29 December #2 Flashcards
What are features of tuberus sclerosis?
Autosomal Dominant
Ash leaf spots
Roughened pathces of skin over lumbar spine
Adenoma sebaceum- butterfly distribution over nose
Fibromata beneath nails
Cafe au lait spots
Developmental delay
Epilepsy
Intellectual impairment
What are risk factors for Idiopathic intracranial HTN
Obesity
Female sex
Pregnancy
Drugs
- COCP
-Steroids
- Tetracyclines
- Retinoids
-Lithium
What is used for the management of MS induced spasticity?
Baclofen and gabapentin are first line
Can use diazepam, dantrolene and tizanidine
What are features of sick sinus syndrome?
Impaired pacemaker function and impulse transition
Get atrial brady/tachy arrhthmias
Can get tachy-brady syndrome
May present with palpitations, lightheadedness and syncope
What are features of rickets?
Bone pain
Bow legs
Short stature
Bossing with thickened/swollen appearance of wrists or ankles
Fractures
What syndromes can arise from small cell lung cancer?
SIADH- hyponatraemia
ACTH excess- Cushing Syndrome
Lambert eaton syndrome- antibodies to voltage gated calcium channels
What features can arise from squamous cell lung cancer?
Excess PTH secretion
Clubbing
Hyperthyroidism
What are features that can arise from adenocarcinoma of the lung?
Gynaecomastia
Hypertrophic pulmonary osteoarthropathy
What is the management of panic disorder?
CBT or SSRI
- if SSRI contraindicated or no response after 12 weeks then consider imipramine or clomipramine
Can use BB for symptomatic management
What are features of keratitis?
Red painful eye
Photophobia
Foreign body/gritty sensation
Hypopyon may be present
- can be associated with contact lens wearers
Can be associated with herpes- if case will show epithelial ulcer on fluroscein staining
What are features of Scleritis?
Assocaited with RA, SLE< Sarcoidosis, Granulomatosis with polynagitis
Painful red eye
Watering/Photophobia
Gradual decrease in vision
What is Tietze Syndrome?
Inflammatory condition causing chest pain and swelling at costochondral junction
Often affects 2-3 costosternal joints
What are features of acute intermittent porphyria?
Severe abdominal pain- colicky
Hypertension
Tachycardia
Neurological symptoms
- peripheral neuropathy
- motor weakness
-psych disturbances
IV glucose
Heme/ hemin stop porphyrin production
What are symptoms of myasthenia gravis?
Muscle weakness
Diplopia
Bilateral ptosis
Dysphonia
Symptoms worse at the end of the day
What is the management of mild-moderate UC?
Proctitis
- topical rectal aminosalicyltate
- if ongoing symptoms 4 weeks later than oral aminosalicyltate
- if not working oral or topical steroid
Proctosigmoiditis and left sided UC
- Topical aminosalicyltate
- ongoing 4 weeks later- high dose oral OR switch to high dose oral and topical steroids
- if still ongoing then oral aminosalicyltate and oral steroids
Extensive disease
-topicala ndoral aminosalicyltate
- if no remission in 4 weeks then stop topical and add in oral steroid
