Medical Mnemonics part I

MI: sequence of elevated enzymes after MI
"Time to CALL 911":· (From first to appear to last:)
Troponin
CK-MB
AST
LDH1

Rashes: time of appearance after fever onset
"Really Sick Children Must Take No Exercise":·
(Number of days after fever onset that a rash will appear:)
1 Day: Rubella
2 Days: Scarlet fever/ Smallpox
3 Days: Chickenpox
4 Days: Measles (and see the Koplik spots one day prior to rash)
5 Days: Typhus & rickettsia (this is variable)
6 Days: Nothing
7 Days: Enteric fever (salmonella)

Gout: major features
GOUT:
Great toe
One joint (75% monoarticular)
Uric acid increased (hence urolithiasis)
Tophi

Gout: factors that can precipitate an attack of acute gouty arthritis
DARK:

• Diuretics
• Alcohol
• Renal disease
• Kicked (trauma)·
• And, the attack occurs most often at night [thus "dark"].

Hepatitis: transmission routes
"Vowels are bowels":

Hepatitis A and E transmitted by fecal-oral route.

Rheumatic fever: Revised Jones criteria
JONES PEACE:·
Major criteria:

• Joints: migratoryO (heart shaped)
• Carditis: new onset murmur
• Nodules, subcutaneous: extensor surfaces
• Erythema marginatum
• Sydenham's chorea·

Minor criteria:

• PR interval, prolonged
• ESR elevated
• Arthralgias
• CRP elevated
• Elevated temperature (fever)·

Need 2 major or 1 major and 2 minor criteria, plus evidence of recent GAS infection (throat cx, rapid antigen test, or rising strep antibody titer).


Pterygoid muscles: function of lateral vs. medial
"Look at how your jaw ends up when saying first syllable of 'Lateral' or 'Medial' ":
"La": your jaw is now open, so Lateral opens mouth.
"Me": your jaw is still closed, so medial closes the mandible.

Hypersensitivity reactions: Gell and Goombs nomenclature
ACID· (From I to IV:)
Anaphylactic type: type I
Cytotoxic type: type II
Immune complex disease: type III
Delayed hypersensitivity (cell mediated): type IV

APKD: signs, complications, accelerators
11 B's:·
Signs:

• Bloody urine
• Bilateral pain [vs. stones, which are usually unilateral pain]
• Blood pressure up
• Bigger kidneys
• Bumps palpable·

Complications:

• Berry aneurysm
• Biliary cysts
• Bicuspid valve [prolapse and other problems]·

Accelerators:

• Boys
• Blacks
• Blood pressure high

Hemoglobin binding curve: causes of shift to right
"CADET, face right!":
CO2
Acid
2,3-DPG (aka 2,3 BPG)
Exercise
Temperature

Epidermis layers
"Come, Let's Get Sun Burned":· (From superficial to deep:)
Corneum
Lucidum
Granulosum
Spinosum
Basale [Germinativum]·
Alternatively:
"Can Lori Get Some Gas?"·
"Can Little Girls Speak German?"·
"Can Larry Get Some Beer?"

External carotid artery branches
"Some Aggressive Lovers Find Odd Positions More Stimulating":
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occiptal
Posterior auricular
Maxillary
Superficial temporal

Ventricular tachycardia: treatment
LAMB:
Lidocaine
Amiodarone
Mexiltene/ Magnesium
Beta-blocker

Glycogen storage: names of types I through VI
"Viagra Pills Cause A Major Hardon":
Von Gierke's
Pompe's
Cori's
Anderson's
McArdle's
Her's

Suicide risk factors
SAD PERSONS scale:
Sex: male
Age: young, elderly
Depression

Previous suicide attempts
Ethanol and other drugs
Reality testing/ Rational thought (loss of)
Social support lacking
Organized suicide plan
No spouse
Sickness/ Stated future intent


Weights of children with age
Newborn 3 kg
6 mos 6 kg (2x birth wt at 6 mos)
1 yr 10 kg (3x birth wt at 1 yr)
3 yrs 15 kg (odd yrs, add 5 kg until 11 yrs)
5 yrs 20 kg
7 yrs 25 kg
9 yrs 30 kg
11 yrs 35 kg (add 10 kg thereafter)
13 yrs 45 kg
15 yrs 55 kg
17 yrs 65 kg

Head circumference with age
· Remember 3, 9, and multiples of 5:
Newborn 35 cm
3 mos 40 cm
9 mos 45 cm
3 yrs 50 cm
9 yrs 55 cm



Source: http://www.medicalmnemonics.com