14/03/20 Flashcards
What is bifascicular block?
RBBB + LAD
What ECG sign does hypercalcamia cause?
Short QT
Signs of SBO
Valvulae connniventes all the way across
Central and multiple loops
What does sail sign indicate?
Left lower lobe collapse
Which was does the trachea deviate in an effusion?
Away
What is becks triad?
Muffled heart sounds
Increased JVP
Low BP
What would you suspect if there is an obscured left heart border but clear left hemidiaphragm>
Left lingual consolidation
What lobe is affected if right heart border is obscured?
Right middle lobe
How is SCFE diagnosed and managed?
Need AP and lateral XR hip
Mx = internal fixation
What should you always do in females with abdo pain?
Preg test to rule out ectopic
Risk factors for hernias
Chronic cough
Obesity
HEAVY LIFTING
SPORTS
Haemorrhoid Ix
FBC
Protoscopy
Sigmoidoscopy
Non-surgical mx of haemorrhoids
Increase fluid and fibre intake
Analgesia
Topical anaesthetic and steroids
How would you manage acute mesenteric ischaemia prior to surgery?
Fluids
Abx
LMWH
Sign of splenectomy on blood film
Howell-Jolly bodies
Ix for PVD
ABPI
HAnd held doppler
Duplex USS
CT/MRI
How to assess PAD
Rest pain Palp pulses Doppler USS Sensory and motor deficit Skin temp,colour, cap refill Muscle tenderness
Ix and mx for spinal stenosis
MRI and posiible laminectomy
What is felty syndrome?
RA, splenomegaly and neutroapenia
Causes of HAP
E.coli, klebsiella, pseudomonas, MRSA
What is caplan syndrome?
Triad of coal exposure, pneumoconiosis and rheumatoid arthrits
Types of lung Ca
Small cell
Adenocarcinoma, squamous, large cell
Two drugs used to help smoking cessation
vareniciline
buproprion
Mx sarcoidosis
Bed rest and NSAIDs
steroids
Which two patient groups does klebsiella mainly affect?
Alcohol
Diabetes
Blood test results in legionella
Lymphopenia with leucoocytosis
Hyponatraemia
Hypoalbuminaemia
Deranged LFTs
Define HAP
Pneumonia beyond 2 days of hospital stay
Features of Lofgren syndrome
BHL
erythema nodosum
Arthralgia
Fever
What eye disease is associated with sarcoidosis?
Anterior uveitis
Questionnaire for osa
Epworth sleepiness scale
ix for bladder cancer
cystoscopy with biopsy
urine microscopy and cytology
ct urogram
(mri)
What histology are prostate cancers most commonly?
Adenocarcinoma
Where do renal stones get stuck?
Pelviureteric junction
Pelvic Brim
Vesicoureteric junction
What score is used to risk stratify newly diagnosed PE patients?
PESI score
