Personality disorder Mnemonics

Clinic A/P, adults, Clinic A/P, Peds, MNEMONICS, PSYCHIATRY

MNEMONICS FOR DIAGNOSING PERSONALITY DISORDERS From MDedge.com Paranoid personality disorder SUSPECT Spousal infidelity suspected Unforgiving (bears grudges) Suspicious Perceives attacks (and reacts quickly) Enemy or friend? (suspects associates and friends) Confiding...

Irritable Bowel Syndrome (IBS)

Clinic A/P, adults

-Patient meets the definition of IBS. -H&P performed, see above. -TSH, BMP, CBC, Stool Studies, FOBT. Abdominal imaging if needed. Treatments that work for IBS Nonpharmacologic treatment. -No alarm symptoms.  -Patient education and reassurance provided. Exercise...

Fungal Rash

Clinic A/P, adults, DERMATOLOGY

Fungal rash to the trunk, not intertriginous, but along the mid-axillary line at the level of the xiphoid process where the bra covers. Rx: Clotrimazole 1% cream, disp: 60 grams.

Peptic Ulcer Disease (PUD)

Clinic A/P, adults

52 year old with epigastric pain, acid reflux Sx, cough, dark tarry stools. No Hx of H. pylori infection or treatment. Treatment -Counseling: Don’t eat right before bed time, CAPA free diet, etc. Avoid NSAIDs -CBC, CMP -FOBT -H. pylori Stool Antigen -Protonix...

Opioid Overdose

Clinic A/P, adults, PSYCHIATRY

Treatment -ABCs – first assess airway and breathing. Give oxygen and use bag-mask if needed. -Naloxone (Narcan) IV or IM or SC (May be given intranasally or through ETT). Dose: 0.4-2mg SC/IM/IV q2-3min prn; Alt: 0.005mg/kg IV x1, then 0.0025-0.16mg/kg/h IV....

Hepatic Failure, Chronic

Clinic A/P, adults

Management of Chronic Hepatic Failure