12/3 Flashcards
pulmonary stenosis murmur
ejection systolic louder on inspiration
AS louder on
expiration
mitral or tricuspid regurg
louder on inspiration
pansystolic
ank spond - xray
sacroiliac - subchondral sclerosis, erosions square lumbar vertebrae bamboo spine syndesmophytes apica fibrosis - cxr
L5 radiculopathy
weakness hip abduction
foot drop
no reflex loss
HNPCC can cause
colorectal cancer endometrial stomach ovarian pancreatic prostate urinary tract liver kidney bile duct
minimal change disease prognosis
1/3 just one episide
1/3 infrequent relapses
1/3 relapses stop before adulthood - frequent
mx of minimal change disease
80% steroid responsive
cyclophosphamide
mx of wolf parkinson white
accessoyr pathway ablation
witnessed cardiac arrest
giove up to 3 shocks
sinus discharging pus in breast indicates
periductal mastitis
mx hyperkalaemia
10ml 10% calcium carbonate - stabilise heart mm
- repeat at 5 min intervals until max 3 doses/ normal ECG
50ml 50% glucose with 10 units actrapid into large vv over 30mins
10mg neb salb
TURP syndrome
cause - large vols of glycine that is hypoosmolar (watery) causing hyponatraemia
anion gap equation
(Na + K+) - (Cl- + HCO3-)
osmolality calculation
2(na+) + glucose + urea
mx hypercalcaemia
pamidronate
smoking protective in
UC
CD
protective in UC
dx phaeochromocytoma
urine metanephrines
gardener classification
1 - incomplete fracture
2 - complete fracture
3 - complete and slight displaced
4 - complete and cpmpletely displaced
mx of gardener classification
1-2 - screw
3-4 - more
ask about what with NOF
fall hx
ix - cxr, ecg, echo etc
post-op review
IMPOTENCE intro medication pain obs thromboprophylaxis eating and bowels neurovasc status cut - look at dressing exercise - mobilisation
r/o __ after sx or fracture
infection
take blood cultures
SPIKES
Set up
perception - what they are expecting
information - do you want to know the result of the scan and do you want anyone with you
warning shot - would you like anyone with you, unfortunately its not what we had hoped for wth
knowledge - heard of this before
emotion
summary
ms - inherited?
not inherited
pain killers for NOF
volume block - pain killing due to volume of fluid on nerves
femoral block
