Most Important Mnemonics for Step 2 Cs Free Essays

HISTORY PHYSICAL EXAMINATION HPI (history of present sickness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, blockage, hack, vaginal release) O Onset of the manifestation + encouraging components P Progression D Duration C Constant/Intermittent S Settings F Frequency L Location of the side effect (brow, wrist†¦ ) I Intensity of the indication (scale 1-10, 6/10) Q Quality of side effect.. BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the indication ( to left shoulder and arm) An Associated manifestations ( palpitations, brevity of breath) An Alleviating factors (sitting with my chest on my knees) An Aggravating variables (exertion, smoking, enormous suppers) An Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How regular do u need to pass pee? ) I Incontinence (Do u experience difficulty holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incomplete purging (do u feel totality significantly after Ux) S Stream (How is ur stream of pee? is it cont. We will compose a custom exposition test on Most Important Mnemonics for Step 2 Cs or then again any comparative theme just for you Request Now or then again is there any spilling after Ux? ) Strain (Do u need to strain during Ux) Stone (have u passed stones before? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 hold up b4 beginning Ux) P Pyuria (was there any discharge in ur Ux? ) U Urgency (do u have 2 race to BR to Ux? ) B Burning (dysuria) (does it consume) C COLOR 1 drkhalilezekiel@yahoo. com PMH (past clinical history) PAM HUGS FOSS P Previous nearness of the side effect (same CC), Past Medical issues (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) An Allergies (drugs, nourishments, synthetic substances, dust †¦ ) M Medicines (R U taking any physician recommended prescriptions/any over-the-counter medications. ), H Hospitalization for any ailment previously (Trauma, medical procedure) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal grumbles (diet changes, inside movements†¦ ) S Sleep pattern(difficulties falling/keep up asleep,wake up,snoring,med. to help rest, h ow long, bad dreams) F Family history (comparable boss grumblings/genuine ailment)/Fevers, Chills/Fatigue O OB/GYN history (LMP, premature births, para†¦ LMP RTV CS PAP S Sexual propensities (dynamic/inclinations/STD/no. of accomplices/contraception/pregnancy/last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners would you say you are dynamic with? † Q 3. â€Å"Are your accomplices male or female or both? † [Unless the SP says spouse or husband in Q 2] Q 4. â€Å"Do you use assurance during intercourse? † Q 5. In the event that yes in Q. 4 â€Å"What sort of security do you use? † Q 6. Get some information about butt-centric intercourse in male gay people Q 7. h/o STD’s; Rx for STD’s S Social Hx (work/house/smoking/liquor/recreational medications/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOES W Weight An Appetite D Diet S Smoke (cigarettes, weed, how much, how long) An Alcohol (what sort of liquor, how frequently, how much ,consider doing CAGE question. ) D recreational Drugs (what medicate, how would you use it, any IV tranquilize use? ) T Travel/Trauma O Occupation (what do you accomplish for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head injury/Seizure/Weak,Numb Tears/visual changes Flu Vomit/Speech Neck solidness 2 drkhalilezekiel@yahoo. com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest torment, quick respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-expanded or diminished pee, # of diapers, any smell, shade of pee Ulcers in mouth B Bowel changes: Diarrhea-recurrence, beginning, bodily fluid/discharge/blood in stool, any crying during poop Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever chills E Ear pull ing V Vomiting E Ear/eye release, Ear hearing, Eye vision R Rash S Seizure-any jerky developments, which part of body? Any spillage of pee or stool during fits, and postictal crabbiness or loss of awareness. Stress (wager wet, DM) P Past clinical/Past careful Hx/Previous Hospitalizations. An Allergies, impact on youngster/guardians (wager wet, DM), Activities M Medications, Menstruating (female kid 10yo) I Ill contacts F family ancestry B Birth Hx I Immunizations G Growth n advancement, ht, wt, achievements SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) grin, sit, creep, walk, talk, dress wks: 1,6,9,12,15,30 D Day care/Difficult gulping E Eating propensities, taking care of infant An Appetite L Look of the infant or appearance, Last registration S Sleep T Travel as of late Premenopause : H Hot flashes An Atrophy of vagina D Dryness of vagina O Osteoporosis (committee) C Coronary supply route infection HADOC drkhalilezekiel@yahoo. com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur first period? P Period (how long ur period last? ) R Reglarity ( R ur periods standard? ) T Tampoons (what number of cushions do u use in an overwhelming day? ) V Vaginal DID: release, tingling , dryness (have u at any point had any vag release? ABC DO. do u have any vag. Tingling? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual/post coital ) have u at any point drained (. ) ur cycles? Did u ever see any seeping after intercourse? P Pregnency ( Hx complexities) have u at any point been pregnant? How often? An Abortion/unsuccessful labor (Any unnatural birth cycles or premature births? In ? month of ur pregnancy? ) P PAP smear(have u been getting normal PAP sm ? when did u have the last PAP sm ) (any Female50 yo:ask about:1-R u taking vit D Ca,2-have u at any point attempted HRT? ) If suspect maltreatment SAFE GARDS S Safety request (Do you feel safe comfortable? ), Sex at any point constrained? An Alcohol misuse (does your hubby manhandles alchol? ), Attacked Children? F Friends/Family who know( Dos any1 f ur companion/Fam know about this) Fractures (Abuse at any point brought about cracks? ) E Emergency plan (u have crisis plan? ), Ever attempted to leave/separate? why not? G Guns at home (are there any weapons @ home? Assaulted with it? ) An Afraid of spouse R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is near? For to what extent? D Depression (lost wt/hunger/rest), Drugs (does spouse utilize recreational medications) S Suicidal (thought/plan/endeavor) (at any point wanted to end everything up? ) 4 rkhalilezekiel@yahoo. com Diabetic pt â€Å"FU/Med Refill† D Duration of illness I Insulin routine/oral hypoglyemics routine An A1c hg - Gluc. observing (quick, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/contamination T Tingling/deadness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart ailment) Counseling DM HTN M Medications (consistency ) E Exercise ( for large/stationary ways of life) D Diet Modification( Salt/Fatty nourishments) O Opthalmoscopic tests (yearly daily practice) W Weight Management (/control) S Sugar Check ups DIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations An Aura â€Å"b4 problem† S Shaking (span) S Spinning/unsteady B Bladder incontinence/Bowel incontinence L Loss of cognizance (term) T Tongue gnawing/tinnitus hearing misfortune S Speech challenges/Sleep unsettling influence An Ataxia â€Å"gait† N Numbness/sickness upchuck D Difficulty breathing W Weakness I (injury) fall C Confusion after the occasion/Visual aggravation H Headache PASS BLT SANDWICH - And to ensure you got it totally don’t overlook the MinMental Stat. Test 5 drkhalilezekiel@yahoo. com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to state 3 objects†Ã¢â‚¬ ¦ then recurrent An Attention â€Å"spell world backwards† R Recall what were those 3 things once more? L Language â€Å"Repeat after me.. â€Å"No, uncertainties, ands, or buts† 2 Identify two articles â€Å"what is this.. pen.. what's more, this†¦ paper† 3 Obey 3 orders â€Å"take a bit of paper, overlap in ? , put on floor† R â€Å"Read 3 orders on this paper and do what it says† W Write a sentence D Draw, duplicate the picture ORARL23RWD Carelessness/Memory Loss/Dementia/Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING/Flashes/FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL †Activities of day by day living D Dressing E Eating An Ambulation (would you be able to discover your direction through home) T Toiletry (do you deal with your toiletry unassisted) H Hygiene IADL †Instrumental exercises of day by day living S Shopping H Housekeeping An Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 drkhalilezekiel@yahoo. com Foot/Heel/Knee/Back agony OPD-CSF-LIQORAAA +WET SURF-D - ‘CIS’ W Work/Weakness/Walking propensities/Wt misfortune E Eye disease redness T Trauma to foot/Tingling Numbness/Tender S Stifness in different joints/leg Swelling/long Standing hours/morning Stiff/solid U Ure thral release/ulcer R Rash/Redness of skin of joint F Fever chills night sweat D Deformity/Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx/IV DRUGS/Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (challenges falling/keep up snoozing, wake up, wheezing, prescription. o help rest, how long, bad dreams), Stress, Support I Interest, What do you do in your extra time? How are you getting along in your activity? do you appreciate what you do? G Guilty M Mood. ( on edge, dismal, miserable, desolate? Memory issues E Energy C Concentration An Appetite, changes in your Weight P Psychomotor fomentation/hindrance (do you feel effectively disturbed or furious/do u feel not to isn't that right? ) S Suicide: musings, plan, attempts(do u have pills/firearms @ home? D Delu

Consumer Protection Essay Example | Topics and Well Written Essays - 500 words

Customer Protection - Essay Example At the point when different contenders agree to confine the opposition between them, the result is frequently an expansion in costs. Consequently, value fixing is an enormous worry of the Federal Trade Commission. An out and out understanding between contenders to settle at specific costs is by and large unlawful whether or not the costs are fixed at the very least, most extreme or in a specific range. Illicit fixing of costs happens when at least two contenders make an understanding that raises, brings down or balances out the cost of any item or administration with no type of sensible clarification. Plans to fix costs are much of the time grew privately and might be hard to uncover, however the understandings can be uncovered from conditional proof. For example, if straightforwardly associated contenders have an exhibit secretive indistinguishable agreement terms or practices as to costs alongside different components, unlawful valuing may be the explanation (Ftc.gov, 2014). At the point when the contenders are likewise welcome to organize the costs of products and ventures, concerns are raised. This likewise happens when a specific contender makes an open declaration that it is eager to sto p a value war when there was earlier declaration from an alternate contender to do likewise with the terms being so specific to the point that the contenders may consider it as a welcome to set costs together (Ftc.gov, 2014). In any case, not all the resemblances in costs or modifications in costs that occur all the while are related with value fixing as interestingly, they are regularly the result of ordinary economic situations. For example, the cost of items like wheat is the equivalent since the items are for all intents and purposes the equivalent and the costs charged by the ranchers increment or reduction simultaneously without the ranchers essentially concurring among themselves. It the flexibly of the wheat decays because of a dry spell, the costs related with all the

The Physical Effects of Alcoholism in Men

The Physical Effects of Alcoholism in Men Addiction Alcohol Use Print The Effects of Alcoholism in Men Consequences of Abuse Can Differ From Those in Women By Jerry Kennard Jerry Kennard, PhD, is a psychologist and associate fellow of the British Psychological Society. Learn about our editorial policy Jerry Kennard Updated on October 15, 2019 Jetta Productions/Iconica/Getty Images More in Addiction Alcohol Use Binge Drinking Withdrawal and Relapse Children of Alcoholics Drunk Driving Addictive Behaviors Drug Use Nicotine Use Coping and Recovery The statistics are not good. According to a report from the National Council on Alcoholism and Drug Dependence, around 17.6 million people in the U.S. suffer from alcohol abuse or dependence. Thats roughly one in every 13 adults. Of these, more than 100,000 die each year of alcohol-related causes. Among adults, men are four times more likely than women to be heavy drinkers and twice as likely to be alcohol dependent. While the physical effects of alcoholism are largely similar for men and women, there are conditions that affect men more frequently and others which are entirely unique. Alcoholism and Injury When compared to men, women often have it harder when it comes to the health-related consequences of drinking. Alcohol-induced liver diseases such as cirrhosis and hepatitis develop more quickly in women, and more alcoholic women die from cirrhosis than do alcoholic men. Moreover, women who are alcohol dependent are at greater risk of developing liver cancer as well as certain cancers related to the digestive tract. While alcoholic men are also at high risk of cirrhosis and liver cancer, where they exceed is in rates of alcohol-related injury. According to a review from the Centers for Disease Control and Prevention, men are more likely to take risks while drinking, evidenced by markedly higher rates of alcohol-related deaths and hospitalizations. The number speak for themselves: Men are almost twice as likely as women to have blood alcohol concentration levels of 0.08 percent or greater.Men are four times more likely to have a motor vehicle crash while drinking than women.Men are more than twice as likely to experience alcohol poisoning.Men are more likely to exhibit aggression while drinking and are 70 more likely to cause harm to a child.Men are five times more likely to drown while drinking compared.Men have nearly a four-fold increase in the risk of suicide while drinking. These statistics are largely informed by how much more men can drink compared to women. Because of their lower body mass, women will tend to feel the effects of alcohol faster and will typically experience the chronic symptoms of the disease 10 to 20 years earlier. This accounts for why men are 400 percent more likely to experience alcohol-related psychosis, simply because they have a higher capacity for consumption and fewer short- to medium-term consequences. Alcohol and Health-Related Deaths While cirrhosis and liver cancer are the two primary health concerns for both men and women with long-term alcohol dependence, there are certain conditions for which a man is more likely to die. According to research from the School of Public Health at the University of Minnesota, there are certain health conditions for which alcoholic men are at higher risk of death. When compared to a matched set of men and women over the age of 65, the researchers found that: Men were twice as likely to die of liver cancer.Men were more than four times more likely to die of mouth, throat, or esophageal cancer.Men were three times more likely to die of a stroke.Men were more than twice as likely to die of alcoholic liver disease.Men were nine times more likely to die of alcohol-associated heart disease. Alcohol and Sexual Dysfunction While many of the consequences of heavy drinking are related to long-term abuse, there are impacts that can affect men over the short- to medium-term. Chief among these is male sexual dysfunction. Excessive alcohol use can directly interfere with the function of the testicles and affect the normal production of male hormones. When this happens, a man can experience erectile dysfunction, impotence, and infertility. Over the medium- to long-term, this can affect secondary sex characteristics, including the loss of facial and chest hair and the abnormal growth of breast tissue (gynecomastia). Moreover, erectile dysfunction medications like Viagra (sildenafil), Levitra (vardenafil), and Cialis (tadalafil) are less able to be absorbed if used with alcohol, minimizing the benefits of the drugs.