Systems Review

Mnemonics
Musculoskeletal: PILLS with fatigued
DJs
Pain
Instability
Loss of movement
Loss of function
Swelling
Weakness
Fatigue/Fever
Weight loss
Deformity
Joint stiffness
Neurological: VWINGS VS PADS
Vertigo
Weakness
Injury (of head)
Neck stiffness
Gait or movement problems
Seizures or fits
Visual, hearing, smelling
disturbance
Syncope
Paraesthesia
Anaesthesia
Dizziness
Sphincter control (bowel, bladder)
Cardiovascular: PAID COPS (are)
Fatigued
Palpitations
Ankle swelling
Intermittent claudication
Dyspnoea
Chest pain
Orthopnoea
Paroxysmal nocturnal dyspnoea
Syncope
Fatigue

Respiratory: Can Somebody Breathe

Whilst Doing Cartwheels Sideways?
Probably Not, For Very Frustrating Nuns
May Make (Mnemonics).
Cough
Sputum
Blood (haemoptysis)
Wheezing
Dyspnoea
Chest pain
Sneezing
Post-nasal drip
Nose bleeds
Fever
Voice (hoarseness)
Facial pain (sinusitis)
Night sweats
Malaise
Myalgia
Gastrointestinal: BASSS FON JAWV BI
Bowel habits
Appetite
Swallowing
Stomach
Stools

Fever
Overseas
Nausea

Jaundice
Acid (heartburn, GORD)
Weight (loss/gain)
Vomiting

Bloating
Itchiness

 Fever
Urethral discharge
Other (dyspnoea, oedems,
snorexiaa, fatigue, itch, vomiting,
bruising, hiccups)
Endocrine: DULL WASH PASS G
Diarrhoea
Urine changes
Lethargy
Loss of libido
Weight changes
Amenorrhea/Menorrhagia
Skin changes
Heat intolerance
Pigmentation
Appetite
Sweating
Stature
Goitre
Renal:
Painful Micturitions Are Agonizing
Following Urethral Obstruction
(Micturition = FRIND HUD PP)
Pain
o Dysuria (burning pain)
o Renal colic
o Loin to groin pain
Micturition (FRIND HUD PP)
o Frequency
o Retention (i.e. cant pee)
o Incontinence (i.e. leakage)
o Nocturia
o Dysuria
o Hesitancy (i.e. takes a while
to start)
o Urgency (i.e. urge to urinate
is sudden and powerful)
o Dribbling
o Poor stream (i.e. the urine
stream is lacking)
o Pis-en-deux (i.e. you need
to urinate straight after
already finishing urinating)
Appearance (colour as pink =
blood; frothiness = protein)
Amount (polyuria, oliguria, anuria)

Haematological:
LIFE BW (LIFE = Black & White)
Lethargy
Infections (frequent
infections/difficulty recovering
from infections, opportunistic
infections like thrush)
Fevers and night sweats
Easy bruising or bleeding
Bone pain
Weight loss

Reproductive
Both: ILCHIS
Frequency of intercourse
libido
contraception type and
compliance
heterosexual/homosexual/bis
exual (ask by asking if they have
male or female partners)
IV drug use
contact with STI partners
Female only:
My (FIRDAAD) Mom Only Buys Dairy
Products Because Her Parents Plead Us
Please

Menstruation (normal features

to ascertain): FIRDAAD
Last menstrual
period: First day of last
normal menstrual period
(LNMP)
Interval between periods
Regularity of periods
Duration of flow
Amount of flow (number
of pads changed /daypassage of clots)
Age of commencement
Dysmenorrhoea

Menorrhagia
Oligo/amenorrhoea

Bleeding or spotting (abnormal)

Discharge mucous, itchy,
bloody, smelly
Pregnancies number and
outcome e.g. G2 P1
Breast development or
galactorrhoea - stage of
development or increased
prolactin
Hirsutism suggests polycystic
ovarian syndrome (also acne,
obesity, difficulty with weight
loss)
Pap smears/breast examinations
Pelvic pain when during cycle or
where
Urinary problems dysuria,
frequency, urge/stress
incontinence
Pelvic inflammatory disease
infection of uterus/tubes

Male only: Definitely Dont Force Urine

Through, It Pains
Discharge (1)
Discharge itch, mucous or
blood

Behaviour
Speech
Affect
Mood
Thoughts
Perception
Cognition
Judgment
Insight

Integration station
Definitely dont purchase RIPS
Ddx
Dx
Phys. links
Risk factors
Impacts of stress etc.
Preventative health
Special
Diabetes examination

Obesity here feels particularly viral. Very

curiously, rates of obesity definitely could leave
husbands in financial liberty. Now, Uncles have
cash from lovers' misplaced joys; some can pay
rent speedily because wives rented umbrellas.
Obesity
Hydration
Facial appearance
Pigmentation
Vital signs

Urine (3)
Dysuria, haematuria soreness
or blood on passing urine
Frequency, nocturia going
often or at night
Urinary obstruction poor
stream

Visual acuity
Cataracts
Retinopathy (use a fundoscope)
Oculomotor nerves

TIP (3)
Testes pain/lumps
Impotence can you get
erection and sustain it?
Premature ejaculation just
ask if they suffer from premature
ejaculation. Otherwise ask if they
orgasm too quickly.

Infection
Fat hypertrophy
Liver enlargement

Mental State Examination: As

Bloody Soon As My Teenage Patient
Cries, Join In
Appearance

Oral thrush
Dentition
Carotid arteries
Lungs
Heart

Necrobiosis
Ulcers
Hair loss
Colour
Fungal infections
Muscle wasting
Joint deformity
Skin temperature
Capillary return
Pulses (femoral, popliteal, posterior tibial, dorsalis
pedis)
Reflexes (ankle jerk)
Sensation (vibration, pressure, pain/temp, proprio)

BMI
Waist/Hip circumference

Random blood glucose

Urine analysis