This mnemonic graduated from the wiki-mnemo-lab. Feel free to contribute and help develop some of the other mnemonics on the same website.
When are CCBs (verapamil, diltiazem) the answer for Acute Coronary Syndrome (ACS)?
Cannot take beta-Blockers: the Pt has intolerance to beta-Blockers, such as severe reactive airway disease (asthma).
Cocaine-induced chest pain.
Coronary vasospasm / Prinzmetal’s angina.
It is not exactly a mnemonic, but a good way to remember some details about triple screen test.
To increase the sensitivity for detecting chromosomal abnormalities labs use the Triple Screen Test.
TRI-ple screen test is used for TRI-somy 18 and TRI-somy 21 (both 18 and 21 are TRI-somies and can be divided by 3). TRI-ple screen is test for MSAFP, estriol and beta-hCG.
In TRI-somy 18 everything is low.
TRI-somy 21 can be present like 2+1, which means that the first 2 are low and the second one is high (there is a + sign in front 1, which shows that the levels are high). Now, the question is, how to remember which one of MSAFP, estriol and beta-hCG is high. In Down syndrome there is a high amount of beta-amyloid (cause for Alzheimer’s Dz before 40 years of age). The other beta thing that is increased in Down syndrome is beta-hCG. Now, there is no way to forget what I just said.
Just a little point: in spina bifida AFP is high. Think that AFP leaks out trough the openings in the spinal column (the term spina bifida comes from Latin and literally means “split” or “open” spine) and its level is high. In Down syndrome the AFP level is down. This is kind of easy to remember.
The contributor of this medical mnemonic is Sean. Thank you!
For patients who present to the ED with altered mental status you should always BeGiN FLUIDS
B1 (thiamine deficiency)
Glucose (hypoglycemic)
Naloxone (opioid intox)
FLUIDS (dehydration)
Note: although AMS (Altered Mental Status) might be due to hyperosmolar hyperglycemia in type II DM, raising the blood glucose by 100 pts will not significantly worsen their condition, while failing to treat hypoglycemia can have profound consequences.
