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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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% Document Info
\author{Siffi (Siffi)}
\pdfinfo{
  /Title (triaging.pdf)
  /Creator (Cheatography)
  /Author (Siffi (Siffi))
  /Subject (Triaging Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Triaging Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/22964/}}}
\end{tabulary}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Siffi (Siffi) \\
  \uline{cheatography.com/siffi} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 23rd May, 2020.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.


\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Triaging}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{1. Probability Diagnosis - Dr's perspective} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{2. Serious Disorders should not to missed - high index of suspicion, red flags and considered until proven otherwise} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{3. Pitfalls (Conditions that are often missed - usually non-life threatening)} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Further questions should be considered}}} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{1. Symptoms due to \seqsplit{visceral/serious/potentially} life threatening disease?} \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{2. Tissue responsible?} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{3. What is happening for the tissue to generate pain?} \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.1169 cm} x{9.1531 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Back Pain General S\&S}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Mechanical}} & Not Associated with Marked Swelling/warmth \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
 & Limited to one joint \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
 & Lessened by rest and aggravated by Activity (opposite to inflammatory back pain) \tn 
% Row Count 7 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 7 (+ 0)
% Row 4
\SetRowColor{LightBackground}
{\bf{Systemic Inflammatory}} & Boggy swelling, warmth and redness of a joint - symmetric \tn 
% Row Count 10 (+ 3)
% Row 5
\SetRowColor{white}
 & Pain relieved with activity, aggravated by rest \& inactivity \tn 
% Row Count 13 (+ 3)
% Row 6
\SetRowColor{LightBackground}
 & Morning stiffness/pain \textgreater{}30 mins \tn 
% Row Count 15 (+ 2)
% Row 7
\SetRowColor{white}
 & Systemic disease \tn 
% Row Count 16 (+ 1)
% Row 8
\SetRowColor{LightBackground}
 & Synovitis \tn 
% Row Count 17 (+ 1)
% Row 9
\SetRowColor{white}
 & Subcutaneous nodules on extensor Surfaces \tn 
% Row Count 19 (+ 2)
% Row 10
\SetRowColor{LightBackground}
 & Joint \& Valgus Deformities common \tn 
% Row Count 21 (+ 2)
% Row 11
\SetRowColor{white}
 & Extensor tendon ruptures \tn 
% Row Count 23 (+ 2)
% Row 12
\SetRowColor{LightBackground}
 & Night pain \tn 
% Row Count 24 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 24 (+ 0)
% Row 14
\SetRowColor{LightBackground}
{\bf{Local Inflammatory}} & No systemic signs \tn 
% Row Count 26 (+ 2)
% Row 15
\SetRowColor{white}
 & Localised morning pain/stiffness \textgreater{}30 minutes \tn 
% Row Count 29 (+ 3)
% Row 16
\SetRowColor{LightBackground}
 & Localised boggy swelling, warmth \& redness of a joint \tn 
% Row Count 32 (+ 3)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.1169 cm} x{9.1531 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Back Pain General S\&S (cont)}}  \tn
% Row 17
\SetRowColor{LightBackground}
 & Night pain \tn 
% Row Count 1 (+ 1)
% Row 18
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 1 (+ 0)
% Row 19
\SetRowColor{LightBackground}
{\bf{Degenerative}} & Bony Swelling, \seqsplit{symmetrical/asymmetrical} \tn 
% Row Count 3 (+ 2)
% Row 20
\SetRowColor{white}
 & Morning stiffness/pain \textless{}30 minutes \tn 
% Row Count 5 (+ 2)
% Row 21
\SetRowColor{LightBackground}
 & Aggravated by activity, relieved by rest \tn 
% Row Count 7 (+ 2)
% Row 22
\SetRowColor{white}
 & Weakness and tightness of muscles crossing involved joints \tn 
% Row Count 10 (+ 3)
% Row 23
\SetRowColor{LightBackground}
 & Varus deformity \tn 
% Row Count 11 (+ 1)
% Row 24
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 11 (+ 0)
% Row 25
\SetRowColor{LightBackground}
{\bf{Crystal deposition joint disease}} & Very painful, red ,hot, swollen joint \tn 
% Row Count 13 (+ 2)
% Row 26
\SetRowColor{white}
 & Loss of ROM \tn 
% Row Count 14 (+ 1)
% Row 27
\SetRowColor{LightBackground}
 & No systemic signs/symptoms \tn 
% Row Count 16 (+ 2)
% Row 28
\SetRowColor{white}
 & Severe joint destruction \tn 
% Row Count 18 (+ 2)
% Row 29
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 18 (+ 0)
% Row 30
\SetRowColor{white}
{\bf{Nerve Compression}} & Pain, Weakness, SMR findings, paraesthesias in derma/myotomal areas \tn 
% Row Count 22 (+ 4)
% Row 31
\SetRowColor{LightBackground}
 & Stretching of Nerve increases Pain \tn 
% Row Count 24 (+ 2)
% Row 32
\SetRowColor{white}
 & +ve Tinel's sign \tn 
% Row Count 25 (+ 1)
% Row 33
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 25 (+ 0)
% Row 34
\SetRowColor{white}
{\bf{Neoplasm}} & No comfortable position \tn 
% Row Count 27 (+ 2)
% Row 35
\SetRowColor{LightBackground}
 & No relief from pain \tn 
% Row Count 28 (+ 1)
% Row 36
\SetRowColor{white}
 & Often wakes up patient from sleep \tn 
% Row Count 30 (+ 2)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.1169 cm} x{9.1531 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Back Pain General S\&S (cont)}}  \tn
% Row 37
\SetRowColor{LightBackground}
 & Fever, weight loss, fatigue \tn 
% Row Count 2 (+ 2)
% Row 38
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 2 (+ 0)
% Row 39
\SetRowColor{LightBackground}
{\bf{Septic Arthritis}} & Red, Hot , Swollen joint \tn 
% Row Count 4 (+ 2)
% Row 40
\SetRowColor{white}
 & Very Painful \tn 
% Row Count 5 (+ 1)
% Row 41
\SetRowColor{LightBackground}
 & Fever and Fatigue \tn 
% Row Count 6 (+ 1)
% Row 42
\SetRowColor{white}
 & Decreased Joint ROM \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Visceral Referral patterns}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1590234799_refff.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Additional referral Patterns}} \newline {\bf{Bladder:}} Lower abdomen and upper thighs \newline {\bf{Oesophagus:}} Sternum + Left upper Thorax \newline {\bf{Heart:}} Base of neck, left jaw, left shoulder + arm \newline {\bf{Liver:}} Right Shoulder \newline {\bf{Pancreas:}} Lower left quadrant, umbilicus  \newline {\bf{Spleen:}} Left Shoulder + Upper third of arm}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Patient Consultation}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{Three phases:}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Rapport} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Diagnostic phase (Hx, physical exam, investigations)} \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Management (education, reassurance, explanation, manual, functional, motivation interviewing, OTC medications, follow up, further investigations, referral)} \tn 
% Row Count 8 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{8.4623 cm} x{8.8077 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Types of Rapport Building}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Neurolinguistic Programming (NLP):}} & Establish rapport by, mimicking body language, speech, posture, pace - improves patient's attitudes \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{17.67cm}}{} \tn 
% Row Count 5 (+ 0)
% Row 2
\SetRowColor{LightBackground}
{\bf{Mirroring}} & Coping patient's gestures and position - \seqsplit{uncomfortable/unusual} gestures should not be mirrored- matched by doing something else in the same rhythm - cross pacing \tn 
% Row Count 14 (+ 9)
% Row 3
\SetRowColor{white}
{\bf{Pacing}} & Matching a person's pace/rhythm - breathing, talking, movements of the head, hands/feet \tn 
% Row Count 19 (+ 5)
% Row 4
\SetRowColor{LightBackground}
 & Then go on to try and change their pace by changing yours - leading \tn 
% Row Count 23 (+ 4)
% Row 5
\SetRowColor{white}
{\bf{Vocal Copying}} & Copying intonation, pitch, volume, pace, rhythm, breathing and length of the sentence \tn 
% Row Count 28 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}