Acute Abdomen Differential Diagnosis: Lower Quadrants
- Appendicitis
 - Salpingitis
 - Sigmoid Volvulus
 - Sigmoid Diverticulitis
 - Ectopic Pregnancy
 - Ovarian Torsion
 - Renal Calculi
 - Pyelonephritis
 
Acute Abdomen Differential Diagnosis: Midepigastrium and Diffuse
- Peptic Ulcer Disease
 - Pancreatitis
 - Aortic Dissection
 - Myocardial Infarction
 - Peritonitis
 - Hemorrhage or Perforation
 - Bowel Obstruction
 - Strangulation
 - Acute Hepatitis
 
Acute Abdomen Differential Diagnosis: Upper Quadrants
- Cholecystitis
 - Biliary Colic
 - Cholangitis
 - Perforated Duodenal Ulcer
 - Acute Hepatitis
 - Splenic Rupture
 - IBS (Splenic Flexure Syndrome)
 
WBC Differential Lab Value
- White Blood Cells (WBC)
 - 4.5-11 (4,500-11,000)
 - Segmented Neutrophils (54%-62%)
 - Band Neutrophils  (3%-5%)
 - Lymphocytes (25%-33%)
 - Monocytes (3%-7%)
 - Eosinophils (1%-3%)
 - Basophils (0%-0.75%)
 
Casts in Urine (Differential Diagnosis)
- RBC Casts
 - Glomerular Disease
 - WBC Casts
 - Acute Interstitial Nephritis
 - Acute Pyelonephritis
 - Fatty Casts
 - Maltese Cross Sign
 - Nephrotic Syndrome
 - Granular Muddy Brown Casts
 - Acute Tubular Necrosis (ATN)
 - Waxy Casts
 - End Stage Renal Disease (ESRD)  (Chronic Renal Failure)
 - Hyaline Casts
 - Non-Specific
 
Sepsis Assessment
- Systemic Infectious Process
 - Fever
 - Hypotension
 - Change in LOC
 - Increased WBC
 - Shift to the Left
 - Tachycardia
 - Tachypnea
 - Hyperglycemia
 - Edema
 
Severe Sepsis and Septic Shock Assessment
- Microthrombi
 - DIC
 - Decreased Oxygen Saturation
 - Decreased WBC
 - Oliguria
 - High Output Heart Failure
 - Multiple Organ Failure
 
Disseminated Intravascular Coagulation (DIC)
- Bleeding State
 - Activation of Clotting Factors
 - Deficiency of Clotting Factors
 - Sepsis
 - Trauma
 - Obstetric Complications
 - Acute Pancreatitis
 - Malignancy
 - Nephrotic Syndrome
 - Transfusion
 
Motor Neuron Signs UMN and LMN
- Increased DTRs
 - Positive Babinski
 - Spastic Paralysis
 - Clasp-Knife Reaction
 - Decreased DTRs
 - Negative Babinski
 - Flaccid Paralysis
 - Muscle Atrophy
 - Fasciculations
 
Glasgow Coma Scale
- LOC Assessment
 - Score of 3 to 15
 - 8 or Less = Coma
 - Eye Opening
 - Verbal Response
 - Motor Response
 
Lung Sounds - Wheezes
- Throughout Lung
 - High Pitched
 - Musical
 - Air Moving through Narrowed Airways
 
Lung Sounds - Crackles
- Lower Lobes
 - Fine/Coarse
 - Fine: Twisting Hair through Fingers
 - Coarse: Velcro
 - Collapsed Small Airways and Alveoli "Popping Open"
 
Lung Sounds - Rhonchi
- Trachea and Bronchi
 - Low Pitched Rumbling
 - Gurgling
 - Narrowed Airway
 - Secretions or Bronchospasm
 
Neurovascular Assessment 6 P's
- Pain
 - Paresthesia
 - Pulse
 - Pallor
 - Pressure
 - Paralysis
 
Lung Sounds - Pleural Friction Rub
- Anterior Lateral Lung
 - Dry, Rubbing, or Squeaking
 - Rubbing a Balloon with Finger
 - Inflamed Pleura