Acute Presentations Flashcards

1
Q

Hyperosmolar Hyperglycaemia State

A

serum osmolality > 230 mOsmol/kg
hyperglycaemia > 30 mmol/L
hypocolaemia
X ketonuria / X acidosis

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2
Q

DKA

A

glucose > 11 mmol/L
pH < 7.3
serum bicarb > 15
ketones > 3 / ketones ++

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3
Q

meningitis

A

photophobia
neck stiffness
non blanching purpuric rash
RICP / neurological symptoms

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4
Q

Hyponatraemia

A

Present as causes: hypovolaemic, euvolaemic, hypervolaemic

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5
Q

Hypernatraemia

A
FRIED SALT
fever
restlessness
increased fluid retention
edema 
decreased urine output
skin flushing 
agitation 
low grade fever
thirst
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6
Q

hypercalcaemia

A

SBMG + short QT + HTN

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7
Q

hypocalcaemia

A
SBMG 
CATS GO NUMB
Convulsions
Arrhythmias
Tetany
Stridor / siezures / spasms 
Go numb = paraesthesia
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8
Q

pericarditis

A

BECK’S TRIAD = three Ds

Distended JVP, Decreased arterial pressure, Distant heart sounds

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