J - Joints
O - Obvious (cardiac) - sorry, I know this is kinda weak
N -
Nodules (subcutaneous nodules)
E - Erythema marginatum
S - Syndeham's
Chorea
C - Capitellum
R - Radial head
I - Internal (medial epicondyle)
T -
Trochlea
O - Olecranon
E - External (lateral epicondyle)
These appear at 2, 4, 6, 8, 10, and 12 years of age in order and go away two
years later.
The other mnemonic I know for the ossification centers is "Come
Rub My Tree Of Love" where the "M" is medial epicondyle and the "L" is the
lateral epicondyle.
R - Red squill
A - Arsenicals
T - Thallium
S - Strychnine
P - PNU/Phosphorus/zn Phosphide
A - Alpha naphtha thiurea (ANTU)
N -
Norbormide
I - Indanediones
C - Coumadin/cholcalciferol
From: Jack Snyder, MD, JD via EM News
E - Electrolytes
L - LBBB
E - Early Repolarization
V - Ventricular
hypertrophy
A - Aneurysm
T - Treatment - Pericardiocentesis
I - Injury
(AMI, contusion)
O - Osborne waves (hypothermia)
N - Non-occlusive
vasospasm
A - Alcohol/drugs
E - Endocrine
I - Insulin
O - Opiates
U -
Uremia
T - Toxins/trauma
I - Infections
P - Psych/porhyria
S - SAH, shock,
stroke, seizure, space occupying lesion
P - Phosgene, paraquat, phenothiazines
O - Opioids/organophosphates
N -
Nitrous dioxide
S - Salicylates
M - Methanol
U - Uremia
D - DKA/AKA
P - Paraldehyde/phenformin
I
- Iron/INH
L - Lactic acidosis
E - Ethylene glycol
S - Salicylates
H - Hyperalimentation/hyperventilation
A - Acetazolamide
R - RTA
D -
Diarrhea
U - Ureteral diversion
P - Pancreatic fistula/parenteral
saline
M - Methanol
E - Ethanol
D - Diuretics (mannitol, sorbitol, glycerol)
I - Isopropanol
E -
Ethylene glycol
S - Salivation
L - Lacrimation
U - Urination
D - Diarrhea
G -
Gastric upset
E - Emesis
or, alternatively:
"Dumbbels"
D - Diarrhea
U - Urination
M - Miosis/muscle weakness
B -
Bronchorrea
B - Bradycardia
E - Emesis
L - Lacrimation
S -
Salivation/ sweating
Blind as a bat
Dry as a bone
Red as a beet
Mad as a hatter
Hot as
a hare
and: mydriasis, absent BS, urinary retention
B - Barbituates
I - Iron
G - Glutethemide
M - Meprobamate
E - Extended release theophylline
SS - Salicylates
C - Cocaine condoms/ chloral hydrate/ calcium
H - Heavy metals
I -
Iron/ iodides
P - Psychotropics (TCA, phenothiazines)
E - Enteric
coated/BA
S - Solvents (CCl4)
S - Sex (male)
A - Age (young/elderly)
D - Depression
P - Previous attempts
E - ETOH
R - Reality testing
S - Social
support
O - Organized plan
N - No spouse
S - Sickness
0 - 2 = home with f/u
3 - 4 = close f/u, +/- hosp
5 - 6 = ++ hosp, +/-
f/u
7 - 10 = +++ hosp/commit
J - Joints
A - Abdominal pain
R - Renal
S - Skin
Proximal row:
N - Navicular
L - Lunate
T - Triquetrium
P -
Pisiform
Distal row:
M - greater Multiangular (trapezium)
M - lesser
Multiangular (trapezoid)
C - Capitate
H - Hamate
Also: "Some Lovers Try Positions That They Can't Handle"
S - Supraspinatus
I - Infraspinatus
T - Teres minor
S -
Subscapularis
S - Slip of physis
A - Above physis
L - Lower than physis
T -
Through physis
R - Rammed physis
T - Thymoma
T - Teratoma
T - Thyroid tumor/goiter
T - Terrible
lymphoma
H - Hhernia, hematoma
A - Aneurysm
B - Bronchogenic cyst/duplication
cyst
I - Inflammation (sarcoid, histo, coccidio, TB)
T5 - Tumors (lung,
lymphoma, leukemia, leiomyoma, lymph node hyperplasia)
P - Primary TB
H - Histoplasmosis
L - Lymphoma
M - Metastases
P -
Pneumoconiosis
S - Sarcoidosis
S - Stone (gallstone ileus)
H - Hernia
A - Adhesions
V -
Volvulus
I - Intussusception
T - Tumor
S - Sarcoidosis
H - Hyperparathypoidism, Hyperthyroidism
A -
Alkali-milk syndrome
M - Metastases, myeloma
P - Paget disease
O -
Osteogenesis imperfecta
O - Osteoporosis
D - Vitamin intoxication
I - Immobility
R - RTA
T - Thiazides
K - Kidney
O - Ovarian
T - Testicular
L - Lung
P - Prostate
T
- Thyroid
B - Breast
Submitted by Frank Birinyi, M.D.
H - hypoglycemia hypoxia
E - epilepsy
A - anxiety [the "swoon"]
D -
dysfunction of brain stem [i.e. brain stem TIA]
H - heart attack
E - embolism of pulmonary artery
A - aortic
obstruction [ Aortic stenosis, myxoma, IHSS ]
R - rhythm disturbance
T -
tachycardia esp VT
V - vasovagal
E - ectopic i.e. hemorrhage obvious or not
S -
situational [micturation, defecation...]
S - subclavial steal
L - low SVR
[eg: anaphalaxis]
S - sensitive carotid sinus
Submitted by Bill Young, M.D.
F - FEVER
A - ANEMIA
M - MURMUR =
E - ENDOCARDITIS
Submitted by Tag Filley, M.D.
N - Neoplasm
A - Allergy
A - Addison's
C - Cirrhosis, CVD
P -
Parasite (visceral larva migrans), Periarteritis nodosa
Submitted by Tag Filley, M.D.
Hypoxia
Hypothermia
Hypokalemia
Hyperkalemia
Hyper H+ (Acidosis)
Hyper Rx (Drugs/OD)
Submitted by Tag Filley, M.D.
"Hey, Hey, Hey! THAT's EMD!"
H-hypovolemia
H-hypoxia
H-hypothermia
T-tamponade
(cardiac)
H-hyperkalemia
A-acidosis
T-tension
pneumothorax
s
E-embolism (pulmonary)
M-myocardial infarction
D-drug
overdose
Submitted by Stephanee Woods
S Sleep (increases/decreases)
I Interest/Hobbies decrease
G
Guilt/Worthlessness
E Energy decreases
C Concentration decreases
A
Appetite (increases/decreases)
P Phychomotor movements
S Suicidal
ideations
Submitted by Tag Filley, M.D.
R - renal failure
EX - exogenous
P - pituitary
L - liver
failure
A - alcohol
I- insulinoma/infection
N - neoplasm
S - sausage fingers
C - conjunctival redness
R - rash
E - extremity
involvement
A - adenopathy
M - mucosal erythema
FEVER - fever
pulselessness
pain
pallor
parasthesia
poikiolothermia
paralysis
L - lidocaine
A - atropine
N - naloxone
E - epi
Some like NAVEL, which includes Valium. Others have commented that valium
should not go in an ET tube.
S - signs/symptoms
A - allergies
M - medications
P - past medical
history
L - last oral intake
E - events leading to injury or
illness
submitted by wharpel@kuntrynet.com
A - alert
V - resonds to verbal stimuli
P - responds to painful
stimuli
U - unconscious
submitted by wharpel@kuntrynet.com
PQRSTAPPP
P - palliates/provokes
Q - quality
R - region/radiation
S - severity
(on a 1-10 scale)
T - timing (onset, frequency, duration)
A - associated
symptoms
P - prior
P - persists
P - progression (stable, better,
worse)
Submitted by Omar A. Blanco
L - Location
O- Onset
C- Character
I- Intensity
D- Duration
A- Aggravation
A- Alleviation
A - Association
R -
Radiation
Submitted by John Loraditch M.D.
P - period of pain
A - area of pain
I - intensity of pain
N -
nullify ( what makes pain go away, if any)
Submitted by Greg Van Hook
M stands for middle strap
B stands for bottom strap
L stands for
Legs
H stands for head
T stands for top strap
submitted by rwhiddon@surfsouth.com
"TICS"-
Thallasemia
Iron deficiency
Chronic disease
Sideroblastic
anemia
Submitted by Jeff Rodgerson M.D.
HCMC Medical Center
SOAP BRAIN MD
Serositis (pleuritis, pericarditis)
Oral
Ulcers
Arthritis
Photosensitivity
Blood (all are low - anemia, leukopenia, thrombocytopenia)
Renal
(protein)
ANA
Immunologic (DS DNA etc.)
Neurologic (psyc, seizures)
Submitted by Mike Ritter, MD FAAEM, San Diego, CA
ABC's of Non- GI causes of vomiting
Acute renal failure
Brain (Increased ICP)
Cardiac (Inferior
MI)
DKA
Ears (labyrinthitis)
Foreign substances (Tylenol, theo,
etc)
Glaucoma
Hyperemesis Gravidarum
Infections (pyelonephritis,
meningitis)
Submitted by : Mike Ritter, MD FAAEM, San Diego, CA
BAD SHIT
Black scorpion bite
Alcohol
Drugs (tetracycline, azothioprin, sulfa)
Stones (gallstones)
Hyperlipidemia
Idiopathic
Trauma
Submitted by : Mike Ritter, MD FAAEM, San Diego, CA
Submitted by medmanRRT@aol.com
CASH CML
C - candida
A - aureus staph
S - salmonella
H - histoplasma
C -
cytomegalo virus
M - mycobacteria
L - leptospira
Submitted by Ousama Dabbagh M.D
4Ds
dizziness (nystagmus)
diplopia (skew deviation)
dysarthria
dysphagia
Submitted by: Ronald H. Miller, OD, The Ohio State University