Coffee for strep throat

Have you ever had to look up the modified Centor criteria when someone comes to you with a possible strep throat? You will have to look no more once you know the mnemonic “Old CAFE”. The WM is pretty sure it doesn’t exist elsewhere, so it just might be an exclusive one. :)

Old = Age

C = Cervical lymphadenopathy

A = Absence of cough

F = Fever

E = Exudates in the tonsillar region

Here is how to calculate the modified Centor criteria:

Age < 15 = +1 point

Age > 44 = -1 point

All the rest of the “CAFE” criteria = + 1 point

Here is how to use the modified Centor criteria:

-1 to 1 point = No testing, no antibiotics

2 to 3 points = Perform a culture, give antibiotics if culture positive

4 to 5 = Treat empirically with antibiotics +/- culture

Please click here to the following article for more information on pharyngitis guidelines.

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Have a great week and happy studies.

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Psychiatry review of systems

How do you do a “head to toe” assessment for a psychiatric problem? Apart from ensuring that their symptoms are not secondary to a medical illness, you will want to screen for other psychiatric disorders during your interview. The AAFP has a summary article about the psychiatry interview and they suggest the following mnemonic: “Depressed Patients Seem Anxious, SClaim Psychiatrists”

D = Depression and other mood disorders (e.g. bipolar, dysthymia)

P = Personality disorders (e.g. borderline personality disorder, obsessive compulsive personality disorder, etc.)

S = Substance abuse disorder

A = Anxiety disorders (general anxiety disorder, panic disorder, obsessive-compulsive disorder)

S = Somatization disorder and/or eating disorder

C = Cognitive disorder (dementia, delay, delirium)

P = Psychotic disorder (schizophrenia, mood disorder with psychotic features)

 

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Thanks for stopping by!

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Physical exam- Joints and JVP

This week, we have two mnemonics you can use for remembering components of the physical exam.

1) For the examination of any joint, remember to go “WEST”:

W = Warmth
E = Erythema
S = Swelling
T = Tenderness

2) And since it is practically impossible to go through your internal medicine rotation without being asked the features of the JVP,  rebch has submitted a very useful mnemonic with the following message

You won’t have to “BARPH” when your senior puts you on the spot to find the JVP ever again with this mnemonic!

B= Biphasic
A = Ablatable
R = Respiration (lowers with inspiration)
P = Positional 
H = Hepatojugular reflex

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Hopefully you will find this to be helpful on the wards! Have a great week!!

Special thanks to rebch for sharing her awesome and creative memory aid.

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