2014 Flashcards
14 year old primary amenorrhoea + ejection systolic murmur
Turner’s
Cyclical pain, no heavy menstrual bleed, never sexually active
Ovarian Cyst
14 year old pregnant, comes with sister, wants a TOP. What should you do?
Persuade her to tell her parents if she refuses and gillick competent, you can give her TOP
Explore safeguarding
What do you test for in Hep B infection antenatally?
HBsAg
Women with previous GDM what is the best way to investigation her blood glucose?
OGTT at 28w
spotting
rule out ectopic
contraception increasing osteoporosis risk
depot
admit XS vomiting if
ketouria
Mumps orchitis can cause
Azoospermia
If want for just bones in menopause
bisphosphonates
if no uterus in menopause wanting symptomatic relief
trancutaneous oestrogen HRT
Perimenopausal women with menopausal symptoms, irregular menstruation, does swimming and does not patch
cyclical oral HRT
Blue dots on cervix
Nabothian cyst
47yo women with menorrhagia + dysmenorrhea, US showed multiple fibroids
consider hysterectomy
Mother being prepared for CS, sudden tingling around her mouth?
Spinal block
Women going away for holiday and would like to delay her periods.
COCP
Asthma management. Kid with acute exacerbation, been given salbutamol and steroids. Onlistening to the chest, you hear a quiet chest, respiratory rate 60. What to do?
Call PICU ready for intubation
Cross eye kid, what other piece of information would you like?
Vomiting before breakfast … ok then
Dehydration + ill kid – weight 15kg what do you give initially?
300ml bolus IV
What is the purpose of debriefing after a child’s death in resuscitation?
To address emotional needs of everyone in the team
Child who pass stool every few days, when he does go, stools are pellet like and smelly, what is the likely diagnosis?
Overflow constipation
Scabies Mx
Management
permethrin 5% is first-line
malathion 0.5% is second-line
give appropriate guidance on use (see below)
pruritus persists for up to 4-6 weeks post eradication
Drunk/ intoxicated kid
urine drug screen
Dehydrated, seizures, mother been giving some herbal oral rehydration fluid or something
check plasma sodium
Neonate getting progressively worse at breathing over first 3h with opacities
GBS
GBS then Still needs oxygen
Bronchopulmonary dysplasia
Ground grass appearance
Respiratory distress syndrome/ primary surfactant deficiency
Nitrogen washout test
congenital heart disease
abdominal mass pallor, weight loss bone pain, limp hepatomegaly paraplegia proptosis
Neuroblastoma
Investigation
raised urinary vanillylmandelic acid (VMA) and homovanillic acid (HVA) levels
calcification may be seen on abdominal x-ray
biopsy
Retinoblastoma Mx
enucleation is not the only option
depending on how advanced the tumour is other options include external beam radiation therapy, chemotherapy and photocoagulation
Intermittent pain, dehydrated, vomited 3 times -
Intussesception
Sudden abdo pain, well child, something indentable on the L lower quadrant
suspect Wilm’s?…
Scaphoid abdomen
diaphragmatic hernia
bipolar sudden renal failure
check lithium 0.4-1.0
Section 4
72 hour assessment order
used as an emergency, when a section 2 would involve an unacceptable delay
a GP and an AMHP or NR
often changed to a section 2 upon arrival at hospital
78yo guy has issues with organization, troubles with understanding words
alzheimers (frontotemporal)
drug for acute dystonia
procyclidine
Woman w confusion
urine dip
Learning disability
<70
rapid sedation
haloperidol
Someone with schizo and need help organizing their activities after they are being discharged?
Occupational therapist
