SurgeNote

Relief with Antacids 💊🧊 Antacids temporarily reduce pain Can help differentiate from other abdominal pain Mnemonic: A for Antacid relief

Nocturnal Pain 🌙💥 Pain often wakes you at night Classic “night owl” symptom Funny way to remember: Ulcer doesn’t let you sleep… because it’s a nighttime party pooper! 🕺💤

Epigastric Pain (Burning / Gnawing) 🥵🍔 Pain usually mid-epigastric (upper abdomen) Often relieved by food (because food buffers acid) Can wake patients at night (~2–5 am) Mnemonic: “Pain Goes Away After Eating” → P.G.A.E 😋

Mnemonic: Duodenal ulcers like drama, but they never turn into a full-blown cancer soap opera. Imagine your stomach is a desert 🏜️. At night 🌙, the little ulcer goblin 🧌 wakes up and gnaws at your tummy 🥵. You try to calm it with food 🍔 or antacid 🧊💊, but sometimes it just throws a blood party 🩸🤢 or pokes a hole ⚡💥.

Mnemonic: GUD Bugs: G: they are Gram-negative, U: cause Ulcers D: show up in Diagnostics.

Strangulated hernia screams SURGERY NOW, don’t wait for a scan!

Direct hernia is shy: Never wants to show up in the occlusion party. 🔥🤙

Mnemonic to remember complications of inguinal hernia: “ISO — Incarceration, Strangulation, Obstruction” 📦💥

“Most common hernia overall: Indirect inguinal. Most common hernia to strangulate: Femoral. Mnemonic to remember: “Femoral Feared to Strangle, Inguinal Common to Protrude” ⚡📦 Femoral → prone to strangulation Inguinal → most common overall

“SAB” 🦠 S → Staphylococcus A → Aureus B → Breast abscess

“BLuD” 🩵💚 B → Bloody → Papilloma, carcinoma L → Lactation → Milky D → Duct ectasia → Green/Sticky S → Serous → Usually benign

“SCaR” → Stellate, Calcifications, Raised skin” 🏹✨ S → Stellate lesion C → Calcifications R → Raised skin / thickening