26/03 Flashcards
What is the 1st line management of hyperthyroidism in pregnancy?
PTU
What would be found on a high dose dexamethasone suppression test in a patient with an ectopic source of ACTH?
High ACTH and high cortisol
What is the most common cause of primary hyperparathyroidism?
Solitary adenoma
What are the 3 main features of HHS?
Severe hyperglycaemia
Dehydration and renal failure
Absent or mild ketone elevation
What is the investigation of choice to confirm C diff infection?
C diff toxin
What is the Child Pugh Score?
Used to assess severity of liver cirrhosis Looks at -INR -albumin -ascites -encephalopathy -bilirubin
What are common causes of pancreatitis?
Gallstones
Alcohol
Trauma
Steroids Mumps Autoimmune Scorpion Bite Hypercalcaemia, hypothermia ERCP Drugs
What is the causative organism of travellers diarrhoea?
E.coli
How can oesophageal cancer and achalasia be differentiated?
Achalasia affects the distal oesophagus whereas oesophageal cancer can be more proximal
How can hepatomegaly due to right sided HF present?
Tender enlarged liver
Pulsatile
Smooth
Firm
What is Budd Chiari Syndrome?
Due to obstruction of hepatous venous outflow- often due to conditions such as APS
Leads to
Hepatomegaly
Abdo pain
Ascites
What is the gold standard investigation for venous sinus thrombosis?
MR venogram
What tumours most commonly spread to the brain?
Lung Breast Bowel Skin- melanoma Kidney
What are adverse effects of triptans?
Tight throat and chest Tingling Heat Heaviness Pressure
