AKT Flashcards
UTI in children
if +ve leucocytes and -ve nitrite –> <3 years start antibiotics, if >3 years only start if symptomatic
Nitro or TMP
Pyelonephritis + Pregnant
cefalexin
non lactational mastitis
co-amoxiclav
AOM
- amoxicillin 5-7 days
- co-amoxiclav 5-7 days
Sinusitis
Pen V
Co-Amoxiclav if severe
10 days of symptoms - high dose nasal steroids
21 days of symptoms - antibiotics
perichondritis
ciprofloxacin
diverticulitis
co-amoxiclav
whooping cough
erythromycin
HAP
<5 days - co-amoxiclav
>5 days - ciprofloxacin
define AKI
rise in SCr by 26 in 48 hours of by 50% in 7 days
acceptance for ACEi
drop in EGFR by 25% or rise in SCR by 30%
HTN - ACR >70
<130/80
referral for CKD
fall by 15ml/min in 12 months or reduced by 25% in 12 months
Thiazides and CA
Hypercalcaemia
Cushings and Conns K
hypok
describe hydrocele
abive psermatic cord
anterior and inferiro to testicle
DMARD safe in pregnancy
hydroxychloroquine
hameaturia after URTI
IGA
drugs not in G6PD
sulphonylureas and ciporfloxacin
cervical screening
25-64 every 5 years
UKMEC bmi >35
cocp is ukmec 3
UKMEC bmi 30-35
cocp is ukmec2
VTE and COCP
if personal hx –> UKMEC4
if Fhx in a first degree rleative less than 45 years –> UKMEC3
VTE and COCP
if personal hx –> UKMEC4
if Fhx in a first degree rleative less than 45 years –> UKMEC3
> 35 and smokes
> 15 - UKMEC4
<15 - UKMEC3
abx not safe in breastfeeding
tetracyclines
ciprofloxacin
chloramphenicol
downs syndrome tests
10-14 weeks –> combined test
14 weeks –> quadruple test
GDM diagnosis
fasting >5.6, OGTT 7.8
HTN and T1dm
BP <130/80
IFG
fasting >6.1-7
IGT
gasting >6.1 - 7 and OGTT >7.8 - 11.1
weight neutral diabetic drugs
metformin and gliptins
orlistat rules
BMI >30 or >27 with RF
stop if not lost 5% in 3 months
stage 1 HTN
clinic >140/90
Home >135/85
stage 2 NTN
clinic >160/100
home >150/95
bells palsy treatment
<72 hours – 10 days of steroids
peripheral nystagmus
horizontal + torsional nystagmus
central nystgamus
vertical + torisonal
breakthrough pain dose
one sixth
PO codeine/tramadol/dihydrocodeine to moprhine
divide by 10
PO morphine to PO oxycodone
divide by 1.5
po morphine to sc oxycodone
divide by 3
po morphine to subcut diamoprhine
divide by 3
functional BO nausea
metoclopramide
hbsag
active infection - acute or chronic
antihbc
CAUGHT - current or previous infection
antihbs
resolved infection - immune - vaccines
antiHBs without antiHBc is immunisised
proven GORd severe osoephagitis
8 weeks of full dose PPI
PBC ab
AMA +ve
PSC ab
pANCA
2WW >55 and weight loss and
either upper abdo pain, reflux or dyspepsia
2WW >40
weight loss and upper abdominal pain
2ww >50
rectal bleeding
<50 with bleeding
abdominal pain or bowel change or weight loss or IDA
bowel screening
50-74 years 2 hourly
pain on lebow extension
tennis elbow
MCP + PIP joints
RA
no plantarflexion and inversion
tibial nerve
when is FRAX not needed before DEXA
<40 with major risk for fragility fracture
>50 with a fragility fracture
when is DEXA not needed before treatment
> /75 with fragility fracture
on steroids and >65 with fragility fracture
when is DEXA not needed before treatment
> /75 with fragility fracture
on steroids and >65 with fragility fracture
antibitoics not for use in MG
quinolones
macrolides
tetracyclines
NICE guidance step up for asthma
low dose ics
then add lTRA
then add LABA
BTS guidance step up for asthma
low dose ICS
then add LABA
then add LTRA or increase dose of steroid
severe asthma
PEFR 33-50%
>12 – hr >110, RR >25
>5 - RR >30 HR >125
<5 RR >40 HR >140
fev1 fvc obstructive
feve 1 low
fvc normal
<0.7
fev1 fvc restrictive
fev1 low
fvc very low
>0.7
herald patch
rosea
erythema multiforme
mycoplasma
pregnant anaemia
<110
raised APTT
haemophillia
antiphopsholipid syndrome
hamophillia a
viii
group a strep exclusion
24 hours after abx
whooping cough exclusion
48 hours after abx
impetigo
48 hours after abx or crusted
measles exclusion
4 days
rubella exclusion
5 days
mumps exclusion
5 days
chickenpox exclusion
5 days
confluent rash behind the ears
measles
semi dilated pupil
glaucoma
haloes
glaucoma
ciliary flush
anterior uveitis
small and irregular pupil
anterior uveitis
RAPD
retinal detachment and optic neuritis
homes aide
unilaterally dilated pupil
argyll robertson
small unreactive irregular pupils
Glaucoma risk
Hypermetropia
Fixed mid dilated pupil
Glaucoma
patch testing
type 4 reactions - contact allergic dermatitis
Pr interval prigressively gets longer
2nd degree - mobitz type 1
NICE traffc light: nasal flaring
amber
NICE traffic light: RR
6-12 months >50 = amber
>12 months >40 = amber
red flag > 60
NICe traffic light RR >60
red
NICE traffic light: dry mucous membranes
amber
NICE traffic light: HR
<1 year - >160 =amber
1-2 years - > 150 = amber
2-5 years - >140 =amber
belo and lateral to pubic tubercle
femoral hernia - all should be repaired
medial and inferiro to epigastric arteries
direct (DM)
lateral to epigastrid arteries
indirect (LI)
inguinal heria in scrotum
indirect (illy willy)
chalyida partner notification
symptomatic men - 4 weeks
asympatic men and women - 6 months
tetanus vaccine: full course confirmed and last dose <10 years ago
no vaccine or IG required
when to give antibiotics in acute bronchitis
> 65 with 2 of OR >80 with 1 of
- diabetes
congestive heart failure
-steroid use
- hospital admission in previous 1 year
CHADVASC
2 points for >75 or previous stroke
start if men have 1 or women have 2
subclinical hyperthyroid: referral
TSH <0.1 x 2 on 3 months part
subclinical hyperthyroid: management
monitor TFTs every 6 months
high w-t-h
> 0.6
healthy w-t-h
0.4-0.5
define primary amenorrhoea
no periods or boobs by 13
no periods but boobs by 15`
when should oestrogen contraception be stopped
aged 50
`perfect use and typical use: cocp and pop
perfect 0.3% typical 9%
perfect use and typical use: implant
0.05%
mild LD
50-70
moderate LD
35-50
severe
20-35
