Urinary Incontinence = D.R.I.P.
D: drugs- diuretics, anticholinergics
R: restricted mobility
I: infection or impaction
P: polyuria : hyperglycemia, CHF
Differential of "i''s for generating DDx.
ischemic
infection
injury
indocrine
inherited
immunologic
infiltrative
insane
intoxication
idiot-pathic
i-did it
intern did it
4 Famous Discharge Criteria
Walking
Talking
Peeing
Pooping
7 components of an HPI
1. Location-Radiation
2. Quality
3. Quantity
4. Chronology
5. Situational
6. Aggravating and Alleviating Circumstances
7. Associated Manifestations
OLDCART Method for HPI/Complaints
Onset
Location
Duration
Character
Aggravating / Alleviating
Radiation
Temporal Factors (Time)
OPQRST Method for HPI/Complaints
O= Onset
P = Provoking / Pallating
Q = Quality
R = Radiates
S = Severity / Site
T = Time / Temporal Factors
TAILS for Microcytic Anemia
Thallasemia
Anemia of Chronic Disease
Iron Deficiency Anemia
Lead Poisoning
Sideroblastic Anemia -abnl production of red blood cells as part of myelodysplastic syndrome,
MUDPILES for metabolic acidosis
Methanol
Uremia
Diabetes
Paraldehyde
Infection, Iron, Isoniazid
Lactic Acidosis
Ethylene Glycol, Ethanol
Salicylates
MASH for H&P
Medications
Allergies
Surgeries
Hospitalizations
HALT for Target Cells
HbC Disease
Asplenia
Liver Disease
Thallassemia
Hypercoaguable workup List
Protein C def
Protein S def
Prothrombin 20210A
Factor V Leiden
MTHFR Gene mutation (use Homocysteine levels)
ANTI CARDIOLIPIN AB PANEL
LUPUS REFLEX < LUPUS CUSTOM ANTICOAGULANT PANEL>
Activated protein C resistance.
SIRS = 2 or more of the following
1. T <36 or > 38°C
2. HR > 90 bpm
3. RR> 20 bpm or PC02 < 32 mm Hg
4. WBC <4K or > 12K or >10% bands
Sepsis = SIRS + infection
Severe Sepsis = Sepsis + organ dysfunction, hypoperfusion, or hypotension.
Septic shock = Sepsis + refractory arterial hypotension or hypoperfusion abnormalities
TTP vs. HUS
Fever
Anemia
Thrombocytopenia
Renal Failure
Neurological manifestations
TTP is "FATRN" (fever,anemia,thrombocytopenia,renal failure.neurological symptoms)
remove F and T it becomes HUS
