19/2 Flashcards
sti management, chkn pox prophlyaxis, ovarian tumours, emergency contraception
What is the drug used in Cushing’s?
metyrapone
Draw out the chemo toxic bear
check in notes
Define
- proctitis
- allodynia
Inflammation of the rectum
Pain from a stimuli that shouldn’t normally cause pain e.g. feather
What type of bacteria is associated with gonorrhoea?
Gram Negative diploccoci = goNorrhoea
A patient comes into GP with BCC presentation - what do you do next?
ROUTINE referral to dermatologist - no need for urgent cancer referral unless concerned about position or very large size
What should be given immediately when pituitary apoplexy (bleeding into the pituitary gland) is suspected?
How does it present?
Sudden intense headache with Hx of visual problems
Hydrocortisone immediate followed by MRI
Who when exposed to chickenpox with no previous infection/antibodies, should be given prophalytic treatment?
What is that treatment?
Acicylovir 7 days
Immunocomprimised
Pregnant
Neonates (IV varcilla-zoster IG still given to these guys) - if exposed in utero or within 1 week of delivery
What bacteria causes syphilis?
How long can the incubation period be - how does this affect partner notification?
Describe some symptoms associated with each stage of syphilis
T. pallidum
up to 90 days - normally symptomatic after 21 days. need to tell all partners of the last 3 months
Primary - chancre
Secondary - maculopapular rash and greyish wart like things
Latent - no symptoms
2years of latent = late latent
tertiary - gummas - granulomatous lesions
Neurosphyilis - increasing confusion, headache and Argyl-robertson pupil (prositutues pupil - accommodates but doesn’t react (to light))
Complete the STI flowchart
How is syphilis managed?
What can happen after treatment initated?
Early (primary, secondary, early latent) = IM benzylpenicillin
Late (late latent (2yrs of latent) and tertiary) = IM benzypenicillin weekly for 3 weeks
Jarisch-herxheimer reaction - abrupt onset of flu like symptoms after treatment of syphilis with antibiotics
= REASSURE and PARACETOMOL
Specificity vs sensitivity
Specificity = chance of someone without the disease testing negative
Sensitivity = chance of someone with the disease testing positive
imagine someone shouting ‘you’ve got to be more SPECIFIC’ - negative person
When is the only time 300mg of aspirin is used as opposed to 75mg?
TREATMENT of stroke or ischaemic heart disease NOT prevention
Epithelial ovarian tumours are the mist common ovarian cancer but they more commonly occur in post-menopausal women.
What type most commonly occurs in those <40? What do they often secrete??
Germ cell
AFP and b-hCG and sometimes LDH
What 3 things make up the assessment of ovarian cancer risk
CA-125 levels
USS findings
Menopause status
What is Meig’s syndrome?
Triad
- benign ovarian tumour
- pleural effusion
- ascites
