Notes

Drug Brand Names

OTCs Brand Name Generic Name Advil, Motrin Ibuprofen Tylenol Acetaminophen Benadryl Diphenhydramine Chlor-Trimeton Chlorpheniramine Dimetapp Brompheniramine Tavist Clemastine Alavert, Claritin Loratadine Allegra Fexofenadine Zyrtec Cetirizine Imodium Loperamide Kaopectate Bismuth Pepto-Bismol Bismuth Enfalyte, Pedialyte Rehydration fluid Emetrol Anti-nausea Dramamine Dimenhydrinate Bonine, Antivert, Postafen, Sea Legs Meclizine Cortaid Hydrocortisone cream Vicodin, Xodol, Co-gesic Acetaminophen / Hydrocodone Prilosec, Omesec, Select...

Clinical Encounter

Doorway Information (10-20 seconds) Patient info Name Age Sex Problem Chef complaint Vital signs Blood pressure Temperature Heart rate Respiratory rate Connect with patient through PEARLS Partnership Empathy Apology Respect Legitimization Support History (7-8 minutes) Introductions Knock on the door Verify the patient’s name Introduce yourself and shake hands...

Physical Exam

HEENT Head Inspect: First I am going to inspect your head for a second. Conjunctiva: I’d like to take a look under your eyelid. Touch: May I feel around your head? If anything is uncomfortable please let me know. (I am going to press gently on your head, please let me know...

Normal Patient Note

History HPI: 37 yo male c/o blah blah On the phone: The source of information is the patient’s mother/father. The mother/father of a 6-month-old F c/o her child having blah blah ROS: Negative except as above. Allergies: NKDA Medications: None PMH: None PSH: None Ob/Gyn: G1P1, LMP 2 wks ago, menarche at...

Blue Sheets

Blue Sheet (Adults) Blue Sheet (Peds)

Mnemonics

Check for Depression SIG E CAPS Sleep Interest Guilt Energy Concentration Appetite Psychomotor (agitated/lethargic) Suicide Check for Alcoholism CAGE questionnaire Cut down Annoyed Guilt Eye opener Smoking consultation 5 A’s Ask about tobacco use Advise to quit Assess willingness Assist in quitting Arrange follow-up Respond to patient emotions PEARLS...

Miscellaneous Notes

If patient has glasses and need to examine eye take them out. Don’t abbreviate any of the 3 DD If there are no work up indicated: write “no studies indicated” Before entering room have 5 DD ready Hand wash: first run water, then soap… “I need to do a...

Official Video Screenshots

Notes to read CIS

Mini-Mental Status Exam

Category Points What to ask Orientation to time 5 Year, Season, Date, Day, Month Orientation to place 5 Country, State, Town, Hospital, Floor Registration 3 Name 3 objects immediately (Chair, Bed, Pen) Concentration 5 Serial 7’s: 93, 86, 79, 72, 65 or Spell WORLD backward Recall 3 Name 3...

Scales

Reflexes 0 Areflexic 1 Hyporeflexia 2 Normal reflexes 3 Hyperreflexia 4 Hyperreflexia plus clonus Strength 0 No movement 1 Can move limb (wiggle toes) 2 Can lift limb against gravity 3 Can lift limb with one-finger resistance 4 Can lift limb with two-finger resistance 5 Full strength Pulses 0...

Postop Fever

Postop Fever 1-2d → Wind (Atelectasis/Pneumonia) 3-5d → Water (UTI) 5-7d → Walking (DVT) Day 7 → Wound (Wound) 8-15d → Weird (Drugs (can happen any time)/Abscess) Ob/Gyn → Womb (Endometritis) Time Etiology Diagnosis Treatment Prophylaxis During surgery Malignant hyperthermia (Anesthetics) O2 Dantrolene Cool IVF Family Hx Right after Bacteremia Blood...