9/6 Flashcards
What is most assoc with umbilical cord prolapse?
AROM (baby’s head isn’t acc engaged in the pelvis yet)
What is TIBC?
Total iron binding capacity
If high means lots of space for iron to bind to
What is Salter-Harris fracture?
Relate to physis etc.
Children have physis (growth plate) at ends of that = epiphysis
Other side = metaphysis
Long bone = diaphysis
(adults only have diaphysis and Metaphysis)
SMACK
Slipped = type 1
Metaphysical = type II
Articular-epiphyseal = type III
Complete-metaphysis and epiphysis = type IV
Krushed = V
(also in order of worst prognosis)
How to test for mycoplasma?
Serology
Anorexia with a BMI within normal range?
ATYPICAL anorexia
Delirium with predominant visual hallucinations is most likely to be what?
How is it managed?
Delirium tremens
Benzos
Ddx for dementia
3 Ds for dementia
Drugs - anticholingeric meds in particular e.g. oxybutyonin
Depression
Delirium
What electrolyte imbalance can cause changes in mental state in older pt?
Hyponatremia
- look for lots of dieuritcs
What is a very quick way of assessing a pt cognition in GP?
- Say 3 random words
- Draw a clock face with numbers and ask to draw the hands to say a set time
- Repeat the words back to me
If 3 recalled = all good
1/2 = use the clock face - if thats a mess = refere
0 = refer
Conversion disorder = ???
FUNCTIONAL DISORDER
Gold standard invx for malaria?
Thick and thin blood films
What is the most common type of breast ca?
Ductal
Management of HSP
HSP without purpura?
Supportive with regular BP and urine dipstick monitoring for proteinuria and HTN
CANNOT have HSP without purpura - different diagnosis
What is the best way to manage pts with increased risk of wandering?
Extra member of staff to sit with them
Treatment of oral thrush
Miconazole OR nystatin
Draw out the specificity and sensitivity diagram with NPV and PPV as well
Cohort vs case-control studies
Odds ratios or risk ratios
Cohort = looks FORWARD - RR
Case-control = looks BACK - OR
What happens in tetraology of fallot
PROVe
Pulmonary stenosis
RVH
Overriding aorta
VSD
What congenital heart condition is assoc with lithium use in-utero?
Ebstein’s analomy
- where the pulmonary valve is lower than normal = large RA and small RV
Cyanotic episodes on exertion in babies?
TOF
How is Patent ductus arteriosus managed?
NSAIDS - inhibit prostaglandins = shutting of the duct
