Ace Your Internal Medicine Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Medical (MD/DO) Students

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Internal Medicine | Medical (MD/DO) School Study Aid

Skills & Calculations
12 Picmonics to Learn | 27 mins

Reading a Chest X-Ray
ABCDE Approach
Airway and Appliances
Everything Else
Pulmonary Vasculature
Lung Parenchyma
2 mins
Wells' Criteria for Pulmonary Embolism
Clinical Symptoms of DVT (+3)
Pulmonary Embolism Most Likely Diagnosis (+3)
Tachycardia (+1.5)
Immobilization > 3 Days (+1.5)
Previous DVT or PE (+1.5)
Hemoptysis (+1)
Malignancy (+1)
> 6 = High
2-6 = Moderate
< 2 = Low
3 mins
Light's Criteria
Determines Transudative vs. Exudative Source of Pleural Effusion
Exudate if (At Least One of the Following):
Effusion/Serum Protein Ratio > 0.5
Effusion/Serum LDH Ratio > 0.6
Effusion LDH > Two-thirds Upper Serum LDH Range
2 mins
Systemic Inflammatory Response Syndrome (SIRS) Criteria
Must have 2 or more of the following:
Temperature < 36C or > 38C
Pulse > 90 beats per minute
Respirations > 20/min or PCO2 < 32
WBC < 4,000 or > 12,000 or 10% bands
Subset of Cytokine Storm and Related to Sepsis
2 mins
Winter's Formula
Evaluates Respiratory Compensation
Used in Metabolic Acidosis
(HCO3 x 1.5 ) + 8 plus-minus 2 = PCO2
Bicarbonate (HCO3) x 1.5
+ 8
± 2
= Expected Value for PCO2
1 min
Duke Criteria for Infective Endocarditis
Major Criteria
Blood Culture Positive
Endocardial Involvement
Minor Criteria
Immunologic Phenomena
Vascular Phenomena
Microbiological Evidence
Two Major Criteria, or
One Major and Three Minor Criteria, or
Five Minor Criteria
4 mins
TIMI Score (Thrombolysis In Myocardial Infarction)
Mortality Predictor
Unstable Angina or NSTEMI
2 Week Risk of Death and Ischemic Events
AMERICA (Each is +1)
Age Greater or Equal to 65
Markers Elevated
EKG ST Changes (Greater or Equal to 0.5mm)
Risk Factors for CAD (Coronary Artery Disease)
Ischemia (2 Anginal Events in 24 Hours)
Coronary Artery Disease (CAD)
Aspirin Use in the Last 7 Days
3 mins
CHA2DS2-VASc for Stroke Risk in Atrial Fibrillation
CHF (+1)
Hypertension (+1)
Age 75 + (+2)
Diabetes (+1)
Stroke or TIA or Thromboembolism History (+2)
Vascular Disease (+1)
Age 65-75 Years (+1)
Sex Female (+1)
0 = No Anticoagulation
1 = Consider Anticoagulation
2 = Anticoagulation
3 mins
Calcium Correction for Hypoalbuminemia
0.8 * (Normal Albumin - Patient Albumin) + Calcium
Multiply * 0.8
Subtract (Normal Albumin - Patient Albumin)
Add Calcium
1 min
Corrected Na+ for Hyperglycemia
[(Glucose-100) * 0.016 ] + Na+
Multiply * 0.016
Add Na+
1 min
Quad Screen Results Interpretation
Inhibin A
Down Syndrome = HIgh
Turner Syndrome = Very HIgh
Edward Syndrome = Low HEAp
Patau Syndrome = AFP is Normal
2 mins
Salter-Harris Fracture Classification
Slipped Across Physis (Type 1)
Metaphysis and Physis (Type 2)
Articular-Epiphyseal (Type 3)
Complete Metaphysis and Epiphysis (Type 4)
Krushed Physis (Type 5)
2 mins

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