3 January #2 Flashcards
What are features of eosinophilic granulomatosis with polyangitis?
Sinusitis
Asthma
Mononeuritis multiple- peripheral neuropathy
Bloods
- eosinophilia
PANCA antibodies
Symptoms worsen after LRTA
What are features of subclinical hyperthyroidism?
Low TSH in context of Normal T3/T4
AF
Osteoporosis
Investigate further/ refer if
2 TSH readings <0.1 3 months apart
Evidence of thyrotoxicosis
What are features of Hereditary Haemorrhagic Telangiectasia?
AKA Osler Weber Rendu Syndrome
Epistaxis
Telandiectasia
Visceral lesions
FH of similar
Autosomal Dominant
What is found on investigation of sickle cell anaemia?
Normocytic Normochromic anaemia
Blood film
- howell jolly bodies
- target cells
Reticulocytosis
Haemoglobin electrophoresis= gold standard
What is found on US in ovarian torsion?
Whirlpool sign
What are features of Riedels thyroiditis?
Loss of thyroid function due to replacement of thyroid tissue by dense fibrotic tissue
Hard painless, fixed goitre
What is the management of vaginal candidiasis?
1) Oral fluconazole
2) Clotrimazole pessary (if oral contraindicated)
If pregnant only creams or pessaries
What are features of Schizoid Personality Disorder?
Indifference, lack of interest
Limited relationships
Prefer being on their own
Emotionally detached
what are features of Carbon monoxide poisoning?
Headache
N&V
Flushed pink/cherry red skin
Sats can be falsely normal
100% Oxygen for 6 hours
What is Miller Fisher syndrome?
Like Gullain Barre
Opthalmplegia
Ataxia
Descending paralysis
Lack of reflexes
What are features of polyarteritis nodosa?
Commonly affects middle aged man with Hep B
Mononeuritis multiplex
HTN
Livedo reticularis
Haematuria
Acute renal failure
What are features of insulinoma?
Neuroendocrine tumour of pancreatic islet cells
Weight gain
Hypoglycaemic episodes
Raised insulin/ C peptide/ proinsulin to insulin ration
Diagnostic
- supervised prolonged fast
