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USMLE Step 2 CS Mnemonics Mnemonics, acronyms, reminders, and memorizing tips for the USMLE Step 2 CS Exam.


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Old 04-25-2012
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List List of Mnemonics for all my friends here for CS

Obs hX :
LMP RTV CS PAP


LMP !!

Menarchae
Period ( lasts .... days?)
Reglarity ( every .... wks?)
Tampoons/Pads # per day
Vaginal discharge, itching , dryness
Cramps (Dysmenorrhea)
Spotting ( intermenstrual / post coital )
Pregnency ( Hx & complications)
Abortion /miscarriage
PAP smear ( last time result ?, Hx of past abnormal result ? )

Amenoorhea :

HAGs with a Very Fou(W)l Hea(I)DaChe

HAG V FWL HiDC
( i know it's kinda lame , but it's the best i could come up with to remind me of a Gyn case (HAG means an old lady) with one possible Amenorhea symptom (Headache in Prolactinoma and Peri-menopause )

Hair & skin changes ( for Hypothyroidism/Hirsutism of PCOS) /Headaches

Anorexia nervosa /Anxiety & Depresion
Galactorrhea
Sleep
Visual disturbance / Virilization
Fatigue
Wt change , Appetite & Diet
Libido
Hotflushes
insomnia ,itching(vaginal)
Deep voice change
Cold intolerance & Constipation


Dyspareunia :
DATIVE ! ( u have to be on a date to have sex )

Domestic abuse
Atrophic vaginiyis ( don't forget to ask about s/s of Menopause)
Tumor ,Pelvic
Infection ( lower : Vulvovaginitis - Cervicitis / Upper : PID )
Vaginismus
Endometriosis ( don't forget to ask 'bout Cyclic pelvic pain )
DISCHARGE:
Duration,dysparunia,dysuria
Itching
Smell
Color
High fever
Abdomen
Recurrent infec or discharge
Gonorrhea
Endocervical smear or pap smear

SEXUAL ABUSE:
B2EING R2AP2ED . C3OM


B2 - Bruises/bleeding

E - ejaculation
I- Intercourse
N- Numbness/weakness
G- Genital Bleeding

R2 - Report/Recognize

A- Assault Objects
P2 - Pain/Palpitation
E- Exacerbating & alleviating factors
D - Description of assault

C3 - Condoms/Contraception/Loss of Consciousness

O - Oral/Vaginal/anal
M - Menstrual Period.
mnemonic for skin review of systems which aReNT SIMMBEL :-)

R (rash)

N (nail changes)
T (temperature)

S (sensation)

I (itching)
M (masses)
M (moles)
B (bleeding/bruises)
E (edema)
L (lesions)


FOR PEDIATRIC HISTORY.


F E V E R C U D , Seizure + P A M - I F S - B I G - D E A L S



FEVER- Fever, Ear pulling, Vomiting, Ear discharge,eyes discharge, Rash, CUD- Chest symptoms n Cold-runny nose,cough,chest painfast respirations,shortness of breath,drooling,difficulty swallowing Urination-any increased or decreased urination,no. of wet diapers,any odour,colour of urine, Diarrhea-frequency,onset,mucus in stool,blood in stool,any cryin during defecation Dehydration – drymouth ,sunken eyes ,no. of wet diapers, sunken spot on head, Seizure-any jerky movements,any leakage of urine or stool during fits,ant post ictal irritability,or loss of consciousness.



PAM - P-Past medical,past surgical hx, previous hospitalizations. A-Allergies, M-Medications, IF I-Ill contacts, F -family history, BIG -B- birth hx, I-Immunizations, G-Growth n development,ht,wt,milestones. D-DEALS- Day care, E-Eating habits,feeding of da baby, A-Appetite, L-last check up , Look of tha baby or appearance, S- Sleep

HYPOTHYROIDISM
3c
constipation
cold intolerance
change in hair
change in skin
change in voice



CNS :


ADLs(DEATH)+IADLs(SHAFT)
Begin with :Is there anything in the daily living you can't do by yourself?
Dressing: Do you have problem wearing clothes?
Eating: Do you have problem eating by yourself? (Can ask alone with F)
Ambulation: Do you have problem getting in and out of bed?
Toileting: Do you have problem using toliet?
Hygiene: Do you have problem bathing?
Shopping: Do you have problem shopping?
Housekeeping: Do you have problem keeping your house clean?
Accounting: Do you have problems managing money?
(Food preparation: Do you have problem preparing food?)
(Transportationo you have any problem driving a car or taking a bus?)


SLEEP :
O P D A A A Activities which make u…DIES 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 onset

I insulin Rx
S schedule intake
C 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 ...

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
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