DEPRESSIVE FEATURES

DEPRESSIVE FEATURES
9=
SIG ENERGY CAPSules
S LEEP DISTURBANCE
I NTEREST LOSS\
G UILT
E NERGY LOSS\
CONCENTRATION LOSS\
A PEPETITE CHANGE
P SYCHOMOTOR DELAY\
S UICIDE IDEAS
5+ MOOD decreased+
ANHEDONIA-
2 weeks=
MAJOR DEPRESSION

PRURITUS DDx

ITCHED:
I NFESTATION - SCABIES
T B / -  PBC
C RF - UREMIA, CA
H EMATOL.Dz - PRV
E NDOCRINE Dz
D ERMAT.Dz - LICHEN,
PSOR., ATOP. DERMATT

PRURITUS DDx=
SUDAN CRIPLED:
SKIN 1o
S CABIES
U RTICARIA
D ERM.HERPETI-FORMIS
A TOP.DERMATITIS
N O H2O - DRY

SKIN 2o
C HOLESTEROL /
R ENAL FAILURE
I DA
P REGANCY
L YMPHOMA / CA
E NDOCRINE - DM. T4 \

MOUTH ULCERS DDx: DATE BRICK

D RUGS - CS, Au
A PHTHA
T RAUMA
E RYTHEMA MULTI-FORM

B EHCET
R EITER
I BD
C OELIAC
K NOW - SYPHYL / VIRAL

ANEMIA Sx: F STD

F ATIGUE / WEAK-NESS
S OB
T IRED
D IZZY -  POSTURAL HYPO-TENSION

BLODD LOSS DDx: M-PEG

M ENSTRUATION
P REGNANCY
E PISTAXIS
G IT

ROS HEMATOLOGY: BIG B-BARS

B RUISES - PLT \
I NFECTION
G LANDS / -  LAD

B LOOD LOSS

B ONE PAIN -  LEUKEMIA
A NEMIA
R ASH - LEUKEMIA
S ENS. - PAR-ESTHESIAE
VIT.B12 DEFICIENCY

ROS BREAST: NIL MALT

N IPPLE dis-charge / blood
I NVERSION - NIPPLE
L UMP

M ONTHLY BSE
A SSYMETRY
L AST MAMMO-GRAPHY
T ENDER

CHALLENGING COMMUNICATIONS: BB CEASE FINS

B AD NEWS
B ATTERED Pt

C ONFIDENTIAL-ITY
E MOTION MDE
A LCOHOL-IC
S UBSTANCE ABUSE
E XTRA-TALKATV MANIA

F OREGO Tx
I NFORM-ED CONSENT
N ON-COMPLIANCE
S MOKER

HEMAT-URIA DDx: T-SHIRTTT

T U
S TONE - NEPHRO-LITH.
H EMO-PHILIA
I NFECTION - UTI
R ENAL GN / CA
T RAUMA
T HROMBO-CYTO-PENIA
T B

DOMESTIC VIOLENCE Q: SAFE x 2

S AFE or
S TRESSED ?

A BUSED ?
A RMS GUN ?

F AMILY &
F RIENDS AWARE ?

E MERGENCY
E SCAPE READY ?

ABUSE DDx=
NEST:
N EGLECT
E MOTIONAL
S EXUAL
T RAYMA= PHYSICAL

Erectile Dysfunction (ED) DDx: ENVY MP

E NDOCRINE - PROLACTN, DM
N EUROLOGIC - MS, ALS
Y UP! - ALCOHOL

M eds - beta-blocker, m-DOPA, SSRI
P SYCHOL - MDE, ANXIETY

EtOH:
*NEURO-PATHY
*HYPO-GONADISM

Men who use ED drugs have higher rates of STDs, particularly HIV infection - Ann Intern Med http://goo.gl/UH78

Related:

SEIZURE DDx: TIC SPASMS CONCLUDE

T U
I CP/
C ONGEN STURGE-WEBER

S TROKE
P AN
A LCOHOL Withdrawal
S LE
M G
S EVERE TRAUMA

METABOLIC
C a2\
O 2\
N a+\
C OCAINE
L F
U REMIA
D RUGS
E VALUATE Glu\ or /


DRUGS=
PCT B:

P HENO-THIAZN Schz
C OCAINE
T CA

B DZ W

ROMBERG
C LOSED EYES UN-SATBLE
C OLUMNS POST. or
C EREBELLUM

O PEN EYES UN-STABLE
O NLY CEREBELLUM

Carpal Tunnel Syndrome (CTS) DDx: MEDIAN TRAP

M YX-EDEMA T4\
E DEMA PRE-MENSTR
D M
I DIO-PATHIC
A CRO-MEGALY
N EO-PLASM

T RAUMA
R A HARNESS
RED HOT PANNUS
A MYLOID
P REGNANCY

Sx=
PANTS:
P AIN
A TROPHY THENAR
OAF
N UMB-NESS
T INGL-ING
S TRENGHT \


T AP-PING
T INGLING=
T INNEL test

P ALMAR FLEXION
P HALEN test

Tx=
WRIST:

W EAR a SPILNT
R EST
I NJECT CS
S URG. DE-COMPRESSION
T AKE DIURETC

ABD.PAIN DDx: COUPLED ABDOMINAL MASS

COMPLICATN=
PAPS:
P ERFORATN
A BSCESS
P YLE-PHLEBITgas portal v.
S EPSIS

PE=
DR. GERM

WNL= 0 T/R/G

APPENDICITIS Sx: P-ROMB

P SOAS Sx
R OVSING Sx LLQ
O BTURAT
M cBURNEY POINT
B LUMBERG RE-BOUND

RESIST PSOAS Sx
/\__o

INT.ROTATN OBTUR
/\__o

Ob & Gyn Hx: BOARDS PALM PCx 3

B LEEDING PV
O NSET / END - men-arche/pause
A BNORMAL ITCHING
R EGULAR PERIODS
D ISCHARGE
S TD


P REGNANCIES
A BORTIONS
L MP
M ISCARRIAGES

P AIN-FUL INTERCOURSE
P AP SMEAR+ XR - mammogram
P RIOR GYNEC.SURGERY

C ONTRACEPTION
C RAMPS - DYS-MENORR
C O NG. ANOMAL - families

WELL BABY RoS: BE LAVISH

B IRTH Hx
E ATING HABITS

L ANGUAGE
A NY RECENT ILL-NESSES
V ISION
I MMUNIZATN
S LEEP. HABITS
H EAR-ING

RoS ENDOCRINE: CUT FAT x2

C HANGE Wt / \
U RINE /
T HIRST / HUNGER

F ATIGUE
F MH DM / THYR.
A PPET. CHANGE POLY-PHAG
A LOPECIA HYPO-T4
T REMOR
T o F INTOLER. COLD / HEAT

Differential diagnosis of polyarthritis: RIOT SHAG

Differential diagnosis of polyarthritis: RIOT SHAG

Rheumatoid arthritis (RA)
Infectious cause, e.g. viral infection
Osteoarthritis (OA)
Tuberculosis (TB), Rheumatic fever (RhF)

Spondyloarthritis, SLE
Henoch-Shoenlein purpura (HSP)
Allergy, i.e. serum sickness in the context of drug hypersensitivity, type III reactions
Gonorrhea

Tinnitus differential diagnosis: Q SALAMI mnemonic

Quinidine

Salicylates (aspirin)
Aminoglycoside antibiotics (ABx)

Labyrinthitis
Acoustic neuroma, CN VIII
Meniere’s disease
Increased blood pressure (BP) (HTN)

References:

Tinnitus: Patients do not have to ‘just live with it’. CCJM, 2011.

Tinnitus relief: Suggestions for patients. CCJM, 2011.
Noise Chart as It Relates to Hearing Damage and Hearing Loss http://goo.gl/tjZh1