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Tiny Tips: Hematuria: IS THIS PP RED?

In Tiny Tips by Alex SengerLeave a Comment

Mnemonics to remember differential diagnoses are usually cumbersome, difficult to remember, and unnecessary. However, sometimes one stands above the crowd. Sometimes, one is so perfect that the world around you seems brighter… the greens greener… the sky bluer… your lunch tastier… Feel your mental status exam improve as I present to you “IS THIS PP RED?” for hematuria. The best part about the mnemonic? – The two most important etiologies are first! This …

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Tiny Tips – Cauda Equina Syndrome

In Medical Concepts, Tiny Tips by Mike Craig2 Comments

Cauda Equina Syndrome (CES) is a collection of signs and symptoms resulting from compression of neural elements at the cauda equina.  Although CES has no universal definition, the most commonly cited clinical presentation involves severe lower back pain, bladder dysfunction, and sensory deficits in the sacral nerve root distribution. Associated symptoms can include radicular leg pain, lower extremity weakness, and erectile dysfunction. A recent review explores this variation in definitions and the diagnostic …

Tiny Tips – Taking a Social History

In Medical Concepts, Tiny Tips by Aaron LeungLeave a Comment

While often overlooked, a patient’s social history can help narrow the differential diagnosis as well as help guide their final disposition. A mnemonic to help with the essential parts of the social history is ETOH SHOTS: Education Level of education of the patient; are they able to understand discharge instructions. Treatment Coverage Does the patient have a drug plan to help cover medication costs, can they afford the medications you are prescribing. Offspring/Supports …

Tiny Tip: HELLP Syndrome

In Tiny Tips by Sarah Luckett-Gatopoulos1 Comment

If you train in a tertiary care center with obstetrical triage, you may not assess many pregnant women beyond the first trimester of pregnancy. However, in community emergency departments without a primary obstetrics triage department, you will often encounter pregnancy-induced hypertension (PIH; systolic pressure 140 mmHg, or diastolic pressure 90 mmHg), a common complication occurring in 7-9% of pregnancies. HELLP syndrome is an important subset of PIH that comes with its own built-in mnemonic …