President Kennedy had Addison's disease.
He always had a great tan (increased skin pigmentation due to increased levels of ACTH, MSH, etc.).

Alcohol Abuse Screening

 "CAGE"
1. Have you ever felt it necessary to CUT DOWN on your drinking?
2. Has anyone ever told you they were ANNOYED by your drinking?
3. Have you ever felt GUILTY about your drinking?
4. Have you ever felt the need to have a drink in the morning for an EYE OPENER?

Argyll-Robertson Pupil

 Sign of neurosyphilis
"ARP" - Accommodation Reflex Present, but pupillary reflex absent.

Back Pain

 "DISK MASSS"
D == Degeneration: DJD, osteoporosis, spondylosis
I == Infection: UTI, PID, Pott's disease, osteomyelitis, prostatitis; Injury/fracture, compression fracture
S == Spondylitis, ankylosing Spondyloarthropathies (rheumatoid arthritis, Reiters, SLE)
K == Kidney stones/infarction/infection
M == Multiple Myeloma, Metastasis from breast, prostate, lung, thyroid, kidney cancers
A == Aneurysm, Abdominal pain referred to the back
S == Slipped disk, spondylolisthesis
S == Strain, Scoliosis/lordosis
S == Skin: herpes zoster

 
Carcinomas that have a Propensity to Metastasize to Bone
"Kinds Of Tumours Leaping Promptly To Bone"
Kidney, Ovary, Testis, Lung, Prostate, Thyroid, Breast

Dermatomyositis or Polymyositis - Risk of underlying Malignancy
30% at age 30
40% at age 40
etc.

Malignant Melanoma Sites with a Poor Prognosis
"BANS"
Back of the Arm, Neck, or Scalp

Multiple Endocrine Neoplasia (MEN)
MEN I is a disease of "3 P's"
Pituitary, Parathyroid, Pancreas, plus adrenal cortex.

 MEN II is a disease of "2 C's"
Carcinoma of thyroid and Catacholamines [pheochromocytoma]), plus parathyroid for MEN IIa,
or mucocutaneous neuromas for MEN IIB (aka MEN III).

Multiple Myeloma - characteristic features on radiograph
"ABCDE"
Asymmetry, Border irregular, Colour irregular, Diameter usually > 0.5cm, Elevation irregular.

Oral Cancer Risk Factors
"5 S's"
Smoking, Spirits (alcohol), Spicy food, Syphilis, Sharp teeth/dentures
 
 

 "SLUD"
Salivation, Lacrimation, Urination, and Defecation

Differential Diagnosis

 "VINDICATE"
Vascular
Infection
Neoplasm
Drugs
Inflammatory/Idiopathic
Congenital
Autoimmune
Trauma
Endocrine/Metabolic

 "ACID"
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity

Malignant Hyperthermia treatment

 "Some Hot Dude Better Give Iced Fluids Fast!"
S: Stop all triggering agents
H: Hyperventilate; 100% O2
D: Dantrolene 2.5mg/kg
B: Bicarbonate
G: Glucose and insulin
I: IV Fluids, cooling blanket
F: Fluid output monitoring; Furosemide
F: Fast heart (tachycardia) - be prepared to treat V tach.

Pain

 P - Palliative factors
P - Provocative factors
Q - Quality of pain(burning, stabbing, aching, etc.)
R - Region of body affected
R - Radiation
S - Severity of pain (e.g. 1-10 scale)
T - Timing of pain (e.g. after meals, in the morning, etc.)
T - Treatments tried

Causes of Acute Pancreatitis

 "GET SMASH'D"
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics).

Causes of Pericarditis

 "CARDIAC RIND"
Collagen vascular disease, Aortic aneurysm, Radiation, Drugs eg. hydralazine, Infections, Acute renal failure, Cardiac infarction, Rheumatic fever, Injury, Neoplasms, Dressler's syndrome.

Post-op Fever

 Wind - atelectasis
Water - urinary tract infection
Wound - wound infections
Wind - pneumonia
Wonder drugs - especially anesthetics

Syncope

 If the face is red, raise the head.
If the face is pale, raise the tail.

Takayasu's Disease

 Pulseless disease. Therefore, when you have Takayasu's, I can't "taka yu" pulse.

WBC Count

 "Nobody Likes My Educational Background"
e.g. 60, 30, 6, 3, 1
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1%
 
 
 

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