Surgical sieve (mnemonic)
Updates to Article Attributes
Body
was changed:
A surgical sieve is an approach to differential diagnosis that helps, especially when underprompts the pressureuser to consider various types of the exam situationpathologies systematically. Differentials from the sectionsVarious versions of the sieve can be considered in turn, helping to extend the list in a structured way. They includethis memory aid exist:
- 5I 3-Scotland
-
VITAMINMIDNIT - VINDICATE
- VITAMIN CDEF
MIDNITVINDICATE
Mnemonics
5I 3-Scotland
Where "3-Scotland" relates to the three top killers in Scotland.
- I: infection
- I: inflammation
- I: immune
- I: iatrogenic
- I: idiopathic
- 1: vascular/cardiovascular
- 2: cancer
- 3: trauma
VITAMIN
-
V:vascular -
I:infective/inflammatory -
T:traumatic -
A:autoimmune -
M:metabolic -
I:iatrogenic/idiopathic -
N:neoplastic
VITAMIN CDEF
A more comprehensive version of VITAMIN:
-
V:vascular -
I:infective/inflammatory -
T:traumatic -
A:autoimmune -
M:metabolic -
I:iatrogenic/idiopathic -
N:neoplastic -
C:congenital -
D:degenerative/developmental -
E:endocrine/environmental -
F:functional
MIDNIT
This mnemonic is used in one of the House M.D. episodes (Paternity):
- M: metabolic
- I: inflammation
- D: degenerative
- N: neoplastic
- I: infection
- T: trauma
VINDICATE
- V: vascular
- I: infection
- N: neoplasm
- D: degenerative or drugs
-
I:
inflammatory/idiopathiciatrogenic or intoxication - C: congenital
- A: autoimmune
- T: trauma
- E: endocrine/metabolic
VITAMIN CDEF
- V: vascular
- I: infective
- T: traumatic
- A: autoimmune
- M: metabolic
- I: iatrogenic
- N: neoplastic
- C: congenital
- D: degenerative
- E: endocrine
- F: functional
Some use a subset of the above, such as VITAMIN or VITAMIN CD.
-<p>A <strong>surgical sieve</strong> is an approach to differential diagnosis that helps, especially when under the pressure of the exam situation. Differentials from the sections of the sieve can be considered in turn, helping to extend the list in a structured way. They include:</p><ul>- +<p>A <strong>surgical sieve</strong> is an approach to differential diagnosis that prompts the user to consider various types of pathologies systematically. Various versions of this memory aid exist:</p><ul>
-<li>VITAMIN</li>-<li>VITAMIN CDEF</li>- +<li>VITAMIN CDEF</li>
-</ul><h5>VITAMIN</h5><ul>-<li>-<strong>V: </strong>vascular</li>-<li>-<strong>I: </strong>infective/inflammatory</li>-<li>-<strong>T: </strong>traumatic</li>-<li>-<strong>A: </strong>autoimmune</li>-<li>-<strong>M: </strong>metabolic</li>-<li>-<strong>I: </strong>iatrogenic/idiopathic</li>-<li>-<strong>N: </strong>neoplastic</li>-</ul><h5>VITAMIN CDEF</h5><p>A more comprehensive version of VITAMIN:</p><ul>-<li>-<strong>V: </strong>vascular</li>-<li>-<strong>I: </strong>infective/inflammatory</li>-<li>-<strong>T: </strong>traumatic</li>-<li>-<strong>A: </strong>autoimmune</li>-<li>-<strong>M: </strong>metabolic</li>-<li>-<strong>I: </strong>iatrogenic/idiopathic</li>-<li>-<strong>N: </strong>neoplastic</li>-<li>-<strong>C: </strong>congenital</li>-<li>-<strong>D: </strong>degenerative/developmental</li>-<li>-<strong>E: </strong>endocrine/environmental</li>-<li>-<strong>F: </strong>functional</li>-<strong>D</strong>: drugs</li>- +<strong>D</strong>: degenerative or drugs</li>
-<strong>I</strong>: inflammatory/idiopathic</li>- +<strong>I</strong>: iatrogenic or intoxication</li>
-</ul>- +</ul><h5>VITAMIN CDEF</h5><ul>
- +<li>
- +<strong>V: </strong>vascular</li>
- +<li>
- +<strong>I: </strong>infective</li>
- +<li>
- +<strong>T: </strong>traumatic</li>
- +<li>
- +<strong>A: </strong>autoimmune</li>
- +<li>
- +<strong>M: </strong>metabolic</li>
- +<li>
- +<strong>I: </strong>iatrogenic</li>
- +<li>
- +<strong>N: </strong>neoplastic</li>
- +<li>
- +<strong>C: </strong>congenital</li>
- +<li>
- +<strong>D: </strong>degenerative</li>
- +<li>
- +<strong>E: </strong>endocrine</li>
- +<li>
- +<strong>F: </strong>functional</li>
- +</ul><p>Some use a subset of the above, such as VITAMIN or VITAMIN CD.</p>
References changed:
- 1. Chai J, Evans L, Hughes T. Diagnostic aids: the Surgical Sieve revisited. (2017) The clinical teacher. 14 (4): 263-267. <a href="https://doi.org/10.1111/tct.12546">doi:10.1111/tct.12546</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27363874">Pubmed</a> <span class="ref_v4"></span>
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