STEP 2 CS- chest wall/abdominal trauma

COS CHEST WALL TRAUMA V
C ontext of trauma
O nset
S everity on a scale
C onsciousness
H ead trauma
E xacerbating /alleviating pain
S putum production
T rauma (anywhere else injury/hurts?)
W eakness/numbness in extremities?
A bdominal pain?
L iquor ( are u under the influence of alcohol or recreational drugs?)
L ast meals?drinks?
T emperature (low/fever/chills)
R unny liquids (discharge from the ears,mouth,or nose?clear or bloody?)
A lertness
U rinating pain
M emory loss, confusion,change in personality
A bnormal brain activity (seizures?)
V ision change?

Chest Wall/Abdominal Wall Trauma Mnemonic:

Having trouble remembering all the important questions to ask during your patient encounter? Then try our Chest Wall/Abdominal Wall Trauma Mnemonic for USMLE Step 2 CS.

PHYSICAL EXAMINATION for Chest wall/Abdominal wall trauma  Mnemonic 

NOTE: Make sure to wash your hands or wear gloves before you start physical examination. Make sure to ask for permission before you start each physical exam. Make sure to use proper draping (don’t forget to tie back patient’s gown). Make sure to explain each physical examination in layman’s term to your patient. Do NOT repeat painful maneuvers.

• Head & Neck exam: Inspection, Palpitation (Look for signs of head trauma)
• Mouth exam: Inspection
• Cardiovascular exam: Inspection, Auscultation, Palpation, Percussion 
• Pulmonary exam: Inspection, Auscultation, Palpation, Percussion, Tactile Fremitus. (Especially in a patient with SOB & Chest pain)
• Abdominal exam:  Inspection, Auscultation, Palpation, spleen, 
• Neurologic exam: Mini Mental Status Exam, Cranial nerves (2-12), Gross Motor & Sensory

• Musculoskeletal exam: Inspection, Palpation (look for bruises and trauma)

Cardiovascular – Chest pain / Palpitations  / Dyspnoea /  Syncope / Orthopnoea  / Peripheral oedema 
Respiratory – Dyspnoea / Cough / Sputum / Wheeze / Haemoptysis / Chest pain
GI – Appetite / Nausea / Vomiting / Indigestion / Dysphagia / Weight loss / Abdominal pain / Bowel habit 
Urinary –  Volume of urine passed / Frequency / Dysuria  / Urgency / Incontinence
CNS – Vision / Headache / Motor or sensory disturbance/ Loss of consciousness / Confusion
Musculoskeletal – Bone and joint pain / Muscular pain 
Dermatology – Rashes / Skin breaks / Ulcers