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6/24/2016 Mnemonics
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GIT Mnemonics
Duodenum: lengths of parts "Counting 1 to 4 but staggered":
1st part: 2 inches
2nd part: 3 inches
3rd part: 4 inches
4th part: 1 inch
Murphy's point organ [for Irish] "Murphy was an Irishman (and Murphy is a classic Irish surname), and
Ireland=green":
Green organ in body is gallbladder, so Murphy's point is the gall bladder.
Meckel's diverticulum details 2 inches long.
2 feet from end of ileum.
2 times more common in men.
2% occurrence in population.
2 types of tissues may be present.
· Note: "di­" means "two", so diverticulum is the thing with all the twos.
Liver inferior markings showing right/left lobe vs. vascular divisions There's a Hepatic "H" on inferior of
liver. One vertical stick of the H is the dividing line for anatomical right/left lobe and the other vertical stick is the
divider for vascular halves. Stick that divides the liver into vascular halves is the one with vena cava impression
(since vena cava carries blood, it's fortunate that it's the divider for blood halves).
Bowel components "Dow Jones Industrial Average Closing Stock Report":
· From proximal to distal:
Duodenum
Jejunum
Ileum
Appendix
Colon
Sigmoid
Rectum
· Alternatively: to include the cecum, "Dow Jones Industrial Climbing Average Closing StockReport".
Bowel components "Dublin Sisters Ceramic Red Colored Jewelry Apparently Illegal":
· 2­4 letters of each component:
Duodenum
Sigmoid
Cecum
Rectum
Colon
Jejunum
Appendix
Ileum
Ulcerative colitis: definition of a severe attack A STATE:
6/24/2016 Mnemonics
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Anemia less than 10g/dl
Stool frequency greater than 6 stools/day with blood
Temperature greater than 37.5
Albumin less than 30g/L
Tachycardia greater than 90bpm
ESR greater than 30mm/hr
Vomiting: extra GI differential VOMITING:
Vestibular disturbance/ Vagal (reflex pain)
Opiates
Migrane/ Metabolic (DKA, gastroparesis, hypercalcemia)
Infections
Toxicity (cytotoxic, digitalis toxicity)
Increased ICP, Ingested alcohol
Neurogenic, psychogenic
Gestation
Pancreatitis (acute): causes I GET SMASHED:
Idiopathitic
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.
· Note: Shortest answer is gallstones for women, and ethanol for men. And scorpian stings for people from
Trinidad.
Hereditary Nonpolyposis Colorectal Cancer (HNPCC) cause is DNA mismatch repairDNA 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.
IBD: extraintestinal manifestations A PIE SAC:
Aphthous ulcers
Pyoderma gangrenosum
Iritis
Erythema nodosum
Sclerosing cholangitis
Arthritis
Clubbing of fingertips
6/24/2016 Mnemonics
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Digestive disorders: pH level With vomiting both the pH and food come up.
With diarrhea both the pH and food go down.
H. Pylori treatment regimen (rough guidelines) "Please Make Tummy Better":
Proton pump inhibitor
Metronidazole
Tetracycline
Bismuth
· Alternatively: TOMB:
Tetracycline
Omeprazole
Metronidazole
Bismuth
Bilirubin: common causes for increased levels "HOT Liver":
Hemolysis
Obstruction
Tumor
Liver disease
Ulcerative colitis: complications "PAST Colitis":
Pyoderma gangrenosum
Ankylosing spondylitis
Sclerosing pericholangitis
Toxic megacolon
Colon carcinoma
Charcot's triad (gallstones) "Charcot's Triad is 3 C's":
Color change (jaundice)
Colic (biliary) pain, aka RUQ pain
Chills and fever
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
6/24/2016 Mnemonics
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Charcot's triad (gallstones) "Charge a FEE":
Charcot's triad is:
Fever
Epigastric & RUQ pain
Emesis & nausea
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Pancreatitis: criteria PANCREAS:
PaO2 below 8
Age >55
Neutrophils: WCC >15
Calcium below 2
Renal: Urea >16
Enzymes: LDH >600; AST >200
Albumin below 32
Sugar: Glucose >10 (unless diabetic patient)
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
Pancreatitis: Ranson criteria for pancreatitis: initial 48 hours "C & HOBBS" (Calvin andHobbes):
Calcium < 8
Hct drop > 10%
Oxygen < 60 mm
BUN > 5
Base deficit > 4
Sequestration of fluid > 6L
Pancreatitis: Ranson criteria for pancreatitis at admission LEGAL:
Leukocytes > 16.000
Enzyme AST > 250
Glucose > 200
Age > 55
LDH > 350
GIT symptoms BAD ANAL S#!T:
6/24/2016 Mnemonics
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Bleeding
Abdominal pain
Dysphagia
Abdominal bloating
Nausea & vomiting
Anorexia/ Appetite changes
Lethargy
S#!ts (diarrhea)
Heartburn
Increased bilirubin (jaundice)
Temperature (fever)
Crohn's disease: morphology, symptoms CHRISTMAS:
Cobblestones
High temperature
Reduced lumen
Intestinal fistulae
Skip lesions
Transmural (all layers, may ulcerate)
Malabsorption
Abdominal pain
Submucosal fibrosis
Dysphagia: differential DISPHAGIA:
Disease of mouth and tonsils/ Diffuse oesophageal spasm/ Diabetes mellitus
Intrinsic lesion
Scleroderma
Pharyngeal disorders/ Palsy­bulbar­MND
Achalasia
Heart: eft atrium enlargement
Goitre/ myesthenia Gravis/ mediastinal Glands
Infections
American trypanosomiasis (chagas disease)
Dry mouth: differential "DRI":
·2 of each:
Drugs/ Dehydration
Renal failure/ Radiotherapy
Immunological (Sjogren's)/ Intense emotions
Cirrhosis: causes of hepatic cirrhosis HEPATIC:
Hemochromatosis (primary)
Enzyme deficiency (alpha­1­anti­trypsin)
Post hepatic (infection + drug induced)
Alcoholic
Tyrosinosis
Indian childhood (galactosemia)
Cardiac/ Cholestatic (biliary)/ Cancer/ Copper (Wilson's)
6/24/2016 Mnemonics
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Hepatic encephalopathy: precipitating factors HEPATICS:
Hemorrhage in GIT/ Hyperkalemia
Excess protein in diet
Paracentesis
Acidosis/ Anemia
Trauma
Infection
Colon surgery
Sedatives
r
Whipple's disease: clinical manifestations SHELDA:
Serositis
Hyperpigmentation of skin
Eating less (weight loss)
Lymphadenopathy
Diarrhea
Arthritis
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­­­Pedro Tulio Universidade Federal do Rio de Janeiro, Brazil
Celiac sprue gluten sensitive enteropathy: gluten­containing grains BROW:
Barley
Rye
Oats
Wheat
· Flattened intestinal villi of celiac sprue are smooth, like an eyebrow.
Liver failure (chronic): signs found on the arms CLAPS:
Clubbing
Leukonychia
Asterixis
Palmar erythema
Scratch marks
Constipation: causes DOPED:
Drugs (eg opiates)
Obstruction (eg IBD, cancer)
Pain
Endocrine (eg hypothyroid)
Depression
Splenomegaly: causes CHINA:
Congestion/ Cellular infiltration
Haematological (eg haemolytic anaemia, Sickle cell)
Infection/ Infarction (eg malaria, GF, CMV)
6/24/2016 Mnemonics
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Neoplasia (eg CML, lymphoma, other myeloproliferative)
Autoimmune
Dysphagia: causes MOON:
Mouth lesions
Obstruction
Oesophageal stricture
Neurological (eg stroke, Guillain­Barre, achalasia)
Cirrhosis: differential: common and rarer · Common causes are ABC:
Alcohol
B (Hepatitis)
C (Hepatitis)
· Rarer are also ABC:
Autoimmune
Biliary cirrhosis
Copper (Wilson's)
Hepatic encephalopathy: precipitating factors ABCDEFI:
Alcohol withdrawal
Bleeding (GI)
Constipation
Drugs: withdraw any sedatives/narcotics
Electrolyte imbalances
Fluid depletion: stop diuretics
Infections: treat vigorously
CVS mneumonics
Mneumonics of CVS Anatomy :
Femoral triangle: arrangement of contents NAVEL:
· From lateral hip towards medial navel:
Nerve (directly behind sheath)
Artery (within sheath)
Vein (within sheath)
Empty space (between vein and lymph)
Lymphatics (with deep inguinal node)
· Nerve/Artery/Vein are all called Femoral.
Femoral triangle: arrangement of nerve, artery, vein VAN:
· From medial to lateral:
Vein
Artery
Nerve
· Nerve/Artery/Vein are all called Femoral.
6/24/2016 Mnemonics
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Aortic arch: major branch order "Know your ABC'S":
Aortic arch gives rise to:
Brachiocephalic trunk
left Common Carotid
left Subclavian
· Beware though trick question of 'What is first branch of aorta?' Technically, it's the coronary arteries.
Lung lobe numbers: right vs. left Tricuspid heart valve and tri­lobed lung both on the right side.
Bicuspid and bi­lobed lung both on the left side.
Ulnar nerve to ulnar artery and radial nerve to radial artery relations Think "peripheral nerves":
The ulnar nerve is "ulnar" to the ulnar artery.
Radial nerve is "radial" to the radial artery.
r
Female pelvic organs' blood supply "3 organs, each get 2 blood supplies":
Uterus: uterine, vaginal.
Rectum: middle rectal, inferior rectal [inferior rectal is the end of pudendal].
Bladder: superior vesical, inferior vesical.
Liver: side with ligamentum venosum/ caudate lobe vs. side with quadrate lobe/ ligamentum
teres "VC goes with VC":
The Venosum and Caudate is on same side as Vena Cava [posterior]. Therefore, quadrate and teres must be on
anterior by default.
Saphenous veins: path of great vs. small at malleolus "MAGdelaine has varicose veins" [The saphenous
veins are important for varicose veins]:
Medial maleolus, Anterior to maleolus, and Great saphenous go together.
Then the opposites of these go together: Small saphenous is posterior to the lateralmaleolus.
Thoracic cage: relations to the important venous structures Behind thesternoclavicular joints: the
brachiocephalic veins begin.
Behind the 1st costal cartilage on the right the superior vena cava begins.
Behind the 2nd costal cartilage on the right the azygos vein ends.
Behind the 3rd costal cartilage on the right the superior vena cava ends.
External carotid artery branches "Sister Lucy's Powdered Face Often Attracts SillyMedicos":
· Before entering the parotid gland:
Superior thyroid
Lingual
Posterior auricular
Facial
Occipital
Ascending pharyngeal
· Ends as:
Superficial temporal and
Maxillary bifurcating in the in the parotid gland
6/24/2016 Mnemonics
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External carotid artery branches "Some Angry Lady Figured Out PMS":
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occipital
Posterior auricular
Maxillary
Superificial temporal
Descending abdominal aorta: seven
divisions "Sometimes Intestines Get ReallyStretched Causing Leakage":
Suprarenals [paired]
Inferior mesenteric
Gonadal [paired]
Renals [paired]
Superior mesenteric
Celiac
Lumbar [paired]
Internal jugular vein: tributaries "Medical Schools Let Confident People In":
· From inferior to superior:
Middle thyroid
Superior thyroid
Lingual
Common facial
Pharyngeal
Inferior petrosal sinus
Portal­systemic anastomoses: main 2 places that retroperitoneals connect into
systemic RetroPeritoneals hook up with Renal and Paravertebral veins.
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Brachial artery: recurrent and collateral branches "I Am Pretty Sexy"
Inferior ulnar collateral artery goes with Anterior ulnar recurrent artery.
Posterior ulnar recurrent artery goes with Superior ulnar collateral artery.
· Alternatively: "I Am Pretty Smart".
Thoracoacromial artery branches "CAlifornia Police Department":
Clavicular
Acromial
Pectoral
Deltoid
6/24/2016 Mnemonics
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Axillary artery branches "Send The Lord to Say A Prayer":
· From proximal to distal:
Superior thoracic
Thoracacromial
Lateral thoracic
Subscapular
Anterior circumflex humeral
Posterior circumflex humeral
Carotid sheath contents "I See 10 CC's in the IV":
I See (I.C.) = Internal Carotid artery
10 = CN 10 (Vagus nerve)
CC = Common Carotid artery
IV = Internal Jugular Vein
Internal iliac artery: posterior branch PILS:
Posterior branch
Iliolumbar
Lateral sacral
Superior gluteal
External carotid artery branches StApLE OPIS:
Superior thyroid
Ascending pharyngeal
Lingual
External maxillary (facial)
Occipital
Posterior auricular
Internal maxillary
Superficial temporal
Axillary artery branches "Suzy Thompkins Loves Sex, Alcohol, and Pot":
· From proximal to distal:
Superior thoracic
Thoracacromial
Lateral thoracic
Subscapular
Anterior circumflex humeral
Posterior circumflex humeral
Maxillary artery branches "DAM I AM
Piss Drunk But Stupid Drunk I Prefer, Must PhoneAlcoholics Anonymous":
Deep auricular
Anterior tympanic
Middle meningeal
Inferior alveolar
Accessory meningeal
Masseteric
6/24/2016 Mnemonics
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Pterygoid
Deep temporal
Buccal
Sphenopalatine
Descending palatine
Infraorbital
Posterior superior alveolar
Middle superior alveolar
Pharyngeal
Anterior superior alveolar
Artery of the pterygoid canal
Femoral hernia: epidemiology FEMoral hernias are more common in FEMales.
External carotid artery branches "So Long For Acting Old Parenting Means Stability":
Superior thyroid
Lingual
Facial
Ascending pharyngeal
Occiptal
Posterior auricular
Maxillary
Superficial temporal
Inferior vena cava tributaries "I Like To Rise So High":
Illiacs
Lumbar
Testicular
Renal
Suprarenal
Hepatic vein.
· Think of the IVC wanting to rise high up to the heart.
Cavernous sinus contents O TOM CAT:
O TOM are lateral wall components, in order from superior to inferior.
CA are the components within the sinus, from medial to lateral. CA ends at the level of T from O TOM.
· See diagram.
Occulomotor nerve (III)
Trochlear nerve (IV)
Ophthalmic nerve (V1)
Maxillary nerve (V2)
Carotid artery
Abducent nerve (VI)
T: When written, connects to the T of OTOM.
Femoral triangle: contents NAVY:
· In order from lateral to medial:
Nerve
6/24/2016 Mnemonics
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Artery
Vein
Y of the groin
· Alternatively: Y = Y­fronts [male underwear].
Internal iliac artery: anterior branches What Bill admitted to Hilary:
"I Milked OurInsatiable Intern's Udders Under the Desk":
Inferior gluteal
Middle rectal
Obturator
Inferior vesical artery
Internal pudendal artery
Umbilical
U/D=Uterine artery (female)/ Deferential artery (male)
Thoracoacromial artery branches ABCD:
Acromial
Breast (pectoral)
Clavicular
Deltoid
Axillary artery branches "Screw The Lawyer Save A Patient":
Superior thoracic
Thoracoacromiol
Lateral thoracic
Subscapular
Anterior circumflex humeral
Posterior circumflex humeral
External carotid artery branches "Sally Ate Lots Of Fresh Produce March ThroughSeptember":
Superior thyroid
Ascending laryngeal
Lingual
Occipital (O before F is an extremely common variation)
Facial
Posterior auricular
Maxillary
Transverse facial
Superficial temporal
Atrioventricular valves "LAB RAT":
Left Atrium: Bicuspid
Right Atrium: Tricuspid
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­­­Amir A. Ghaferi Johns Hopkins School of Medicine
External carotid artery branches "She Lay Flaccid As Olaf's Penis Slipped In":
· From caudal to cephalad:
Superior thyroid
6/24/2016 Mnemonics
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Lingual
Facial
Ascending pharyngeal
Occipital
Posterior auricular
Superficial temporal
(Internal) maxillary
Brachial artery is medial to biceps tendon "BAMBI":
Brachial Artery is Medial to Biceps In elbow.
External carotid artery branches "Suzy Always Lays Flat On Pillows Making Sex Terrific":
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occipital
Posterior auricular
Maxillary
Superificial Temporal
Coelic trunk: branches Left Hand Side (LHS):
Left gastric artery
Hepatic artery
Splenic artery
Heart valve sequence "Try Pulling My Aorta":
Tricuspid
Pulmonary
Mitral
Aorta
Femoral artery deep branches "Put My Leg Down Please":
Profundus femoris (deep femoral artery)
Medial circumflex femoral artery
Lateral circumflex femoral artery
Descending genicular arteries
Perforating arteries
Subclavian artery branches "Very Tired Individuals Sip Strong Coffee Served Daily":
Vertebral artery
Thyrocervical trunk
­­­Inferior thyroid
­­­Superficial cervical
­­­Suprascapular
Costocervical
­­­Superior intercostal
6/24/2016 Mnemonics
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­­­Deep cervical
Cardiac valves: order in circuit "TRI berore you BI":
Tricuspid valve is located in left heart and Bicuspid valve is located in right heart. Blood flows through
the tricuspid before bicuspid.
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­­­Chris Gilbreth Cleveland Chiropractic College, Kansas City
Heart valves: order in circuit "First learn a Tricycle, then learn a Bicycle":
Flow through Tricuspid first, then Bicuspid.
External jugular vein: tributaries PAST:
Posterior external jugular vein
Anterior jugular vein
Suprascapular vein
Transverse cervical vein
Branches of Internal Iliac Artery "I Love Going Places In My Very Own Underwear":
Ileolumbar
Lateral sacral
Gluteal (superior and inferior)
Pudendal (internal)
Inferior vesicle (uterine in females)
Middle rectal
Vaginal
Obturator
Umbilical
Thoracoacromial trunk: branches "Cadavers Are Dead People":
Clavicular
Acromial
Deltoid
Pectoral
Posterior mediastinum: contents DATES:
Descending aorta
Azygos and hemiazygous veins
Thoracic duct
Esophagus
Sympathetic trunk/ganglia
Rheumatic fever: Jones 5 major criteria SPACE:
Subcutaneous nodules
Pancarditis
Arthritis
Chorea
Erythema Marginatum
6/24/2016 Mnemonics
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CVS in Medicine:
Shock: signs and symptoms TV SPARC CUBE:
Thirst
Vomiting
Sweating
Pulse weak
Anxious
Respirations shallow/rapid
Cool
Cyanotic
Unconscious
BP low
Eyes blank
Acute LVF management LMNOP:
Lasex (frusemide)
Morphine (diamorphine)
Nitrates
Oxygen (sit patient up)
Pulmonary ventilation (if doing badly)
Subarachnoid hemorrhage (SAH) causes BATS:
Berry aneurysm
Arteriovenous malformation/ Adult polycystic kidney disease
Trauma (eg being struck with baseball bat)
Stroke
Ventricular fibrillation: treatment "Shock, Shock, Shock, Everybody Shock, Little Shock, Big Shock, Momma
Shock, Poppa Shock":
Shock= Defibrillate
Everybody= Epinephine
Little= Lidocaine
Big= Bretylium
Momma= MgSO4
Poppa= Pocainamide
Chest pain treatment, for nurses "MOVE your patient!":
Monitor: put patient on cardiac monitor
Oxygen: put patient on O2
Venous: gain large bore venous access
EKG: 12 lead EKG
Endotrachial tube deliverable drugs O NAVEL:
Oxygen
6/24/2016 Mnemonics
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Naloxone
Atropine
Ventolin (albuterol)
Epinephrine
Lidocaine
· If you can't get IV access established, and have necessity to administer resuscitative meds, remember you
have the airway and can give the above drugs.
· Drug delivery is enhanced if diluted with 10cc NS and rapid introduced for aeresolization.
· Alternatively, bare bone version is ALE, as above.
Syncope causes, by system HEAD HEART VESSELS:
· CNS causes include HEAD:
Hypoxia/ Hypoglycemia
Epilepsy
Anxiety
Dysfunctional brain stem (basivertebral TIA)
· Cardiac causes are HEART:
Heart attack
Embolism (PE)
Aortic obstruction (IHSS, AS or myxoma)
Rhythm disturbance, ventricular
Tachycardia
· Vascular causes are VESSELS:
Vasovagal
Ectopic (reminds one of hypovolemia)
Situational
Subclavian steal
ENT (glossopharyngeal neuralgia)
Low systemic vascular resistance (Addison's, diabetic vascular neuropathy)
Sensitive carotid sinus
Atrial fibrillation: causes of new onset THE ATRIAL FIBS:
Thyroid
Hypothermia
Embolism (P.E.)
Alcohol
Trauma (cardiac contusion)
Recent surgery (post CABG)
Ischemia
Atrial enlargement
Lone or idiopathic
Fever, anemia, high­output states
Infarct
Bad valves (mitral stenosis)
Stimulants (cocaine, theo, amphet, caffeine)
Malaria: complications of falciparum malaria CHAPLIN:
Cerebral malaria/ Coma
Hypoglycemia
6/24/2016 Mnemonics
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Anaemia
Pulmonary edema
Lactic acidosis
Infections
Necrois of renal tubules (ATN)
MI: immediate treatment DOGASH:
Diamorphine
Oxygen
GTN spray
Asprin 300mg
Streptokinase
Heparin
Pain history checklist OLDER SAAB:
Onset
Location
Description (what does it feel like)
Exacerbating factors
Radiation
Severity
Associated symptoms
Alleviating factors
Before (ever experience this before)
Pulseless Electrical Activity (PEA): checklist PEA:
Pulses check
Epinepherine
Atropine
PEA/Asystole (ACLS): etiology ITCHPAD:
Infarction
Tension pneumothorax
Cardiac tamponade
Hypovolemia/ Hypothermia/ Hypo­, Hyperkalemia/ Hypomagnesmia/ Hypoxemia
Pulmonary embolism
Acidosis
Drug overdose
V­fib/pulseless v­tach (new ACLS as of 2001) "EVAL My Pumper":
Epinephrine
Vasopressin
Amiodarone (class IIb­­better 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)
6/24/2016 Mnemonics
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Asystole: treatment "Have some asystole "TEA":
Transcutaneous pacing
Epi
Atropine
.
JVP: raised JVP differential PQRST (EKG waves):
Pericardial effusion
Quantity of fluid raised (fluid over load)
Right heart failure
Superior vena caval obstruction
Tricuspid stenosis/ Tricuspid regurgitation/ Tamponade (cardiac)
JVP: raised JVP: extra­cardiac causes FAT PEA:
Fever
Anaemia
Thyrotoxicosis
Pregnancy
Exercise
A­V fistula
· These are in addition to all the cardiac ones (pericardial effusion, RHF, tricuspid stenosis, SVC obstruction, etc).
Shock: general features CHORD ITEM:
Cold, clammy skin
Hypotension
Oliguria
Rapid, shallow breathing
Drowsiness, confusion
Irritability
Tachycardia
Elevated or reduced central venous pressure
Multi­organ damage
Myocardial infarction: some emergency treatment drugs ABCD:
Aspirin
Beta blockers
Clot busters (thromboytics)
Dynamite (nitrates)
Intrinsic vs. extrinsic pathway tests "PeT PiTTbull":
PeT: PT is for extrinsic pathway.
PiTTbull: PTT is for intrinsic pathway.
Heart valves: closure sequence "Many Things Are Possible":
Mitral, Tricuspid, Aortic, Pulmonic
Fluid compartments: volumes 12345:
6/24/2016 Mnemonics
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12 liters of interstitial fluid
3 liters plasma volume and 30 liters inside cells
45 liters total body water
Heart valves: placement of valves on standard heart anterior view "Try before youBuy": When read across
the page, the tricuspid valve comes before the bicuspid valve. Also, the lunar valves are near the top (in the
sky), like the moon.
Haemachromatosis complications "HaemoChromatosis Can Cause Deposits Anywhere":
Hypogonadism
Cancer (hepatocellular)
Cirrhosis
Cardiomyopathy
Diabetes mellitus
Arthropathy
Neurology mneumonics
Absent ankle jerks but extensor plantars Sex can make the F*ing ankles Dorsiflex
Subacute combined degeneration of the cord
Conus Medullaris
Motor Neurone disease
Tabes dorsalis
Fredreich’s Ataxia
Diabetic neuropathy
Altered Mental State AEIOU TIPS
Alcohol (drugs), Endocrine, Insulin, Opiates, Ureamia
Toxins / trauma / tumour, Infections, Psychosis / Porphyria, SOL / stroke / seizure / shock
Cerebellar signs VANISH DDT
Vertigo, Ataxia, Nystagmus, Intention tremor, Slurred speech, Hypotonia
Dysdiadocokinesia, Dysmetria, Titubation
or PINARDS
Past­pointing, Intention tremor, Nystagmus, Ataxia, Rebound, Dysdiad, Slurred Speech
Confusion DIM FACES
Drugs / Dehydration, Infection, Metabolic / MI,
Fracture / Failure, Alcohol / Anaemia, CVA, Electrolyte disturbances, S.O.L.
Dystrophia Myotonica BIG CHIPS
Balding (frontal), Intellectual impairment, Glucose intolerance
Cataracts / Cardiomyopathy, Handshake / Hyporeflexia, ↓IgG, Ptosis, Small gonads
Mononeuritis Multiplex DRAW CLAPS
DM, RA, AIDS, Wegeners
Carcinomatosis / Churg­Strass, Leprosy, Amyloid, PAN, SLE
Multiple sclerosis CURSED HIV
Cerebellar signs, UMNL, Retrobulbar neuritis, Spastic paraparesis, Euphoria
Dementia / Depression / Diplopia
6/24/2016 Mnemonics
https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 20/20
Horners, Incontinence, Vertigo / Vomiting
Muscles supplied by Median Nerve LOAF
Lumbricales, Opp pollicus, Abd pollicus, Flex pollicus brevis
Neuropathic Ulcers TADS
Tabes Dorsalis, Alcohol, DM, Syringomyelia
Parkinsons PARKINSONS
Pill rolling, akinesia, rigidity, kyphosis, instability, neck titubation, shuffling gait,
occulogyric crisis, nose tap (glabellar), small writing
Peripheral neuropathy DANG THE PAPIST
DM, Alcohol, Nutrition (B1, B2, B12), Guillian Barre
Trauma, Hereditary, Environmental (lead, drugs)
Paraneoplastic, Amyloid, Porphyria, Inflammatory, Syphilis, Tumours of nerves (HMSN)
Polyneuropathy VITAMINS
Vit def / vasculitides, infection (TB, leprosy, syphillis, polio)
Toxins (amiodarone, antiseptics, INH, lead, metronidazole, phenytoin, vincristine)
Amyloid, Metabolic (alcohol, DM, ↑thyroid, porphyria, liver & renal failure),
Idiopathic / Inherited, Neoplasm, Systemic (SLE, PAN, multiple myeloma)

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git-mnemonics-pdf-qeq-dr-notes.pdf

  • 1. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 1/20 GIT Mnemonics Duodenum: lengths of parts "Counting 1 to 4 but staggered": 1st part: 2 inches 2nd part: 3 inches 3rd part: 4 inches 4th part: 1 inch Murphy's point organ [for Irish] "Murphy was an Irishman (and Murphy is a classic Irish surname), and Ireland=green": Green organ in body is gallbladder, so Murphy's point is the gall bladder. Meckel's diverticulum details 2 inches long. 2 feet from end of ileum. 2 times more common in men. 2% occurrence in population. 2 types of tissues may be present. · Note: "di­" means "two", so diverticulum is the thing with all the twos. Liver inferior markings showing right/left lobe vs. vascular divisions There's a Hepatic "H" on inferior of liver. One vertical stick of the H is the dividing line for anatomical right/left lobe and the other vertical stick is the divider for vascular halves. Stick that divides the liver into vascular halves is the one with vena cava impression (since vena cava carries blood, it's fortunate that it's the divider for blood halves). Bowel components "Dow Jones Industrial Average Closing Stock Report": · From proximal to distal: Duodenum Jejunum Ileum Appendix Colon Sigmoid Rectum · Alternatively: to include the cecum, "Dow Jones Industrial Climbing Average Closing StockReport". Bowel components "Dublin Sisters Ceramic Red Colored Jewelry Apparently Illegal": · 2­4 letters of each component: Duodenum Sigmoid Cecum Rectum Colon Jejunum Appendix Ileum Ulcerative colitis: definition of a severe attack A STATE:
  • 2. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 2/20 Anemia less than 10g/dl Stool frequency greater than 6 stools/day with blood Temperature greater than 37.5 Albumin less than 30g/L Tachycardia greater than 90bpm ESR greater than 30mm/hr Vomiting: extra GI differential VOMITING: Vestibular disturbance/ Vagal (reflex pain) Opiates Migrane/ Metabolic (DKA, gastroparesis, hypercalcemia) Infections Toxicity (cytotoxic, digitalis toxicity) Increased ICP, Ingested alcohol Neurogenic, psychogenic Gestation Pancreatitis (acute): causes I GET SMASHED: Idiopathitic 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. · Note: Shortest answer is gallstones for women, and ethanol for men. And scorpian stings for people from Trinidad. Hereditary Nonpolyposis Colorectal Cancer (HNPCC) cause is DNA mismatch repairDNA 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. IBD: extraintestinal manifestations A PIE SAC: Aphthous ulcers Pyoderma gangrenosum Iritis Erythema nodosum Sclerosing cholangitis Arthritis Clubbing of fingertips
  • 3. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 3/20 Digestive disorders: pH level With vomiting both the pH and food come up. With diarrhea both the pH and food go down. H. Pylori treatment regimen (rough guidelines) "Please Make Tummy Better": Proton pump inhibitor Metronidazole Tetracycline Bismuth · Alternatively: TOMB: Tetracycline Omeprazole Metronidazole Bismuth Bilirubin: common causes for increased levels "HOT Liver": Hemolysis Obstruction Tumor Liver disease Ulcerative colitis: complications "PAST Colitis": Pyoderma gangrenosum Ankylosing spondylitis Sclerosing pericholangitis Toxic megacolon Colon carcinoma Charcot's triad (gallstones) "Charcot's Triad is 3 C's": Color change (jaundice) Colic (biliary) pain, aka RUQ pain Chills and fever 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
  • 4. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 4/20 Charcot's triad (gallstones) "Charge a FEE": Charcot's triad is: Fever Epigastric & RUQ pain Emesis & nausea Show Details / Rate It ­­­Anonymous Contributor Pancreatitis: criteria PANCREAS: PaO2 below 8 Age >55 Neutrophils: WCC >15 Calcium below 2 Renal: Urea >16 Enzymes: LDH >600; AST >200 Albumin below 32 Sugar: Glucose >10 (unless diabetic patient) 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 Pancreatitis: Ranson criteria for pancreatitis: initial 48 hours "C & HOBBS" (Calvin andHobbes): Calcium < 8 Hct drop > 10% Oxygen < 60 mm BUN > 5 Base deficit > 4 Sequestration of fluid > 6L Pancreatitis: Ranson criteria for pancreatitis at admission LEGAL: Leukocytes > 16.000 Enzyme AST > 250 Glucose > 200 Age > 55 LDH > 350 GIT symptoms BAD ANAL S#!T:
  • 5. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 5/20 Bleeding Abdominal pain Dysphagia Abdominal bloating Nausea & vomiting Anorexia/ Appetite changes Lethargy S#!ts (diarrhea) Heartburn Increased bilirubin (jaundice) Temperature (fever) Crohn's disease: morphology, symptoms CHRISTMAS: Cobblestones High temperature Reduced lumen Intestinal fistulae Skip lesions Transmural (all layers, may ulcerate) Malabsorption Abdominal pain Submucosal fibrosis Dysphagia: differential DISPHAGIA: Disease of mouth and tonsils/ Diffuse oesophageal spasm/ Diabetes mellitus Intrinsic lesion Scleroderma Pharyngeal disorders/ Palsy­bulbar­MND Achalasia Heart: eft atrium enlargement Goitre/ myesthenia Gravis/ mediastinal Glands Infections American trypanosomiasis (chagas disease) Dry mouth: differential "DRI": ·2 of each: Drugs/ Dehydration Renal failure/ Radiotherapy Immunological (Sjogren's)/ Intense emotions Cirrhosis: causes of hepatic cirrhosis HEPATIC: Hemochromatosis (primary) Enzyme deficiency (alpha­1­anti­trypsin) Post hepatic (infection + drug induced) Alcoholic Tyrosinosis Indian childhood (galactosemia) Cardiac/ Cholestatic (biliary)/ Cancer/ Copper (Wilson's)
  • 6. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 6/20 Hepatic encephalopathy: precipitating factors HEPATICS: Hemorrhage in GIT/ Hyperkalemia Excess protein in diet Paracentesis Acidosis/ Anemia Trauma Infection Colon surgery Sedatives r Whipple's disease: clinical manifestations SHELDA: Serositis Hyperpigmentation of skin Eating less (weight loss) Lymphadenopathy Diarrhea Arthritis Show Details / Rate It ­­­Pedro Tulio Universidade Federal do Rio de Janeiro, Brazil Celiac sprue gluten sensitive enteropathy: gluten­containing grains BROW: Barley Rye Oats Wheat · Flattened intestinal villi of celiac sprue are smooth, like an eyebrow. Liver failure (chronic): signs found on the arms CLAPS: Clubbing Leukonychia Asterixis Palmar erythema Scratch marks Constipation: causes DOPED: Drugs (eg opiates) Obstruction (eg IBD, cancer) Pain Endocrine (eg hypothyroid) Depression Splenomegaly: causes CHINA: Congestion/ Cellular infiltration Haematological (eg haemolytic anaemia, Sickle cell) Infection/ Infarction (eg malaria, GF, CMV)
  • 7. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 7/20 Neoplasia (eg CML, lymphoma, other myeloproliferative) Autoimmune Dysphagia: causes MOON: Mouth lesions Obstruction Oesophageal stricture Neurological (eg stroke, Guillain­Barre, achalasia) Cirrhosis: differential: common and rarer · Common causes are ABC: Alcohol B (Hepatitis) C (Hepatitis) · Rarer are also ABC: Autoimmune Biliary cirrhosis Copper (Wilson's) Hepatic encephalopathy: precipitating factors ABCDEFI: Alcohol withdrawal Bleeding (GI) Constipation Drugs: withdraw any sedatives/narcotics Electrolyte imbalances Fluid depletion: stop diuretics Infections: treat vigorously CVS mneumonics Mneumonics of CVS Anatomy : Femoral triangle: arrangement of contents NAVEL: · From lateral hip towards medial navel: Nerve (directly behind sheath) Artery (within sheath) Vein (within sheath) Empty space (between vein and lymph) Lymphatics (with deep inguinal node) · Nerve/Artery/Vein are all called Femoral. Femoral triangle: arrangement of nerve, artery, vein VAN: · From medial to lateral: Vein Artery Nerve · Nerve/Artery/Vein are all called Femoral.
  • 8. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 8/20 Aortic arch: major branch order "Know your ABC'S": Aortic arch gives rise to: Brachiocephalic trunk left Common Carotid left Subclavian · Beware though trick question of 'What is first branch of aorta?' Technically, it's the coronary arteries. Lung lobe numbers: right vs. left Tricuspid heart valve and tri­lobed lung both on the right side. Bicuspid and bi­lobed lung both on the left side. Ulnar nerve to ulnar artery and radial nerve to radial artery relations Think "peripheral nerves": The ulnar nerve is "ulnar" to the ulnar artery. Radial nerve is "radial" to the radial artery. r Female pelvic organs' blood supply "3 organs, each get 2 blood supplies": Uterus: uterine, vaginal. Rectum: middle rectal, inferior rectal [inferior rectal is the end of pudendal]. Bladder: superior vesical, inferior vesical. Liver: side with ligamentum venosum/ caudate lobe vs. side with quadrate lobe/ ligamentum teres "VC goes with VC": The Venosum and Caudate is on same side as Vena Cava [posterior]. Therefore, quadrate and teres must be on anterior by default. Saphenous veins: path of great vs. small at malleolus "MAGdelaine has varicose veins" [The saphenous veins are important for varicose veins]: Medial maleolus, Anterior to maleolus, and Great saphenous go together. Then the opposites of these go together: Small saphenous is posterior to the lateralmaleolus. Thoracic cage: relations to the important venous structures Behind thesternoclavicular joints: the brachiocephalic veins begin. Behind the 1st costal cartilage on the right the superior vena cava begins. Behind the 2nd costal cartilage on the right the azygos vein ends. Behind the 3rd costal cartilage on the right the superior vena cava ends. External carotid artery branches "Sister Lucy's Powdered Face Often Attracts SillyMedicos": · Before entering the parotid gland: Superior thyroid Lingual Posterior auricular Facial Occipital Ascending pharyngeal · Ends as: Superficial temporal and Maxillary bifurcating in the in the parotid gland
  • 9. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 9/20 External carotid artery branches "Some Angry Lady Figured Out PMS": Superior thyroid Ascending pharyngeal Lingual Facial Occipital Posterior auricular Maxillary Superificial temporal Descending abdominal aorta: seven divisions "Sometimes Intestines Get ReallyStretched Causing Leakage": Suprarenals [paired] Inferior mesenteric Gonadal [paired] Renals [paired] Superior mesenteric Celiac Lumbar [paired] Internal jugular vein: tributaries "Medical Schools Let Confident People In": · From inferior to superior: Middle thyroid Superior thyroid Lingual Common facial Pharyngeal Inferior petrosal sinus Portal­systemic anastomoses: main 2 places that retroperitoneals connect into systemic RetroPeritoneals hook up with Renal and Paravertebral veins. Show Details / Rate It ­­­Anonymous Contributor Brachial artery: recurrent and collateral branches "I Am Pretty Sexy" Inferior ulnar collateral artery goes with Anterior ulnar recurrent artery. Posterior ulnar recurrent artery goes with Superior ulnar collateral artery. · Alternatively: "I Am Pretty Smart". Thoracoacromial artery branches "CAlifornia Police Department": Clavicular Acromial Pectoral Deltoid
  • 10. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 10/20 Axillary artery branches "Send The Lord to Say A Prayer": · From proximal to distal: Superior thoracic Thoracacromial Lateral thoracic Subscapular Anterior circumflex humeral Posterior circumflex humeral Carotid sheath contents "I See 10 CC's in the IV": I See (I.C.) = Internal Carotid artery 10 = CN 10 (Vagus nerve) CC = Common Carotid artery IV = Internal Jugular Vein Internal iliac artery: posterior branch PILS: Posterior branch Iliolumbar Lateral sacral Superior gluteal External carotid artery branches StApLE OPIS: Superior thyroid Ascending pharyngeal Lingual External maxillary (facial) Occipital Posterior auricular Internal maxillary Superficial temporal Axillary artery branches "Suzy Thompkins Loves Sex, Alcohol, and Pot": · From proximal to distal: Superior thoracic Thoracacromial Lateral thoracic Subscapular Anterior circumflex humeral Posterior circumflex humeral Maxillary artery branches "DAM I AM Piss Drunk But Stupid Drunk I Prefer, Must PhoneAlcoholics Anonymous": Deep auricular Anterior tympanic Middle meningeal Inferior alveolar Accessory meningeal Masseteric
  • 11. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 11/20 Pterygoid Deep temporal Buccal Sphenopalatine Descending palatine Infraorbital Posterior superior alveolar Middle superior alveolar Pharyngeal Anterior superior alveolar Artery of the pterygoid canal Femoral hernia: epidemiology FEMoral hernias are more common in FEMales. External carotid artery branches "So Long For Acting Old Parenting Means Stability": Superior thyroid Lingual Facial Ascending pharyngeal Occiptal Posterior auricular Maxillary Superficial temporal Inferior vena cava tributaries "I Like To Rise So High": Illiacs Lumbar Testicular Renal Suprarenal Hepatic vein. · Think of the IVC wanting to rise high up to the heart. Cavernous sinus contents O TOM CAT: O TOM are lateral wall components, in order from superior to inferior. CA are the components within the sinus, from medial to lateral. CA ends at the level of T from O TOM. · See diagram. Occulomotor nerve (III) Trochlear nerve (IV) Ophthalmic nerve (V1) Maxillary nerve (V2) Carotid artery Abducent nerve (VI) T: When written, connects to the T of OTOM. Femoral triangle: contents NAVY: · In order from lateral to medial: Nerve
  • 12. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 12/20 Artery Vein Y of the groin · Alternatively: Y = Y­fronts [male underwear]. Internal iliac artery: anterior branches What Bill admitted to Hilary: "I Milked OurInsatiable Intern's Udders Under the Desk": Inferior gluteal Middle rectal Obturator Inferior vesical artery Internal pudendal artery Umbilical U/D=Uterine artery (female)/ Deferential artery (male) Thoracoacromial artery branches ABCD: Acromial Breast (pectoral) Clavicular Deltoid Axillary artery branches "Screw The Lawyer Save A Patient": Superior thoracic Thoracoacromiol Lateral thoracic Subscapular Anterior circumflex humeral Posterior circumflex humeral External carotid artery branches "Sally Ate Lots Of Fresh Produce March ThroughSeptember": Superior thyroid Ascending laryngeal Lingual Occipital (O before F is an extremely common variation) Facial Posterior auricular Maxillary Transverse facial Superficial temporal Atrioventricular valves "LAB RAT": Left Atrium: Bicuspid Right Atrium: Tricuspid Show Details / Rate It ­­­Amir A. Ghaferi Johns Hopkins School of Medicine External carotid artery branches "She Lay Flaccid As Olaf's Penis Slipped In": · From caudal to cephalad: Superior thyroid
  • 13. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 13/20 Lingual Facial Ascending pharyngeal Occipital Posterior auricular Superficial temporal (Internal) maxillary Brachial artery is medial to biceps tendon "BAMBI": Brachial Artery is Medial to Biceps In elbow. External carotid artery branches "Suzy Always Lays Flat On Pillows Making Sex Terrific": Superior thyroid Ascending pharyngeal Lingual Facial Occipital Posterior auricular Maxillary Superificial Temporal Coelic trunk: branches Left Hand Side (LHS): Left gastric artery Hepatic artery Splenic artery Heart valve sequence "Try Pulling My Aorta": Tricuspid Pulmonary Mitral Aorta Femoral artery deep branches "Put My Leg Down Please": Profundus femoris (deep femoral artery) Medial circumflex femoral artery Lateral circumflex femoral artery Descending genicular arteries Perforating arteries Subclavian artery branches "Very Tired Individuals Sip Strong Coffee Served Daily": Vertebral artery Thyrocervical trunk ­­­Inferior thyroid ­­­Superficial cervical ­­­Suprascapular Costocervical ­­­Superior intercostal
  • 14. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 14/20 ­­­Deep cervical Cardiac valves: order in circuit "TRI berore you BI": Tricuspid valve is located in left heart and Bicuspid valve is located in right heart. Blood flows through the tricuspid before bicuspid. Show Details / Rate It ­­­Chris Gilbreth Cleveland Chiropractic College, Kansas City Heart valves: order in circuit "First learn a Tricycle, then learn a Bicycle": Flow through Tricuspid first, then Bicuspid. External jugular vein: tributaries PAST: Posterior external jugular vein Anterior jugular vein Suprascapular vein Transverse cervical vein Branches of Internal Iliac Artery "I Love Going Places In My Very Own Underwear": Ileolumbar Lateral sacral Gluteal (superior and inferior) Pudendal (internal) Inferior vesicle (uterine in females) Middle rectal Vaginal Obturator Umbilical Thoracoacromial trunk: branches "Cadavers Are Dead People": Clavicular Acromial Deltoid Pectoral Posterior mediastinum: contents DATES: Descending aorta Azygos and hemiazygous veins Thoracic duct Esophagus Sympathetic trunk/ganglia Rheumatic fever: Jones 5 major criteria SPACE: Subcutaneous nodules Pancarditis Arthritis Chorea Erythema Marginatum
  • 15. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 15/20 CVS in Medicine: Shock: signs and symptoms TV SPARC CUBE: Thirst Vomiting Sweating Pulse weak Anxious Respirations shallow/rapid Cool Cyanotic Unconscious BP low Eyes blank Acute LVF management LMNOP: Lasex (frusemide) Morphine (diamorphine) Nitrates Oxygen (sit patient up) Pulmonary ventilation (if doing badly) Subarachnoid hemorrhage (SAH) causes BATS: Berry aneurysm Arteriovenous malformation/ Adult polycystic kidney disease Trauma (eg being struck with baseball bat) Stroke Ventricular fibrillation: treatment "Shock, Shock, Shock, Everybody Shock, Little Shock, Big Shock, Momma Shock, Poppa Shock": Shock= Defibrillate Everybody= Epinephine Little= Lidocaine Big= Bretylium Momma= MgSO4 Poppa= Pocainamide Chest pain treatment, for nurses "MOVE your patient!": Monitor: put patient on cardiac monitor Oxygen: put patient on O2 Venous: gain large bore venous access EKG: 12 lead EKG Endotrachial tube deliverable drugs O NAVEL: Oxygen
  • 16. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 16/20 Naloxone Atropine Ventolin (albuterol) Epinephrine Lidocaine · If you can't get IV access established, and have necessity to administer resuscitative meds, remember you have the airway and can give the above drugs. · Drug delivery is enhanced if diluted with 10cc NS and rapid introduced for aeresolization. · Alternatively, bare bone version is ALE, as above. Syncope causes, by system HEAD HEART VESSELS: · CNS causes include HEAD: Hypoxia/ Hypoglycemia Epilepsy Anxiety Dysfunctional brain stem (basivertebral TIA) · Cardiac causes are HEART: Heart attack Embolism (PE) Aortic obstruction (IHSS, AS or myxoma) Rhythm disturbance, ventricular Tachycardia · Vascular causes are VESSELS: Vasovagal Ectopic (reminds one of hypovolemia) Situational Subclavian steal ENT (glossopharyngeal neuralgia) Low systemic vascular resistance (Addison's, diabetic vascular neuropathy) Sensitive carotid sinus Atrial fibrillation: causes of new onset THE ATRIAL FIBS: Thyroid Hypothermia Embolism (P.E.) Alcohol Trauma (cardiac contusion) Recent surgery (post CABG) Ischemia Atrial enlargement Lone or idiopathic Fever, anemia, high­output states Infarct Bad valves (mitral stenosis) Stimulants (cocaine, theo, amphet, caffeine) Malaria: complications of falciparum malaria CHAPLIN: Cerebral malaria/ Coma Hypoglycemia
  • 17. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 17/20 Anaemia Pulmonary edema Lactic acidosis Infections Necrois of renal tubules (ATN) MI: immediate treatment DOGASH: Diamorphine Oxygen GTN spray Asprin 300mg Streptokinase Heparin Pain history checklist OLDER SAAB: Onset Location Description (what does it feel like) Exacerbating factors Radiation Severity Associated symptoms Alleviating factors Before (ever experience this before) Pulseless Electrical Activity (PEA): checklist PEA: Pulses check Epinepherine Atropine PEA/Asystole (ACLS): etiology ITCHPAD: Infarction Tension pneumothorax Cardiac tamponade Hypovolemia/ Hypothermia/ Hypo­, Hyperkalemia/ Hypomagnesmia/ Hypoxemia Pulmonary embolism Acidosis Drug overdose V­fib/pulseless v­tach (new ACLS as of 2001) "EVAL My Pumper": Epinephrine Vasopressin Amiodarone (class IIb­­better 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)
  • 18. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 18/20 Asystole: treatment "Have some asystole "TEA": Transcutaneous pacing Epi Atropine . JVP: raised JVP differential PQRST (EKG waves): Pericardial effusion Quantity of fluid raised (fluid over load) Right heart failure Superior vena caval obstruction Tricuspid stenosis/ Tricuspid regurgitation/ Tamponade (cardiac) JVP: raised JVP: extra­cardiac causes FAT PEA: Fever Anaemia Thyrotoxicosis Pregnancy Exercise A­V fistula · These are in addition to all the cardiac ones (pericardial effusion, RHF, tricuspid stenosis, SVC obstruction, etc). Shock: general features CHORD ITEM: Cold, clammy skin Hypotension Oliguria Rapid, shallow breathing Drowsiness, confusion Irritability Tachycardia Elevated or reduced central venous pressure Multi­organ damage Myocardial infarction: some emergency treatment drugs ABCD: Aspirin Beta blockers Clot busters (thromboytics) Dynamite (nitrates) Intrinsic vs. extrinsic pathway tests "PeT PiTTbull": PeT: PT is for extrinsic pathway. PiTTbull: PTT is for intrinsic pathway. Heart valves: closure sequence "Many Things Are Possible": Mitral, Tricuspid, Aortic, Pulmonic Fluid compartments: volumes 12345:
  • 19. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 19/20 12 liters of interstitial fluid 3 liters plasma volume and 30 liters inside cells 45 liters total body water Heart valves: placement of valves on standard heart anterior view "Try before youBuy": When read across the page, the tricuspid valve comes before the bicuspid valve. Also, the lunar valves are near the top (in the sky), like the moon. Haemachromatosis complications "HaemoChromatosis Can Cause Deposits Anywhere": Hypogonadism Cancer (hepatocellular) Cirrhosis Cardiomyopathy Diabetes mellitus Arthropathy Neurology mneumonics Absent ankle jerks but extensor plantars Sex can make the F*ing ankles Dorsiflex Subacute combined degeneration of the cord Conus Medullaris Motor Neurone disease Tabes dorsalis Fredreich’s Ataxia Diabetic neuropathy Altered Mental State AEIOU TIPS Alcohol (drugs), Endocrine, Insulin, Opiates, Ureamia Toxins / trauma / tumour, Infections, Psychosis / Porphyria, SOL / stroke / seizure / shock Cerebellar signs VANISH DDT Vertigo, Ataxia, Nystagmus, Intention tremor, Slurred speech, Hypotonia Dysdiadocokinesia, Dysmetria, Titubation or PINARDS Past­pointing, Intention tremor, Nystagmus, Ataxia, Rebound, Dysdiad, Slurred Speech Confusion DIM FACES Drugs / Dehydration, Infection, Metabolic / MI, Fracture / Failure, Alcohol / Anaemia, CVA, Electrolyte disturbances, S.O.L. Dystrophia Myotonica BIG CHIPS Balding (frontal), Intellectual impairment, Glucose intolerance Cataracts / Cardiomyopathy, Handshake / Hyporeflexia, ↓IgG, Ptosis, Small gonads Mononeuritis Multiplex DRAW CLAPS DM, RA, AIDS, Wegeners Carcinomatosis / Churg­Strass, Leprosy, Amyloid, PAN, SLE Multiple sclerosis CURSED HIV Cerebellar signs, UMNL, Retrobulbar neuritis, Spastic paraparesis, Euphoria Dementia / Depression / Diplopia
  • 20. 6/24/2016 Mnemonics https://web.facebook.com/notes/mrcp4all/mnemonics/442529735787671 20/20 Horners, Incontinence, Vertigo / Vomiting Muscles supplied by Median Nerve LOAF Lumbricales, Opp pollicus, Abd pollicus, Flex pollicus brevis Neuropathic Ulcers TADS Tabes Dorsalis, Alcohol, DM, Syringomyelia Parkinsons PARKINSONS Pill rolling, akinesia, rigidity, kyphosis, instability, neck titubation, shuffling gait, occulogyric crisis, nose tap (glabellar), small writing Peripheral neuropathy DANG THE PAPIST DM, Alcohol, Nutrition (B1, B2, B12), Guillian Barre Trauma, Hereditary, Environmental (lead, drugs) Paraneoplastic, Amyloid, Porphyria, Inflammatory, Syphilis, Tumours of nerves (HMSN) Polyneuropathy VITAMINS Vit def / vasculitides, infection (TB, leprosy, syphillis, polio) Toxins (amiodarone, antiseptics, INH, lead, metronidazole, phenytoin, vincristine) Amyloid, Metabolic (alcohol, DM, ↑thyroid, porphyria, liver & renal failure), Idiopathic / Inherited, Neoplasm, Systemic (SLE, PAN, multiple myeloma)