| Abdominal Distension |
|---|
| The 5Fs F at F luid F aeces F latus F etus |
| Acute Abdomen |
| MEDIC CURSES A MOP M esenteric E nteritis D iverticulitis I schaemic C holecystitis U lcers R enal colic S alpingitis E ctopic pregnancy S mall bowel obstruction A ppendicitis M eckel's diverticulum O varian cyst P ancreatitis |
| Rectal Bleeding |
| H-DRAIN H emorroids D iverticulitis R adiation A V malformation I schaemia N eoplasm |
| Symptoms of GI Obstruction |
| PV D&C P ain V omiting D istension C onstipation |
| Hematemesis |
| GUM BLEEDINGG astritis U lcer M allory-Weiss tear B iliary (haemobilia) L arge (esophageal) varices E sophagitis E ntero-aortic fistula D uodenitis I BD N eovascularization G astric carcinoma |
| Nasogastric (NG) Tube Removal Post-Op |
| The 4Ps P eristalsis P assage of flatus P aucity of aspirate P atient peckish |
| Leg Ulcers |
| VAIN PAIN V enous A rterial I nfection (e.g. syphilis) N europathic P ressure sores A rthritis (e.g. RA, PAN) I njury N eoplastic |
| Pancreatitis |
| GET SMASHED G allstones E thanol T rauma (including surgery) S teroids M umps A utoimmune (PAN) S corpion bites H yperlipidemia/-calcemia or hypothermia E RCP D rugs (e.g. azothioprine, thiazide diuretics) |
| Prophylactic Antibiotic Indications |
| APPLE A mputations P rosthesis P enetrating wounds L arge bowel surgery E ndocarditis |
| Small Bowel Obstruction |
| SHAVIT S tone H ernia A hesions V olvulus I ntussusception T umor |
| Causes of Post-Op Fever |
| The 5Ws W ind: pneumonia or atelectasis W ound: surgical site infection W ater: urinary tract infection W alk: deep venous thrombosis W onder drugs: drug-induced fever |
| Indications for CT Scan in setting of Trauma |
| "Uncle Nelson ARgues ABout KIDs" U nconcious pt after head trauma N eck injury A ortic R upture AB dominal penetrating wound KID ney injury with hematuria |
| Conditions That Prevent Healing of GI Fistula |
| FETI3D F oreign bodies E pithelialization T umors I nfection I rradiated tissue I BD D istal obstruction |
| DDx for Scrotal Swelling |
| THE THEATRES T orsion H ernia E pididymytis, orchitis T rauma H ydrocele, varicocele, hematoma E dema A ppendix testes (torsion, hemorrhage) T umor R ecurrent leukemia E pididymal cyst S yphillis, TB |
| Immediate Post-Operative Complications |
| Post-op PROBS P ain P rimary hemorrhage R eactionary hemorrhage O liguria B asal atelectasis S epsis/shock |
| Causes of Generalized Edema |
| HILARI IS SAVE H eart failure I atrogenic L iver causes (venous obstruction) A ldosterone increased or ADH decreased R enal causes I nadequate protein in blood (hypoalbuminemia) (Causes of hypoalbuminemia) Intake inadequate (Kwashiorkor) S ecretion from pancreas decreased (e.g. pancreatitis) S ynthesis decreased (liver failure) A bsorption decreased (e.g. Crohn's disease) V omit E xcretion increassed |
| Causes of Localized Edema |
| ALIVE A llergic (angioedema) L ymphatic (e.g. elephantiasis) I nflammatory (e.g. infection, injury) VEnous (e.g. DVT, chronic venous insufficiency) |
| GI Bleeding Causes |
| ABCDEFGHI A ngiodysplasia B owel cancer C olitis D iverticulitis/duodenal ulcer E sophageal (cancer, esophagitis, varices) F istula (anal, aortoenteric) G astric (cancer, ulcer, gastritis) H emorrhoids I nfectious diarrhea/IBD/Ischemia |
| Melanoma Sites |
| Mel SEA (like "Mel C from the Spice Girls--whatever, don't pretend you don't know what I'm talking about) (in order to frequency) S kin E yes A nus |
| Appendectomy Complications |
| WRAP IF HOT W ound infection R espiratory (atelectasis, pneumonia) A bscess (pelvic) P ortal pyemia I leus (paralytic) F ecal fistula H ernia (r. inguinal) O bstruction (intestinal from adhesions) T hrombus (DVT) |
| Esophageal Cancer Risk Factors |
| PC BASTARDS P lummer-Vinson syndrome C eliac disease B arrett's dysplasia A lcohol S moking T ylosis A chalasia R ussian (geographic predilection) D iet S tricture |
| Disease Description: Organization |
| "In A Surgeon's Gown, Physicians May Make Some Clinical Progress" I ncidence A ge of onset S ex predilection G eopgraphic predilection P redisposing factors M acroscopic appearance M icroscopic appearance S pread (route of) Clinical features P rognosis |
| Abdomen: Inspection |
| The 5Ss S ize S hape S cars S kin lesions S toma |
| Causes of Unilateral Leg Swelling |
| TV BAIL T rauma V enous (varicose, DVT, venous insufficiency) B aker's cyst A llergy I nflammation (e.g. cellulitis) L ymphoedema |
| Ulcers: Edge Types |
| F PURE F lat (e.g. venous) P unched-out (e.g. trophic, arterial) U ndetermined (e.g. pressure, TB) R olled (e.g. BCC) E verted (e.g. SCC) |
| Pancreatitis Treatment |
| MACHINES M onitor vital signs A nalgesia/Antibiotics C alcium gluconate (if necessary) H2 receptor blockers I V access/IV fluids N il by mouth E mpty gastric contents S urgery if required |
| Appendicitis: Alvarado's Scoring System for Diagnosis |
| MANTRELS M igratory pain (1 pt) A norexia (1 pt) N ausea (1 pt) T enderness (2 pts) R ebound tenderness (1 pt) E levated temperature 1 pt) L eukocytosis (2 pts) S hift to left (1 pt) Score 3-4 = no appendicitis Score 5-6 = doubtful Score 7 or more = appendicitis |
| TPN Indications |
| MISIPPI BURNing M ajor visceral injury I BD S epsis I leus P ost-op P aralysis I ntestinal fistula BURNs |
| Surgical Discharge Checklist |
| FLAG COUP F (empty) L ucid A mbulatory G P letter sent C VS checked and stable (e.g. BP, pulse) Operation site OK Urinating OK P rescriptions |
August 3rd, 2009 at 3:58 pm
What about the p’s of acute arterial occlusion:
Pain, pallor, pulseless, paresthesia