--especially anesthesia
· Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma
O--obesity
M--malignancy
S--surgery
C--cardiac disease
H--hospitalization
R--rest (bed-bound)
E--estrogen, pregnancy, post-partum
P--past hx
F--fracture
E--elderly
R--road trip
· ARTERIAL OCCLUSION:
pain
pallor
pulselessness
paresthesias
· HYPERSENSITIVITY REACTIONS: "Anna Cycled Immediately Downhill--Gell & Goombs" or "ACID."
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity
· WBC Count: "Never Let Mom Eat Beans" and "60, 30, 6, 3, 1"
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1:
Abdominal swelling causes 5 F's:
Fat Feces Fluid Flatus Fetus Full-sized tumors
Patient examination organization SOAP:
Subjective: what the patient says.
Objective: what the examiner observes.
Assessment: what the examiner thinks is going on.
Plan: what they intend to do about it.
Vomiting: non-GIT differential ABCDEFGHI:
Acute renal failure Brain [increased ICP] Cardiac [inferior MI] DKA Ears [labyrinthitis] Foreign substances [Tylenol, theo, etc.] Glaucoma Hyperemesis gravidarum Infection [pyelonephritis, meningitis]
History: quick EMS medical history checklist SAMPLE:
Signs/ Symptoms Allergies Medications Pertinent history Last oral intake Events preceding this incident
Medical history: disease checklist MJ THREADS:
Myocardial infarction Jaundice Tuberculosis Hypertension Rheumatic fever/ Rheumatoid arthritis Epilepsy Asthma Diabetes Strokes
Heart valve auscultation sites "All Patients Take Meds":
· Reading from top left:
Aortic
Pulmonary
Tricuspid
Mitral
· See diagram.
· Alternatively: All Prostitutes Take Money.
· Alternatively: APe To Man.
Short statue causes RETARD HEIGHT:
Rickets Endocrine (cretinism, hypopituitarism, Cushing's) Turner syndrome Achondroplasia Respiratory (suppurative lung disease) Down syndrome Hereditary Environmental (postirradiation, postinfectious) IUGR GI (malabsorption) Heart (congenital heart disease) Tilted backbone (scoliosis)
Ascultation: crackles (rales )"PEBbles":
Pneumonia Edema of lung Bronchitis
Family history (FH)
BALD CHASM:
Blood pressure (high) Arthritis Lung disease Diabetes Cancer Heart disease Alcoholism Stroke Mental health disorders (depression, etc.)
Blood clotting factors
"Foolish People Try Climbing Long Slopes After Christmas Some People Have Fallen"
Factor I = Fibrinogen
Factor II = Prothrombin
Factor III = Tissue factor
Factor IV = Calcium
Factor V = Labile factor
Factor VI - Does not exist as it was named initially but later on discovered not to play a part in blood coagulation.
Factor VII = Stable factor
Factor VIII = Antihemophilic factor A
Factor IX = Antihemophilic factor B or Christmas factor (named after the first patient in whom the factor deficiency was documented)
Factor X = Stuart Prower factor
Factor XI = Antihemophilic factor C
Factor XII = Hageman factor Factor
XIII = Fibrin stabilising factor
Branham sign: definition
BRAnham sign:
BRAdycardia after compression or excision of a large AV fistula.
Glasgow coma scale: components and numbers
· Scale types is 3 V's: Visual response Verbal response Vibratory (motor) response
· Scale scores are 4,5,6:
Scale of 4: see so much more Scale of 5: talking jive Scale of 6: feels the pricks (if testing motor by pain withdrawl)
Meckel’s diverticulum- rule of 2’s
2 inches long,
2 feet from the ileocecal valve,
2% of the population
commonlly presents in the first 2 years of life
may contain 2 types of epithelial tissue
Pheochromocytoma-rule of 10s:
10% malignant
10% Bilateral
10% extraadrenal
10% calcified
10% children
10% familial
* discussed 10 times more often than actually seen
Aphasia
"BROKen aphasia" (Broca’s aphasia-broken speech)
"Wordys aphasia" (Wernicke’s aphasia- wordy, but making no sense)
GET SMASH'D--Causes of Acute pancreatitis
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)
(Multiple endocrine neoplasia) Each of the MENs is a
disease of three or two letters plus a feature.
"MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas for MEN IIb (aka MEN III).
Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
Acute pneumonia caused by Miscellaneous microbes --Mononuclear infiltrate
Takayasu's diz = pulseless diz, therefore when you have
Takayasu's, I can't Tak'a yu pulse.
Argyll-Robertson Pupil--syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )
Accommodation reflex present, Pupillary reflex absent
The five W's--post-operative fever
Wind--pneumonia, atelectasis
Water--urinary tract infection
Wound--wound infections
Wonderdrugs--especially anesthesia
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
ACID or "Anna Cycled Immediately Downhill"
classification of hypersensitivity reactions
Type I - Anaphylaxis
Type II - Cytotoxic-mediated
Type III - Immune-complex
Type IV - Delayed hypersensitivity
WBC Count:
"Never Let Momma Eat Beans(60, 30, 6, 3, 1)
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1%
A-P-G-A-R:
A - appearance (color)
P - pulse (heart rate)
G - grimmace (reflex, irritability)
A - activity (muscle tone)
R - respiratory effort
Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma
O--obesity
M--malignancy
S--surgery
C--cardiac disease
H--hospitalization
R--rest (bed-bound)
E--estrogen, pregnancy, post-partum
P--past hx
F--fracture
E--elderly
R--road trip
The 4 P's of arterial Occlusion: pain pallor pulselessness paresthesias
The 4 T's of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma
-causes of Hematuria
H-Hemorrhagic diseases
E-Endocarditis
M-maignant hypertension
A-A.G.N-acute glomerulonephritis
T-TB kidney,tumor bladder
U-U.T.I
R-renal infarct
I-Idiopathic
A-Anticoagulants
S-Stones in urinary tract,snake bite
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