Popular Mnemonics for Step 2CS

History: ODP PAMHUGSFOSS

O Onset
D Duration
P Progress

P Past occurance of same symptoms
A Allergies
M Medicines

H Hospitalization
U Urinary
G Gastrointestinal
S Sleep

F Family
O OB/GYN
S Sexual
S Social job/house/smoking/alcohol

The last S is very important. Do not forget to ask the occupation. One trick I learnt from an online blog was to ask about the occupation while washing my hands. Some people like to use the mnemonic SODA for detailed social history. ( Smoking, Occupation, Drugs and Alcohol)

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Pain: LIQORAAA

L Location
I Intensity ask to rate severity (1/10)
Q Quality
O Onset
R Radiation
A Associated
A Alleviating
A Aggravating

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Domestic abuse: SAFEGARD

S Safety
A Afraid of anyone?
F Family/friends?
E Emergency plan?
G Gun at home?
A Alcohol?
R Relationship with spouse.
D Drugs? Depression?

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Depression: SIGECAPS

S Sleep
I Interest
G Guilt
E Energy
M Mood
C Concentration
A Appetite
P Psychomotor
S Suicidal

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CAGE Questionairre.

Have you ever felt you needed to Cut down on your drinking?

Have people Annoyed you by criticizing your drinking?

Have you ever felt Guilty about drinking?

Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

The CAGE questionnaire scores >=2 has a sensitivity of 93% and a specificity of 76% for the identification of problem drinkers.

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