words per minute
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aMAXiMINalist
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Nurse Assessment - Confirm chief complaint, review allergies, brief past medical history
PSHx - Past Surgical
PMHx - Past Medical
Final Dx - By using Medical Decision Making (MDM) the physician reviews specific results that can rule out Differential Diagnoses (DDx) to reach the Final Diagnosis (Dx)
Disposition - discharge home / admit for further care / transfer to another facility
Thyroid problem - hypo or hyperthyroidism
Diabetes - Diabetes Mellitus
Irregular heartbeat - Atrial Fibrillation (A-Fib)
Episodes of abnormally face/facing heartbeat - Supraventricular Tachycardia (SVT)
Kidney stones - Renal calculi
"I'm on dialysis" - Chronic Renal Failure (CRF) or End Stage Renal Disease (ESRD) on dialysis
Enlarged prostate - Benign Prostate Hypertrophy (BRH)
Pacer - Pacemaker
Stents - Coronary Stents -
Heart Cath - Cardiac catheterization
BNP - B-type Natriuretic Peptide for CHF Dx
CT A/P with PO Contrast - for Appendicitis (APPY), Small Bowel Obstruction (SBO)
CTA Chest - for Pulmonary Embolism
Lipase - for Pancreatitis
RUQ Ultrasound - Cholecystitis
CT Head - for Hemorrhagic CVA/Brain Bleed and Ischemic Cerebral Vascular Accident
AAS, CT A/P with PO Contrast - for Small Bowel Obstruction
LE Ultrasound - Deep Vein Thrombosis
Focal Neurological Deficit (FND) - NOT
PNA - Pneumonia, infiltrate (bacteria infection) and inflammation inside lung
PTX - Pneumothorax (collasped lungs) diagnosed by CXR
URI - Upper Respiratory Infection
cardiac risk factors include:
common cause of seizures in children: Febrile
MI - Chest Pain, nausea, vomiting, diaphoresis, and shortness of breath
TRUE: Bell’s Palsy is the most common cause of facial droop in young patients who do not have CVA risk factors.
McBurney's point tenderness - PE for Appendicitis