Acute medical presentation 1 Flashcards

1
Q

What are the risk factors for an MI?

A
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2
Q

Risk factors for PE?

A
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3
Q

Which murmur is more likely in aortic dissection?

A

AR

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4
Q

Which murmur is more likely in exertional angina?

A

AS

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5
Q

What heart sounds would you hear in pericarditis?

A

Rub

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6
Q

What would you suspect with a pleural rub?

A

Pleurisy

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7
Q

What would you suspect with bronchial breathing?

A

pneumonia

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8
Q

Type of pain in aortic dissection?

A

Severe central chest, tearing.
May radiate to back (interscapular)

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9
Q

What are the risk factors for aortic dissection?

A

HTN
Collagenopathies (e.g. marfans)

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10
Q

What are the signs of an aortic dissection?

A
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11
Q

What is the acute management of an aortic dissection?

A
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12
Q

How does a type A vs type B aortic dissection differ in management?

A
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13
Q

Cause of VT?

A

Myocardial scar

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14
Q

Cause of VF?

A

Acute MI

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15
Q

What at the 4 Hs and 4 Ts?

A
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16
Q

When do you give adrenaline in cardiac arrest?

A

Every 3-5 mins

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17
Q

When do you give amiodarone in cardiac arrest?

A

After 3rd shock

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18
Q

Types of neuromuscular failure?

A

Guillain Barre
Myasthenia gravis

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19
Q

What are the potential differentials of pleuritic chest pain?

A
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20
Q

What are the sizes of small and large pneumothorax?

A
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21
Q

What is the definition of pneumothorax?

A
22
Q

What is the different between primary and secondary pneumothorax?

A

Primary - normal lungs
Secondary - Underlying lung disease e.g. COPD, Pulmonary fibrosis, CF

23
Q

What are the risk factors of primary pneumothorax?

A
24
Q

Is primary or secondary pneumothorax more serious?

A

Secondary

25
Q

90% of patients who have a primary pneumothorax have what on imaging?

A
26
Q

what is the typical presentation of a pneumothorax?

A
27
Q

What are the signs of pneumothorax?

A
28
Q

What are the signs of tension pneumothorax?

A
29
Q

What type of imaging would you do if suspecting a pneumothorax?

A
30
Q

What would you see on an ABG in a pneumothorax?

A
31
Q

What discharge advice is given in primary pneumothorax?

A
32
Q

When would you aspirate a primary pneumothorax?

A
33
Q

How would you manage a secondary pneumothorax?

A
34
Q

What are the indications for a chest drain?

A
35
Q

What is the management for a tension pneumothorax?

A
36
Q

What is the definiton of a PE?

A
37
Q

How is the severity of a PE determined?

A
38
Q

In what symptoms would you consider a PE?

A
39
Q

What is the signs of a PE?

A
40
Q

Which investigations would you do in a suspected PE and what would you expect to find?

A
40
Q

What Wells score indicates low, intermediate and high risk of a PE?

A
41
Q

What is the management of an acute PE?

A
42
Q

How would you manage a severe PE?

A
43
Q

What is the PESI scoring for PE?

A
44
Q

What happens in the cells in anaphylaxis?

A

Histamine released from Mast Cells -> increased vascular permeability -> swelling

45
Q

What is the presentation of anaphylaxis?

A
46
Q

How is anaphylaxis managed?

A
47
Q

What is a biphasic reaction in anaphylaxis?

A

a second reaction/wave 6-12hr later

48
Q

Which bloods do you test for in anaphylaxis?

A

Mast Cell Tryptase, 3 samples between 2-4 hours

49
Q

What type of puncture could you do in severe upper airway obstruction?

A

Crico-thyroid membrane puncture

50
Q
A