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usmle medical mnemonics

'usmle medical mnemonics'
V-fib/pulseless v-tach (new ACLS as of 2001) “EVAL My Pumper“: Epinephrine Vasopressin Amiodarone (class IIb--better for heart failure) Lidocaine (indeterminate - better for young, healthy or persistent) MgSO4 (IIb for hypomagnesemic state or torsades) Procainamide (IIb for intermittent/recurrent VF/VT) Trauma: motor vehicle accident considerations I AM SCARED: Impact (head-on, rear-end, t-bone, rollover, rotational etc.) Auto vs. pedestrian, bike, motorcycle (start @ speed 10mph) Medical history (cardiac, coagulolation, liver, immuno, obese, prego) Speed (50 mph?) Compartment intrusion (12 inches?) Age (55 y.o.?) Restraints (lap AST 200 Albumin below 32 Sugar: Glucose 10 (unless diabetic patient) Show Details / Rate It ---Daniel Henning 4th yr Medical Student, Belfast, UK Pancreatitis: Ranson criteria for pancreatitis: at admission “GA LAW“ (GA is abbreviation for the U.S. state of Georgia): Glucose 200 AST 250 LDH 350 Age 55 y.o. WBC 16000 Show Details / Rate It ---Anonymous Contributor Pancreatitis: Ranson criteria for pancreatitis: initial 48 hours “C AST 200 Albumin below 32 Sugar: Glucose 10 (unless diabetic patient) Cholangitis features CHOLANGITITS: Charcot's triad/ Conjugated bilirubin increase Hepatic abscesses/ Hepatic (intra/extra) bile ducts/ HLA B8, DR3 Obstruction Leukocytosis Alkaline phosphatase increase Neoplasms Gallstones Inflammatory bowel disease (ulcerative colitis) Transaminase increase Infection Sclerosing IBD: extraintestinal manifestations A PIE SAC: Aphthous ulcers Pyoderma gangrenosum Iritis Erythema nodosum Sclerosing cholangitis Arthritis Clubbing of fingertips Digestive disorders: pH level With vomiting both the pH and food come up. With diarrhea both the pH and food go down. Bilirubin: common causes for increased levels “HOT Liver“: Hemolysis Obstruction Tumor Liver disease IBD: surgery indications “I CHOP“: Infection Carcinoma Haemorrhage Obstruction Perforation · “Chop“ convenient since surgery chops them open. H. Pylori treatment regimen (rough guidelines) “Please Make Tummy Better“: Proton pump inhibitor Metronidazole Tetracycline Bismuth · Alternatively: TOMB: Tetracycline Omeprazole Metronidazole Bismuth Hereditary Nonpolyposis Colorectal Cancer (HNPCC) cause is DNA mismatch repair DNA mismatch causes a bubble in the strand where the two nucleotides don't match. This looks like the ensuing polyps that arise in the colon. · See diagram. Pancreatitis (acute): causes GET SMASHED: Gallstones Ethanol Trauma Steroids Mumps Autoimmune (PAN) Scorpion stings Hyperlipidemia/ Hypercalcemia ERCP Drugs (including azathioprine and diuretics) · Note: 'Get Smashed' is slang in some countries for drinking, and ethanol is an important pancreatitis cause. Charcot's triad (gallstones) “Charcot's Triad is 3 C's“: Color change (jaundice) Colic (biliary) pain, aka RUQ pain Chills and fever Charcot's triad (gallstones) “Charge a FEE“: Charcot's triad is: Fever Epigastric clue cells seen under microscope. Gardnerella= Gram
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