Sleeping Problem Mnemonic (Insomnia) – Best USMLE Step 2 CS mnemonics

Sleeping Problem Mnemonic (Insomnia):

Having trouble remembering all the important questions to ask during your patient encounter? Then try this Insomnia (Sleeping Problem) Mnemonic for USMLE Step 2 CS.

Sleeping Problem Mnemonic (Insomnia) - Best USMLE Step 2 CS mnemonics - Medical Institution

Sleeping Problem Mnemonic (Insomnia) – Best USMLE Step 2 CS mnemonics – Medical Institution

Physical Examination for Insomnia (Sleeping Problem):
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.

  • HEENT exam: Thyroid, Lymphadenopathy
  • CV exam: Auscultation
  • Pulmonary exam: Auscultation
  • Abdominal exam: Auscultation
  • Extremities: Check for tremor on outstretched fingertips & edema
  • Skin: Inspection for dryness
  • Neurologic: DTRs, Brisk reflexes
Differential Diagnosis for Insomnia (Sleeping Problem):
  • Anxiety
  • Caffeine-induced insomnia
  • Hyperthyroidism
  • Insomnia related to depression
  • Advanced Sleep phase disorder
  • Delayed sleep phase syndrome
  • Adjustment insomnia
  • Illicit drug abuse
  • Obstructive sleep apnea
Diagnostic Work up for Insomnia (Sleeping Problem):
  • TSH, Free T4
  • CBC
  • Urine drug test
  • Polysomnography
  • ECG

 

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Sleeping Problem Mnemonic.
Sleeping Problem Mnemonic.

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