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elderly patient ask the deathshaft
ADL-- activities of daily living
D - dressing
E---eating
A--ambulating
T--toileting
H -hygiene
ACTIVITIES OF INSTRUMENTAL LIVING
---------------------------------------------
S-shopping
H-housekeeping
A--accounting
F--FEEDING cooking
T==transporting
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in psychiatriry --you may get scizophrenia or depression or panic or posttraumatic disorder
ask DEPRESSION QUESTIONARIES
MD SIGEACAPS
MOOD is ad
depressed or sad look
sleep disturbance either excessive sleep or laack of sleep
intrest lackin
guilt present
energy lacking
abssent minded
concentration lacking
a
psychomotor agitation
SUCIDAIL IDEATION
these are the feature in hypomania
in bipolar hypomamia plus mania
mania-- excessive energy/decrese need for sllep goal oriented activity/excessive shopping/excessive gambling/calling the feiends in odd hour/
DIGFAST FOR MANIA
DISTRACTIBILITY
IRRITABILITY
GRANDIOSITY
FLIGHT OF IDEAS
AGITATION
SLEEPLESSNESS
TANGENTIAL
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in psychiatriy cases always ask about hallucination
do you see anything other's do not see
do you hear things when other's do no hear
do someone from another world talk to you
always ask about suicidal or homicidal ideation
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CASE THE MORPHINE IF IT JOKES
It is another mnemonics's you can use
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practice this cases
--a cough in 40 years female which does not go away positive sign tenderness in sinus pressure
a woman 65 on hormone therapy with hearing defect
a man construction worker 50 year old with back ache
a lady wife of a policeman 40 husband recently change night shift with palpitation
a child 3 month who has got diarrhea mother calls from office
a hypertensive with propranolol with impotence --depressesion combined
a gay with alcohol abuse mom want s him to get check up
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know your differential diagnosis of
cough
fever
fatigue
depression
confusion
impotence
claudication
chest pain abdominal pain
pelvic pain
vaginal discharge
vertigo
ataxia
colon cancer
divertiulitis
upper gi bleeding
lowe gl bleding
diarrhoea
blurring of vision
incontinence
hearing loss
numbness tingling
neuropathy
stroke
back ache
fever with flank pain
jaundice
anemia
eneuris in a child
sexual abuse
depressin
psychosis
sexully transmitted disese
know their investigation and work up
and then only you can pass
know the counselling
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practice writing d/d and investigation--csa needs practice in all aspect
