21/6 Flashcards
What kind of products is HepE associated with?
Pork products
What management of roseasca would you implement for each of the following complaints:
- flushing
- general
- papulopustular
- telecantgasia
Flushing = brimonide/propranolol (Bees make you more settled -> reduce flushing)
Papulopustular = ivermectin, metronidazole, azelic acid
Telecantgesia = lazer
General = avoid sun, camouflage creams and emoillents
Most common bug to cause exacerbations in bronchiectasis
Haem influenza
Management of torsades de pointes?
What electrolyte can cause torsades de pointes?
What is calcium gluconate used to manage?
Magnesium sulphate
HYPOkalaemia (one with U waves)
Hyperkalaemia
Go over hand sensation again
Remember little dance
With gun = ulnar
rub hands = medial
pretty stroke on the back = radial
Explain how GnRH agonists are used in management of metastatic prostate ca?
They work to increase the GnRH production which should eventually overwhelm the pituitatry and reduce testosterone production
However initially it causes a rise in testosterone and can result in a “tumour flare”
- if pts have a spinal mets this can lead to cord compression
- can also cause urinary retention
Can be overcome by giving GnRH antagonists
Urinary ACR >3 in diabetic pts
Start on an ACE
What med reacts with statin to give the myalgia response
Clarithromycin/erthoymcin
The mice that are fighting off campers and are friends with Ella also have high cholesterol
What kind of tumours are anterior resections used for?
RECTAL
REsection = REctal
A stroke where causes a painful CN3 nerve palsy?
What will be the case with the pupil
Posterior communicating artery
(surgeons communicate post-op = surgical CN3 palsy)
CN3 leads to pupillary restriction if it is damaged properly = pupillary dilation = surgical
If CN3 is damaged from inside the nerve it is pupil sparing
How is hyper acute and acute transplant failure managed?
Hyper = no cure - must be removed
Acute = may be reversed with steroids and immunosuppresants
Go over aphasia chart
Girls - global
Backs - brocas
Won’t - wernickes
Count - conductive
(as) Ass - anomic
Management of myxoedema coma?
IV thyroid replacement
IV fluids
IV steroids
How long can a febrile seizure last before ambulance must be called?
5 mins
Management of symptomatic chronic subdural
Burr holes
AICA strokes - ipsilateral or contralateral?
Ipsilateral
Where is haustra found?
Large bowel
How is CML managed?
iMatinib
What can be used to manage chickenpoz
Calamine lotion
Explain how amiodarone is delivered?
6mg then 12mg then 18mg
- if the previous dose hasn’t created a response
Anion gap stuff again
If bradycardia doesn’t respond to transcutaneous pacing?
Transvenous
osteomalacia management
Osteomalacia = softening of the bones due to low Ca+ and PO4 and vit D
Manage with
= vit D spplements +/- calcium
What CCB causes most sx including pulomonary oedema?
Verapamil = VerapKILL
Lateral anal fissure?
Secondary cause
AF with haemodynamic instability?
synchronised cardioversion
What Ig must be checked alongside TTG
IgA
How does starting of biphosphates post fracture change based on age
<75 = DEXA -> FRAX -> ?biphosphates
> 75 = biphosphates straight away witohut DEXA
When to start biphosphates - 3 times
- > 75 with fragility fracure without DEXA
- on steroids >3mths
- DEXA <-2.5
Tumour markers for testicular ca
AFP
BCG
Ann-arbour staging of Hodgkin’s lymphoma
I - 1 lymph node
II - 2 areas on the same side of the diaphragm
III - areas on both sides of the diaphragm (3 areas)
IV - mets outside the lymph system
What is the most common causw of primary hyperaldosteronism
Bilateral adrenal hyperplasia
What kind of med is duloxetine?
SNRI
How do you prevent pnuemothorax?
VATS - video assisted thoracoscopic surgery
What is desferrioxamine?
Iron chelation therapy used to reduce iron overload in those that need lots of transfusions e.g. beta-thalassaemia major
