9/3 Flashcards
cells seen in hodgkin’s lymphoma
reed-sternberg cells
reed-sternberg cells also called
mirror image nuclei
mx of thoracic night pain + prostate cancer
emergency - ? met cancer causing spinal cord compression
complications post renal transplant
hyperacute rejection - pre-existing ab, minutes to hours
acute graft failure - <6M
chronic graft failure >6M
Mx As
NsAIDs
physio
DMARDs e.g. sulphasalazine
anti-TNF
dx of coeliac disease
jejunal biopsy
side affects of aminosalicylates
pancreatitis
mesalazine has a higher risk
meralgia paraesthetica
compression of lateral cutaneous nerve of thigh
burning sensation of antero-lat aspect og thigh
xray - gout
joint effusion
punched out erosion with sclerotic margins
eccentric erosion
tophi
dx pckd
uss
strep boviscommonly found in
GIT
findings on colonoscopy - CD
intermittent inflam - skip lesions
cobblestone mucosa - ulceration and mural oedema
rose thorn ulcers +- fistulae/ abscesses
non-ceseating granuloma
mx gastric cancer
local - partial or total gastrectomy
neoadjuvant chemo
no radiotherapy
palliatve - sx and chemo
ECG Pe
sinus tachycardia
S1Q3T3 - rare
deteriorating on PE
thrombolysis with alteplase
cHAMPs
complaint hpc allergies medications pmh social
female of child bearing age - check for
pregnancy test!!!!
any chance you could be pregnant
taking any contraception
missed any pills
Mx appendicitis
obs abdo exam, urine dip, pregnancy test testicular exam access, bloods (FBC, UE, CRP, LFT, coag, G&s, blood cultures) IVI, antiemetic, analgesia, surg review Uss peritonitic - sepsis 6! NMB for surg review and poss lap appendicectomy
hx
if taking a pill… ask
have you missed any pills
do you take it regularly
any chance you can be pregnant
signs of peritonism
guarding - local
global guarding - more urgent senior reivew
septic 6
if not sure about doing sepsis 6
still do sepsis 6
wernicke’s encephalopathy tetrad
confusion
ataxia
nystagmus
opthalmoplegia
amiodarone associaed with
hypo and hyperthyroidism
management of displacement fracture
closed reduction
