ABDOMINAL AORTIC Think: "what a cute pair of SLIPpeRs" to tie acute
ANEURISM ―4-A’s‖ inflammation to ―SLIPR‖mnemonic).
Asymptomatic ―SLIPR‖
Abdominal mass Swelling
Abdominal pulse Loss of
Aches low back function
ABDOMINAL Increased heat
DISTENSTION "5-F's" Pain
Fat Redness
Fluid ADRENAL GLAND
Feces HORMONES ―SSS‖
Flatus S-sugar (Glucocorticoids)
Fetus S-salt
ACE INHIBITOR SIDE (Mineralocorticoids)S-sex
EFFECTS "CAPTOPRIL" (Androgens)
Cough AIMS for improvement
Anaphylaxi ―PETEES‖ AIMS
s P - Patient centered care
Palpitations E - Efficient
Taste T - Timely
Orthostatic -↓BP E-
Potassium - ↑K+ Effective E -
Renal impairment EquitableS -
Impotence Safety
Leukocytosis ALCOHOL WITHDRAWAL – CLINICAL
ACID-BASE FEATURES "HITS"
"ROME" – Respiratory Opposite, Metabolic Equal Hallucinations (visual, tactile)
ACIDOSIS Increased vital signs &
» Respiratory (opposite): pH Pco2 insomnia
» Metabolic (equal): pH Tremens delirium tremens (potentially lethal)
HCO3 ALKALOSIS Shakes/Sweat/Seizures/Stomach pain (N/V)
» Respiratory (opposite): pH Pco2 ALCOHOLISM – BEHAVIORAL
» Metabolic (equal): pH PROBLEMS
HCO3 ―5-D's‖
ACIDOSIS/ALKALOSIS D- Denial
―ROME‖ D- Dependency
Respiratory Opposite: D- Demanding
pH↑ PCO2↓ = alkalosis D- Destructive
pH↓ PCO2↑ = acidosis D-
Metabolic Equal: Domineering
pH↑ HCO3↑ = Alkalosis ALCOHOLISM
pH↓ HCO3↓ = Acidosis OUTCOME―BAD‖
ACIDOSIS/ALKALOSIS – B- Brain Damage
COMPENSTATION―RUB MUB‖ A- Alcoholic
Respiratory Uses Bicarb Hallucinosis D- Death
Metabolic Uses Breathing ALDOSTERONE IS REGULATED BY:
ALKALOSIS AND "RNA’S"
ACIDOSIS Renin-angiotensin mechanism
AlKalosis has ―K‖ – it’s ―K‖icking pH up = PH↑ Na concentration in blood
AciDosis has ―D‖ – it’s ―D‖ropping pH Down = Anp (ANP – atrial natriuretic
PH↓ACUTE INFLAMMATION FEATURES peptide)Stress
ALZHEIMER – ―5 A’s‖ to
DIAGNOSIS ―5-A's‖
,Amnesia – loss of memories
Anomia – unable to recall names of everyday
objects
,Apraxia – unable to perform tasks of movement (use a star as these drugs stain the teeth) – ???
Agnosia – inability to process sensory information (H-eat, I-nduration) – ???
Aphasia – disruption with ability to communicate APGAR
ANGINA – PRECIPITATING FACTORS SCORING
"4-E's" "APGAR"
Eating Appearance: cyanosis--peripheral, central, none
Emotion Pulse: pulse rate
Exertion (Exercise) Grimace: response to stimulation
Extreme Temperatures (Hot/Cold weather) Activity: movement of the baby (muscle tone)
―ANOREXIA‖ – EATING DISORDER Respiration: respiratory rate
A-menorrhea delayed APPENDICITIS -
N-o organic factors accounts for weight loss ASSESSMENT ―PAINS‖
O-obviously thin but feels FAT Pain (RLQ) - pain in RLQ of
R-refusal to maintain normal body weight abdomenAnorexia - loss of appetite
E-epigastric discomfort is common Increased temperature, WBC (15,000-20,000)
X-symptoms (peculiar Nausea
symptoms) I-intense fears of Signs (McBurney's,
gaining weight A-always Psoas) ARTERIAL
thinking of foods BLOOD GASES
ANOREXIA NERVOSA – CLINICAL 1. look at pH:
FEATURES "ANOREXIC" Low pH =
A-adolescent women/Amenorrhea acidosis High pH
N-GT alimentation (most severe cases) = alkalosis
O-obsession w/ wt. loss/becoming fat though 2. use ―ROME‖ mnemonic (to determine if
underweight its respiratory or metabolic):
R-refusal to eat (5% die) Respiratory – Opposite
E-electrolyte abnormalities (e.g., K+, Metabolic – Equal
cardiac arrhythmia) ASSESSING CHANGES IN
X-exercise BEHAVIOR "DEMENTIA"
I-intelligence often above average/Induced Drug and alcohol
vomiting Eyes and ears
C-cathartic use (and diuretic abuse) Metabolic and endocrine disorders
ANTICHOLINERGIC CRISIS Emotional disorders
Can't see (blurred vision) Neurologic disorders
Can't spit (dry mouth) Tumors and trauma
Can't pee (urinary retention) Can't Infection
shit (constipation) Arterial vascular disease
ANTICHOLINERGIC CRISIS – ASTHMA
SIGNS "SLUD" MANAGEMENT
Salivation "ASTHMA"
Lacrimatio Adrenergics
nUrination (Albuterol) Steroids
Defecation Theophylline
ANTI-TB DRUGS & SIDE Hydration (IV)
EFFECTS ―RIPES‖ Mask
Rifampicin – red-orange urine (Oxygen)
Isoniazid – peripheral neuritis Antibiotics
Pyrazinamide – increase uric acid ASTHMA - MANAGEMENT
Ethambutol – eye problems Asthma is a spasm of the airways, which causes
Streptomycin – ototoxic difficulty breathing.
―ASTHMA‖
Adrenergic
(Albuterol) Steroids
, Theophylline
ANEURISM ―4-A’s‖ inflammation to ―SLIPR‖mnemonic).
Asymptomatic ―SLIPR‖
Abdominal mass Swelling
Abdominal pulse Loss of
Aches low back function
ABDOMINAL Increased heat
DISTENSTION "5-F's" Pain
Fat Redness
Fluid ADRENAL GLAND
Feces HORMONES ―SSS‖
Flatus S-sugar (Glucocorticoids)
Fetus S-salt
ACE INHIBITOR SIDE (Mineralocorticoids)S-sex
EFFECTS "CAPTOPRIL" (Androgens)
Cough AIMS for improvement
Anaphylaxi ―PETEES‖ AIMS
s P - Patient centered care
Palpitations E - Efficient
Taste T - Timely
Orthostatic -↓BP E-
Potassium - ↑K+ Effective E -
Renal impairment EquitableS -
Impotence Safety
Leukocytosis ALCOHOL WITHDRAWAL – CLINICAL
ACID-BASE FEATURES "HITS"
"ROME" – Respiratory Opposite, Metabolic Equal Hallucinations (visual, tactile)
ACIDOSIS Increased vital signs &
» Respiratory (opposite): pH Pco2 insomnia
» Metabolic (equal): pH Tremens delirium tremens (potentially lethal)
HCO3 ALKALOSIS Shakes/Sweat/Seizures/Stomach pain (N/V)
» Respiratory (opposite): pH Pco2 ALCOHOLISM – BEHAVIORAL
» Metabolic (equal): pH PROBLEMS
HCO3 ―5-D's‖
ACIDOSIS/ALKALOSIS D- Denial
―ROME‖ D- Dependency
Respiratory Opposite: D- Demanding
pH↑ PCO2↓ = alkalosis D- Destructive
pH↓ PCO2↑ = acidosis D-
Metabolic Equal: Domineering
pH↑ HCO3↑ = Alkalosis ALCOHOLISM
pH↓ HCO3↓ = Acidosis OUTCOME―BAD‖
ACIDOSIS/ALKALOSIS – B- Brain Damage
COMPENSTATION―RUB MUB‖ A- Alcoholic
Respiratory Uses Bicarb Hallucinosis D- Death
Metabolic Uses Breathing ALDOSTERONE IS REGULATED BY:
ALKALOSIS AND "RNA’S"
ACIDOSIS Renin-angiotensin mechanism
AlKalosis has ―K‖ – it’s ―K‖icking pH up = PH↑ Na concentration in blood
AciDosis has ―D‖ – it’s ―D‖ropping pH Down = Anp (ANP – atrial natriuretic
PH↓ACUTE INFLAMMATION FEATURES peptide)Stress
ALZHEIMER – ―5 A’s‖ to
DIAGNOSIS ―5-A's‖
,Amnesia – loss of memories
Anomia – unable to recall names of everyday
objects
,Apraxia – unable to perform tasks of movement (use a star as these drugs stain the teeth) – ???
Agnosia – inability to process sensory information (H-eat, I-nduration) – ???
Aphasia – disruption with ability to communicate APGAR
ANGINA – PRECIPITATING FACTORS SCORING
"4-E's" "APGAR"
Eating Appearance: cyanosis--peripheral, central, none
Emotion Pulse: pulse rate
Exertion (Exercise) Grimace: response to stimulation
Extreme Temperatures (Hot/Cold weather) Activity: movement of the baby (muscle tone)
―ANOREXIA‖ – EATING DISORDER Respiration: respiratory rate
A-menorrhea delayed APPENDICITIS -
N-o organic factors accounts for weight loss ASSESSMENT ―PAINS‖
O-obviously thin but feels FAT Pain (RLQ) - pain in RLQ of
R-refusal to maintain normal body weight abdomenAnorexia - loss of appetite
E-epigastric discomfort is common Increased temperature, WBC (15,000-20,000)
X-symptoms (peculiar Nausea
symptoms) I-intense fears of Signs (McBurney's,
gaining weight A-always Psoas) ARTERIAL
thinking of foods BLOOD GASES
ANOREXIA NERVOSA – CLINICAL 1. look at pH:
FEATURES "ANOREXIC" Low pH =
A-adolescent women/Amenorrhea acidosis High pH
N-GT alimentation (most severe cases) = alkalosis
O-obsession w/ wt. loss/becoming fat though 2. use ―ROME‖ mnemonic (to determine if
underweight its respiratory or metabolic):
R-refusal to eat (5% die) Respiratory – Opposite
E-electrolyte abnormalities (e.g., K+, Metabolic – Equal
cardiac arrhythmia) ASSESSING CHANGES IN
X-exercise BEHAVIOR "DEMENTIA"
I-intelligence often above average/Induced Drug and alcohol
vomiting Eyes and ears
C-cathartic use (and diuretic abuse) Metabolic and endocrine disorders
ANTICHOLINERGIC CRISIS Emotional disorders
Can't see (blurred vision) Neurologic disorders
Can't spit (dry mouth) Tumors and trauma
Can't pee (urinary retention) Can't Infection
shit (constipation) Arterial vascular disease
ANTICHOLINERGIC CRISIS – ASTHMA
SIGNS "SLUD" MANAGEMENT
Salivation "ASTHMA"
Lacrimatio Adrenergics
nUrination (Albuterol) Steroids
Defecation Theophylline
ANTI-TB DRUGS & SIDE Hydration (IV)
EFFECTS ―RIPES‖ Mask
Rifampicin – red-orange urine (Oxygen)
Isoniazid – peripheral neuritis Antibiotics
Pyrazinamide – increase uric acid ASTHMA - MANAGEMENT
Ethambutol – eye problems Asthma is a spasm of the airways, which causes
Streptomycin – ototoxic difficulty breathing.
―ASTHMA‖
Adrenergic
(Albuterol) Steroids
, Theophylline
