23 November #2 Flashcards
What is the management of Guillain Barre Syndrome?
Supportive
IV immunoglobulins
What are side effects of prochlorperazine?
Dizziness
Tremors
Movement disorders
Commonly affect young women
What are side effects of bromocriptine?
Pulmonary fibrosis
Retroperitoneal fibrosis
Pericardial fibrosis
What are features of multiple system atrophy?
Parkinsonism
Postural hypotension
Erectile dysfunction
Atonic bladder- incontinence
Cerebellar signs
What are symptoms of posterior scleritis?
Decreased visual acuity
No pain
Swollen eyelids
Proptosis
Swollen optic disc
What are symptoms of retinal detachment?
More common in short sighted (myopes)
Painless flashes, floaters
Visual field loss
Decreased visual acuity
what is a sign of significant vitreous haemorrhage?
Absence of red reflex
What is a side effect of viagra?
Blue tinged vision
What are risk factors for age related macular degeneration?
Increasing age
Smoking
Family History
HTN
Diabetes
High cholesterol
What are symptoms of macular degeneration?
Reduction in visual acuity (rapid in wet)
Difficulty seeing in the dark
Fluctuations in visual disturbance
Flashing/flickering lights
Glare around objects
Visual hallucinations (Charles Bonnet syndrome)
What medications should be commenced following ACS?
Dual antiplatelet therapy (for 12 months if PCI happens)
Ramipril
Beta blocker
Statin
What is Scarlet fever?
Coarse red resh and strawberry tongue, sore throat, headache, fever
Treat with 10 days PenV or azithromycin if pen allergic
What is the management of rosacea?
Simple- suncream
Predominant erythema/flushing- topical brimonidine
Mild to moderate- topical ivermectin/metronidazole/aselaic acid
Moderate to severe papules/pustules- topical ivermectin and oral doxycycline
What are the spirometry results in obstructive lung disease?
FEV1- significantly reduced
FVC- reduced or normal
FEV1/FVC- reduced
What is the Bishop score?
To assess whether induction of labour will be required
What electrolyte abnormalities are seen in digoxin toxicity?
Hypokalaemia
Hypomagnesaemia
Hypercalcaemia
Hypernatraemia
What are features of cluster headaches?
Intense stabbing around one eye
Pain occurs 1-2 times per day
Eye redness, watering and lid swelling
What medication is used in 3rd stage of labour?
Oxytocin
what are features of reactive arthritis?
develops within 4 weeks of infection
Arthritis- asymmetrical
Datylitis
Urethritis
Conjunctivitis
Anterior Uveitis
Circinate balantitis
Keratoderma menorrhagia
What is the referral guide for FIT testing?
Abdo mass or change in bowel habit or iron deficiency anaemia
OR
>40 unexplained weight loss or abdo pain
OR <50 rectal bleeding with abdo pain/weight loss
>50 rectal bleeding/abdo pain/weight loss
>60 with anaemia
What causes pneumonia in alcoholics?
Klebsiella pneumoniae
