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Biochemistry

Anatomy

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Pathology

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1. Turbo Mnemonics for the Boards, 2004: Over 400 Memory Aids to the Most Commonly Asked Clinical Material on the USMLE and Medicine Boards, Second Edition Bradley D. Mittman; Buy New: $39.95

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7. Visual Mnemonics for Behavioral Sciences Laurie Marbas; Buy New: $24.95

8. Turbo Mnemonics For The Boards: Memory Aids to Commonly Asked Material on the USMLE Steps 2,3 and the Medicine Boards Bradley D. Mittman;

9. A.c.e. Medical Mnemonic Flashcards Arun Mathews; Buy New: $9.99

10. Visual Mnemonics for Biochemistry Laurie L. Marbas; Buy New: $24.95

11. Mnemonics & More for Psychiatry David J., MD Robinson; Buy New: $17.95

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15. Saint-Frances Guide to Inpatient Medicine (Saint-Frances Guide Series) Sanjay Saint;

16. Memory Notebook of Nursing: A Collection of Visual Images and Mnemonics to Increase Memory and Learning (Memory Notebook of Nursing) Zerwekh;

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18. Brain Calipers : A Guide to a Successful Mental Status Exam. Includes Bonus Book: Psychiatric Mnemonics & Clinical Guides, 2nd Edition David Robinson;

19. Mnemonics, Rhetoric and Poetics for Medics Robert L. Bloomfield;

20. Medico Mnemonica E. S. Marlowe;

21. Memory Enhancement Program for Older Adults: A Guide for Practitioners May D. Caprio-Prevette; Buy New: $154.80

22. Medico Mnemonica E. S. Marlowe;

23. Medical Language: Associations and Images John D. Fleming;

24. A Student-To-Student Guide to Medical School: Study Strategies, Mnemonics, Personal Growth R. William Betcher;

25. Fritz Spiegl's Sick Notes: An Alphabetical Browsing-Book of Derivatives, Abbreviations, Mnemonics and Slang for Amusemen Fritz Spiegl; Buy New: $29.95

26. Pocket Mnemonics for Practitioners Robert L. Bloomfield;

27. Mosby's Pharmacology Notecards: Visual, Mnemonic, and Memory AIDS for Nurses Joann Zerwekh; Buy New: $19.95

28. Mnemonics, Rhetoric and Poetics for Medics, Volume 2 (1984) Carolyn F. Pedley;

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30. A.C.E. Medical Mnemonics Flashcards Mathews;

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5. From Neuron to Brain John G. Nicholls; Buy New: $87.95

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3. Basic Decompression Theory and Application, Second Edition Bruce R. Wienke; Buy New: $42.00

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1. Lehninger Principles of Biochemistry, Fourth Edition David L. Nelson; Buy New: $130.95

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10. The New Glucose Revolution Complete Guide to Glycemic Index Values Jennie Brand-Miller; Buy New: $6.95

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8. Pathology of Asbestos-Associated Diseases Victor L. Roggli; Buy New: $149.00

9. Board of Registry Study Guide: Clinical Laboratory Certification Examinations (Book Only) Ascp Board of Registry Staff; Buy New: $50.00

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5. Tarascon Pocket Pharmacopoeia 2004 Classic Edition Steven M. Green;

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7. Essential Psychopharmacology : Neuroscientific Basis and Practical Applications Stephen M. Stahl; Buy New: $55.30

8. Drugs-From Discovery to Approval Rick Ng; Buy New: $55.40

9. The Sanford Guide to Antimicrobial Therapy, 2004 David N., MD. Gilbert; Buy New: $9.50

10. Vaccines Stanley A. Plotkin; Buy New: $259.00

LIST 1

Mnemosyne was the Greek goddess of memory, Her namesake, mnemonics,
simply means "memory aid".


1.Anatomy

2.Biochemistry

3.Pharmacology

4. Clinical

ANATOMY


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Head & Neck
CRANIAL NERVES: I-Optic, II-Olfactory, III-Oculomotor, IV-Trochlear, V-Trigeminal, VI-Abducens, VII-Facial, VIII-Acoustic (Vestibulocochlear), IX-Glossophrayngeal, X-Vagus, XI-Spinal Accessory, XII-Hypoglossal

On Old Olympus Towering Tops, A Finn And German Viewed Some Hops (older and cleaner)

Oh Oh Oh To Touch And Feel A Girls Vagina And Hymen (newer and, well ...)


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Which cranial nerve is Sensory, Motor, or Both- Some Say Marry Money, But My Brother Says Big Breasts Matter More


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BRANCHES OF FACIAL NERVE: Temporal, Zygomatic, Buccal, Mandibular, Cervical

Ten Zebras Beat My Cock

Two Zulus buggered my cat –(for the sicker, amongst you!)


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You have I nose. You have II eyes. (I - Olfactory; II -- Optic)


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Standing Room Only -Exit of branches of trigeminal nerve from the skull S

V1 -Superior orbital fissure, V2 -foramen Rotundum, V3 -foramen Ovale



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For the order of nerves that pass through the superior orbital fissure:
"Lazy French Tarts Lie Naked in Anticipation."

(Lacrimal, Frontal, Trochlear, Lateral, Nosociliary, Internal,
Abducens)



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2 Muscle of mastication- Lateral Lowers- lateral pterygoid is the one that opens the jaw
4 Muscles of Mastication MTPP( which could be read as "Empty Peepee") -masseter, temporal, lateral and medial pterygoids --



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Arteries as they come off the external carotid:

Superior thyroid, Ascending pharyngeal, Lingual, Facial, Occipital, Post Auricular, Superficial temporal, Maxillary

Some Anatomists Like Fucking, Others Prefer S & M

Some Angry Lady Figured out PMS



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Innervation of Extraocularmotor Muscles: LR6 SO4 3
LR6--Lateral rectus--> VI abductens

SO4--Superior Oblique--> IV Trochlear

3--The remaining 4 eyeball movers = III Oculomotor



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ABC'S of the aortic arch!

Aortic arch gives off the Bracheiocephalic trunk,

the left Common Carotid, and the left

Subclavian artery



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BRACHIAL PLEXUS: Roots, Trunks, Divisions, Cords, Branches

Robert Taylor Drinks Cold Beer.


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CERVICAL SPINAL NERVES:

c345 keeps the phrenic alive (innervation of phrenic nerve) c345 keep the diaphragm alive (innervation of diaphragm)

c5-6-7 raise your arms to heaven (nerve roots of long thoracic nerve innervate serratus anterior)


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Cranial Bones
Annoying, aren't they?
The cranial bones are the PEST OF 6...

Parietal, Ethmoid,Sphenoid,Temporal,Occipital,Frontal- 6 ? (6-the number of bones!)
( another one) Old People From Texas Eat Spiders.



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LOCATION OF THORACIC DUCT: The duck is between two gooses (duck = thoracic duct) 2 gooses = azyGOUS and esophaGOUS


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Cartilages of the Larynx - There are 4 cartilages in the larynx whose initial letters are TEAC (also the brandname of a home stereo).
Thyroid, Epiglottis, Arytenoid, Cricoid


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Abdomen-Pelvis

INNERVATION OF PENIS:

Parasympathetic puts it up; sympathetic spurts it out

Point , Shoot, Score! (erection, emmision ,ejaculation) Parasympathetic, Sympathetic , Somatomotor

"S2, 3, 4 keep the penis off the floor" Innervation of the penis by branches of the pudental nerve, derived from spinal cord levels S2-4



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Structures perforating the esophagus

"At T8 you see, perforates the IVC" (inferior Vena Cava)

the "EsoVagus" pierce T10 (esophagus, vagus nerve)

T12 - red, white and blue (aorta,thoracic duct,azygous vein)



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Femoral Sheath (lateral to medial) order of things in thigh -NAVEL

Nerve, Artery, Vein, Empty, Space, Lymphatics



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Radial n. innervates the BEST!!!!

Brachioradialis
Extensors
Supinator
Triceps



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Course of Ureters

Water runs under the bridge (uterine a. and ductus deferens)



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Carotid Sheath-- VAN

Internal Jugular Vein

Common carotid Artery

Vagus Nerve



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Dermatomes

C3 is a high turtleneck shirt

T4 is at the nipple

L1 is at the inguinal ligament (or L1 is IL -Inguinal ligament)

Randy Travis Drinks Cold Beer--Brachial plexus

Robert Taylor Drinks Cold Beer

Roots, Trunks, Divisions, Cords, Branches



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Bones of the wrist -Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium,
Trapezoid, Capitate, Hamate


1. Slowly Lower Tilly's Pants To The Curly Hairs

2. Swifty Lower Tilly's Pants to try coitus here. (the risque version)

3.Scared Lovers Try Positions That They Can't Handle. (Classic version)






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Pelvic Diaphragm

PICOLO(A) -Posterior to anterior

PIriformis

COccygeus

Levator Ani



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Pelvic Splanchic-Parasympathetic

Sacral Splanchic-Sympathetic



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Armies travel over bridges, the Navy travels under.

(Bridge is the ligament...reference to suprascapular artery and nerve.)



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Pad, dab. Dorsal ABduct...Palmar ADduct...interosseous muscles of hand/foot.



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Layers of the epidermis-Germinativum or Basale, Spinosum, Granulosum, Lucidum, Corneum

Grandpa Shagging Grandma's Love Child.


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Limbic System- the 5 F’s- Feeding, Fighting, Feeling, Flight and Fucking


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The 5 sphincters found in the Alimentary Canal are APE OIL:
Anal, Pyloric, Lower Esophogeal, Oddi, and Ileocecum.



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Sally Thompson Loves Sex And Pot pie. The branches of the Axillary Artery are: Superior Thoracic, Thoracoacromial, Lateral Thoracic, Subscapular, Anterior Circumflex Humeral, Posterior Circumflex Humeral, and Profunda Brachii.



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TIRE- four abdominal muscles -- transversus, internal oblique, rectus abdominus, and external oblique


--------------------------------------------------------------------------------

GFR -Layers of the adrenal:-- Glomerular, Fascicular, Reticular

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BIOCHEMISTRY


--------------------------------------------------------------------------------

In the Phasted State Phosphorylate

Phosphorylation cascade active when blood glucose low.



--------------------------------------------------------------------------------

Exons expressed, Introns in the trash--DNA expression into mature mRNA



--------------------------------------------------------------------------------

Pyrimidines are CUT from purines.

Pyrimidines are Cytosine, Uracil, Thiamine and are one ring structures.

Purines are double ring structures.



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Amino Acids:The ten essential amino acids:
"These Ten Valuable Amino Acids Have Long Preserved Life In
Man."

(Threonine, Tryptophan, Valine, Arginine, Histidine, Lysine,
Phenylalanine, Leucine, Isoleucine, Methionine)



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INsulin gets sugar INto cells- (Excess sugar is removed via urine.The Romans noticed bees attracted to the urine of diabetics and coined the term "diabetes" to describe the overflow of sugar.)



--------------------------------------------------------------------------------

GOAT FLAP- Eight hormones: Growth hormone, Oxytocin, Adenocorticotropin, Thyroid stimulating hormone, Follicle stimulating hormone, Leutinizing hormone (interstitial cell stimulating hormone in males), Anti-diruetic(Vasopressin), and Prolactin
(shhhh.... also Melatonin!)





--------------------------------------------------------------------------------

PHARMACOLOGY


--------------------------------------------------------------------------------

Morphine excites men, but sedates cats.



--------------------------------------------------------------------------------

One heart two lungs--beta receptor activity

Beta-1 primarily on heart; airway is beta-2 receptors



--------------------------------------------------------------------------------

CLINICAL


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Meckel’s diverticulum- rule of 2’s

2 inches long,

2 feet from the ileocecal valve,

2% of the population

commonlly presents in the first 2 years of life

may contain 2 types of epithelial tissue


--------------------------------------------------------------------------------

Pheochromocytoma-rule of 10s:

10% malignant

10% Bilateral

10% extraadrenal

10% calcified

10% children

10% familial

* discussed 10 times more often than actually seen


--------------------------------------------------------------------------------

Aphasia

"BROKen aphasia" (Broca’s aphasia-broken speech)

"Wordys aphasia" (Wernicke’s aphasia- wordy, but making no sense)


--------------------------------------------------------------------------------

GET SMASH'D--Causes of Acute pancreatitis

Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)



--------------------------------------------------------------------------------

(Multiple endocrine neoplasia) Each of the MENs is a

disease of three or two letters plus a feature.

"MEN I" is a disease of the 3 Ps (pituitary, parathyroid and pancreas)

plus adrenal cortex.

"MEN II " is a disease of the two Cs (carcinoma of the thyroid and

catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or

mucocutaneous neuromas for MEN IIb (aka MEN III).



--------------------------------------------------------------------------------

Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate

Acute pneumonia caused by Miscellaneous microbes --Mononuclear infiltrate



--------------------------------------------------------------------------------

Takayasu's diz = pulseless diz, therefore when you have

Takayasu's, I can't Tak'a yu pulse.



--------------------------------------------------------------------------------

Argyll-Robertson Pupil--syphilitic pupil (AKA "Prostitute's pupil" - Accommodates, but doesn't react )

Accommodation reflex present, Pupillary reflex absent



--------------------------------------------------------------------------------

CAGE--alcohol use screening

1. Have you ever felt it necessary to CUT DOWN on your drinking?

2. Has anyone ever told you they were ANNOYED by your drinking?

3. Have you ever felt GUILTY about your drinking?

4. Have you ever felt the need to have a drink in the morning for an EYE OPENER?



--------------------------------------------------------------------------------

P-Q-R-S-T--eliciting and HPI and exploring symptoms

P--palliative or provocative factors for the pain

Q--quality of pain(burning, stabbing, aching, etc.)

R--region of body affected

S--severity of pain(usually 1-10 scale)

T--timing of pain(eg.-after meals, in the morning, etc.)



--------------------------------------------------------------------------------

The five W's--post-operative fever

Wind--pneumonia, atelectasis

Water--urinary tract infection

Wound--wound infections

Wonderdrugs--especially anesthesia

Walking--walking can help reduce deep vein thromboses and pulmonary embolus



--------------------------------------------------------------------------------

ACID or "Anna Cycled Immediately Downhill"

classification of hypersensitivity reactions

Type I - Anaphylaxis

Type II - Cytotoxic-mediated

Type III - Immune-complex

Type IV - Delayed hypersensitivity



--------------------------------------------------------------------------------

WBC Count:

"Never Let Momma Eat Beans(60, 30, 6, 3, 1)

Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1%



--------------------------------------------------------------------------------

A-P-G-A-R:

A - appearance (color)

P - pulse (heart rate)

G - grimmace (reflex, irritability)

A - activity (muscle tone)

R - respiratory effort


--------------------------------------------------------------------------------
Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma

O--obesity

M--malignancy

S--surgery

C--cardiac disease

H--hospitalization

R--rest (bed-bound)

E--estrogen, pregnancy, post-partum

P--past hx

F--fracture

E--elderly

R--road trip


--------------------------------------------------------------------------------

The 4 P's of arterial Occlusion: pain pallor pulselessness paresthesias



--------------------------------------------------------------------------------

The 4 T's of Anterior Mediastinal Mass:Thyroid tumor,Thymoma,Teratoma, Terrible Lymphoma



 

LIST 2

HEMATOLOGY
DATs Right! - the oxygen dissociation curve shifts RIGHT whenever there is an INCREASE in any of the following: DPG, Acidity, Temperature (DAT)



--------------------------------------------------------------------------------
NEUROANATOMY
For the function of the temporal lobes, think of a helmet which covers the side of the head:
HELM:
H : hearing
E : emotion
L : learning
M : memory


--------------------------------------------------------------------------------
PSYCHIATRY
Here's one from one of the psychiatrists on how to remember the symptoms of depression. He said it was like writing a prescription for Energy Capsules.

SIG:ECAPS

S - Sleep
I - Interest
G - Guilt
: - (Colon can refer to bowel complaints as this is a common presentation of depression, but not official)
E - Energy (decreased)
C - Concentration (difficult, decreased)
A - Appetite (decreased)
S - Suicidal ideation

--------------------------------------------------------------------------------
RENAL
1. HUS/TTP
HUS/TTP is a CRAFTY syndrome:
C : CNS symptoms
R : Renal failure
A : Anemia (microangiopathic hemolytic anemia, "MAHA")
F : Fever
T : Thrombocytopenia
Y : no one knows "Y" it occurs
2. Normal anion gap acidosis
There's the older mnemonic USED CAR:
U : uterosigmoidostomy
S : saline administration (in the face of renal dysfunction)
E : endocrine (Addisons, spironolactone, triamterene, amiloride,
primary hyperparathyroidism)
D : diarrhea
C : carbonic anhydrase inhibitors
A : ammonium chloride
R : renal tubular acidosis
and a newer mnemonic RAGE:
R : renal tubular acidosis, respiratory acidosis
A : acetazolamide, ammonium chloride
G : GI (diarrhea, enteroenteric fistula, ureterosigmoidostomy)
E : endocrine (same as above endocrine list)
3. Increased anion gap acidosis
The older mnemonic is MUDPIES:
M : methanol
U : uremia
D : diabetes
P : paraldehyde
I : idiopathic (lactic acidosis)
E : ethylene glycol
S : salicylates
and a newer one called DULSI:
D : diabetic ketoacidosis
U : uremia
L : lactic acidosis
S : salicylate poisoning
I : intoxicants (methanol, ethanol, ethylene glycol)



--------------------------------------------------------------------------------
MISCELLANEOUS
Clubbing (by Doog)

C : cardiac (R -> L shunt)
L : lung (tumor, fibrosis)
U : ulcerative colitis (also Crohn's disease less commonly)
B : bronchiectasis
B : benign mesothelioma
I : inherited; idiopathic; IBD
N : neurogenic tumors
G : GI (cirrhosis, crohn's, UC)

LIST 3

Biochemistry

In the Phasted State Phosphorylate
Phosphorylation cascade active when blood glucose low.

Exons expressed, Introns in the trash.--DNA expression into
mature mRNA

Pyrimidines are CUT from purines.
Pyrimidines are Cytosine, Uracil, Thiamine and are one
ring structures.
Purines are double ring structures.

Pharmacology

Morphine excites men, but sedates cats.

One heart two lungs--beta receptor activity
Beta-1 primarily on heart; airway is beta-2 receptors

Clinical

GET SMASH'D.--Causes of Acute pancreatitis
Gallstones, Ethanol, Trauma, Steroids, Mumps,
Autoimmune(PAN), Scorpion bites, Hyperlipidemia,
Drugs(azathioprine, diuretics)

Multiple Endocrine Neoplasia
MEN I is a disease of 3 P's (pituitary, parathyroid,
and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and
catacholamines[pheochromocytoma]) plus parathyroid
for MEN IIa or mucocutaneous neuromas for MEN
IIB(aka MEN III)

Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
Acute pneumonia caused by Miscellaneous microbes
--Mononuclear infiltrate

Takayasu's diz = pulseless diz, therefore when you have
Takayasu's, I can't Tak'a yu pulse.

CAGE--alcohol use screening
1. Have you ever felt it necessary to CUT DOWN on your
drinking?
2. Has anyone ever told you they were ANNOYED by your
drinking?
3. Have you ever felt GUILTY about your drinking?
4. Have you ever felt the need to have a drink in the
morning for an EYE OPENER?

P-Q-R-S-T--eliciting and HPI and exploring symptoms
P--palliative or provocative factors for the pain
Q--quality of pain(burning, stabbing, aching, etc.)
R--region of body affected
S--severity of pain(usually 1-10 scale)
T--timing of pain(eg.-after meals, in the morning,
etc.)

Argyll-Robertson Pupil--syphilitic pupil
Accommodation reflex present, Pupillary reflex absent

The five W's--post-operative fever
Wind--pneumonia, atelectasis
Water--urinary tract infection
Wound--wound infections
Wonderdrugs--especially anesthesia
Walking--walking can help reduce deep vein thromboses
and pulmonary embolus

Anna Cycled Immediately Downhill--Gell & Goombs
classification of hypersensitivity reactions
ACID
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity




More Mnemonics posted to the net.


"The duck is between 2 gooses"
"duck" = thoracic duct
"2 gooses" = azyGOUS and esophaGOUS

"Lateral is less, medial is more"
(re: The lateral pectoral nerves goes through the pectoralis major while
the medial pn goes through both the pec major and minor)

"a lady between two majors."
The pectoralis major attaches to the lateral lip of the bicipital groove,
the teres major attaches to the medial lip of the bicipital groove, and the
latissimus dorsi attaches to the floor of the bicipital groove.
The "lati" is between two "majors"

"ABC'S"
The *A*ortic arch gives off the *B*rachiocephalic trunk, the left *C*ommon
Carotid, and the left *S*ubclavian artery.

"C3,4,5 keep the diaphragm alive" Innervation of the phrenic nerve

"Some Say Marry Money, But My Brother Says Big Bras Matter More" For
remembering which cranial nerves are Sensory, Motor, or Both:

Re: facial nerve
Two = Temporal
Zulus = Zygomatic
Buggered = Buccal
My = Masseteric
Cat = Cervical

"S2, 3, 4 keep the penis off the floor",
which refers to the innervation of the penis by branches of the
pudental nerve which are derived from spinal cord levels S2-4

Cranial nerves in order:
"Oh oh oh to touch and feel virgin girls vaginas and hymens"

Layers of the epidemis:
"Granpa shagging Grandma's love child"
(from the dermal/epidermal junction upwards: Germinatibum; spinosum;
granulosum; lucidum; corneum)

(Multiple endocrine neoplasia) Each of the MENs is a
disease of three or two letters plus a feature.
"MEN I" is a disease of the three Ps (pituitary, parathyroid and pancreas)
plus adrenal cortex.
"MEN II " is a disease of the two Cs (carcinoma of the thyroid and
catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or
mucocutaneous neuromas for MEN IIb (aka MEN III).

"Robert Taylor Drinks Cold Beer"
Brachial Plexus: Roots, Trunks, Divisions, Chords, Branches

"One heart Two lungs"
for beta receptor activity. Beta-1 receptors are primarily on the heart, and the
airway is Beta-2 receptors.

"ACID" or "Anna Cycled Immediately Downhill"
Hypersensitivity reactions - Anaphylactic, Cytotoxic, Immune-complex,
Delayed-hypersensitivity

Anesthesia Acronyms & Mnemonics

Cranial Nerves

1. Olfactory Oh Some Sensory
2. Optic Oh Say Sensory
3. Oculomotor Oh Marry Mixed
4. Trochlear To Mary Mixed
5. Trigeminal Touch But Both
6. Abducens And My Mixed
7. Facial Feel Brother Both
8. Acoustic A Says Sensory
9. Glossopharyngeal Good(?) Bad Both
10. Vagus Vein(?) Business! Both
11. Accessory Ah Marry Mixed
12. Hypoglosseal Heaven Money Mixed

__________________________________________________________________________


The way to remember which cranial nerves are sensory, motor or mixed:


Some Say Marilyn Monroe But My Brother Says Bridget Bardot Mmm, Mmm!
__________________________________________________________________________



Prophase, metaphase, anaphase, telophase. = "People Meet And Talk."
__________________________________________________________________________



Chemoreceptor Trigger Zone: Serotonin, Histamine, Muscarinic, Opioids,
Dopamine

Sara Hates Men On Drugs




__________________________________________________________________________



Tonsil Arteries: Tonsilar, Maxillary, Pharyngeal, Facial, Internal
Carotid Branch
Tim Made Peter Faint In Class


__________________________________________________________________________


Aortic Regurgitation and Mitral Regurgitation
Fast, Full, Loose


__________________________________________________________________________


Oxyhemoglobin Dissociation Curve:
Think of exercising muscle for a rightward shift: Exercising
muscle is Hot, Acidic (Lactic Acid), Hypercarbic, Benefits from
oxygen unloading and has an increased 2,3 DPG. Also think Bohr
effect with a rightward shift(_CO2 = _O2). Realize that the
Haldane effect means (O2 =CO2 carried by Hgb).

__________________________________________________________________________


Cholinergic Crisis-Parasympathetic Stimulation:
SLUD


Salivation, Lacrimation, Urination and Defecation.
__________________________________________________________________________


Sympathetic nervous system: Fight or Flight

Parasympathetic nervous system: Rest and Digest
__________________________________________________________________________


C3-C4-C5 keeps the diaphragm alive.
__________________________________________________________________________



Spinal Meds: Lidocaine, Bupivicaine, Procaine, Tetracaine

Little Boys Prefer Toys.

__________________________________________________________________________



Go Glomerulosa Make Mineralcorticoids

Find Fasiculata Good Glucocorticoids

Rex Reticulata Sex Hormones


__________________________________________________________________________


F L A G T O P Hormones of the Anterior Pituitary


F: Follicle Stimulating Hormone
L: Lutinizing Hormone
A: ACTH
G: Growth Hormone

T: Thyroid Stimulating Hormone
O: MSH
P: Prolactin

__________________________________________________________________________



President Kennedy had Addisions disease: He always had a great
tan. A president would need cortisol to respond to stress and hypoglycemic.
__________________________________________________________________________




Treatment of Malignant Hyperthermia


Some Hot Dude Better Give Iced Fluids Fast!!!

S: Stop all triggering agents, give 100% O2

H: Hyperventilate

D: Dantrolene 2.5mg/kg

B: Bicarbonate

G: Glucose and Insulin

I: IV Fluids, Cooling Blanket

F: Fluid Output; Furosemide

F: Tachycardia, be prepared to treat V Tach

__________________________________________________________________________


Regarding what to do in case of syncope:

If the face is red, raise the head. If the face is pale, raise
the tail!
__________________________________________________________________________


Nothing beats the old classic list for remembering the branches
of the superior thyroid artery:

MAY muscular
I infrahyoid
SOFTLY superior laryngeal
SQUEEZE sternomastoid
CHARLIE'S cricothyroid
GIRL glandular

__________________________________________________________________________


More seriously: "LR6SO4 rest 3" (lateral rectus=3rd cranial,
superior oblique=4, rest of ocular muscles are 3rd cranial)
__________________________________________________________________________


Robert Taylor Drinks Cold Beer for:
Roots, Trunks, Divisions,
Cords, Branches (how the nerves are organized along the brachial
plexus from the neck to the fingers).

Real Texans Drinks Coors Beer: See above
__________________________________________________________________________


The branches of the facial nerve are:

"Two zulu's bugging my cat"

two temporal

zulu's zygomatic

bugging buccal

my mandibular

cat cervical...
__________________________________________________________________________


"9 O P" ninth cranial nerve innervates the parotid gland by way
of the otic ganglion.

__________________________________________________________________________




How about this one, the things that pass through the Supraorbital fissure:


Luscious Lacrimal nerve (V1 branch of trigeminal nerve)

French Frontal nerve (V1 branch of trigeminal nerve)

Tarts Trochlear nerve (CN IV)

Sit Superior branch of Oculomotor nerve (CN III)

Naked Nasociliary nerve (CN V1 branch of trigeminal nerve)

In Inferior branch of Oculomotor nerve (CN III)

Anticipation Abducens nerve (CN VI)

Of Ophthalmic veins

Sex Sympathetic nerves

__________________________________________________________________________


"RL6SO4 taken 3 times" converts to:

Rectus Lateralis: 6th cranial nerve (abducens)
Superior Oblique: 4th cranial nerve (trochlear)
All other muscles(medial rectus, superior and inferior recti,
and inferior oblique): 3rd cranial nerve (oculomotor)
__________________________________________________________________________


Oculomotor Reflex is the 5 & dime reflex:

Afferent: Trimenimal V and Efferent: Vagus X


Back Pain: DISK MASS


D == Degeneration: DJD, Osteoporosis, spondylosis

I == Infection: UTI, PID, Potts, osteomyelitis, prostatitis, Injury/fractur
e, compression fracture.

S == Spondylitis, ankylosing
Spondyloarthropathies (rheum. arthritis, Reiters, SLE)

K == Kidney stones/infarction/infection (pyelo/abscess)


M == Multiple myeloma
Metastasis from breast, prostate, lung, thyroid,
kidney CA

A == Aneurysm Abdominal pain referred to the back (see acute abdominal pain)

S == Slipped disk, spondylolisthesis

S == Strain, scoliosis/lordosis
Skin: herpes zoster.






__________________________________________________________________________


Thanks to all who contributed to this list. Keep them coming.


_______________________________________
Anesthesia Acronyms & Mnemonics

Cranial Nerves

1. Olfactory Oh Some Sensory
2. Optic Oh Say Sensory
3. Oculomotor Oh Marry Mixed
4. Trochlear To Mary Mixed
5. Trigeminal Touch But Both
6. Abducens And My Mixed
7. Facial Feel Brother Both
8. Acoustic A Says Sensory
9. Glossopharyngeal Good(?) Bad Both
10. Vagus Vein(?) Business! Both
11. Accessory Ah Marry Mixed
12. Hypoglosseal Heaven Money Mixed

__________________________________________________________________________


The way to remember which cranial nerves are sensory, motor or mixed:


Some Say Marilyn Monroe But My Brother Says Bridget Bardot Mmm, Mmm!
__________________________________________________________________________



Prophase, metaphase, anaphase, telophase. = "People Meet And Talk."
__________________________________________________________________________



Chemoreceptor Trigger Zone: Serotonin, Histamine, Muscarinic, Opioids,
Dopamine

Sara Hates Men On Drugs




__________________________________________________________________________



Tonsil Arteries: Tonsilar, Maxillary, Pharyngeal, Facial, Internal
Carotid Branch
Tim Made Peter Faint In Class


__________________________________________________________________________


Aortic Regurgitation and Mitral Regurgitation
Fast, Full, Loose


__________________________________________________________________________


Oxyhemoglobin Dissociation Curve:
Think of exercising muscle for a rightward shift: Exercising
muscle is Hot, Acidic (Lactic Acid), Hypercarbic, Benefits from
oxygen unloading and has an increased 2,3 DPG. Also think Bohr
effect with a rightward shift(_CO2 = _O2). Realize that the
Haldane effect means (O2 =CO2 carried by Hgb).

__________________________________________________________________________


Cholinergic Crisis-Parasympathetic Stimulation:
SLUD


Salivation, Lacrimation, Urination and Defecation.
__________________________________________________________________________


Sympathetic nervous system: Fight or Flight

Parasympathetic nervous system: Rest and Digest
__________________________________________________________________________


C3-C4-C5 keeps the diaphragm alive.
__________________________________________________________________________



Spinal Meds: Lidocaine, Bupivicaine, Procaine, Tetracaine

Little Boys Prefer Toys.

__________________________________________________________________________



Go Glomerulosa Make Mineralcorticoids

Find Fasiculata Good Glucocorticoids

Rex Reticulata Sex Hormones


__________________________________________________________________________


F L A G T O P Hormones of the Anterior Pituitary


F: Follicle Stimulating Hormone
L: Lutinizing Hormone
A: ACTH
G: Growth Hormone

T: Thyroid Stimulating Hormone
O: MSH
P: Prolactin

__________________________________________________________________________



President Kennedy had Addisions disease: He always had a great
tan. A president would need cortisol to respond to stress and hypoglycemic.
__________________________________________________________________________




Treatment of Malignant Hyperthermia


Some Hot Dude Better Give Iced Fluids Fast!!!

S: Stop all triggering agents, give 100% O2

H: Hyperventilate

D: Dantrolene 2.5mg/kg

B: Bicarbonate

G: Glucose and Insulin

I: IV Fluids, Cooling Blanket

F: Fluid Output; Furosemide

F: Tachycardia, be prepared to treat V Tach

__________________________________________________________________________


Regarding what to do in case of syncope:

If the face is red, raise the head. If the face is pale, raise
the tail!
__________________________________________________________________________


Nothing beats the old classic list for remembering the branches
of the superior thyroid artery:

MAY muscular
I infrahyoid
SOFTLY superior laryngeal
SQUEEZE sternomastoid
CHARLIE'S cricothyroid
GIRL glandular

__________________________________________________________________________


More seriously: "LR6SO4 rest 3" (lateral rectus=3rd cranial,
superior oblique=4, rest of ocular muscles are 3rd cranial)
__________________________________________________________________________


Robert Taylor Drinks Cold Beer for:
Roots, Trunks, Divisions,
Cords, Branches (how the nerves are organized along the brachial
plexus from the neck to the fingers).

Real Texans Drinks Coors Beer: See above
__________________________________________________________________________


The branches of the facial nerve are:

"Two zulu's bugging my cat"

two temporal

zulu's zygomatic

bugging buccal

my mandibular

cat cervical...
__________________________________________________________________________


"9 O P" ninth cranial nerve innervates the parotid gland by way
of the otic ganglion.

__________________________________________________________________________




How about this one, the things that pass through the Supraorbital fissure:


Luscious Lacrimal nerve (V1 branch of trigeminal nerve)

French Frontal nerve (V1 branch of trigeminal nerve)

Tarts Trochlear nerve (CN IV)

Sit Superior branch of Oculomotor nerve (CN III)

Naked Nasociliary nerve (CN V1 branch of trigeminal nerve)

In Inferior branch of Oculomotor nerve (CN III)

Anticipation Abducens nerve (CN VI)

Of Ophthalmic veins

Sex Sympathetic nerves

__________________________________________________________________________


"RL6SO4 taken 3 times" converts to:

Rectus Lateralis: 6th cranial nerve (abducens)
Superior Oblique: 4th cranial nerve (trochlear)
All other muscles(medial rectus, superior and inferior recti,
and inferior oblique): 3rd cranial nerve (oculomotor)
__________________________________________________________________________


Oculomotor Reflex is the 5 & dime reflex:

Afferent: Trimenimal V and Efferent: Vagus X


Back Pain: DISK MASS


D == Degeneration: DJD, Osteoporosis, spondylosis

I == Infection: UTI, PID, Potts, osteomyelitis, prostatitis, Injury/fractur
e, compression fracture.

S == Spondylitis, ankylosing
Spondyloarthropathies (rheum. arthritis, Reiters, SLE)

K == Kidney stones/infarction/infection (pyelo/abscess)


M == Multiple myeloma
Metastasis from breast, prostate, lung, thyroid,
kidney CA

A == Aneurysm Abdominal pain referred to the back (see acute abdominal pain)

S == Slipped disk, spondylolisthesis

S == Strain, scoliosis/lordosis
Skin: herpes zoster.




LIST 4

CLINICAL MNEMONICS



CAUSES OF ACUTE PANCREATITIS:
"GET SMASH'D"
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)

A-P-G-A-R:
A - appearance (color)
P - pulse (heart rate)
G - grimmace (reflex, irritability)
A - activity (muscle tone)
R - respiratory effort

Multiple Endocrine Neoplasia: Each of the MENs is a disease of three or two letters plus a feature.
MEN I is a disease of 3 P's (pituitary, parathyroid, and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and catacholamines [pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB(aka MEN III)

Acute pneumonia caused by Pyogenic bacteria--PMN infiltrate
Acute pneumonia caused by Miscellaneous microbes--Mononuclear infiltrate

Takayasu's diz = pulseless diz, therefore when you have Takayasu's, I can't Tak'a yu pulse.

CAGE--alcohol use screening
Have you ever felt it necessary to CUT DOWN on your drinking?
Has anyone ever told you they were ANNOYED by your drinking?
Have you ever felt GUILTY about your drinking?
Have you ever felt the need to have a drink in the morning for an EYE OPENER?

P-Q-R-S-T--eliciting and HPI and exploring symptoms
P--palliative or provocative factors for the pain
Q--quality of pain(burning, stabbing, aching, etc.)
R--region of body affected
S--severity of pain(usually 1-10 scale)
T--timing of pain(eg.-after meals, in the morning, etc.)

A-S-C-L-A-S-T--eliciting and HPI and exploring symptoms
A--aggravatiing and alleviating factors
S--severity
C--character, quality
L--location
A--associated sx
S--setting
T--timing
note: ASCLAST means let the patient talk first, then ask him/her specific questions

Argyll-Robertson Pupil--syphilitic pupil: Accommodation reflex present, Pupillary reflex absent due to damage at pretectal area. Also called the "prostitute's pupil" (accommodates but does not react).

The five W's--post-operative fever
Wind--pneumonia, atelectasis
Wound--wound infections
Water--urinary tract infection
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
Wonderdrugs--especially anesthesia

Predisposing Conditions for Pulmonary Embolism: TOM SCHREPFER
T--trauma
O--obesity
M--malignancy
S--surgery
C--cardiac disease
H--hospitalization
R--rest (bed-bound)
E--estrogen, pregnancy, post-partum
P--past hx
F--fracture
E--elderly
R--road trip

ARTERIAL OCCLUSION:
pain
pallor
pulselessness
paresthesias

HYPERSENSITIVITY REACTIONS: "Anna Cycled Immediately Downhill--Gell & Goombs" or "ACID."
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity

WBC Count: "Never Let Mom Eat Beans" and "60, 30, 6, 3, 1"
Neutrophils 60%
Lymphocytes 30%
Monocytes 6%
Eosinophils 3%
Basophils 1: