27/2 Flashcards
Ear infection, tonsillitis,
What scan be used to identify parkinsons/lewy body dementia?
DAT scan
Who gets mammogram screening and how often
Women 50-70 every 3 years
Where does breast cancer spread?
Bone
Brain
Lung
Liver
Think Lauren and Brooklyn massive boobs - 2 of them
When is it appropriate to use DOAC rather than antiplatlet?
DOAC - venous embolism prevention, AF, fake heart valves
Anti-platelet (clopridogrel,ticagrelor etc)- atherlosclerotic disease
Management of PE - both acutely and prevention post PE
Acute
- start DOAC as soon as suspicious (can stop if diagnosis changed)
- only those with anti phospholipid syndrome or severe (eGFR <15) are to be offered LWMH as before
Thrombolysis if massive PE
Continue DOAC for at least 3 months (provoked) or 6 months (unprovoked)
Episcleritis vs scleritis
Both causes of red eye
Scleritis = PAINFUL unlike epi
Most common bacterial cause of acute otitis media?
How is it managed?
Haemophilius influenza
Most will resolve within 4 days without ABs
Use if
- bulging membrane
- bilateral
- discharge
- Perforation
- amoxicillin
- erthyomycin
Criteria for knowing if tonsillitis requires ABs?
What antibiotic is given?
FeverPAIN
Fever
Purulent discharge
Admission urgently (3/7)
very Inflamed tonsils
No cough/coryza
0-1 = no ABs
2/3 = consider
4/5 = give
phenoxymethylpenicillin/clarithomycin for 7-10 days
Sarcoidosis can present with dark indurated plaques?
Yep - granulomatous disease
Honeycombing on lung CT
PF
What role does pyridoxine have in TB treatment?
When provided alongside isoniazid can reduce the risk of peripheral neuropathy
Where is osteomyelitis most likely to occur in children and adults
Children = Minors = Metaphysis
Adults = Elders = Epiphysis
How many episodes of tonsillitis must have occurred in order to be referred for tonsillectomy?
What is the major concern post-tonsillectomy surgery?
3 episodes/yr for 3 years
5 episodes/yr for 2 years
7 episodes for 1 year
Remember ‘3 for 3’ and add 2 on top
Post-surgical haemorraghe - if bleeding straight after must be rushed back to surgery
Most common bacterial cause of tonsillitis
Strep pyogens
Pt presents with red, swollen and itchy ear with discharge - diagnosis?
What is the most common cause of progression to malignant otitis?
How is it managed?
How does management change if pinna/parotid is swollen?
Otitis externa
Pseudomas aeuruginosa
topical ABs and steroid (if caused by skin condition just steroid)
Swollen pinna/parotid - systemic ABs - worried about progression to malignant otitis
