Mnemonics

Question 1

SCORTEN score

BUG SCORE

Answer 1

Serum Bicarb <20, Urea >10, glucose >14
Cancer
Older age >40
Rate HR >120
Epidermal detachment >10%

Question 2

Grades of urethral injury

Come see penis completely separate

Answer 2

Contusion, normal contrast into bladder
Stretch injury, normal contrast into bladder
Partial separation but still some contrast into bladder
Complete detachment/disruption
Separated >2cm, disrupted

Question 3

Cerebral ring enhancing lesions

MAGIC DR

Answer 3

Metastases
Abscess
Glioblastoma
Inflammatory e.g. TB or Infarct (subacute)
Contusion

Demyelinating disease
Radiation necrosis

Question 4

Glasglow blatchford score

HHHHHHUMS

Answer 4

Haemorrhage (malaena)
Hb drop
Hypotension SBP <90
HR >100
Hepatic disease
Heart disease
Uraemia
Male
Syncope

Question 5

Ottawa SAH for CT

OTAWA

Answer 5

Onset with exertion
Thunderclap
Age >40
Witnessed syncope
Abnormal neck - neck pain/stiffness, limited neck flexion

Question 6

Surgical causes of vomiting in baby

VOMITS AND needs a scan

Answer 6

Volvulus (sigmoid)
Obstruction - intestinal atresia, biliary atresia
Meconium ileus, Meckel’s
Imperforate anus, incarcerated hernia, intussusception
Tracheooesophageal fistula
Stenosis (pyloric stenosis)

Aganglionosis (Hirschsprung)
NEC
Diverticulum (Meckel’s)

Question 7

Hunt & Hess SAH scale

A moderate day seems choatic

Answer 7

Asymptomatic/mild headache
Moderate headache
Drowsinses/altered GCS
Stupor, obtunded, focal neurology
Coma, posturing

Question 8

Schatzker tibial plateau fractures

Some lovers don’t mind big knees

Answer 8

Split lateral tibial plateau
Lateral plateau depressed and split
Depression only
Medial tibial plateau fracture
Bicondylar fractures
Knee complete disruption of metaphysis and diaphysis

Question 9

Paediatric ETT formula

Depth

Answer 9

Age/4 + 4

Depth
Age/2 + 12

Question 10

Paediatric weight

Answer 10

(Age+4) x 2

Question 11

Causes of NAGMA

ABCDE

Answer 11

Addison’s disease
Bicarb loss (GI losses, vomiting, diarrhoea etc)
Chloride excess (e.g. saline)
Drugs - acetazolamide
Extra - RTA, ileostomies

Question 12

NEXUS criteria

Answer 12

Neuro deficit
Spinal midline tenderness
Altered GCS
Intoxication
Distracting injury

Question 13

YEARS algorithm

Answer 13

Signs of DVT
Haemoptysis
PE most likely

Question 14

Acute dystonic reactions

• FLOAT

Answer 14

Forceful blinking
Laryngospasm
Oculogyric crises
Akithesias
Torticollis

Question 15

Risk assessment

ADDICT treatment

Answer 15

• Agent ingested/exposed
• Dose and formulation – IR/SR/liquid/tablet and mg/kg dose
• Diseases – pt factors/comorbidities/weight
• I – time since ingestion
• Clinical status – well/unwell/toxidrome
• Toxic effects – PD/PKs

Need treatment
- What treatment so far

Question 16

Cholinergic toxicity

Muscarinic and nicotinic

Answer 16

• Muscarinic – DUMBELLS
  o Diarrhoea
  o Urination
  o Miosis
  o Bronchorrhoea/bronchospasm/bradycardia
  o Emesis
  o Lethargy
  o Lacrimation
  o Sweating/salivation
• Nicotinic (MON-SAT)
  o Mydriasis
  o Tachycardia
  o Weakness
  o Tremors
  o Fasiculations
• seizures