Essential Guide to Surviving Third Year Clerkships

INTRODUCTION
Twenty-first edition, 2005-2006

scutpuppy (skut-pup-e) n., pl. pies. You. Low person on the totem pole.
Finder of lost x-rays. Don of the late-night ER. Obtainer of tasty food snacks.
Doer of impossible deeds by surpassing insurmountable odds.
In 1984-85, the Southwestern 3rd and 4th year medical students completed a
survey concerning their 3rd year rotations. The students reported that certain
information would have been helpful in the transition from the classroom to the
wards. The Scutpuppy Guide is a result of that survey. The Scutpuppy has been
well received by the classes ever since; it has been revised for the class of 2007
and includes information on writing notes, ward duties, computing, domestic
violence assessment; up-to-date telephone listings; and an expanded list of useful
Spanish phrases.
Most of the hospitals continue to undergo renovations (which you will quickly
come to lament), so please make note of changes in phone numbers and ward
locations throughout the upcoming year.
We would like to thank the following individuals for their contributions:
Dr. Teresa Koscuik-Rowe, UTSW Class of 1987, Scutpuppy Guide originator
Ms. Ann Wentz, Office of the Associate Dean for Student Affairs
Mr. Jubal Mathis and Mr. Les Nini and the Staff of UTSW Printing Services
Dr. Leonard Gomella, UKMC, author of The Clinicians Pocket Reference
All of the previous editors of the Scutpuppy
As the year progresses, remember the role of the physician:
"To cure sometimes,
to ameliorate often,
to comfort always."
- Sir William Osler
"To scut is to heal.
- Teresa Koscuik-Rowe, M.D.
Best wishes for a rewarding and memorable year.
Edward Lau, Chief Editor
Fatema Uddin, Co-editor, Medical Spanish Editor
Himani Kulkarni, Co-editor
Chinelo Onuekwusi, Co-editor
Toral Patel, Co-editor
Hayden Schwenk, Co-editor
Class of 2006
TABLE OF CONTENTS
I. GENERAL ROTATION INFORMATION

Rotation Dates
General Clerkship Information
Ward Duties
Chart Duties
Presenting
Books
Pagers
Rotation Info: Med, Surg, Peds, Psych, Ob, Fam
Scrubs
II. COMPUTING
Parkland Computer Systems
VA Computer Systems
Childrens
PDA and Handheld Computers
Internet
III. HOSPITAL INFORMATION
Hospital Information Numbers
Parkland Memorial Hospital
Childrens Medical Center of Dallas
UTSW University Hospital Zale Lipshy Building
Veteran Affairs Medical Center
Baylor University Medical Center
UTSW University Hospital St. Paul Building
Presbyterian Hospital
IV. FOOD
V. REFERENCE AND RANDOM USEFUL INFO
Lab Shorthand and Normal Values
Nutrition
General Health Maintenance Recommendations
Useful Patient Care Guidelines
Domestic Violence Assessment
Useful Spanish Phrases
Call Room Information
Abbreviations
Blood and Bodily Fluid Exposure Protocol
Campus Map
3
3
4
4
4
6
7
7
8
15
16
16
18
20
20
21
22
22
23
29
32
33
37
41
44
47
47
47
49
50
51
52
53
60
61
65
69
GENERAL ROTATION INFORMATION

ROTATION DATES
Dates for 2005-2006 MS3 Rotations
GROUP A
A1
A2
A3
A4
07/05/05 08/14/05
08/15/05 09/25/05
09/26/05 11/06/05
11/07/05 12/18/05
(6 weeks)
(6 weeks)
(6 weeks)
(6 weeks)
A5
A6
A7
01/02/06 02/26/06
02/27/06 05/07/06
05/08/06 07/02/06
(8 weeks)
(8 weeks)
(8 weeks)
GROUP B
B1
B2
B3
07/05/05 08/28/05
08/29/05 10/23/05
10/24/05 12/18/05
(8 weeks)
(8 weeks)
(8 weeks)
B4
B5
B6
B7
01/02/06 02/12/06
02/13/06 03/26/06
04/10/06 05/21/06
05/22/06 07/02/06
(6 weeks)
(6 weeks)
(6 weeks)
(6 weeks)
Winter Break
Spring Break
12/19/05 01/01/06
03/27/06 04/09/06
Dates for 2005-2006 MS4 Rotations

1
2
3
4
5
6
Jul 5 Jul 31
Aug 1 - Aug 28
Aug 29 - Sep 25
Sep 26 - Oct 23
Oct 24 - Nov 20
Nov 21 - Dec 18
7
8
9
10
11
Match Day: 3/16/2006
Jan 2 - Jan 29
Jan 30 - Feb 26
Feb 27 - Mar 26
Apr 10 - May 7
May 8 - June 2
Graduation: 6/3/2006
rd
Surviving 3 Year Clerkships: A General Guide
Congratulations, youve made it to 3rd year! For most of us, this is what
medical school is really all about: observing and learning about patient care . . .
getting up before the sun rises . . . learning to accommodate to a new level of
sleep deprivation. But its fun! (No really, it is.) This section is designed to give
you an overview of what to expect as an MSIII and what is likely to be expected
of you. This year is an opportunity to see diverse areas of patient care, some of
which you may not have the chance to see again, so make the most of this
opportunity!
Ward Duties
In short, your duties are whatever your resident tells you they are. Typically,
this means writing daily notes on your patients, following up on labs and special
studies, playing liaison between the team and the patient, and assisting in
whatever floor work is necessary. Floor work ranges from measuring daily
weights on your patient to aiding in central line placement. In short, you are a
scutpuppy! As you become more confident (i.e. competent), your responsibilities
will be adjusted accordingly and you will soon realize that you are an invaluable
member of the team. You will be responsible for knowing everything there is to
know about your patients on the wards, so develop a system for tracking all of
your information early. There are many versions of H&P and daily progress
trackers floating around; get one from your intern or go to www.medfools.com.
Dont ever complain about scutwork, or you will see it in your grade. Work
tirelessly and with enthusiasm and it might make up a little for a few missed
questions on the shelf exam.
Chartwork
In general, one of your daily ward duties will be to write a note on each of
your patients in the morning before your team rounds. Be sure to reserve enough
time to see each of your patients and write your notes. Your daily note is
typically going to be a SOAP note; a general soap note is shown below and
rotation-specific notes are in their respective sections. Once in a while, your
resident/intern will ask you to write orders. Make sure he/she signs it, as orders
from med students will be summarily ignored. One of the most common orders
they will ask you to write are admit/transfer or discharge/pre-discharge orders,
mostly because they follow a set format shown below. Also, if you assist or
participate in a procedure, you may be asked to help write the procedure note.
One key thing to remember: always date your notes and sign your name with
your title at the end of your note.
Typical Chartwork Abbreviations
A+ O x 3 = Alert + oriented to person, place, time
NAD = No apparent/acute distress
RRR m/r/g = regular rate and rhythm; no
murmurs, rubs or gallops
CTAB = clear to auscultation bilaterally
AB S/NT/ND/+ BS = Abdomen soft/nontender/non-distended/ + bowel sounds
Ext WWP c/c/e = extremities warm and well
perfused; no cyanosis, clubbing, or edema
c = with
s = without
x = except
p = after
a = before
s/p = status post
Problem-Oriented Progress Note (Daily Progress Note)

Use the mnemonic SOAP.
Subjective: How does the patient feel? Any complaints? How did the patient
eat and sleep? Anything the nurse/floor staff tell you. Include
pertinent negatives.
Objective: Vital signs (Tnow, Tmax, HR, BP, RR, I/O) (get the past days
vitals from the patients bedside chart).
Focused Physical Exam (generally include the following systems:
General, HEENT, CV, Lungs, Abd, Ext).
Lab Data and other Studies.
Assessment/Plan: Write a one-sentence summary of your patient including
age, gender, reason for hospitalization and status (Example: Pt is a 55
y/o WF w/ acute pancreatitis currently stable awaiting ERCP). List
each medical, surgical, psychiatric problem with its plan. When the
problem is resolved, indicate its resolution and omit the problem from
the daily progress note. Another approach this is to organize by
systems rather than problems. Include discharge or transfer plans.
Admission/ Transfer/ Post-Op Orders
Use the mnemonic ADC VAN DISMAL
Admit: location, floor, team, attending, house officer
Diagnosis: admitting diagnosis
Condition: (stable, fair, poor, guarded, critical)
Vitals: temperature, pulse, blood pressure, respirations, weight, etc.; include
orders as to how often vitals should be taken
Activity: (ad lib, bathroom privileges, bedrest, etc.)
Nursing Procedures: May include: Bed position, Preps, Respiratory Care,
Dressing changes
Notify house officer if. . . (ASK YOUR RESIDENT for values)
? >Temp >?
?> Pulse >?
? >RR >?
? >SBP >?
?> DBP >?
urine output <?
Diet: (regular, clear liquids, low salt, NPO, ADA diabetic, etc.)
Ins & Outs:
IV fluids (specify type and rate)
Record daily intake and output.
Studies/Special Orders: anything extra, i.e., EKGs, X-rays, etc.
Medications: list meds patient will be on, including prn meds.
Allergies: List if any; otherwise note NKDA.
Labs: CBC, renal profile, mineral profile, etc.
Discharge/Pre-Discharge Orders (Write Pre-D/C Order)
Discharge to: (home, nursing home, etc.)
Diagnosis:
Condition: (stable, fair, poor, critical)
Diet: (as tolerated, tube feeds, supplementation etc)
Activity: (ad lib, restrictions)
Medications:
Follow-Up Appointments:
Special Instructions:
Procedure Note
Procedure:
Indication: (diagnosis)
Position, prep, anesthesia used
Materials/Equipment, procedure process, and result
Specimens sent and tests ordered
How the patient tolerated the procedure (complaints, blood loss)
Discharge Paperwork
On some rotations, you will be expected to help with discharge paperwork,
while on others students are not allowed to fill out these documents. When asked
to help pre-D/C someone, there are a number of defined things you can do at
Parkland. They are 1) the yellow sheet which lists the service names, length of
hospital stay, diagnosis, procedures, a brief summary of hospital course and
summary of discharge instructions; 2) fax prescription order form that gets sent to
the pharmacy with all of the patients outpatient meds that need to go home with
them; 3) supplies request form, especially on surgery, when the patient needs
dressing supplies to change dressings at home; and 4) pre-D/C orders. If you are
asked to fill out a yellow sheet, ask your intern or resident if they want you to
write out a summary of hospital course; some prefer a written version on the
sheet while others will plan to dictate this themselves.
Prescriptions
Med: (Drug Name and its formulation)
Sig: (Dosage and method of administration)
Disp: (Total volume or number to dispense)
Example:
Benadryl 25mg
1 tablet PO q4-6 H PRN
Disp: 10 (ten) Refils: 0
Presenting on Rounds
It is important to realize that the only proper way to present is the way the
presentee (Resident or Attending) wants it done. They wont hesitate to correct
you when you falter, so dont get flustered when they criticize you. That said,
presentations begin with an introductory sentence followed by information given
in a SOAP format. Example: Mr. Jones is a 66yo black male with HTN for 10
years and NIDDM for 5 years who presented to the ER yesterday with crushing
substernal chest pain that was relieved by sublingual NTG given in the ER. He
denies any chest pain or SOB overnight. His temperature this morning is 37.0,
HR 85 . . .
Emphasize the aspects of the physical exam relevant to the case, but always
include chest, heart, and abdomen. With regard to labs, mention only abnormal
values and pertinent negatives. For the assessment, give the tentative diagnosis.
For the plan, discuss what studies are pending or possible therapeutic options. Try
to discuss the plan with your intern before presenting (this is key to looking wellprepared).
Remember that the key to a good presentation is to put the key facts up and be
succinct. If you leave something out, they will ask you for it. Have lab data and
vitals written on a note card, but do the presentation from memory. Establish
good eye contact and act comfortable. Throwing in a comment about the
patients social status (he needs a place to go after discharge, he needs alcohol
counseling, etc.) lets your team know you actually talk with (and care about) your
patients. Make sure to check with your intern for any new developments right
before you present so you dont get blindsided during rounds in front of the staff.
Above all, never bring up anything that the resident should have done but didnt.
Remember, everything is pending, even if the gears arent really in motion yet.
Books
Which books you carry around with you will depend, in part, on whether you
use a PDA and how proficient you are with it compared to paper. More info is
available on this topic under the computing section. The one book
recommended above all others as being useful on every rotation is the Pocket
Pharmacopoeia. This reference will help you sort out the bewildering array of
trade and generic names. It is updated each year, and is probably the best
investment ($7.95) you can make. You can often scam a copy from your local
drug rep, especially at Baylor. You can also download it for PDAs.
Another key resource is The Sanford Guide to Antimicrobial Therapy, a
handy guide to the bugs that attack us and how to kill them. This guide is also
updated each year and available from the local pliers of the drug trade.
The next best investment, in terms of both weight (very light) and useful
information (packed), is Facts & Formulas, available for $6.50 at Majors. It has
essentially every formula youll ever need, for electrolyte corrections, renal
issues, etc. It also includes such things as ventilator settings, code drugs, and an
acetaminophen nomogram.
Many students find it useful to carry a general medical handbook such as Ferri
or the Washington Manual on most rotations. However, they are both heavy in
the coat pocket. Pocket Medicine is a relatively lightweight favorite.
The books listed with each rotation include both the official recommended
texts and the unofficial student recommended texts. Dont buy more than you can
read. Look before you buy. Borrow if you can and buy used.
Pagers
Pagers can be rented on a monthly/yearly basis from the campus store or
from independent paging services around the metroplex (usually cheaper). Your
class presidents will likely arrange a group deal for your class. Ask your resident
how to best identify yourself when you page him or her. Medicine teams often
prefer that you add * and then your pager number after your message. Surgery
teams often use *0 to identify lowly students. Pagers can be finicky at the VA; if
you got your pager from an independent provider, check it the first time you have
to go to the VA to make sure it works.
THE ROTATIONS
Family Practice
Program Directors: Dr. Scott Kinkade (6263 Harry Hines) (214)648-1399
Laura Snell, MPH (6263 Harry Hines) (214)648-1399
Education Coordinator: Christine Keenan (DS0.326) (214)648-1382
Program Notes: Rotations in Arlington/Colleyville, Charlton Methodist-Dallas,
UTSW/ St. Paul, John Peter Smith-Ft. Worth, Tyler, and Waco.
Recommended Texts (Provided at sites):
Manual of Family Practice, Taylor
NMS: Family Medicine
Swansons Family Practice Review: A Problem Oriented Approach
General Info: Notes are usually written on a pre-printed form or on a
computer. Responsibilities vary at different sites.
For your white coat: Stethoscope, penlight, reflex hammer, Pocket
Pharmacopoeia, and Sanfords Guide to Antimicrobial Therapy. Also, an
OB wheel is helpful at many sites.
Medicine
Program Director: Dr. Hari Raja (CS 8.112) x82992
Clerkship Administrator: Vera Johnson (F5.310) x85076
Program Notes: Call every 4th night (PMH, VA, St. Paul), or every 5th night
(Baylor). Six weeks at Parkland and six weeks at either Baylor Dallas,
VA, or St. Paul. Schedule given one week prior to the rotation. Call
schedule for VA/Baylor/St. Paul may not be available until the first
day at each site. Make sure to note the phone number to your rounding
room on your first day at a site.
Recommended Texts:
Harrisons (15th ed), Braunwald
Cecil Essentials of Medicine, Andreoli
Washington Manual of Medical Therapeutics, Carey
Sanford Guide to Antimicrobial Therapy, Sanford
Some Students Recommend:
Pocket Medicine, Sabatine
Karem/LSU notes
Current Medical Diagnosis and Treatment, Tierney
The Care of the Medical Patient, Ferri
Clinicians Pocket Reference, Gomella
Facts and Formulas (the little blue book)
Harrisons Self-Assessment and Review, Stone
Blueprints: Medicine
NMS: Medicine
Pretest: Medicine
For your white coat: Stethoscope, penlight, reflex hammer, Pharmacopoeia
(ePocrates is a suitable alternative), Sanford manual, and Pocket
Medicine. Otoscope and ophthalmoscope are not necessary for daily
use, but it is a good idea to bring one to store in the rounding room for
your call days.
Write-Ups: For write-ups, if you have a template from your MS2 write-ups,
this may help save some time, especially in recording findings on
physical exam. Expectations will vary from attending to attending,
but typically the meat of the write-up will start with a problem list.
The discussion should focus on one to two of the bigger problems
(i.e., the reason for admission) with the generation of a differential
diagnosis and a reasoned description of a plan that involves
diagnostics, therapeutics, and prognosis.
DAILY NOTE: For both the daily note and daily presentation, record all
vitals including the ranges. For example, if your patient is
hypertensive, record the BP range, but also when it hit the roof or
bottomed out, and how that related to other events during the day (i.e.,
just after medication, during an anxiety-provoking procedure, etc.).
ALWAYS do a brief chest, heart, abdominal and peripheral pulse
exam! Look in the chart in the orders section to see if something has
been ordered that you dont know about and check the computer for
results of any pending studies. Also check in the progress notes and
make sure to look for new consults or SW notes.
Obstetrics and Gynecology
Program Director: Dr. Susan Cox (G6.220) x82646
Clerkship Administrator: JoAnn Hing (G6.220) x84770
Program Notes: Rotation broken up into 3 weeks of OB and 3 weeks of Gyn.
Students are assigned to three weeks of OB antepartum/postpartum wards with
call on L&D West (high risk) and three weeks of Gyn (surgery and clinic).
Individualized schedule information is given prior to the rotation. The first day
is lecture and orientation. There is a board shelf exam at the end of the
rotation. Carry the OB wheel and Orientation pocketbook they give you at all
times!! The book is very helpful.
Recommended Text:
Obstetrics and Gynecology, 3rd Edition, Beckmann
UTSW Ob/Gyn CD with lecture notes, practice test, images
Appleton & Langes Review of OB/GYN, Vontver
Obstetrics and Gynecology Recall, Bourgeois
Blueprints in Obstetrics and Gynecology, Callahan
Clinical Cases in Obstetrics and Gynecology, Caughey
Case Files OB/GYN, Toy, Baker, Ross, Gilstrap
Pretest OB/GYN,Wylen
Gyn:
2 days each at St. Paul Surgery, Parkland Surgery, Parkland Gyn Clinic,
Maple Clinic on Harry Hines or Oak West Clinic, ICC Intermediate
Care Center
At the surgery sites, try to limit what you bring with you. Usually you
have to leave your stuff randomly somewhere.
One 12 hour call on L&D East (low risk). You should be able to deliver
some babies here.
OB:
Call every 4th night. On pre-,pre-call afternoons you will be assigned to

the ICC, L&D East, or Triage. On post call days you should be home
early about 9 am. On call, you wont wear your white coat unless you
leave the floor. Lock up valuables (they will give you lockers) but dont
leave stuff overnight. You can leave your white coat and book bags out
of the way in the resident lounge on L&D West when you are on call.
On call you will spin blood to get crits, record it on the board, and also in
the appropriate chart. You will help moms push (coach mom to push
the child through the birth canal until the baby crowns) and then assist in
the delivery of their babies. You will be expected to help tone charts
(make sure they are complete). You will have to scrub into C-sections.
You may also be able to do some vaginal exams to assess the progression
of labor.
C-section patients go home on Colace and Lortab. Fill out prescription

sheet the morning of dispo (or earlier.)
Do not sit in the green leather recliners in the doctors lounge.

OB/GYN NOTE: Look in your OB/GYN Orientation book!!! Always ask
about future birth control, breast-feeding. Look up Hep, RPR, HIV serologies
on all patients. For C-sections note PO intake, flatus, bowel movement,
fever, hypotension and clean/dry/intact bandage. For vaginal deliveries: PO
intake, fevers, hypotension, vaginal bleeding.
Pediatrics
Program Director: Dr. Angela Mihalic (CMC D430) 214-456-2730

Clerkship Administrator: Del Milite (CMC D430) 214-456-2730
Badges: Check with clerkship administrator
Program Notes: Four weeks of inpatient at CMC (General, Cardiology, GI or
Renal), with q4 call. Four weeks of outpatient (private practice office, Medical
Student Clinic/ER, PMH newborn nursery, and specialty clinics). Preference
sheets for inpatient and specialty clinics are distributed prior to the rotation.
Schedules are given on the first day. There are two exams:
1. Three essay questions on the last Thursday of the rotation (this is factored
into your outpatient grade).
2. Board shelf examination on the last Friday of the rotation.
Recommended Texts:
Rudolphs Fundamentals of Pediatrics, 4th edition, 2002
Nelson Essentials of Pediatrics, 2002, Behrman & Kliegman
Oskis Essential Pediatrics, 2004
Saunders Manual of Pediatric Practice, 2002, Finberg
Pediatric Clerkship Guide, 2003
Appleton & Langes Review of Pediatrics, Lorin
Blueprints in Pediatrics
The Harriet Lane Handbook, Barone
Pediatrics Recall, McGahren
Case Files: Pediatrics
10
10
General Info: On the wards, get there early enough in order to see/examine all
of your patients, get their vitals and pick up any new arrivalsbefore
conference at 9AM because most teams round with the attending
immediately after the conference at 10:00AM.
PEDS DAILY NOTE: You will need a calculator for drug dosages and I/O
rates. Follow the SOAP format. KEY THINGS TO INCLUDE: Urine
output, calculated in cc/kg/hour. For kids on formula or calorie counts,
kcal/kg/day. Stool output if excessive.
PEDIATRIC NUTRITION:
Regular infant formula: 20kcal/oz
Preemie infant formula: 24kcal/oz
Nutritional requirements: 110-130kcal/kg/day
PEDIATRIC ADMISSION/H+P: There are a few things on a Peds history
that arent included in adult medicine.
PMH: Birth History (prenatal, L&D, condition at birth, complications)
Nutrition
Developmental History
Immunizations
Previous Health (allergies)
FH:
Sick contacts
Daycare
Pertinent family history (esp. allergies, asthma)
Exposure to smokers/pets
PE:
VS (head circumference, height, weight, percentiles)
Evaluation of development
Commonly used pediatric abbreviations:
AFSF: anterior fontanel soft/flat
TM: tympanic membranes
WDWN: well developed, well
nourished
Rtxn: retraction
OP: oropharynx
MMM: mucous membranes moist
FROM: full range of motion
Developmental Milestones (1-12 months)

1 Social smile
2 Vocalize
3 Head control (no head lag)
4 Hand control (hold toy)
5 Roll over (back to front)
6 Sit alone
7 Crawl
8 Prehension (thumb/forefinger)
9 Pull up to standing
10 Walk with support
11 Stand alone
12 Walk alone
Vital signs by Age

AGE
Newborn
1 month
6 month
1-2 years
HR
94-145
115-190
110-180
100-160
BP (systolic)
50-70
70-90
59-119
66-126
11
RR
40
24-30
24-30
20-24
Psychiatry
Program Director: Dr. John Sadler, Course Director (NC5.828) x84960

Dr. Timothy Wolff, Course Coordinator x87093
Clerkship Administrator: Aida Ramirez-Boyce (NC5.838) x84958
Program Notes: Rotations at CMC, PMH (consult/liaison, 8N inpatient, ER),
Presbyterian, St. Paul, VA (multidisciplinary treatment teams covering
mood disorders, psychosis, substance abuse, geriatrics, or anxiety),
and Zale- Lipshy. Four or five ER call shifts (5pm-12am on
weekdays; days, evenings, or nights on weekends) during the rotation.
Site preference request forms are distributed about a month prior to
the rotation and schedule information is provided about a week prior
to the start of the rotation. All sites require a paper and may require an
oral presentation.
Recommended Texts:
Clinical Psychiatry for Medical Students, Stoudemire
DSM-IV
Psychiatry for the House Officer, Tomb
Kaplan and Saddocks Synopsis of Psychiatry (from the MS1 course)
Current Clinical Strategies: Psychiatry, Hahn (Little Green Book)
Blueprints for Psychiatry
Appleton and Lange Psychiatry
Case Files: Psychiatry
Items for your white coat: Current Clinical Strategies (the Little Green Book)
Pharmacopoeia/ ePocrates, card with phone numbers of local mental
health agencies (will be provided), card with an outline of the
MMSE/MSE (will be provided), a summary of diagnostic criteria for
psychiatric disorders (Current Clinical Strategies provides this, but
your resident may be able to offer something compressed into one or
two sheets), and stethoscope (some attendings insist!).
PSYCHIATRY NOTE: The daily progress notes should follow the SOAP
format. In the place of the physical exam, include the
findings on the mental status exam.
Mental Status Exam
Appearance: grooming (well-groomed, disheveled), behavior (cooperative,
non-cooperative), emotional facial expressions, attentiveness,
alertness.
Motor: any notable tics or gestures such as hand wringing, psychomotor
retardation, gait abnormalities
Speech: rate, rhythm, volume, amount, articulation, spontaneity
Mood: how the patient describes how she is feeling
Affect: what the examiner observes about the patients emotional state
Sensorium: consciousness, orientation, memory, attention/concentration
Thought process/ Thought Content: logical, tangential, loosening of
association, hallucinations, suicidal/homicidal ideations, etc.
Somatic Function: sleep, appetite, energy, sex
12
Mini Mental Status Exam

ORIENTATION (1 pt each)
Year/ month/ day/ date/ season
State/ county/ city/ hospital/ floor
REGISTRATION (1 pt each)
Name 3 objects. Have the patient repeat them after
you until he/she learns all 3 objects.
ATTENTION & CALCULATION (1 pt each)
Serial 7s. Stop after 5. OR spell world backwards
RECALL (1 pt each)
Ask the patient to repeat the 3 objects named earlier.
LANGUAGE (1 pt each)
Point to 2 objects. Have the patient name them.
Have the patient repeat No ifs, ands, or buts.:
Have the patient follow a 3-stage command:
1) Take a paper in your right hand
2) Fold it in half
3) Put it on the table
Have the patient read and obey the following:
1) close your eyes
2) write a sentence
3) copy design
Total Score
Surgery
Max
Score
5
5
__/5
__/5
__/3
__/5
3
9
__/3
__/9
__/30
Program Director: Dr. Patricia Bergen (E7.118A) x82065

Clerkship Administrator: JoAnna Nelson (E7.114) x82040
Program Notes: Call may be no call, every third night, or every fourth night,
depending on service. You may need trauma shears. On the floor, you
can use the scissors found in suture kits. Carry tape, extra packing
supplies, and gloves in your coat pocket. Schedule information may not
be available until the first day of the rotation. Everyone gets two weeks
of Trauma/TASC and two weeks on the Emergency General Surgery
(EGS) service. The remaining assignment (4 weeks) is either general
surgery, vascular surgery, hepatobiliary surgery, or pediatric surgery
(although this may change). Most residents want a student scrubbed in on
every case; alternate with teammates.
Recommended Text:
Essentials of General Surgery, Lawrence
Essentials of Surgery, Sabiston
Principles of Surgery, Schwartz
Current Surgical Diagnosis and Treatment, Way
Surgical Recall, Blackbourne (a must-have)
Abernathys Surgical Secrets, Harken (great for pimp answers)
13
SURGERY PROGRESS NOTES: Include PO intake, N/V, flatus and bowel

movement (for abdominal surgeries). Record ins and outs and CBGs
(capillary blood glucose). Record any drain output and appearance. Comment
on what their wound looks like; you may have to change the dressing by
yourself when you pre-round or just take it down and redress lightly if your
team wants to look at it. Dont take down surgical dressings until told to do
so. Have thick skin.
Vascular: Record pulses in addition to items above. It is all about the pulses.
Trauma/TASC: Just survive. The rotation is under construction at this time.
Have one or two students in the OR and another in the trauma hall. Very little
or no sleep on this rotation. Call every third night.
OPERATIVE NOTES: You may be expected to write a pre-op or post-op
note, depending on your team (examples below FYI). You will likely be asked
to write a post-op check. After a surgery is finished, patients are taken to the
PACU and either discharged in the case of day surgery or admitted. If they are
admitted, do a post-op check.
Surgery Post-Op Check (done 4-6 hours after surgery in SOAP format). Be
sure to mention procedure (s/p appy, chole, whatever), include pain control,
level of consciousness, vitals, including I & O's: urine output and surgical
drains, brief physical exam, any pending post-op studies.
Surgery Pre-Operative Note
Pre-Op Diagnosis:
Procedures:
Labs: results
CXR: results
EKG: results
Blood: (type x cross, etc.,)
Orders: (e.g. 2gm cefoxitin on call
to OR)
Consent: signed and on the chart
History and Physical: on the chart
14
Surgery Post-Operative Note

Pre-Op Diagnosis:
Post-Op Diagnosis: same
(otherwise say what it is)
Procedure:
Surgeon:
Assistant(s):
Findings:
Anesthesia:
EBL/Drains:
Specimens: (to pathology)
Complications:
Condition: (stable, fair, poor,
critical)
SCRUBS - where to find them, when to wear them.

Parkland - Scrub dispensing machines (Pyxis) are used to control scrub
inventory. For Surgery, you will need to obtain a form from the OR admin
office across from the scheduling board on the surgery floor, complete the form
and return it with a $45 to get three sets of scrubs. The Pyxis is in the surgery
lounge. They can be returned and your $45 recovered at the end of the rotation.
For OB/GYN, get the form from the OB admin office near the male locker room
on L&D West. The Pyxis is near the male locker room on L&D West. Scrubs are
not appropriate for clinic. On other rotations, ask your intern about the dress
code.
Zale-Lipshy - Good luck. Bring your own for surgery.
Children's - Good luck. Bring your own for call days.
VA You will be provided with a set of scrubs on the first day of your surgery
assignment. For medicine, your best bet is to bring your own on call days.
St. Paul - Ask at the surgery desk. The people there are generally very helpful.
Baylor - Forget it. Residents wear royal blue monogrammed.
15
COMPUTING
Parkland Computer Access
QUICK TIPS:
1. FOR PASSWORD RESETS, CALL:
PHHS: 25999 UTSW: 87600 ZLUH:86241
2. Beware on rounds if you just check Oacis because as soon as you say labs
aren't back, someone is going to ask if theyre in the computer (been poised)
or have they been collected. Oacis won't tell you, only POIS will.
3. Also POIS seems to get lab results quicker than Oacis, so you pretty much
have to check both Oacis and POIS each morning before rounds to make sure
you have all their info. Netware-This is the network used by Parkland. The
computers are generally logged in at all times. If you have to log onto a cold
computer, just ask the HUC for that floor's login.
Oacis (CDR: Clinical Data Repository)
Login: Same as Groupwise login
Password: Not picky. For CDR password problems, call 8-7600. Press 1. Call
Help Desk for support. PHHS: 25999 UTSW: 87600 ZLUH:86241
Used for: Lab results, EKGs (back to 10/1999), radiology, discharge
summaries, and pathology reports.
Shortcomings:
Lab values slower than POIS to return from the lab.
Microbiology/cultures not yet available and must be accessed through
POIS.
Old records may be accessed using the old-style dumb terminals or by
going to Medical Records to retrieve old records.
To access/use program: Select the 'Oacis' icon on the desktop OR look in the
'Start' menu under "Clinical Applications."
1. Input your Sign On ID in the Name field, then hit Tab.
2. Type your password in the Password field, then press Enter.
3. Your current Pt list should come up.
Keeping Track of Patients:
1. On any roster, click Pt. List
2. Search by either name or MRN (MRN works better) and press Enter to
begin search.
3. Click on the desired patient, then click the arrow to add to your current
roster. Click OK.
Keep track of labs/studies:
1. New/unviewed labs and studies appear in bold.
2. Filtering: click on one lab value (Hematocrit, etc.) to highlight it, then go to
"filters" in the upper left corner of the screen, and then click on the drop down
menu that comes up and set it to the "=" sign. Oacis will give you a sequential
listing of that one value (HCT, etc.) for every date it has. It's an easy way to
watch the trends on pt's labs over time without having to scroll down through
all the other values you don't care about.
16
Logging off: Sign off before leaving a workstation! Leaving a workstation

signed on is a violation of UTSW's security policy!
POIS: (The Parkland Order Information System)
Login: "MS*####" where * equals year of graduation and
#### equals last 4 of SS#
Password: Picky. Your password will be given to you in your student
mailbox 2nd year or at the tutorial session. Password resets after every few
months. 6-8 characters (letters + numbers). Call Help Desk for support.
PHHS: 25999 UTSW: 87600 ZLUH:86241
Used for:
1. Lab values (return from the lab the FASTEST).
2. The best way to get microbiology/culture.
3. Get census information (list of patients by Service/Floor).
4. POIS will also tell you if a lab has been ordered, collected, or received in
the lab. This is also the system used by the HUCs for entering lab orders, so
you may hear about your orders being 'poised'.
5. MICROMEDEX function is a great drug information program.
Shortcomings:
This system is extremely moody. It is very bad about locking up when trying
to scroll through lab values. If it locks up on you, sometimes pressing the ESC
key anywhere from once to thrice will unlock the screen. If not, the only
option is to close the application and open it again.
To access program: Select the 'POIS' or 'Extra' icon on the desktop. OR
Look in "Start" menu under "Clinical Applications."
1. 'NC-ACCESS'. Is what you should see after selecting POIS. If you are
unable to log in at this screen, call 590-5999.
2. Input your Sign On ID.
3. Hit tab (NOT enter!!) to advance to next line.
4. Input your Password.
5. Press enter, and hopefully you are in!
If the computer locks up, don't panic or turn it off. A small clock icon appears
at the bottom of the screen when the system is busy. The esc key should cancel
the current function. If this does not work and you have waited a long time,
close the POIS window and log in again.
Keeping track of pts:
There are several ways to find information on a particular patient. First, if you
know it, you can do a search by MRN, which pretty much always works. If
you know what ward the patient is on, you can use the NURSING CENSUS
menu and select a patient by location. A fantastic feature for keeping track of
who you are supposed to be keeping track of is the CENSUS function. You
will need to know the 'service code' for your team, but you can look it up in
POIS. This will give you a list of all patients in the hospital assigned to your
service. If you find a patient on your list that doesn't belong, call Bed Control
(ADT).
Keeping track of Labs/Studies: You will need to access a patient file by
location or MRN to see lab results. Once you have selected a patient, you can
chose a number of options, including PATIENT PROFILE (will give MRN,
17
age, location), LABORATORY RESULTS or NON-LAB RESULTS, where

you can see radiology reports. To specifically view microbiology reports, first
go to LABORATORY RESULTS then select MICROBIOLOGY (a little
arrow will appear next to the word) then the time frame during which the labs
were DRAWN (if you have a culture that is a week old, use the past 7 days
feature) then hit ENTER. Other specific lab results can be accessioned in a
similar way by choosing what you want to view. You may have to scroll
through several pages.
Logging off: If you forget to sign off and try to log in at a new terminal - you
will have to FORCE it. This means going through steps above under "If YOU
CAN'T START POIS", and at the prompt where you would follow step 5 you
type 'FORCE' instead. This removes you from the old terminal and allows you
to sign on again, so repeat steps 1-6 as usual.
Dumb Terminals: (Found mainly in the ER, MICU, CCU, and L&D)
These computers are relics of the modern age and should be in a museum. Some
of the computers have no light pen or mouse - but you need them to locate ER
patient info that doesn't appear on the POIS system and patient information
greater than about 18 months old. These things are amazing. They are archaic
yet you have to use them to get old path reports sometimes. I think you can still
find stuff on Kennedy in them. Just memorize the next 6 things. There is no
logic to this system.
To access/use program:
1. At logon prompt type '333'
2. The password is 'PMH'
3. At the prompt type 'PR' to get lab results or 'AI' to get path reports
4. You can use either the medical record number or patient's name
5. Type 'A,A' and hit return to get lab results, the most recent first, for ALL
admissions.
6. Type 'X' to exit the system
ACIS: This system is currently in use in the COPC only. Current plans are to
extend this system to the Emergency Department and other outpatient clinics.
CIMS (Cardiology Information Management System): Contains echo
results, electrophysiology reports, etc. This system is currently accessible by
residents but not students. Ask your resident for their login as you won't have
one.
VA Computer Access
CPRS:
1. The computer system at the VA is comprehensive and easy to use.
2. "Cut and paste" daily progress notes.
3. Pay attention when they talk about making out your template for progress
notes. If you spend some time on your template you can make the computer
enter a lot of information for you automatically. It will save you time in the
long run.
Login/Password:
18
1. Access Code: Assigned.

2. Verify Code: You pick it on the first day.
3. Signature Code: You pick it on the first day.
Used for:
Everything except actual radiology images and cards stuff (ECHO, etc.)
What's useful to find under each tab:
Coversheet: Allergies, vitals (click on to see trends), clinical appointments,
health maintenance
Problems: Acute problems (PRETTY WORTHLESS)
Meds: Active meds, inpt meds, outpt meds, expired meds
Orders: All orders; particularly note diet, IVF, meds, labs ordered, imaging,
consults (LOOK AT TO SEE WHAT IS BEING DONE TO YOUR PT)
Notes: Progress notes, some consults (also look under Consults tab)
Consults: Consults (also look under Notes tab)
D/C Summaries: Self-explanatory (KEY FOR H+P)
Labs: Labs, micro, path
Reports: Imaging (See BRIT for actual images), path
Shortcomings:
1. No radiology images.
2. No cards stuff (ECHO, etc.)
To access/use program:
1. Select 'CPRS' on desktop
2. Enter Access Code + Verify Code
Keeping track of pts: Learn during tutorial or ask a resident.
1. When you select a new pt, a pop-up box will appear (to quick select a
patient, enter *####, where * is the first letter of their last name and #### are
the last four digits of the SSN.
2. You can choose a roster based on provider, specialites, teams, etc.
3. Enter which ever roster you would like to use
4. Click on 'Save Pt List Settings'
5. Now when you choose a new pt, the roster will show up
Making a template:
1. Click on the 'Notes' tab at the bottom of the page.
2. On the Toolbar, click on 'Options'
3. Click on 'Edit Template'
4. Click on 'Shared Templates' or 'Create a New Template'
5. Choose a name
6. Start typing in the text box below
Note: You can have the meds + vitals automatically show up each time you
use the template. To do so,
a. Go to the Toolbar and click on 'Edit'
b. Then click on 'Insert Pt Data (object)'
c. Click on any of the desired fields
Using a template:
1. Under the 'Notes' tab, click on 'New Note' at the bottom left
2. Click on 'Templates'
3. Double-click on the desired template and start typing
19
Logging off: Sign off before leaving a workstation! Leaving a workstation

signed on is a violation of VA's security policy!
BRIT: (radiology image viewer) BRIT is available on select computers. The
bigger and newer the monitor, the better you will be able to see images. There
is a common USER ID/Password. You will get this during orientation. Select
pt based on last name or quick ID (first letter of last name + last 4 SS#)
Choose which imaging sets you would like to see by clicking on the pictures or
sets.
Children's Medical Center Computer Access

TecSys: This is a relatively new computer system for CMC. You will be
given a username and password during the first week of your rotation. The
system is fairly easy and straightforward to use. If you need further help and
support call the Help Desk at 4636.
Clinical Systems 2 (Blue Screen): Ask resident for ID/PW; use to track lab
values and find patients. From the opening screen hit F12 and enter the MRN.
PDAs and Handheld Computers:

Recent years have seen a surge in the use of PDAs and handheld computers in the
medical field. As you travel through the various hospitals, you will see PDAs
used for correct dosing for drugs, determination of potentially dangerous drug
interactions, patient tracking, differential diagnoses, ensuring one does not miss a
very important meeting and of course, games. There are literally dozens, if not
hundreds, of medical programs for Palm and PocketPC omputers. A DRUG
REFERENCE IS ESSENTIAL. Other popular items include document readers
(iSilo et al) with hundreds of free medical texts, medical calculators and patient
trackers available. If you are electronics and gadget minded, you have probably
already decided to get one and are in fact, reading this information right now on
your PDA. Below is a listing of websites to browse for medical applications and
non-medical applications.
www.epocrates.com: Free drug reference with automatic updates.
www.pdarounds.com: Site started by UTSW grads with a compendium of
medical and non-medical PDA software with reviews
www.eponyms.com: a great downloadable program with searchable eponyms,
but also a link to Andrew Yees Medical Palm Info page, which has just about
every possible medical PDA site! A great resource!
www.healthypalm.com: a repository of medical applications.
www.palmgear.com: another mega repository of palm programs, medical and
non-medical alike.
www.skyscape.com: popular titles (5Min Clinical Consult, Harrison's)
www.iSilo.com - document reader (faster than Acrobat)
www.pdamd.com: PDA software for sale
www.handheldmed.com: PDA software for sale
www.meistermed.com/isilodepot - tons of free stuff. Great resource.
20
The Internet
If youve made it this far, chances are youve done just a teeny weeny bit of web
surfing. Chances are, you rely on email. Chances are, you carry out some
essential aspects of your life online. Online research is the new trend in medicine,
and thanks to a variety of services, you can access everything from textbooks to
drug packaging inserts online. It is definitely advisable to become familiar with a
couple of sites for your research purposes; you will find current patient care
information, an easy format to find exactly the information youre looking for,
and probably save a trip to the library of thumbing through textbooks. Below are
just a few useful sites; this is truly just the tip of the iceberg!
www.mdconsult.com: Reference textbooks, full-text journals, complete drug
information, ability to save searches. A great resource! This is a service that
normally costs about $200 a year, but students can get an account via the
school library. Account set-up information at UTSW library website.
www.ncbi.nlm.nih.gov: the NIH medline search site. There are a variety of
other ways to access medline, but this one works!
www.uptodate.com: Truly the most up-to-date medicine available on the web.
This in a subscription service that you will find many residents utilize. It is
one of the most comprehensive resources available! Cost: $200 a year. There
is one computer terminal in the library with a hard version (not web version,
not updated as often); otherwise youll just have to subscribe or find someone
to log you on! The VA has an institutional subscription when youre
theremake sure to use it!
www.merck.com/pubs : the Merck manuals online. Free. Very useful.
www.freetranslation.com: translate from English to Spanish (or other
languagesjust in case you have a patient who speaks exclusively
Norweigian). Check it out just to amuse yourself in the wee hours of the night.
www.nejm.com: The New England Journal of Medicine. Good source for
review articles. Access account available upon request with UTSW library.
Some other sites to check out in your spare time:
www.scutwork.com
www.medfools.com
www.ECGlibrary.com
www.amsa.com
www.studentdoctor.net
www.medicalstudent.com
www.flash-med.com
www.booksmd.com
www.Emedicine.com
www.studentdoc.com
www.qfever.com (the Onion for med people!)
21
HOSPITAL INFORMATION
UT SOUTHWESTERN PHONE NUMBERS

Blood and Body Fluid Exposure (Students)
Campus Pharmacy (Aston)
Computer Services
Financial Aid Office
Learning Resource Center
Library (M-Th 7a-12a, F 7a-10p, Sat 9a-6p, Sun 1p-10p)
Parking Services
Registrar
Student Affairs Office
Student Health Center
Student Store (M-F 7:30a-4:30p)
Student Center
UT Police Department
UT Police - Emergency
UT Southwestern Information / Operator
214 588-6263
648-2422
648-6500
648-3611
648-2607
648-2001
648-9600
648-3606
648-2168
648-3320
648-3615
648-3578
648-2081
648-8911
648-3111
LOCAL HOSPITAL INFORMATION NUMBERS

Aston Center
Charlton Methodist Hospital
Childrens Medical Center
John Peter Smith Hospital
Medical City Dallas
Methodist Hospital
Presbyterian Hospital
UTSW University Hospital St. Paul
Terrell State Hospital
Texas Scottish Rite Hospital
Timberlawn Psychiatric Hospital
UT Health Center at Tyler
VA Med Center (214-SIC-VETS)
UTSW University Hospital - Zale Lipshy
22
214 648-3111
214 820-0111
214 947-7777
214 456-2000
817 429-5156
972 661-7000
214 947-8181
214 590-8000
214 345-6789
214 879-1000
972 524-6452
214 521-3168
214 381-7181
903 877-3451
214 742-8387
214 590-3000
PARKLAND MEMORIAL HOSPITAL

5201 Harry Hines Blvd., Dallas, TX 75235
214 590-8000
On campus:
Dial a '2' before all Parkland extensions.
Dial an '8' before all UTSW extensions.
General Information
ATM machines are located at UTSW, Parkland McDonald's, and
CMC.
Checks can be cashed at Children's or UTSW.
Call Rooms: Codes will be given during orientation.
Medicine: 2 rooms on 8W.
Surgery: 1 room on 2E (day surgery).
OB/Gyn: 1 room on 3N.
Lockers: During surgery and ob/gyn you will be assigned a shared locker. There
are lockers that have been donated by various groups and are located in the
surgery call room and other parts of the hospital. These are first come first serve
and generally should be used only for the rotation that you are on.
RTAS (for dictated radiology reports)

Call 6640. Press 1 to listen to reports or 2 for instructions. Enter the
patient's 7 digit medical record number (omit leading zeros) and then
the # key. The most recent dictation will play first.
- # speeds up, * slows down playback (may be pressed repeatedly)
- 2 to pause, 3 to resume, 49 to go directly to impression (if available)
- 77 to rewind to beginning of report and begin playback
- 8 to skip to next report, #5 to disconnect
PMH PHONE NUMBERS dial 2 before all extensions

STAT Page Operator
Police/Fire Emergency
Police Non-Emergency
7890
8104/8105
8496
Emergency Rooms
Medicine
Ob/Gyn
Psychiatry
Surgery/Trauma
8824
8145
8761
8108
8630
Page Operator
23
Emergency Numbers
Parkland Inpatient nursing and physician stations

Floor
2nd
Location
2 North
2 East
2 West
2 South
3rd
4th
5th
6th
7th
8th
9th
2 South South
3 North
3 East
3 West
3 South
3 South South
4 North
4 East
4 West
4 South
4 South South
5 North
5 East
5 West
5 South
6 North
6 East
6 West
6 South South
7 North
7 East
7 West
7 South
7 South South
8 North
8 East
8 West
8 South
8 South South
9 North
9 East
Service
SICU A(Neurosurgery)
SICU B (Thoracic)
SICU C (surgery/trauma)
SICU D (surgery/trauma)
Day Surgery
General Surgery
OR Scheduling
OR Main Office
Recovery
Doctors' Lounge
Day Surgery
OB/Gyn
OB/Gyn
OB/Gyn
Newborn Nursery
L&D East (low risk)
L&D West (high risk)
L&D Triage
Special Care/NNICU
OB
OB
Gyn-Oncology
Newborn Nursery
OB Receiving Unit
Surgery Specialties
Neurosurgery
Orthopedics
High Risk OB (antepartum)
Burn ICU
Burn Acute Care Unit
General Surgery
GI Lab
Private patients (insurance)
Oncology
General Research Center
General Surgery
Diabetes/Endocrinology
Psychiatry
PM&R
Neurology / Stoke
Acute Stroke Unit
Neurophysiology
Epilepsy Monitoring Unit
Medicine ICU
Infectious Disease/Isolation
24
RN
6100
6216
6212
6201
7240
7285
8257
8251
8549
---8746
7340
7345
7348
4050
7381
8376
8360
6500
7400
7434
7496
4050
7468
7580
7585
7593
7590
7635
7650
7678
8839
7700
7735
8751
7775
7798
6133
8139
7840
7879
7879
8834
6142
7900
MD
------------7242
7287
------8466
---7340
7347
7347
---------------7419
7439
7499
7459
8382
7582
7587
7593
7635
6154
7652
7679
---7719
7737
---7777
7797
6137
7802
7842
------6110
7902
9 West
10th
9 South
9 South South
10 East
10 West
10 South
10 South South
Medicine/Telemetry/23hourobs
Medicine/Pulmonary
Geriatrics (GEM)
Renal Transplant
Acute Hemodialysis
Telemetry
Monitoring Room
CCU
Cardiovascular Lab
Nuclear Cardiology
Cardiac Rehab
7910
7912
7905
7915
7000
7005
7010
7017
7040
8395
8395
8236
7907
1442
7002
7005
7012
-------
Parkland Outpatient Clinics/ACC Clinics

Amelia Court
Parkland Nutrition
1st floor
2nd floor
3rd floor
4th floor
4 South
5th floor
6th floor
Nutrition
AIDS/HIV
ACC
Breast Screening
Orthopedics
Psychiatry
Ob/Gyn
Ob Screening
Oncology
Ophthalmology
Pedi Fast Track
Oral surgery/Dental
Dermatology
Kidney Transplant
Surgery
Epilepsy
5478
5647
5479
5512
5616
5524/5218
5536/5267/5268
5560/5306
7380
5582
5499
8835
5489
5686
5656
5685
5689
Parkland Center for Internal Medicine (7th Floor C/D Clinics)

For nursing issues, nursing visits:
Randal Dygert, RN (Blue team)
25715
Mary Young, RN (Red team)
25661
Virginia Darden, RN (Green team)
25716
Annie Andrews, RN (Yellow team)
25661
Cheryl Petr, RN (Charge Nurse)
20050
For interim visits, short-term or hospital follow ups, procedures:
Tina M. Kaufman, PhD, PA-C (Blue/green teams)
25390
Sara Wick, GNP (Red team)
25741
Christi Bartz, PA-C (Yellow team)
25666
For diabetic education: Sue Friberg, RN, CDE
25696
For nutritional counseling/education: Sheral Cade, RD, CDE
25719
For medication counseling: Elizabeth Moss, PharmD
28209
For Social Work: Janis Moore, SW (<60 years)
28164
Loretta Jackson, SW (>60 years)
28164
For administrative issues:Charla Edwards, UM
25575
For appointment scheduling: Ruby Wimley
28753
25
214-786-3310
214-786-2638
214-786-2142
214-786-2266
214-786-0380
214-786-8074
214-786-1881
Parkland Laboratory Information

Blood Bank/Transfusion Services
Lab Central (all general lab results)
Cytogenetics lab
Cytology
Flow Cytometry
Hematology
Histology
Immunology/Serology
Microbiology/Mycology
Molecular Diagnostics
Outpatient Clinic Lab
Phlebotomy
Phlebotomy Coordinator
Special Coag Lab/Bone Marrow
Surgical Pathology (in OR)
Toxicology
Virology (Dr. Luby's lab)
8211
LABS (5227)
8-3782
8743
8-4078
5227
8237
8571
5426 / 5420
8-4075
5423
6687
6648
8-0203/80204/80205
8691
LABS (5227)
8-3635
Parkland Radiology Information

Central Number
Body CT reading room
Bone reading room
Chest reading room
GI reading room
Neuro reading room
Special Procedures reading room
Ultrasound reading room
Angiography suite (visceral)
Angiography suite (Neuro)
CT Scan
CT Fax
CT scheduling
Echo results
File Room
Fluoroscopy suite
Interventional Radiology Scheduling
Mammography
MRI (Meadows at Aston)
MRI (Meadows dictation reports)
MRI (Rogers at North Campus)
Nuclear Cardiology lab
Nuclear Radiology (V/Q, bone scans)
Ob Sonogram
Outpatient Radiology Scheduling
Portable Film Requests
26
8596
6669
8679
8720
8677
8712
8919
6668
6798
6459
8413
2622
0062
7165
8682
8555
6798
5071
4525/4500
5898/6640
8-5800
7176/8395
6363/5120
5578
8582
8596
Parkland Radiology Information - continued

Radiologist paging
Radiologist on call
RTAS (dictation)
Special Procedures
Transcription
Ultrasound
Ultrasound Fax
X-Ray Therapy (Radiation Oncology)
8500
8023
6640/6641
1629
8412
8474
6927
8-2296
Parkland: Collections
All lab specimens are taken to Central Receiving on the ground floor
(South). Remember to time, date and initial all blood specimens and obtain
a requisition slip for each specimen/lab order.
Phlebotomy services: There are several daily blood draws. Orders must be
poised in the computer approximately two hours prior to scheduled draw
times. Stat/special timed orders must be drawn by your team. All blood
cultures must be drawn by your resident, intern or you. Lab draws are as
follows:
0200 Women's Services Only
0330 NNICU, CCN
0500 Internal Medicine
0600 Surgery
0700 Women's Services (Mothers only)
0730 Womens Services (Babies only)
0930 Surgery, Medicine, and Women's Services
2330 Surgery
Parkland: Other Essential Information

ADT (Bed Control)
8920
Anesthesiology and Pain Management
8329
Appointment Desk (Outpatient Services)
5555
Autopsy/Pathology
8-6344/6693
Alcohol/Drug Counseling
8770
Alcoholics/Narcotics Anonymous Referrals
2783
Business Office
8566
Cardiac lab (Electrophysiology)
5055
Cardiac lab (Cardiac cath)
8617
Cardiovascular Lab (TEE, ECHO, Holter, MUGA) 8395
To make appt.
7169
Central Supply
5440
Chaplain
8512
Computer Help Desk (POIS, Oacis)
5999
27
Parkland: Other Essential Information - continued

Diabetic Foot Nurse
Dietary Services
Drug Information Center
Electroencephalography(EMG, Sleep Studies)
Electrocardiography (inpatient EKG)
Epilepsy Outreach Program
Epilepsy Monitoring Unit
Geriatrics
GI Lab
Hemodialysis
Home Care Program
Housekeeping
Hydrotherapy/PM&R
Infection Control
Interpreters
Medical Records
Medical Records Fax
Nutrition
Page operator (in house)
Page operator (outside PMH)
Pastoral Care
Pathology Administration
Pathology Results
Pathology Results (FNA/Cytology)
Patient Food Services
Patient Advocacy/Information
Patient Relations
Patient Transport
Pharmacy (inpatient)
Pharmacy Administration
Physical Medicine & Rehab (PT,OT,Speech)
Pulmonary Function Lab
Respiratory Therapy
Residents Library Fax
Security (escorts)
Social Services
Transplant Services
Urology
Vascular Lab (at Aston)
Other important numbers
28
5449
8186
8210
8334
8414
8878
8834
7470
8839
7005/5793
8295
8161
8139
8127
8945
5455/6540
5402
5479
8630
214 590-5901
8512
8661/8662/5414
8686
8743
8186
8153
8945
2255
8711
8714
8139
8167
8193
6994
8496
8164
5656
6307
8-2926
CHILDREN'S MEDICAL CENTER

1935 Motor St., Dallas, TX 75235
214 456-2000 (operator)

General Information
ATM machine is located on the first floor near the admission desk. The
second is located on the fourth floor of the Bright building adjacent to the
Skybridge.
Checks can be cashed at the cashier's window nearby.
Phones: CMC phones require only the four-digit extension when in house.
Call Rooms: The students share the resident call rooms on the first floor
near the ER. There are two rooms and two showers. Plus a small library.
CMC IDs are required for access.
Rotation Info: Dr. Mihalics secretary Del. She can be reached at 2730.
CMC EMERGENCY NUMBERS

STAT page operator
Security
Emergency Room
5060
2889
5100/2100
Childrens Floor Listings

5100
8796
2033
2022
2333
2044
7600
2972
2972
2055/5900
2793/7688
2060
7600
2333
7870
7256
Childrens Laboratory Information

Main Lab
General
Chemistry
Hematology
Histology
Metabolic
6300
2321
2321
2320
2318
6130
29
Children's Medical Center
1st Floor ER
Starbucks/Whistle Stop
2nd Floor Pedi ICU
Surgery
3rd Floor Cardiology
th
4 Floor General Peds
5th Floor General Peds
Renal
GI/Liver
Psychiatry
Sleep/Epilepsy (EMU)
6th Floor General Peds
th
7 Floor General Peds
8th Floor Cardiology
9th Floor
10th Floor Heme/Onco Ward
Heme/Onco Treatment
Childrens Laboratory Information - continued

Microbiology
Pathology
Scheduling
2316
2322
2319
Childrens Outpatient clinics

Note: These numbers and locations are subject to change due to ongoing construction.
Ground floor
1st Floor
2nd Floor
Resident/Medical Student Clinic

Emergency Room
GI
Liver Transplant
Surgery
3rd Floor
Cardiology
Neurosurgery
th
4 Floor
Down Syndrome
Genetics/Metabolism
Neuro Oncology
th
5 Floor
Hemodialysis
Nephrology
Peritoneal Dialysis
Renal
Sleep
Specialty Gynecology
6th Floor
Hematology
Oncology
Ophthalmology
Sickle-cell
Bright Building ARMS (AIDS/HIV)
Lobby
Adolescent clinic
Genetics and Metabolism
Down Syndrome
Dermatology
Low Birth Weight
REACH
st
1 floor
Hematology/Oncology
Orthopedic Clinic
2nd floor
Asthma /Immunology
Cystic Fibrosis Clinic/ Medical Chest
Endocrine
Rheumatology
3rd floor
ENT
Audiology
Voice Disorders
Bank One Bldg Craniofacial
Dental
Urology
Plastic Surgery
30
2844
5100
8000
8412/8600
2766
2333
6660
2357
2357
6139
2780
2980
2983
2980
2793
2980
2382
2382
2383
2382
6500
6500
7978
7978
5030
6500
6134
2382
7697
2084
2361
5959
5648
2386
6178
6177
8888
8800
2444
8888
Childrens Outpatient clinics - continued

Speech Pathology
Neurology
Psychiatry
8710
2768
5900
Childrens Other Essential Numbers

Admissions
Anesthesiology
Asthma Education
Asthma Clinic
Asthma Care
Cardiology
Cath Lab
Chaplain/ Pastoral Care
Child Life
Critical Care/ ER
CT/MRI scheduling
Day Surgery
Dietary
ECHO
Electroencephalography (EEG)
Electrocardiography (ECG)
Foster Care
Interpreters
Low Birth Weight
Medical Records
Medical Records File Room
Nuclear Medicine
Nutrition
Occupational Therapy
Operating Rooms
Orthopedics
Outpatient referral
Page Operator
Pharmacy
Pharmacy-outpatient
Physical Therapy
Radiology
Resident Clinic
Respiratory Therapy
Social Work
Urgent Care
Weight Guidance
Young Adult Clinic
31
2191
6393/6041
2516
2084
8153
2333
2330
2822
6280
8649
2849
2388/2078
2177/2182
2327
2740
2326
6134
6272/6290
6500
2505
2509
2815
2178
2778
2022
7697
1-800-CHILD
0
6209
2879
2778
2763
2305
2844
2762/2760
2300
2100
2554
6500
UT SOUTHWESTERN UNIVERSITY
HOSPITAL ZALE LIPSHY BUILDING
Zale General Information

Food:
The cafeteria is located on the ground floor.
M-F breakfast
6:30am-9:00am
M-F lunch
11:00am-1:30pm
Gourmet pasta buffet on Friday at noon is excellent !
The convenience store is located on the ground floor.
M-F
9:00am-7:00pm
ICU
Psychiatry
Neurosurgery/Ortho
Med, Surg, Telemetry
Oncology
3300
3400
3500
3600
3700
Radiology: Located in the basement. To check out films, you will need to give
attending name and resident pager number.
Zale: Other Essential Numbers
ZZale Lipshy Building
Admissions
Anesthesia
Angiography
Bed Control
Cardiac lab
3134/3182
3230
3232
3182
8617
(at PMH)
Cardiovascular Lab 8395
(at PMH)
Day Surgery
3200/3210
Infection Control 3144
Laboratory
3350
Medical Records
3140
Micro Lab
3358
Nutrition Services 3965
OR Scheduling
3251
Pastoral Care
3160
Pathology (surgical) 3239
Patient Information 3132
Pharmacy
3992
Pharmacy
648-2422 (at
Aston)
Physical Therapy 3823
PACU
3220
Radiology
3970
Rehabilitation
3800
Respiratory Therapy 3363
Security
3130/3888
Social Work
3141
Tumor Registry
3545
Volunteer Services 3192
Note: Zale does have an automated telephone system for dictated radiology
reports. However, individualized passwords are required (none are assigned to
students).
32
3500 Gaston Ave., Dallas, TX, 75246
214 820-0111
General Information
214 590-3000
Floor Listings
3rd Floor
4th Floor
5th Floor
6th Floor
7th Floor
BAYLOR UNIVERSIT
ATM Access: There is an ATM mac

Checks can be cashed with the cash
Food: Menu line (2-MENU)
The cafeteria is located in the basem
Hours:
Daily 6:30amBake Shop is located next to the ca
Hours:
M-F 6:00am-7
Atrium Cafe is located in the lobby
Hours:
M-F 11:00amAtrium Too is a cart just outside the
Hours:
M-F 9:00pm-3
Frullati is located in the lobby of B
Hours:
M-F 6am-8pm
Sat 8am-4pm
Call Rooms: The student call room
Hospital Lobby. Keys to the call roo
of the rotation. Every two call room
Phones: The prefix for all phone nu
Fax numbers: Check on individual
Emergency Numbers
Police
Code Red
Stat 13
Dr. Heart
Emergency Department
Collins Hospital Nursing Stations
4th floor
4C
7th floor
7C
Hoblitzelle Hospital Nursing Station
2nd floor
2H
3rd floor
3H
4th floor
4H
6th floor
6H
Jonsson Hospital Nursing Stations
2nd floor
2J
3rd floor
3J
4th floor
4J
5th floor
5J
AM Surgery
5J
6th floor
6J
7th floor
7J
VETERAN AFFAIRS MEDICAL CENTER

4500 South Lancaster Road, Dallas, TX 75216
214 SIC-VETS (742-8387)

VA General Information
ATM Access: There is an ATM machine located in the basement of Bldg. 2
near the cafeteria, and another in the Clinical Addition/Canteen Mall.
Food: The cafeteria is located in the basement of Building 2. Hours are MF 7am-2:00 pm. Store with food on ground level. Open 7AM-4PM.
Coffee shop across from store, 7AM-4PM (sometimes closes earlier)
Phones: Numbers beginning with 7 may be dialed directly from outside
the hospital. To call 7xxxx, dial 214-857-xxxx. Numbers beginning with 4
can only be dialed from within the hospital.
Call Rooms: Student call rooms are located on the 5th floor of the clinical
addition near the TICU. Access codes will be given out at orientation. It is
difficult to get scrubs when on Internal Medicine, so you may need to
supply your own.
VA Emergency Numbers
Cardiac Arrest
Emergency Room
Med. Eval./Triage
Security
Security Escort
6911
71975 / 71976/72036
76288/76281/76282
70411
40134 / 40135
VA Building 1
2nd Floor
rd
3 Floor
4th Floor
Mental Health
Mental Health
Psych
Psych
Mental Health
Drug Dependence
Psych
71610
70787
71610
70786
70838
70835
70790
VA Building 2
3rd Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
3C
4C
5B
5C
6B
7A
7B
8A
8B
Day Surgery/Metabolic
Surgery (Specialty)
Orthopedics
Surgery Office
Medicine
GEM
Pulmonary
Surgery/Medicine
Medicine Office
33
71614/71502/71615
71629
71819
71800
71642/71643
71709/71710
70405/71875
71653/71654
70409
Veteran Affairs Memorial Hospital
5th Floor
2 North
2 South
3 North
3 South
4 North
4 South
5 North
VA Clinical Addition
5th Floor
5A
Medicine/Telemetry
CCU
MICU
SICU
TICU
71653 / 71654
72181 / 72182
71659/ 71660
71619 / 71620
71625
VA Radiology Information (3rd Floor Clinical Addition; 70170)

CT
File Room
MRI 1
MRI 2
Nuclear Medicine
Radiology
Radiation Oncology
Scheduling
Ultrasound
76052
76080
70190
77239
70130/70137
70170/70171/70169
70142
70170
76056
VA Laboratory Information (1st Floor Clinical Addition)

Bacteriology
Blood Bank
Central Receiving Area (CRA) / Main Number
Chemistry
Cytology
Hematology
Microbiology
Pathology
Serology
Special Chemistry
TB Lab
70672
70720
70666 / 70714
70699
70687
70686
70672
70677
70260
70671
70676
Blood draws are at 5AM and 1:15PM. Lab orders need to be written and
posted on the computer by the HUC one hour before the blood draw. If you want
labs to be drawn at another time, you must order the labs on the computer and
may have to draw them yourself. Labs can also be added on (if the lab has extra
blood) by ordering them on the computer, then calling the lab and requesting an
add-on. All blood cultures must be drawn by you or your intern/resident. ABGs
are drawn by Respiratory Therapy. Just write an order, and the HUC will page
them. If you are in a hurry, you can draw the ABG yourself, page Respiratory
Therapy, and they can meet you where you are or in the ER.
There is a car system to transport specimens to the lab. Ask the nurses for
the door codes. In Building 2, use the track on the left. Be sure to use the
Biohazard cars for lab samples. If youre in a hurry, walk over to the labthe
car takes a while to get there.
34
VA: Other Essential Information

Admitting Office
Anesthesiology
Audiology/Speech Pathology
Canteen
Cardiology Office
Central Supply
Chaplain Services
Clothing Room
Corrective Therapy
Dental Services
Dermatology
Drug and Alcohol Counseling
Echocardiography
Electrocardiography (EKG)
ENT
Exercise Lab
Eye Clinic
GI Lab
GU
Holter Monitor Lab
Housekeeping
Inpatient Pharmacy
Library (3rd fl Bldg. 2)
Medical Records (old charts)
Mental Health
Morgue
Nutrition Services
Occupational Therapy
Operating Room
Oral Surgery
Orthotics Lab
Patient Transport
Pharmacy
Physical Therapy
Prosthetics
Pulmonary Function Scheduling
Radiation Therapy
Rehabilitation Medicine
Respiratory
Social Work Service
Speech Pathology
Spinal Cord Injury
Transcription
Transitional Care Unit A
Transitional Care Unit B
Vascular Lab
71449/71380/71384
71817
70951/70959
77121/77123
71556/71578
70044
71070/71078
70085
71282
71082/71083
71369 / 71443
70950
71531/71491
70112
71568
71334
71569
71640/71441
71590/71591
70364/71444
70407
70535 / 70086
70556/70586
71245/71251
70055/71364
70806 / 70805
70688
70065
71304 / 71284
71813 / 71814
71097
70089
71554/71517
70556/70586
71280 / 71283
70548/76143
70405
71601
70141
71279
70405 / 40327
70367 / 70369
70951/70959
71781/71782
71400
71713
71716
71808
35
VA Clinic Information (Clinics 1-4 on 1st floor, 5-9 on 3rd floor)

Clinic 1
71382
71441
71640
71641
Eye, Neuroophthalmology, Ophthalmology Screening,
Optometry, Retina, Visual Fields
Clinic 2
71348
71393
Alpha, Bravo, Charlie
Clinic 3
71372
72025
71378
Prime AM/PM, Prime Brief, Prime Nurse,
Prime Urgent, Protime
Clinic 4
71393
71314
71312
71737
Agent Orange, Breast, Cardiology (Thu.), Gastro, Hem/Onc,
ID, Interferon, Delta, Persian Gulf, PCC, POW,
Rheumatology, Surg/Onc
Clinic 5
71443
71369
71652
71658
Allergy, Dermatology, Diabetes, Diabetic Foot, Geriatrics,
Gyn, Lipid, Podiatry, Pulmonary, Wound
Clinic 6
71366
71371
71381
Cardiology (Wed & Fri), Endocrine, Epilepsy, Muscle,
Neurology, Renal, Sleep Eval..
Clinic 7
71439
71368
71380
71665
Amb Surgery, Back, Gen. Surg Major & Minor, Hip, Knee,
Neurosurgery, Orthopedics, Plastic Surg, Thoracic Surg,
Vascular Surg
Clinic 8
71334
Ear, ENT
Clinic 9
70951
70959
Audiology, Speech
5th Fl,
Bldg 2
71444
Impotence, Prostate, Urology
Clinic 8,
Bldg 2
71817
Pain
71359
71513
71986
36
71673
BAYLOR UNIVERSITY MEDICAL CENTER

3500 Gaston Ave., Dallas, TX, 75246
214 820-0111
Baylor General Information
ATM Access: There is an ATM machine near Jonsson Lobby.
Checks can be cashed with the cashier at the same location.
Food: Menu line (2-MENU)
The cafeteria is located in the basement of Truett.
Hours:
Daily 6:30am-8:00pm
Bake Shop is located next to the cafeteria.
Hours:
M-F 6:00am-7:00pm
Atrium Cafe is located in the lobby of Roberts Hospital.
Hours:
M-F 11:00am-2:30pm
Atrium Too is a cart just outside the Atrium.
Hours:
M-F 9:00pm-3:00am
Frullati is located in the lobby of Barnett Tower.
Hours:
M-F 6am-8pm
Sat 8am-4pm
Call Rooms: The student call rooms are located adjacent to Roberts
Hospital Lobby. Keys to the call rooms will be distributed on the first day
of the rotation. Every two call rooms share a bathroom and shower.
Phones: The prefix for all phone numbers is 820. Dial 2 in-house.
Fax numbers: Check on individual floors, as numbers change often.
Baylor Emergency Numbers

Police
Code Red
4444
4444
Stat 13
Dr. Heart
5000
5555
2505
Collins Hospital Nursing Stations

4C
7C
2744
8304
Hoblitzelle Hospital Nursing Stations

2nd floor
3rd floor
4th floor
6th floor
2H
3H
4H
6H
2076
6330
4448
2214
37
4th floor
7th floor
Jonsson Hospital Nursing Stations

2nd floor
3rd floor
4th floor
5th floor
AM Surgery
6th floor
7th floor
2J
3J
4J
5J
5J
6J
7J
3414
3404
3406
3676
8088
3555
3124
Roberts Hospital Nursing Stations

6th floor
7th floor
8th floor
9th floor
10th floor
11th floor
12th floor
13th floor
14th floor
15th floor
16th floor
6R
7R
8R
9R
10R
11E
12R
13R
14R
15R
16R
2611
3990
3400
4795
3810
3815
3820
3825
3830
3411
3840
Critical Care Nursing Stations

2nd floor
rd
3 floor
4th floor
2 North ICU
2 South ICU
3 North ICU
3 East ICU
3 South ICU
4 North ICU
4 West ICU
4 South ICU
2856
3256
3391
2247
3391
3222/3651
7273
3226
Truett Hospital Nursing Stations

2nd floor
th
5 floor
6th floor
7th floor
OP Chemical
2 East T
2 West T
OR
6 East T
6 West T
7T
Dependency
7076
7685
2153
3121
3131
2204
3505
Baylor Laboratory Information

Lab Central (all general lab results)
Bacteriology
Blood Bank
Central Collecting
Cytochemistry
Histology
Immunology
Microbiology
Mycology
Parasitology
Pathology
Pulmonary
Special Hematology
Virology
3188
3329
3263
3188
3188
2327
3581
3329
2186
3316
2251
2347
3347
2483
38
Baylor: Other Essential Information

Admitting Office, room control
Anesthesia Dept.
Bone Marrow Unit / Bone Marrow ICU
Breast Center
Cancer Center
Cardiovascular main (Heart Center)
Cardiovascular lab (Cath Lab)
Cardiovascular lab (TEE, Holter)
Chaplain
Diabetes Center
Dietary (Therapeutic)
Digestive Disease Center
Electroencephalography (EEG) / Neuroscience
Electrophysiology / MUGA
Enterostomal
ER radiology reading room
Gastroenterology (Digestive Health Associates)
GI Lab
Home Care
Internal Medicine Dept.
Interpreters
Labor & Delivery
Landry Center
Library
Circulation Desk
Medical Education
Medical Records
Nephrology
Neurology
Orthopedics
Outpatient Clinic
Page Operator
Pharmacy
PM&R (PT, OT, Speech therapy)
Psychiatry
Recovery Rooms
Pre-op Holding
Roberts Hospital
Truett Hospital
Resident Mail/TV Room
Respiratory Therapy
Social Services
Speech Therapy
Surgical Education
Surgicare
Transplant Services
Urology
39
3327
2165
2744
370-1900
3445
3333
3236
2456/4011
2542
2103
3287
3040
3003
2434
2269
2602
3853
2232
3463
4949/4663
6202
2833
2126
7800
2372
2377
2361
2135
2350
3003
3434
3275
1600
3611
2683
3505
4926
2720
2237
2330/2331
3245
3515
2683
4543
2581
2050
824-0171
Baylor: Radiology Information

Main
CT Scan
File Room
MRI
Medical Imaging
Nuclear Cardiology
Nuclear Medicine
RTAS (inpatient films)
7440
4067
3207
2310
3216
2187
4057
9729
RTAS (for retrieval of dictated radiology reports)

1. Call RTAS
2. Type in the patients birthday (MM/DD/YYYY)
3. Press 5 to get the next report, * for only the impression
Baylor Echo Results

1. Dial 214 828-5436
2. Enter: #1
3. Enter: 4 digit dictation number (your residents)
4. Enter medical record number
5. Stamp out disease.
Other important numbers
40
UT SOUTHWESTERN UNIVERSITY
HOSPITAL ST. PAUL BUILDING
214 879-1000 (Calls to this number and calls made by dialing 0 in St. Paul
are being answered by UTSW operators. Callers from UTSW can dial 4-digit
extensions to St. Paul by first dialing by the access code 34. Callers from St. Paul
UTSW 5-digit numbers can be reached after first dialing 381.
General Information
ATM Access: ATM is located on the 1st floor next to the POB Bldg.
Food: The cafeteria is located on the 1st floor (Sun-Sat 6am-6:45pm)
Call Rooms: Call rooms are located on the 2nd floor near the ER.
Emergency Numbers
Security/Safety
2671
2790
Floor Listings
Floor
3rd Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
5 East
5 West
5 South
6 South
6 East
6 North
7 North
7 South
7 East
7 West
8 North
8 South
9 North
Service
Med-Surg
Oncology
Med-Surg
Rehab
Day Surgery
Section A Ortho
Section B Surgery
Nursery
Labor & Delivery
NICU
CVICU
Telemetry
Telemetry
MICU/SICU
CICU
CVTS
Extension
3031
3030
3037
3041
3040
3047
3447
3051
3156
2150
3051
2154
3060
2160
3061
3071
3060
2170
2175
6318
3080
645-7727
St. Paul Laboratory Information

Admissions Department
Blood Gases
Breast Center, UTSW
Histology
Lab Results
2770, 2062
4241
214-648-7010
3670
3695
41
St. Paul Building
9th Floor
Ward
3 North
3 South
3 West
4 North
4 South
4 West
4 West
5 North
Outpatient Lab
Pathology
Surgical Pathology
Tumor Registry
3390
3888
2595
3663
2600
St. Paul: Other Essential Information

Administration
Anesthesia
Blood Bank
Cancer Center
Cardiology
Cath Lab
Central Supply/Sterile
Chaplain Service
Beeper
Clinic
Internal Medicine
Internal medicine clinic director
Or 972/356-0099, +17076
Nurses Station
Code Blue
Diabetes Center
Doctors Dictation
Durable Medical Equipment
Echocardiography (ECHO)
Beeper
Emergency Room Dept.
Emergency Registration
EMG
Employee Health
Environmental Services
ET Nurse
Family Practice (Harvest Hill)
Gastroenterology
Graduate Medical Education (GME)
GME-Family Practice Center SPUH
GME-Family Practice UTSW
GME-General Surgery
GME-Internal Medicine
Guest Relations
Health Information (Dictation)
Health Information (Med Records)
Help Desk
Housekeeping
House Staff Lounge
Human Resources
Infection Control
L&D Conference Room
Lab-Hematology
Lab-STAT
42
2280
2246
3688
2146
3895
3895
2587
3870
214/590-3424
4988,4989,2771
2888,2889
3639
2888
77
3285
8888
637-7455
3898
2397/2595
2396
214/362-1203
2790
2800
2397
2758
3587/3586/8484
2969
972-789-1787
3858
3786
972/789-1787
214/648-8219
6238,3788
3788,8866
2345/2085
214/879-8888
2285
214/648-9333
3586
2785, 2786
2660
2296
3127
3677
1455
Laundry
Lobby Information Desk
Medical Affairs
Microbiology
Neurophysiology (EEG)
Nutrition Services
Nutrition Svcs Dial-A-Menu
Osteoporosis Center
Outcomes Management Dept
Page Operator
Patient Information
Patient Registration
Pharmacy
Physical Medicine
Professional Office Building Lobby Info Desk
Psychiatry/Substance Abuse
PsychLink Chemical Dependency Recovery Service
Public Relations
Pulmonary Lab
Pulmonary Services
Radiation Oncology
Radiation Safety
Radiology
CT Scan
MRI
Nuclear Medicine
PICC
Sonogram
Special Procedure
Radiology reports
Radiology-Meadows MRI
Renal Dialysis
Respiratory Dept
Respiratory Therapy
Risk Management
Security/UT police
Social Work
Spanish Liaison
Stress Center
Surgery Operating Room
Surgery Schedule Secretary
Surgical Pathology
Surgery Associates Office
Telephone Operators (CTCS)
Transplant Services
Transport
Womens Center
43
8484
2103
3753
3684
2397/2595
2482
3282
3975
3850
7979
2100
2062/2770
2690/2691
3873
8634
7318/3080
630-7285
3056/3201
2595
2590
2696
2688
2750, 2745
4165
2879
2580
6775
4163
4169
214/879-8888
214/590-4525
3075
1738
2590
3880
214/648-8311
3850
3088
3898
2231
2251
3663
3787, 3797
214/648-8299
6210
3584
3887
PRESBYTERIAN HOSPITAL OF DALLAS

8200 Walnut Hill Lane, Dallas, TX, 75231
214 345-6789
General Information
ATM Access: There is an ATM machine on the first floor of the main
hospital, near the lobby.
Checks can be cashed with the cashier located next to the ATM.
Food:
Caf Presby is on the first floor of the main building.
Menu Line
Hours: Daily
(Caf Presby only)

x4237
7:00am-10:00am
11:00am-3:30pm
4:00pm-12:30am
Doctors Dining Room is on the first floor of the main building and has free
drinks, yogurt, cookies, and string cheese. Code to enter the door is 214.
French Garden Deli is located on the first floor of the Perot Center.
Hours:
M-F
Sat
7:00am-7:00pm
8:00am-3:00pm
Jackson Cafeteria is on the ground floor of the Jackson Building.

Hours:
M-F
11:30am-1:30pm
Wall Street Deli is on the first floor of Professional Building 3.

Hours:
M-F
7:00am-4:00pm
Taco Bell is on the first floor of Professional Building 3

Hours:
M-F
11:00am-2:00pm
Residents Lounge: The residents lounge is on the 9th floor of the main
building. It has computer access, cable TV, and a pool table. To get in the
door, turn the handle to reset the keypad, then enter 997722.
Phones: The prefix for all phone numbers is 345. For in-house dialing, simply
enter the four digit phone extension.
Emergency Numbers
8888
6666
7753
Page Operator
8480
Emergency Room
Main
Triage
Meadows
7885
5657
5658
44
Presbyterian Hospital of Dallas
Medical Emergency
Fire/Emergency
Security Dispatch
Presby Main Hospital Nursing Stations

1 ICU
Main 2W
Main 2E
2 ICU
Main 3W
Main 3E
3 ICU/CCU
Main 4W
Main 4E
4 ICU
Main 5W
Main 5E
Main 6W
Main 6E
Main 7W
Main 7E
Main 8W
Main 8E
9 ICU
101-109
201-226
230-248
280-288
301-326
332-351
381-390
401-426
427-451
480-490
501-526
527-551
601-626
627-651
701-726
727-751
801-826
827-851
981-984
7956
7200
7290
7992
7300
7390
7682
7400
7490
7692
7500
7590
7600
7690
7700
7790
7800
7890
7068
Jackson Hospital Nursing Stations

Jackson 2W
Jackson 2E
Jackson 3W
Jackson 3E
Playroom
Jackson 4W
Jackson 4E
Jackson 5W
Jackson 5E
Jackson 6W
Jackson 6E
201-227
228-253
301-327
329-353
401-424
425-444
524-544
550-572
624-634
644-663
5200
5290
5300
5390
5333
5400
5490
5500
5590
5600
5690
Perot Center Nursing Stations

Perot 4W
Perot 4E
Perot 5W
Perot 5E
Newborn Nursery
NICU
Labor and Delivery
Special Care Nursery
401-421
427-451
501-526
527-551
2400
2490
2500
2590
2562
2647
2652
2820
Presby: Other Essential Information

Admitting
Jackson
Labor and Delivery
Main
Meadows
Perot
Short Stay Nursery
Bed Control
Blood Bank
Case Management
Chaplain
8309
7997
2642
7872
5658
2491
2581
7871
7763
4350
7158
45
Community Mental Health Center (CMHC)

Doctors Dining Room
Echo
EEG
EKG
Facilities Management
Geriatrics
Home Health
Hotel Presby
Infection Control
Information Systems
Main
Help Desk
Insurance Verification
Laboratories
Chemistry/Results/Misc
Cytology
Histology
Microbiology
Nuclear Medicine
Phlebotomy
Special Procedures
Menu Line (Caf Presby only)
Medical Records
Nuclear Medicine
Occupational Therapy: Main
Jackson
Operating Rooms
Main
Perot
PACU
Main
Perot
Pharmacy
Physical Therapy
Main
Jackson
Psychiatry
Adult Day Hospital (Jackson 5W)
Adult Inpatient Unit (Jackson 5E)
Community Mental Health Center (CMHC)
Consult & Emergency Services
Eating Disorders Program
Psychiatric Intake
Pulmonary Diagnostic Lab
Radiology
CT Scan
File Room
Main
MRI
Perot File Room
Special Procedures
Ultrasound
Residents Lounge
46
7355
6904
2630
7980
7782
8515
8787
4663
4030
8123/6307
8516
4357
4397
7760
4910
7552
6350
2632
7760
6350
4237
7670
2556
7483
7387
7470
2661
7176
2670
7180
7480
7680
5500
5590
7355
7355
8752
8747
7884
8476
6956
7770
6905
2394
6934
7694
4714/ 4711/ 4701
FOOD
One of the essential tasks of the 3rd year medical student is to organize food when
on call. Taking food orders and then making a take-out run offers the advantage
of getting out of the hospital for a while! Be sure to ask other on-call teams or
services if theyd like to get in on your food order, and try to collect cash
(including tax!) when you take the order, instead of trying to page everyone and
collect money later.
If you are in the medical center with no time to leave, you have several options:
Parkland Cafeteria: located on the 1st floor (South). Open every day.
Hours:
Breakfast 7:00am-9:30 am
Lunch
11:30am-1:30pm
Dinner
5:00pm-6:30pm
Menu available daily on the Parkland website
McDonald's:
Hours:
located on the 1st floor of Parkland.

M-F 5:00am--4:00am
Sa-Su 7:00am-11:00pm only
Childrens Cafeteria: located in front of G Elevators, lower level.

Menu:
4237
Main Cafeteria Hours: 6:30am-10:30am, 11am- 2pm, 5pm-2:30am.
Jackson Cafeteria Hours: 11:30am- 2:30pm
Margot Perrot Deli Hours: 7am- 7pm
Zale Lipshy:
Cafeteria: ground floor, 6:30am-9:00am, 11:00am-1:30pm
Convenience Store: ground floor, open 9:00am-7:00pm
Local Restaurants: (menus in OR Lounge or Biotel, across from Psych ER)

Anderson's BBQ
Bangkok City
Chipotle Mexican Grill
Eatzis
Gloria's
Lover's Eggroll
Miami Subs
Panda's
Parkland Subs
Pizza Inn
Qdoba Mexican Grill
Quiznos Subs
Sal's Pizza and Restaurant
Sonny Bryans BBQ
Starbucks
214-630-0735
214-824-6200
214-871-3100
214-526-1515
214-521-7576
214-358-1318
214-521-9570
214-528-3818
214-634-3330
214-526-2560
214-352-2277
214-231-7827
214-522-1828
214-357-7120
214-522-3531
47
5410 Harry Hines Blvd

4301 Bryan St
2705 McKinney Ave
3403 Oak Lawn Ave,
4140 Lemmon Ave,
5360 W Lovers Ln,
3826 Lemmon Ave
3917 Cedar Springs Rd
2115 Butler St
5460 Lemmon Ave
5600 W Lovers Ln,
2626 Howell St
2525 Wycliff Ave
2202 Inwood Rd
4101 Lemmon Ave
Starbucks
Taj Express
Thai Lotus
Thai Nipa
Tom Tom Noodle House
214-219-0369
214-528-0200
214-520-9385
214-526-6179
214-522-1694
3330 Oak Lawn Ave

4436 Lemmon Ave,
3851 Cedar Springs Rd
4315 Lemmon Ave
3699 McKinney Ave
VA: The cafeteria is located in the basement of VAMC. Check with the
medicine or surgery offices for on-call meal vouchers (good mostly for
breakfast or lunch). There are restaurants located near VAMC around
Marvin D. Love Freeway. You can call most of the restaurants to order
take-out, but they typically do not deliver to the VA. Its about a 15-minute
drive to these restaurants.
Glorias
Olive Garden
Chilis
Outback Steakhouse
214-948-3672
972-298-8871
214-330-4829
972-228-8748
600 West Davis Street Dallas

639 N Cockrell Hill Rd (Duncanville)
7035 Marvin D Love Fwy
(Desoto)
In addition to the above restaurants, there are many fast food restaurants in the
immediate vicinity of the VA along Lancaster Rd. and the adjacent streets. Be
careful, especially at night.
Churchs
Long John Silvers
Dominos Pizza
Lubys
Pizza King
KFC/ Taco Bell
Sweet Georgia Brown
Wingstop
Subway
Long John Silvers
Long John Silver's
Mcdonald's
William's Fried Chicken
Taco Bell
214-374-8700
214-374-1199
214-375-3030
214-371-8080
214-371-5464
214-371-9028
214-375-2020
214-374-9464
214-623-0528
214-374-1199
214-371-2741
972-224-4021
972-228-0668
214-339-9640
48
3605 S Lancaster Rd
2828 E Ledbetter Dr
1111 W Ledbetter Dr
4155 S R L Thornton Fwy
3410 S Lancaster Rd
2802 E Ledbetter Dr
2840 E Ledbetter Dr
2207 E Ledbetter Dr
2231 W Ledbetter Dr
2828 East Ledbetter Drive
3606 South Polk Street
8333 South Lancaster Road
8502 South Lancaster Road
2332 West Ledbetter Drive
REFERENCE AND RANDOM USEFUL INFO

LAB INFO
(note: normal lab values vary by hospital)

Shorthand for Laboratory Values
MCV/MCH/MCHC
CBC:
Hgb
WBC
Platelets
Hct
Segs/ Bands/ Lymphs/ Monos/ Basos/ Eos
Chem 7 or 10:
Na
Cl
BUN
Ca
Glucose
HCO3
Cr
Phos
Mg
Coags: PT / INR / PTT

Blood Gases: pH / PCO2 / HCO3 / PO2 / % O 2 sat
Normal Blood Gas Values
Measurement
Arterial Blood
Venous Blood
PH
7.40
7.36
pO2
80-100 mm Hg
30-50
PCO2
35-45 mm Hg
40-52
O2 Saturation
> 95%
60-85%
HCO3
22-26 mEq/L
22-28 mEq/L
Base Difference (deficit/excess)
-2 to +2
-2 to +2
Simple Acid Base Disturbances
Acid Base Disorder
Primary
HCO3
Metabolic Acidosis
HCO3
Metabolic Alkalosis
pCO2
Respiratory Acidosis
pCO2
Respiratory Alkalosis
Secondary
pCO2
pCO2
HCO3
HCO3
Expected Compensation
pCO2 = (1.5 x HCO3 ) + 8

pCO2 = (0.9 x HCO3 ) + 9
HCO 3 = 0.35 x pCO2
HCO 3 = 0.50 x pCO2
Common Hematologic Studies

PT (extrinsic pathway)
PTT (intrinsic pathway)
Hemoglobin
Male
Female
Hematocrit
Male
Female
Mean corpuscular volume
Leukocyte profile
Total
Lymphocytes
Mononuclear cells
Granulocytes
Platelet count
Erythrocyte Sedimentation Rate
11-13 sec
22-31 sec
14-18 g/dL
12-16 g/dL
40-52%
37-46%
82-105 um3
4.8-10.8 X 103/ul
0.8-3.1 X 103/ul
0.1-0.8 X 103/ul
2.3-7.7 X 103/ ul
140-450 X 103/ ul
0-15 mm/ hr
49
Common Serum Chemistries

Albumin
Ammonia (plasma)
Bilirubin: Total
Direct
Calcium, Total
Chloride
Cholesterol (Desirable)
Creatinine
Glucose, Fasting
Magnesium
Osmolality
Phosphate
Potassium (plasma)
Protein, Total
Sodium
Urea Nitrogen
Uric Acid
3.5 5.0 gm/ dl

28 80 ug/ dl
< 1.5 mg/ dl
< 0.4 mg/ dl
8.5 10.5 mg/ dl
95 105 mmol/L
< 200 mg/ dl
0.7 1.3 mg/ dl
70 110 mg/ dl
1.4 2.0 mEq/ L
270 300 mOsm/ kg
2.5 4.5 mg/ dl
3.2 4.5 mmol/ L
6.0 8.0 gm/ dl
135 145 mmol/ L
8 22 mg/ dl
3.2 7.2 mg/ dl
Common Serum Enzymatic Activities

Amylase
Alkaline phosphatase
ALT, SGPT
AST, SGOT
Creatine Kinase
CK-MB (heart)
CK-MM (skeletal muscle)
CK-BB (brain)
GGT (-glutamyl transferase
LDH
Lipase
<200 IU/ L
<115 IU/ L
<38
<40
<195 IU/ L
<6% (heart)
94-100%
0%
<70 IU/L
<242 IU/ L
0-160 IU/ L
Common Phlebotomy Tubes

Labs
Amylase/Lipase
Cardiac Enzymes
Electrolytes
Hemogram/ Platelet/ Differential (CBC)
Hepatitis Serologies
LFTs
EtOH
Lactate
PT/PTT
Phlebotomy Tube
Gost Top
Gost Top
Gost Top
Lavender Top
Gost Top
Gost Top
Red Top
Gray top (on ice)
Blue Top
Note: Gost (pronounced ghost) = yellow

Common Conversions:
1 pound = 2.2 kg
1 inch = 2.54 cm
98.6 o F = 37 o C
100.4 o F = 38 o C
101.3 o F = 38.5 o C
Convert anything at
www.onlineconversion.com
50
NUTRITION
A quick way to consider nutrition for a patient with chronic diseases such as
diabetes, hypertension, and coronary artery disease is to think of WAVEthe
patients Weight, Activity and diet in terms of Variety and Excess. Guidance
for WAVE can be found at www.utsouthwestern.edu/naa/wave/wave_info.htm
Weight can be quickly assessed using Body Mass Index (BMI).
The calculation for Body Mass Index is:
BMI = [weight (pounds) / height (inches)2] x 704.5
Underweight
<18.5
Normal
18.5 24.9
Overweight
25- 29.9
Obese
30-39.9
Extreme Obesity
> 40
Ordering Hospital Diets
Each patient upon admission to the hospital should have a diet order (even if it is
NPO indicating that nothing is permitted orally). Write diet orders in
terminology consistent with the options available on the computer for the unit
clerk to enter. If you have questions, the clinical dietitian assigned to your floor
is available to advise you and will, as patient load permits, assess nutritional
status and diet orders of each patient. Listed below are common diet orders for
Parkland. (If needed, several different orders can be combined.) For a more
complete listing of diets and nutritional products you can consult:
The DFWHC Manual of Nutrition Therapy (large red binder located at nursing
stations)
Dietary Rx booklet- PHHS Physicians Nutrition Therapy Guide (a thin pocket
guide distributed to Parkland house staff)
Children Medical Centers Nutrition Formulary
For diet changes: remember to rewrite the entire diet order. If the patient was
on a 4 gm sodium diet and now you want it to become a diabetic diet, you need to
include the 4 gm sodium descriptive again (ie 1800 cal ADA, 4 gm sodium diet).
Diet Progression (Commonly used after surgery)
NPO
Clear Liquid (CL)
Full Liquid (FL)
Mechanical Soft (for chewing difficulties)
Soft (can use in transition from FL to General, limits fried foods and gassy
vegetables)
General (2500 kcalories)
And theres a Hispanic and Oriental General Diet to meet cultural requests.
Diet Modified by Texture
Mechanical Soft (ground meat, soft vegetables)
Pureed Diet (like baby food)
With Thick Liquids for Dysphagia (for swallowing difficulties, used with other
diets)
Wired Jaw Diet
51
Medical Nutrition Therapy for Diseases

Low Saturated Fat-Low Cholesterol Diet (or TLCTherapeutic Lifestyle
Change)
Sodium Restriction (For some patients a fluid restriction may also be
included.)
4 gm/No Added Salt (for hypertension)
2 gm/Low Salt Low Sodium (used with heart failure or ascites)
GI Dietsa number are possible, including
Low Fiber/Low Residue
Low Fat (40-50 gms fat on a 2000 kcal diet)
High Fiber
Renalvarious levels of protein from 40-100 gm protein often with
accompanying
potassium and sodium restrictions
Liverif encephalopathy cannot be corrected with meds, protein is restricted,
usually .6-.8 gm/kg dry weight
Diabetic, for inpatients specify ADA with a kcal level
1200-1400; 1500-1600; 1600-1800; 2000; 1800-2000; 2200, 2400
Obesityselect a kcal level from 1000, 1200, 1400, 1500, 1600, 1800, 2000
(Adapted from Physicians Guide to Ordering Diets, PHHS, 2002-2003.)
GENERAL HEALTH MAINTENANCE

American Cancer Society Recommendations
For early detection of cancer in average-risk, asymptomatic people
Breast (F, age 20+)

Breast self-exam
Clinical breast exam
Mammography
Monthly, starting at age 20

Every 3 yrs, ages 20-39
Annual, starting at age 40*
Annual, starting at age 40
Colorectal (M/F, age 50+)

FOBT and flex sig
DCBE
Colonoscopy
Annual FOBT and flex sig every 5 yrs, starting

at age 50
Every 5 yrs, starting at age 50
Every 10 yrs, starting at age 50
Prostate (M, age 50+)

DRE and PSA test
Offer annually starting at age 50 for men who

have a life expectancy of at least 10 yrs**
Pap Smear/Cervical Screening(F, age 18+)

Pap test and pelvic exam: Begin 3 yrs after onset of vaginal intercourse, but
no later than 21 yrs of age. Screen annually with conventional Pap tests or
every 2 yrs using liquid-based Pap tests. Screen every 2-3 yrs for age 30
after 3 consecutive normal test results. May stop screening if >70 with 3
normal tests and no abnormal tests in last 10 yrs, or after total hysterectomy.
52
ATP III Cholesterol Guidelines

LDL-C
Risk Category
Goal
CHD or Equiv
<100 mg/dL
2+ Risk Factors
<130 mg/dL
0-1 Risk Factor
<160 mg/dL
LDL for Lifestyle

Changes
100 mg/dL
130 mg/dL
160 mg/dL
LDL for drugs

130 mg/dL
130 mg/dL
190 mg/dL
CHD equivalents: DM, AAA, carotid or peripheral artery disease.

Major Risk factors: (1) HTN or on BP meds, (2) Age >45 male or > 55 women, (3)
Smoking, (4) HDL <40, (5) Family history (1st degree relative with CAD <55 y/o male or
<65 y/o female)
USEFUL PATIENT CARE GUIDELINES

Diagnostic Criteria for Diabetes
Fasting blood glucose > 126 on 2 occasions.OR
Random blood glucose > 200 on 2 occasions
* requires symptoms (polyphagia, polydipsia, or polyuria)
HbA1C is currently not an option. Criteria differ in pregnancy.
Insulin Sliding Scale
Use SSI to cover the patient while you adjust the basal NPH or 70/30 doses.
Check Blood Glucose qid (before meals and at bedtime), then convert to bid
dosing when possible. You can calculate the total Regular Insulin requirement
from the total used in SSI, then distribute it for the day as follows:
AM: 66% Total (1/3 Regular, 2/3 NPH)
PM: 33% Total (1/2 Regular, 1/2 NPH)
Sample Sliding Scale (Units of regular insulin)
CBG
BB
BL
BS
0-60
Give orange juice and call house officer
61-200
No Insulin
201-250
2U
2U
2U
251-300
4U
4U
4U
>300
6U
6U
6U
Glascow Coma Scale
Eye Opening
4. Spontaneous
3. To command
2. To pain
1. None
Verbal Activity
5. Oriented
4. Confused
3. Inappropriate
2. Incomprehensible
1. None
HS
0U
2U
4U
Motor Activity
6. Obeys commands
5. Localizes pain
4. Withdraws to pain
3. Flexion to pain
2. Extension to pain
1. None
Degree of brain injury: 13 mild, 9-12 moderate, 8 severe, 3=death
53
Apgar Score
Signs/points
Heart rate
Respirations
Muscle tone
Reflex
Color
Absent
Absent
Limp
No response
Blue
<100
Slow/irreg, weak cry
Some flexion
Grimace
Blue extremities
>100
Vigorous cry
Arms, legs flexed
Cry, withdrawal
Pink all over
IV Solutions (ions in mEq/L)

Solution
D (g/L) Cal/l
0.9 NS
0
0
LR
0
9
D5W
50
170
D5 0.45 NS
50
170
D5 LR
50
179
D=Dextrose, Lac=Lactate
Na
154
130
0
77
130
K
0
4
0
0
4
Ca
0
3
0
0
2.7
Cl
154
109
0
77
109
Lac
0
28
0
0
28
Osm
310
273
253
405
527
DOMESTIC VIOLENCE ASSESSMENT

Domestic violence is the number one cause of injury to women.
Healthcare workers have a crucial role in identification and referral!
SCREEN PATIENTS FOR DV: H-I-T-S

How often does your partner:
Physically Hurt you?
Insult you or talk down to you?
Threaten you with harm?
Scream or curse at you?
Points for each answer:

Never =
1
Rarely =
2
Sometimes =
3
Fairly often = 4
Frequently = 5
Total scores 10 indicate the patient is in a dangerous relationship

and should be offered help.
Exercise caution when asking domestic violence screening questions. For
example, a victim is not likely to give reliable answers if you ask the questions
while her partner is in the exam room. Create an excuse for the woman to be
interviewed alone (gyn exam privacy, paperwork that needs to be filled out)
before asking the questions.
The VIP Center at Parkland Hospital (214-786-1110) provides multidisciplinary
health-care intervention for victims and survivors of violence, with caseworkers
available round the clock.
Counseling and Intervention Resources for Victims
Parkland Rape Counseling Center: 214-590-0430
Violence Intervention Prevention Center: 214-590-2926
Genesis Womens Shelter: 214-942-2998 (answered 24/7)
Genesis Womens Outreach (counseling): 214-559-2050
National Hotline: 1-800-799-SAFE

54
USEFUL SPANISH PHRASES

Caution: The phrases presented in this section are not complete enough to take a
full H&P, but should help you in the ER or on your daily morning rounds. Note
that, unlike English, Spanish has a formal and informal tense when referring to
the 2nd person (i.e: you, your, etc.).
Suggested references for medical Spanish: Que Paso (by Kantrowitz), Medical
Spanish Pocket, also check out www.freetranslation.com
Basic Spanish
You need
You must
I want
Would you
Can you
When?
How much/how many?
Where?
Please try
Necesita
Tiene que
Quiero
Podria
Puede
Cuando
Cuanto
Donde
Trata por favor
Common Phrases
Where are you going?
Goodbye
Welcome
Good luck
Good evening/good night
Sure. Of course.
How do you say in Spanish?
Slower
Excuse me
Be careful
Wait
Im sorry
Why not?
Do you have
Get lost
Beat it
Ill be back
I speak very little Spanish
Im learning to speak Spanish
Please answer yes or no to my
questions
Huh?
A donde va
Adios
Beinvenido
Buena suerte
Buenas noches
Claro
Come se dice en Espanol
Mas despacio
Con permiso
Con cuidado
Espera
Lo siento
Por que no?
Tiene usted
Vayase
Vete
Voy y vengo
Hablo muy poco espanol
Estoy aprndiendo hablar espanol
Por favor contesta si o no a mis
preguntas
Mande?
55
Body Parts
Head
Back
Abdomen
Breasts
Face
Belly
Chest
Extremity
HEENT
Eyes
Cheek
Ears
Freckles
Lips
Mouth
Nose
Sinus
Teeth
Neck
Throat
Adams apple
Specific Anatomy
Heart
Liver
Spleen
Lungs
Kidneys
Skin
Anus
Appendix
Bladder
Bronchi
Brain
Buttocks
Gallbladder
Hair
Intestines
Nerves
Pancreas
Penis
Rectum
Stomach
Vagina
Womb
Cabeza
Espalda
Vientre
Senos
Cara/Rostro
Panza/barriga
Pecho
Extremidad
Ojos
Cachete
Oidos/orejoas
Pecas
Labios
Boca
Nariz
Seno
Dientes
Cuello
Garganta
La nuez de adan
Corazon
Higado
Bazo
Pulmones
Rinones
Piel
Ano
Apendice
Vejiga
Bronquios
Cerebro
Cadera
Vesicula biliar
Pelo
Intestino
Nervios
Pancreas
Pene, Miembro viril
Recto
Estomago
Vagina
Matriz
56
Extremities
Bones
Joints
Arms
Shoulder
Muscles
Hands
Thumb
Wrists
Legs
Feet
Huesos
Articulacion
Brazos
Hombro
Musculos
Manos
Pulgar
Munecas
Piernas
Pies
Introduction
Good morning.
Good afternoon/evening.
My name is I am the medical
student helping the doctors here.
How are you?
better
so so
good
Buenos dias.
Buenas tardes/noches.
Me llamo Soy el/la estudiante
medico(a) ayudando a los doctores aqui.
Como esta?
mejor
mas o menos
bien
Patient Information
What is your name?
How old are you?
Do you live with your...
...parents / spouse ?
...son/daughter?
...mother / father?
...grandmother/grandfather?
...a friend?
Have you been here before? When?
Como se llama?
Cuantos aos tiene?
Con quien vive? Con su (s):
...padres / esposo (a)?
...hijo(a)?
...madre / padre?
...abuela(o)?
...amigo (a)?
Ha estado aqui antes? Cuando?
Common Complaints
Doctor, I have
Abscess
Backache
Bellyache
Headache
Heartache
Stomacache
Addiction
Allergies
Anemia
Andina
Anxiety
Doctor, yo tengo
Absceso
Dolor de espalda
Dolor de barriga
Dolor de cabeza
Angusita
Dolor de estomago, colicos
Adicion
Alergia
Anemia
Andina
Anseidad
57
Asthma
Bleeding
Bump/lump
Burn
Chills
Chest pain
Cancer
Cirrhosis
Cough
Constipation
Crazy
Cramps
Edema
Fart
Fear
Fevers
Gallstones
Gunshot wound
Heart attack
Heart failure
Hematochezia
Hematemesis
Hemorrhoids
High blood pressure
High blood sugar
Insanity
Itch
Jaundice
Kidney stone
Lame
Liver disease
Loss of consciousness
Mental illness
Night sweats
Numbness
Obstruction
Pain
Pain-boring
Pain-continuous
Pain-burning
Pain-cramping
Pain-deep
Pain-dull
Pain-gripping
Pain-heavy
Asma
Sangrado
Bulto, protuberancia
Quemadura
Escalofrios
Dolor en el pecho
Cancer
Cirrosis
Toz
Estrenimiento
Loco
Calambres
Hinchazon
Pedo
Miedo
Fiebre, calenture
Piedras de la hiel
Escopetazo
Ataque de Corazon
Falla cardiaca
Desposiones con sangre
Vomito con sangre
Almorranas
Alta presion
Alta azucar en la sangre
Locura
Comezon, picazon
Peil amarilla
Calculo en el rinon
Cojo
Enfermedad del higado
Perdida del conocimiento
Enfermedades mentales
Sudores por la noche
adormecimiento
Obstruccion
Dolor
Dolor penetrante
Dolor continuo
Dolor que quema
Dolor calambre
Dolor hondo
Dolor sordo
Dolor resgante
Dolor pesado
58
Pain-intense
Pain-pressure
Pain-referred
Pain-ripping
Pain-severe
Pain-sharp
Pain-shooting
Pain-tearing
Pain that moves
Pain-throbbing
Pain-tightness
Pneumonia
Rabies
Rash
Ringing in ears
Runny nose
Scabies
Stroke
Sweating
Swelling
Thyroid problems
Tuberculosis
Venereal disease
Blurred vision
Weight change
Worms
HPI
Why did you come to the
hospital/clinic?
What happened / Whats the
matter?
Are you in pain now?
Where does it hurt?
Show me with one finger.
Does anything else hurt?
How long have you had this pain?
for hours / days / weeks
since this am/pm
When did this pain occur / start?
regularly/irregularly
before/after eating
when walking/laying down
after physical exertion
Did the pain come on suddenly?
Does the pain occur repeatedly?
Dolor intensivo
Dolor con presion
Dolor referido
Dolor rasgante
Dolor severo/fuerte
Dolor agudo
Dolor punzante
Dolor desgarrante
Dolor que se mueva
Dolor pulsante
Dolor tirantez
Pulmonia
Rabia
Salpullido, erupcion
Zumbido
Catarro, moquean
Sarnas
Apoplejia
Sudor
Hinchazon
Problemas de las tiroides
Te-Be
Enfermedad venereal
Vista nublada
Cambiado de peso
Lombrices
Por que vino a el hospital / la clinica?
Que occurrio / Que le ocurre?
Tiene dolor ahora?
Donde le duele?
Muestreme/Enseeme con un dedo.
Le duele algo mas?
Cuando hace que padece ese dolor?
desde hace horas / dias / semanas
desde esta maana / noche
Cuando occurio / empiezo el dolor?
regularmente/esporadicamente
antes de / despues de comer
al andar / estando echado(a)
despues de un esfuerzo
El dolor se presenta de repente?
El dolor se presenta con cierta
59
Is the pain constant?

How long does the pain last?
Have you have this kind of pain
before? How often?
What kind of pain do you have?
wrenching / throbbing / crampy
burning / stabbing
Does the pain radiate?
What helps the pain?
What makes it better / worse?
change of position
heat / cold / rest
nothing / medication
frecuencia?
Permanece el dolor o las molestias?
Cuanto tiempo dura el dolor?
Habia padecido a alguna vez ese dolor?
Con que frecuencia?
Que tipo de dolor tiene?
tirones / palpitaciones / calambres
escozor / punzadas
Nota si el dolor se expande?
Con que se alivia el dolor?
Que hace que el dolor sea mejor / peor?
cambio de posicion
calor / frio / descanso
de ningun modo / algun medicamentos
ROS
Do you have chest pain / difficulty
breathing?
while exercising?
at rest?
when you are upset?
Have you had a fever?
Have you noticed a change in your
bowel habits?
Do you have a good appetite?
Are you hungry?
Has your weight incrsd/ dcrsd?
Do you feel nauseated?
Do you vomit?
Do you have
constipation / diarrhea?
black stools (melena)?
bloody stools?
Do you have problems with
headache?
having low energy?
sleeping / thinking?
feeling sad?
thinking about suicide?
losing/gaining weight?
eating?
your strength?
urinating?
defecating?
muscle/bone pain?
your skin?
When was your last period?
How long did it last?
Tiene dolor en su pecho / dificultades

para respirar?
durante ejercicio?
al descansar?
cuando es que se molesta?
Ha tenido fiebre?
Ha notado un cambio en su
popo/excremento?
Tiene bueno apetito?
Tiene hambre?
Su peso ha subido / bajado?
Tiene nausea?
Ha vomitado?
Tiene
estreimiento / diarrea?
popo/excremento negra?
sangre en su popo/excremento?
Tiene problemas
de dolores de cabeza?
de tener bastante energia?
al dormir / pensar?
de sentirse triste?
de pensaminetos de suicidarse?
de perder/aumentar de peso?
al comer?
de las fuerzs?
de orinar?
al hacer del bao?
de dolores de los musculos/huesos?
de la piel?
Cuando fue su ultima regla?
Cuanto tiempo duro?
60
Heavy/light flow?
Was it normal/abnormal?
PMH / Soc Hx
Do you have asthma / DM / HTN?
...heart disease
AIDS?
...other medical problems
Have you ever had surgery?
Are you taking any medications?
Do you have any allergy to meds?
Do you smoke (regularly)?
Do you drink?
Do you use any drugs?
Do you have tattoos?
Have you ever received a blood
transfusion?
PE
I am going to examine your
I am going to inspect your
...head / mouth
...heart / lungs / abdomen
Mucha/poca sangre?
Fue normal/anormal?
Tiene asma / diabetes / presion alta?
...problemas/enfermedades del corazon?
SIDA?
...otros problemas medicos?
Ha tenido alguna operacion/cirugia en el
pasado?
Toma actualmente algun medicamento?
Tiene alergias a algun medicamento?
Fuma (habitualmente/regularmente)?
Bebe / Toma alcohol?
Toma alguna droga?
Tiene algun tatuaje?
Ha recibido trasfusiones de sangre?
...breasts / rectum / cervix

Relax.
Breathe deep / normally.
Do not breathe / hold your breath.
Breathe through your mouth.
Open your mouth.
Show me your tongue.
Open / close your eyes.
Cough. Again. Swallow.
Sit up. Lie down. Stand up.
Please lift up / move your
arm / hand / leg / foot
head / shoulders / buttocks
Follow my finger (the light).
Make a fist.
Do like this... (then show them)
Le voy a examinar su(s) ...

Le voy a inspeccionar su(s)
...la cabeza / la boca
...el Corazon / los pulmones / el
estomago
...los pechos / el recto / la boca de matriz
Relajase/Calmase.
Respire profundo / normalmente.
No respire / aguante la respiracion.
Respire por la boca.
Abra la boca.
Saque la lengua.
Abra / cierre los ojos.
Tose. Otra vez. Trague / Pase la saliva.
Sientase. Acuestese. Levantese.
Por favor, levante / mueva su(s)
brazo / mano / pierna / pie
cabeza / hombros / pompis
Siga mi dedo (la luz).
Haga un puo.
Haga esto
Surgery / Ob-Gyn Postop Checks

How are you feeling today?
How is your pain?
Is your pain getting better?
Are you eating / walking / voiding
ok?
Como se siente hoy?

Le duele mucho o poco?
Su dolor esta mejorando?
Esta comiendo / caminando / orinando
bien?
61
Any CP / SOB / f/n/v?

Are you passing gas?
Have you had a bowel movement?
You need to ambulate today.
You need to use this (IS) 10 times
every hour.
Today take only clear liquids.
Nothing by mouth.
Home today (tomorrow)!
Ha tenido dolor en su pecho /

difficultades para respirar / fiebre /
nausea / vomito
Ha pasado gas de abajo? Ha heco
popo/excremento (numero dos)?
Necesita caminar mucho hoy.
Necesita usar esto diez veces cada hora.
Hoy tome solamente liquidos.
Hoy no puede tomar nada por la boca.
Se va a la casa hoy (maana)!
Obstetrics
Is the baby moving well?
Are you having contractions?
Your water has not broken?
Push! Stronger!
Its a boy/girl
Good work!
Keep pushing like that!
He (she) weighs __ lbs and __ oz
Su bebe esta moviendo bien?

Tiene contraciones ahora?
Su bolsa de agua esta intacta?
Empuje! Mas fuerte!
Es un nio / una nia.
Muy bien!
Siga empujando asi!
Pesa __ libras y __ onzas.
Miscellaneous
Is there anyone here who speaks
Spanish/English?
Do you understand?
Sorry, I didnt understand you.
Speak slower, please.
Please, repeat it slowly.
We need an interpreter!
Do you have any questions?
Ive never done this before.
I dont know what Im doing.
Im not a doctor, but I play one on
TV.
Take care. Be careful.
I hope you get better soon!
Hay alguien aqui que hable

Espanol/Ingles?
Entiende usted?
Lo siento, no le he entendido.
Hable mas despacio, por favor.
Repita lentamente, por favor.
Necesitamos un traductor!
Tiene algunas preguntas?
Nunca he hecho esto antes.
No se lo que estoy haciendo.
No soy doctor, pero actuo como
uno en la television.
Que le vaya bien. Cuidese.
Que se mejore!
CALL ROOM INFO

Locations: Please refer to the respective sections describing each rotation
(pp. 8-13).
Etiquette: Use common sense, eg. do not waltz in at 2am and

turn on the lights - be respectful of your classmates (and
residents) who may already be sleeping!
62
ABBREVIATIONS
AAA
AAO
Ab
ABG
ABI
Abx
a.c.
AD
ad lib
AEA
AF
AFB
AFP
AFSF
AG
AKA
AMA
AOCD
AODM
AP
ARDS
ARF
AROM
AS
ASA
ASB
ASHD
AT
ATN
AU
AVF
AVM
AWOL
BBB
BCP
BE
BEA
bid
BKA
BM
BOM
BOWI
BOWR
BPM
BRBPR
BRP
BS
BSO
BTL
Bx
C
Abdominal aortic aneurysm

Awake, alert, and oriented
Abortion
Arterial blood gas
Ankle-brachial index
Antibiotics
Before meals
Right ear
As desired, freely
Above elbow amputation
Atrial fibrillation, afebrile
Acid-fast bacilli
Alpha fetoprotein
Anterior fontanel soft/flat
Anion gap
Above knee amputation
Against medical advice/ advanced
maternal age
Anemia of Chronic Disease
Adult-onset diabetes mellitus
Anteroposterior
Acute respiratory distress
syndrome
Acute renal failure
Artificial rupture of membranes
Left ear
Aspirin
Asymptomatic bacteriuria
Arteriosclerotic heart disease
Atrial tachycardia
Acute tubular necrosis
Both ears
Arteriovenous fistula
Arteriovenous malformation
Absent without official leave
Bundle branch block
Birth control pill
Barium enema
Below elbow amputation
Twice a day
Below knee amputation
Bowel movement
Bilateral otitis media
Bag of water intact
Bag of water rupture
Beats per minute
Bright red blood per rectum
Bathroom privileges
Bowel sounds, breath sounds
Bilateral salpingo-oophorectomy
Bilateral tubal ligation
Biopsy
With
63
CA
CABG
CAD
CBC
CBD
CBG
C/C/E
CCU
c/d/i
CEA
CHF
CHI
Circ
CM
CMT
CMV
CO
c/o
COPD
CPAP
CPD
CRF
C&S
C/S
C/T
CTA
CVA
CVP
C/W
Cx
CXR
D&C
D&E
D/C
DCBE
DDx
DGI
DIC
DJD
DKA
DM
d/o
DOA
DP
DPL
DPT
Carcinoma/Cancer
Coronary artery bypass graft
Coronary artery disease
Complete blood count
Common bile duct
Capillary blood glucose
Clubbing/cyanosis/edema
Coronary care unit
Clean, dry, and intact
Carcinoembryonic antigen
Carotid endarterectomy
Congestive heart failure
Closed head injury
Circumcision
Costal margin
Cervical motion tenderness
Cytomegalovirus
Cardiac output, carbon monoxide
Complains of
Chronic obstructive pulmonary
disease
Continuous positive airway
pressure
Cephalopelvic disproportion
Chronic renal failure
Culture & sensitivity
Caesarian section
Chest tube
Clear to auscultation
Costovertebral angle/
cerebrovascular accident
Central venous pressure
Consistent with
Cervix, culture
Chest x ray
Dilation and curettage
Dilation and evacuation
Discontinue, discharge
Double-contrast barium enema
Differential diagnosis
Disseminated gonococcal
infection
Disseminated intravascular
coagulation
Degenerative joint disease
Diabetic ketoacidosis
Diabetes mellitus
disorder
Dead on arrival
Dorsalis pedis
Direct peritoneal lavage
Diphtheria, pertussis, tetanus
Digital rectal examination
DRE
DTR
DT
DTs
D5W
D10W
DUB
D/W
Dx
EBL
EBV
ECT
EDC
EF
EFW
EOMI
EP
ERCP
ESR
ESRD
ET
EtOH
EUA
Ext
FBS
FFP
FHR
FHT
FM
FNA
FOBT
FROM
F/U
FUO
Fx
Fxn
GB
gc
GERD
GETA
GHM
GSW
gtt
GTT
GU
GVHD
H/A
HAV
Hb, Hg
HbA1C
HbcAg
HbsAg
HBV
Hct
HD
HDV
H/H
HIT
Deep tendon reflex

Diphtheria tetanus
Delirium tremens
5 % dextrose in water
10% dextrose in water
Dysfunctional uterine bleeding
Discussed with
Diagnosis
Estimated blood loss
Epstein-Barr virus
Electroconvulsive therapy
Estimated date of confinement
Ejection fraction
Estimated fetal weight
Extraocular movements intact
Electrophysiology
Endoscopic retrograde
cholangiopancreatography
Erythrocyte sedimentation rate
End stage renal disease
Endotracheal
Ethanol
Exam under anesthesia
Extremities, extract
Fasting blood sugar
Fresh frozen plasma
Fetal heart rate
Fetal heart tones
Fetal movements
Fine needle aspirate
Fecal occult blood test
Full range of motion
Follow-up
Fever of unknown origin
Fracture
Function
Gall bladder
gonococcus
Gastroesophageal reflux disease
General endotracheal anesthesia
General health maintenance
Gun shot wound
Drop
Glucose tolerance test
Genitourinary
Graft vs. host disease
Headache
Hepatitis A virus
Hemoglobin
Hemoglobin A1C
Hepatitis B core antigen
Hepatitis B surface antigen
Hepatitis B virus
HLIV
HO
HOCM
HPI
HRS
hs
HSG
HSM
HSV
HTN
Hx
IBD
IBS
ICP
Ifxn
IDDM
IHSS
IM
INR
I&D
I&O
IOC
ITP
IUD
IUFD
IUGR
IUPC
IV
IVDA
IVF
IVP
JP
JVD
JVP
K.O.
KUB
LAD
LAO
Lap
LE
LES
LGA
LLL
64
Hematocrit
Hospital day
Hepatitis D virus
Hemoglobin / hematocrit
Heparin-induced
thrombocytopenia
Heparin locked intravenous line
House officer
Hypertrophic obstructive
cardiomyopathy
History of present illness
Hepatorenal syndrome
Hora somni (bed time)
Hysterosalpingogram
Hepatosplenomegaly
Herpes simplex virus
Hypertension
History
Inflammatory bowel disease
Irritable bowel syndrome
Intracranial pressure
Infection
Insulin dependent diabetes
mellitus
Idiopathic hypertrophic subaortic
stenosis
Intramuscular
International Normalized Ratio
Incision and drainage
Intake and output
Intraoperative cholangiogram
Idiopathic thrombocytopenic
purpura
Intrauterine device
Intrauterine fetal demise
Intrauterine growth retardation
Intrauterine pressure catheter
Intravenous
Intravenous drug abuse
Intravenous fluids
Intravenous pyelogram
Jackson-Pratt drain
Jugular venous distention
Jugular venous pulse
Keep open
Kidney, ureter, bladder
Left axis deviation/ left anterior
descending/ lymphadenopathy
Left anterior oblique
Laparotomy
Lower extremity
Lower esophageal sphincter
Large for gestational age
Left lower lobe
LLQ
LMP
LNMP
LOA
LOC
LP
LR
LSB
LTCS
LUL
LUQ
LVEDP
LVEF
LVH
MAC
MAP
MCV
MEG
Mets
MI
MMM
MMSE
MN
MRN
MRSA
MTC
MUGA
MVA
MVC
MVP
NABS
NAD
NB
NBN
NCAT
ND
NG
NHL
HNP
NIDDM
NIL
NKDA
Nl
NOS
NPH
NPO
NS
NSAID
NSR
Left lower quadrant

Last menstrual period
Last normal menstrual period
Lysis of adhesions
Level/ loss of consciousness
Lumbar puncture
Lactated Ringers
Left sternal border
Low transverse cesarean section
Left upper lobe
Left upper quadrant
Left ventricular end diastolic
pressure
Left ventricular ejection fraction
Left ventricular hypertrophy
Mycobacterium avium complex
Mean arterial pressure
Mean cell volume
Mid-epigastric area
Metastases
Myocardial infarction
Moist mucous membranes
Mini mental status exam
Midnight
Medical Record Number
Methicillin resistant staph. Aureus
Medullary thyroid carcinoma
Multiple gated image analysis
Motor vehicle accident
Motor vehicle collision
Mitral valve prolapse
Normal active bowel sounds
No acute distress
Newborn
Newborn nursery
Normocephalic, atraumatic
Non-distended
Nasogastric
Non-Hodgkins lymphoma
Nursing home placement
Non-insulin dependent diabetes
mellitus
Not in labor
No known drug allergies
Normal
Not otherwise specified
Normal pressure hydrocephalus,
neutral protamine Hagedorn
(insulin)
Nothing by mouth
Normal saline, night sweats
Nonsteroidal anti-inflammatory
drug
Normal sinus rhythm
65
NT
NTG
OA
OCP
OD
OM
OME
O/N
OOB
OP
OR
ORIF
OS
OSA
OU
p
PA
PAC
para
PAT
PBC
PCA
p.c.
PCN
PCP
PCWP
PEA
PEEP
PERRLA
PFT
PID
PIH
PMI
PM&R
PMR
PND
PNH
PO
POD
ppd
PPD
PPH
PRBC
PPROM
PROM
prn
PSA
Non-tender
Nitroglycerin
Osteoarthritis
Oral contraceptive pill
Overdose/right eye
Otitis media
Otitis media externa
Overnight
Out of bed
Oropharynx
Operating room
Open reduction & internal fixation
Left eye
Obstructive sleep apnea
Both eyes
After
Posterio-anterior
Premature atrial contraction
Number of pregnancies
Paroxysmal atrial tachycardia
Primary biliary cirrhosis
Patient controlled analgesia
After meals
Penicillin
Pneumocystis carinii pneumonia,
phenylcyclidine , primary care
provider
Pulmonary capillary wedge
pressure
Pulseless electrical activity
Positive end expiratory pressure
Pupils, round, reactive to light and
accommodation
Pulmonary function test
Pelvic inflammatory disease
Pregnancy induced hypertension
Point of maximal impulse
Physical medicine and
rehabilitation
Polymyalgia rheumatica
Paroxysmal nocturnal dyspnea
Paroxysmal nocturnal
hemoglobinuria
By mouth
Post-operative day
Pack per day (cigarettes)
Post-partum day
Postpartum hemorrhage
Packed red blood cells
Preterm premature rupture of
membranes
Premature rupture of membranes
As needed
Prostate specific antigen
PSC
PSGN
PTCA
PTL
PTRA
PUD
PVC
PVD
q
qAC
QD
qHS
QID
QOD
RA
RAO
RBBB
RDS
RDW
RF
RL
RIND
RLL
RLQ
RML
R/O
ROM
ROS
RPP
RR
RRR s
m/r/g
RTA
RTC
RTXN
RUL
RUQ
RVH
s
SAH
SB
SBE
SBP
SCC
SCLC
SGA
sig
Primary sclerosing cholangitis

Post-streptococcal
glomerulonephritis
Percutaneous transluminal
coronary angioplasty
Preterm labor
Percutaneous transluminal renal
angioplasty
Peptic ulcer disease
Premature ventricular contraction
Peripheral vascular disease
Every
Before every meal
Every day
Every night
Four times a day
Every other day
Rheumatoid arthritis/ right atrium
Right anterior oblique
Right bundle branch block
Respiratory distress syndrome
Red cell distribution width
Rheumatoid factor
Ringers lactate
Reversible ischemic neurological
deficit
Right lower lobe
Right lower quadrant
Right middle lobe
Rule out
Range of motion, Rupture of
membranes
Review of systems
Rate-pressure product
Recovery room
Regular rhythm and rate without
murmurs, rubs, or gallops
Renal tubular acidosis
Return to clinic
Retraction
Right upper lobe
Right upper quadrant
Right ventricular hypertrophy/
renovascular hypertension
Without
Subarachnoid hemorrhage
Still birth
Subacute bacterial endocarditis
Spontaneous bacterial peritonitis
Squamous cell carcinoma
Small cell lung carcinoma
Small for gestational age
Let it be labeled/ signify
SL
SOB
SOOL
S/P
SQ
SROM
S/S
SSS
SVD
SVR
SVT
Sx
TAH
TB
TEE
TIA
tid
TIPS
TM
TNM
TO
TOA
TPN
TTE
TTP
TURP
TVH
UA
U/A
UE
UOP
UPPP/
UP3
URI
UTI
VF
VO
VRE
VS
VSS
VT
WD
WN
WNL
WPW
66
Sublingual
Shortness of breath
Spontaneous onset of labor
Status post
Subcutaneous
Spontaneous rupture of
membranes
Signs and symptoms
Sick sinus syndrome
Spontaneous vaginal delivery
Systemic vascular resistance
Supraventricular tachycardia
Symptoms
Total abdominal hysterectomy
Tuberculosis
Transesophageal echo
Transient ischemic attack
Three times a day
Transjugular intrahepatic
portosystemic shunt
Thyromegaly
Tumor-nodes-metastases
Telephone order
Tubo-ovarian abscess
Total parenteral nutrition
Transthoracic echo
Thrombotic thrombocytopenic
purpura
Transurethral resection of the
prostate
Total vaginal hysterectomy
Umbilical artery
Urinalysis
Upper extremity
Urine output
Uvulopharyngopalatoplasty
Upper respiratory infection
Urinary tract infection
Ventricular fibrillation
Verbal order
Vancomycin resistant
Enterococcus
Vital signs
Vital signs stable
Ventricular tachycardia
Well developed
Well nourished
Within normal limits
Wolff-Parkinson White syndrome
BLOOD AND BODY FLUID EXPOSURE

1.
Wash or rinse all exposed skin areas IMMEDIATELY with antimicrobial

soap and/or water. Flush all mucous membranes with COPIOUS amounts of
water or normal saline.
2. Notify Zale Lipshy Health Referral Center Nurse by paging 214-588-6263
(i.e. Nursing Supervisor). Pager answered 24 h per day, 7 d per week. The
nurse will return your call and ask you specific questions concerning your
possible exposure. Information needed: date and time of exposure, details of
procedure being performed, exposure type and severity (volume of fluid,
type of needle, depth of injury, condition of skin), information about source
patient.
3. Notify your supervisor and/or the areas supervisor (charge nurse) where you
were exposed.
4. Health care worker or on-duty supervisor is responsible for determining if
the patients antigen/antibody status is documented in the pt record.
5. Complete a Zale Lipshy Occurrence Report or UTSWMC Incident Report
(depending where you were exposed). Include the patients name, medical
record number, and room number or location of exposure
6. Obtain two tiger top tubes of blood drawn from the source patient. The
supervisor or his/her designee of the area is responsible for obtaining the
source patients blood or beginning the process to obtain the patients test
results after you notify them. Tubes are sent to Zale Lipshy lab or Parkland
lab depending on where incident occurs for serology tests per facility
protocols.
7. Report to Zale Lipshy Health Center (located on 1st floor). Bring Occurrence
Report or Incident Report with you.
8. Assessment of your exposure potential and subsequent recommended
treatment optimally should be started within ONE HOUR post-exposure at
the Zale Lipshy Health Center by the Employee Health Manager or referral
nurse (UTSWMC physicians exposed at PMH have the option of initial care
at PMH emergency room, but may take longer than Zale Lipshy).
9. Antiretroviral therapy may be recommended (and provided if your consent is
obtained) if the exposure was to an HIV+ patient, a patient at high risk for
HIV+, or you had significant exposure to an unknown source. HBIg may be
recommended if source patient is HBV seropositive. There is no
recommended prophylaxis for HepC.
10. Your blood should be drawn the day of exposure for baseline testing, and
again at 6 weeks, 3 months, 6 months, and 9 months if the source patients
lab results return positive or are unknown.
11. If you are offered and accept to take prophylaxis, it optimally should be
started within ONE HOUR after exposure.
You will receive post-exposure counseling through the Zale Lipshy Health
Center. If exposure occurs at the VA or another center, report to the
Emergency Department, Employee Health during business hours, or other
specified location for that medical center. Report incident to Southwestern
Exposure Control Program for follow-up care.
67
NOTES
68

Essential Guide to Surviving Third Year Clerkships

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INTRODUCTION

Twenty-first edition, 2005-2006

I. GENERAL ROTATION INFORMATION

GENERAL ROTATION INFORMATION

Dates for 2005-2006 MS4 Rotations

Match Day: 3/16/2006

Surviving 3 Year Clerkships: A General Guide

Problem-Oriented Progress Note (Daily Progress Note)

Call every 4th night. On pre-,pre-call afternoons you will be assigned to

C-section patients go home on Colace and Lortab. Fill out prescription

Do not sit in the green leather recliners in the doctors lounge.

Program Director: Dr. Angela Mihalic (CMC D430) 214-456-2730

Developmental Milestones (1-12 months)

Vital signs by Age

Program Director: Dr. John Sadler, Course Director (NC5.828) x84960

Mini Mental Status Exam

Program Director: Dr. Patricia Bergen (E7.118A) x82065

SURGERY PROGRESS NOTES: Include PO intake, N/V, flatus and bowel

Surgery Post-Operative Note

SCRUBS - where to find them, when to wear them.

Logging off: Sign off before leaving a workstation! Leaving a workstation

age, location), LABORATORY RESULTS or NON-LAB RESULTS, where

1. Access Code: Assigned.

Logging off: Sign off before leaving a workstation! Leaving a workstation

Children's Medical Center Computer Access

PDAs and Handheld Computers:

UT SOUTHWESTERN PHONE NUMBERS

LOCAL HOSPITAL INFORMATION NUMBERS

PARKLAND MEMORIAL HOSPITAL

RTAS (for dictated radiology reports)

PMH PHONE NUMBERS dial 2 before all extensions

Parkland Memorial Hospital

Parkland Inpatient nursing and physician stations

Parkland Outpatient Clinics/ACC Clinics

Parkland Center for Internal Medicine (7th Floor C/D Clinics)

Parkland Laboratory Information

Parkland Radiology Information

Parkland Radiology Information - continued

Parkland: Other Essential Information

Parkland: Other Essential Information - continued

Other important numbers

CHILDREN'S MEDICAL CENTER

214 456-2000 (operator)

CMC EMERGENCY NUMBERS

Childrens Floor Listings

Childrens Laboratory Information

Children's Medical Center

Childrens Laboratory Information - continued

Childrens Outpatient clinics

Resident/Medical Student Clinic

Childrens Outpatient clinics - continued

Childrens Other Essential Numbers

Zale General Information

Zale: Other Essential Numbers

ZZale Lipshy Building

3500 Gaston Ave., Dallas, TX, 75246

ATM Access: There is an ATM mac

VETERAN AFFAIRS MEDICAL CENTER

214 SIC-VETS (742-8387)

Veteran Affairs Memorial Hospital

VA Radiology Information (3rd Floor Clinical Addition; 70170)

VA Laboratory Information (1st Floor Clinical Addition)

VA: Other Essential Information