Skip to content 
These are the blue sheet, physical exam, diagnostic studies and differential diagnosis needed for a dark urine or hematuria case in the USMLE Step 2 CS exam:
BLUE SHEET:
Mnemonic for the blue sheet: PISS DIE FUN
PHYSICAL EXAMINATION (usually required):
1. Lungs:
Auscultation
2. Back:
CVA tenderness (do it carefully)
3. Heart:
Auscultation
4. Abdomen:
Inspection
Auscultation
Palpation
Percussion
5. Extremities:
Inspection
POSSIBLE DIAGNOSTIC STUDIES:
1. Genital and rectal exams
2. Urinalysis with culture and sensitivity
3. CBC
4. BUN/Cr
5. PSA
6. U/S renal
7. CT abdomen and pelvis
8. Cystoscopy
DIFFERENTIAL DIAGNOSIS:
Mnemonic: HITTERS
H: Hematological causes
I: Infections
T: Trauma
T: Tumors (cancer)
E: Exercise (heavy) = Rhabdomyolysis
R: Renal diseases (Glomerulonephritis)
S: Stones
I hope you find this helpful. Good luck with your studies.
This mnemonic is not mine, I did a small change but it is not my work and you can find it in other online websites.
Founder & Autor at Ecuadoctors.com
Hematology/Oncology Fellow at BUSM | Former Internal Medicine Residency/Chief Resident at UCONN | Website Developer & Author at Ecuadoctors.com
Latest posts by Juan Chango Azanza (see all)
- Aortic Stenosis Severity Classification - 09/22/2020
- Carboplatin (Paraplatin) - 04/07/2019
- How to test for Vitamin D deficiency? - 09/29/2018
