13/06 Flashcards
TB fibrosis
upper zone
sildenafil MOA
phosphodiesterase type V inhibitor
Dermatitis in acral, peri-orificial and perianal distribution
zinc deficiency
Dermatitis in acral, peri-orificial and perianal distribution
zinc deficiency
ulcer at stoma site
pyoderma gangrenosum
purpose of irradiated blood products
to avoid graft vs host disease
NSTEMI mx
pts with GRACE score > 3% should have PCI within 72 hours
generalised tonic clonic seizures
m - sodium valproate
f - lamotrigine or levetiracetam
focal seizures
first line - lamotrigine or levetiracetam
second line - carbamazepine, oxcarbazepine or zonisamide
absence seizures (petit mal)
first line: ethosuximide
second line:
m: sodium valproate
f: lamotrigine or levetiracetam
carbamazepine may exacerbate
myoclonic seizures
males: sodium valproate
females: levetiracetam
tonic or atonic seizures
males: sodium valproate
females: lamotrigine
waddling gait
osteomalacia
drug to reduce risk of tumour lysis syndrome
IV allopurinol or IV rasburicase
‘starry sky’ appearance on lymph node biopsy
burkitt lymphoma
WPW syndrome
a short PR interval
delta waves
right axis deviation
torsades de pointes tx
magnesium sulphate
edwards syndrome quadruple test
= everything low except inhibin A <->
haem complication of sulphasalazine
heinz body anaemia
GDM fasting glucose >7
insulin
GDM fasting glucose <7
trial of diet and exercise
diagnostic thresholds GDM
5678
fasting glucose is >= 5.6 mmol/L
2-hour glucose is >= 7.8 mmol/L
when do u add amox in meningitis
<3 mo.
high ACE levels
sarcoidosis
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
