13/06 Flashcards by Lucy Allan

TB fibrosis

upper zone

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sildenafil MOA

phosphodiesterase type V inhibitor

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Dermatitis in acral, peri-orificial and perianal distribution

zinc deficiency

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Dermatitis in acral, peri-orificial and perianal distribution

zinc deficiency

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ulcer at stoma site

pyoderma gangrenosum

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purpose of irradiated blood products

to avoid graft vs host disease

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NSTEMI mx

pts with GRACE score > 3% should have PCI within 72 hours

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generalised tonic clonic seizures

m - sodium valproate
f - lamotrigine or levetiracetam

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focal seizures

first line - lamotrigine or levetiracetam
second line - carbamazepine, oxcarbazepine or zonisamide

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absence seizures (petit mal)

first line: ethosuximide
second line:
m: sodium valproate
f: lamotrigine or levetiracetam
carbamazepine may exacerbate

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myoclonic seizures

males: sodium valproate
females: levetiracetam

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tonic or atonic seizures

males: sodium valproate
females: lamotrigine

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waddling gait

osteomalacia

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drug to reduce risk of tumour lysis syndrome

IV allopurinol or IV rasburicase

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‘starry sky’ appearance on lymph node biopsy

burkitt lymphoma

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WPW syndrome

a short PR interval
delta waves
right axis deviation

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torsades de pointes tx

magnesium sulphate

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edwards syndrome quadruple test

= everything low except inhibin A <->

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haem complication of sulphasalazine

heinz body anaemia

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GDM fasting glucose >7

insulin

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GDM fasting glucose <7

trial of diet and exercise

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diagnostic thresholds GDM

5678
fasting glucose is >= 5.6 mmol/L
2-hour glucose is >= 7.8 mmol/L

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when do u add amox in meningitis

<3 mo.

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high ACE levels

sarcoidosis

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acute mesenteric ischaemia vs ischaemic colitis

pain out of keeping, predisposing conditions eg AF bloody diarrhoea, less severe and often resolves spontaneously

toxic megacolon diagnositic invx

abdominal xray

ank spond painful red eye

anterior uveitis

Organophosphate insecticide poisoning (acetylcholinesterase inhibitor)

bradycardia and miosis

tx of beta thalassaemia major

regular blood transfusions and desferrioxamine - iron chelation therapy

most common cause of AOM

Streptococcus pneumonaie, Haemophilus influenzae and Moraxella catarrhalis

genital herpes invx

NAAT

budd chairi

hepatic vein thrombosis

budd chiari features

sudden onset abdominal pain ascites tender hepatomegaly

commonest cause of viral encephalitis in adults

herpes simplex

increased goblet cells

crohns disease

peripheral arterial disease meds

clopidogrel and atorvastatin

what should sickle cell pts be started on to reduce risk of complications and crises

hydroxycarbamide

NSTEMI (managed conservatively) antiplatelet choice aspirin, plus either:

ticagrelor, if not high bleeding risk clopidogrel, if high bleeding risk

Disproportionate microcytic anaemia

beta thalassaemia trait

for cardioversion of AF

patients must either be anticoagulated or have had symptoms for < 48 hours to reduce the risk of stroke

early diastolic murmur

aortic regurgitation

complication from heroin injection

VTE

tx of pagets disease

bisphosphonates

pain on palpation of the tragus

otitis externa

severe alcoholic hepatitis tx

prednisone

legionella tx

macrolides eg clari

pain vomiting and failed attempts at passing ng tube

gastric volvulus

what needs to take be taken at least 4 hours apart from levothyroxine

calcium and iron supplements

suspected lung cancer invx

contrast CT

hyponatraemia hyperkalaemia and hypoglycaemia

addisons

which TB drug is an enzmye inducer eg affects the metabolism of other drugs inc warfarin

rifampicin

cat 2 section time

75 mins

which med should be avoided in bowel obstruction

metoclopramide

rosvings

palpate LLQ pain in LRQ - appendicitis

boas sign

cholecystitis hyperaesthsia below R scapula

murphys sign

cholecystitis pain/catch of breath elicited on palpation of the right hypochondrium during inspiration

cullens sign

pancreatitis bruising and oedema around umbilicus

psoas stretch sign

Acute retrocaecal appendicitis right thigh passively extended with the patient lying on their side with their knees extended

grey turners sign

pancreatitis bruising on flanks

definitive diagnosis of sickle cell

haemoglobin electrophoresis