N.L.D.O.C.A.T.
Subjective Findings
Nature – Do you have burning, tingling, shooting or numbness pain?
Location – Can you point with one finger where it hurts?
Duration – Months, weeks days?
Onset – Did this happen gradually or all at once?
Course – Getting better or worse? Radiating to other parts of foot?
Aggravated – What makes it worse? Walking, certain shoes, resting?
Treatment – What have you tried to make it better?
I.M.A.H.O.
Past Medical History
Illness – What have you been diagnosed with?
Medication – Current meds you are taking?
Allergies – Allergic to any medicine? Penicillin? Iodine or shellfish? Honey?
Hospitalization
Operations
T.A.B.L.E.
Surgery Room Set Up
Tourniquet – Ankle (red) or thigh (purple) cuff?
Anesthesia – Local anesthesia with Lidocaine plain or Bupivacaine?
Bump – Place a pad under thigh or ankle to stabalize foot.
Lights – Set up lights for optimal foot surgery visualization.
EX-ray – Have radiographs ready on computer or printed.
F.A.T. C.I.A.Z.
Pseudomonas Medication
Fortaz
Aminoglycosides (Tobramycin, Gentamicin, Amikacin)
Timentin
Ciprofloxacin
Imipenem
Aztreonam
Zosyn
I AM CLOTTTED
DVT Causes
Immobilization
Arrhythmia
Myocardial Infarction
Congestive Hearth Failure
Long Immobalization
Obesity
Trauma
Tobacco
Thromboembolic
Estrogen
Diabetes
A.D.C. V.A.N
D.I.L. M.A.X
Admit Patient Sheet
Admit
Diagnosis
Condtion
Vital signs
Allergy
Activity
Nursing
Diet
IV fluids
Labs
Medication
X-ray
When not to use Lidocaine with EPinephrine?
Xylocaine: where not to use with epinephrine
“Ears, Nose, Fingers, and Toes” may cause local ischemia
Gout vs. pseudogout
P seduogout crystals are:
P ositive birefringent
P olygon shaped
Gout therefore is the negative needle shaped crystals
PAD and DAB
Plantar interossei ADduct
Dorsal interossei ABduct
Tom, Dick, and A Very Nervous Harry
Tibialis posterior
Flexor Digitorum Longus
PT Artery
PT Vein
Tibial Nerve
Flexor Hallucis Longus
DANG THERAPIST
CAUSE OF NEUROPATHY
Diabetes
Alcoolism
Nutritional
Guillian-Barre
Toxic drug
Hereditary
Endocrine
Recurrent
Amyloid
Pb – lead
Infection
Sarcoidosis
Thyroid
Medicine
12. NAVY: Femoral Triangle Anatomy
(lateral to medial)
Nerve
Artery
Vein
“Y” shape it makes anatomically
13. MS MAID: Anesthesia room check
Monitors (EKG, SpO2, EtCO2)
Suction
Machine check
Airway equipment oral/nasal airway
IV equipment
Drugs (emergency, inductions)
14. FAILURE: CHF causes
Forgot medication
Arrhythmia/ Anaemia
Ischemia/ Infarction/ Infection
Lifestyle: salty foods, poor excercise
Upregulation of CO
Renal failure
Embolism in pulmonary
15. ABCDEF: Chest X-ray interpretation
Airways hilar adenopathy
Bones rib fractures
Cardiac enlargement, Costophrenic angles (pleural effusions)
Diaphragm
Edges (pneumothorax, pleural thickening or plaques)
Fields evidence of alveolar filling
16. FOG MACHINES: Benign Bone Tumors
Fibrous displasia
Osteochondroma
Giant Cell tumor
Myeloma
Aneurysmal bone cyst
Chondroblastoma, condromyxoid, fibroma, clear cell
Hemangioma
Infection
Non-ossifying fibroma
Eosinophilic granuloma, enchondroma, epidermoid inclusion cyst
Solitary bone cyst
17. CLGSB: Layers of Epidermis
Californians Like Girl String Bikinis
Stratum Corneum
Stratum Lucidum
Stratum Granulosum
Stratum spinosum
Strastum Basale
18. ABCDE’s of Trauma – primary exam
Airway – if unconscious, jaw thrust and protect cervical spine
Breathing – give O2 airflow
Circulation – skin color, pulse, asses bleeding. If bleeding apply pressure
Disability – neurology check with Glasgow Coma Score. Asses spinal injury.
Exposure/Environmnet – dirt exposure, any other injuries.
19. AMPLE of Trauma- for secondary exam
Allergies
Medications
Past medical illness/Pregnancy
Last meal
Events related to injury
SUFFIXES
-PLASTY | surgical repair |
-STENOSIS | narrowing |
-SCLEROSIS | hardening |
-LYSIS | destruction |
-PENIA | lack of, decreased |
-TROPHY | development |
-ALGIA | pain |
MEGALY | large |
-GRAM | picture or recording |
-SCOPY | looking into — scope |
-STASIS | staying in place |
BRADY- | slow |
TACHY- | fast |