It's All in the History Folks! Heartbreak-er A Breath of Fresh Air Gut Sense & Sensibility Make No Bones About It
100
What is (any of the following):
OLDCARTS:(Onset, Location, Duration, Aggravating/Alleviating, Radiation, Timing, Severity)
OPQRST: (Onset, Pallitating/Provoking, Quality, Radiation, Site, Timing)
CLEARAST: (Character, Location, Exacerbating, Alleviating,
A mnemonic for an HPI
(including explanation for each letter of mnemonic)
100
What is an apical holosystolic murmur radiating to the left axilla?
The location, timing, and radiation of a classic mitral regurgitation murmur.
100
What is asthma, bronchitis, or COPD?
2 lung conditions in which wheezes might be heard.
100
What is cirrhosis?
Clinical condition in which a hard nodular liver edge is seen.
100
What are the supraspinatous, infraspinatus, teres minor and subscapularis?
Components of the rotator cuff tendon.
200
What are the Kleinman questions?
Questions that validate a patient's concerns and psychosocial context of illness.
200
What is aortic stenosis?
Clinical condition suggested in a late-peaking systolic murmur obscuring S2.
200
What is a lung lobar consolidation/pneumonia?
Clinical condition in which E-A changes are heard.
200
What are the costal margin, 6th rib and anterior axillary line?
The boundaries of Traube's space.
300
What is setting an agenda?
Prevents "door knob" questions from patients.
300
What is <140/90 mmHg?
The new goal BP level in patients aged 18-59 according to the Joint National Committee
(JNC 8).
300
What is pneumonia, interstitial lung disease, pulmonary fibrosis, CHF, bronchitis, or bronchiectasis?
3 clinical conditions in which crackles might be heard.
300
What are the Psoas sign and pain on rectal exam?
2 physical exam signs that would suggest a retroceal appendicitis.
400
What are the CAGE questions? (Cut down, Annoyance/Angry, Guilt, Eyeopener)
A mnemonic for evaluating alcohol risk (including explanation for each letter of the mnemonic).
400
What is >8cm of H20?
Elevated JVP.
400
What is pneumonia, pleural effusion, empyema, or hemothorax?
3 causes of dullness or flatness to percussion at the lung bases.
400
What are hemorrrhoidal bleed, brisk diverticular bleed, rectal cancer, arteriovenous malformation bleed?
3 causes of bright red blood per rectum.
500
What are CHF and venous insufficiency?
2 common cardiovascular causes of edema in the ankles.
500
What is COPD or pneumothorax?
Clinical condition in which hyper-resonance to percussion is commonly noted.
500
What is irritable bowel syndrome (IBS)?
The likely condition for a 24-year-old woman with abdominal bloating, crampy lower abdominal pain and non-bloody diarrhea in the absence of weight loss.






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