Ambulatory/ED Flashcards
How do the urine and stools appear in a post-hepatic jaundice?
Urine = Darker
Stools = Lighter
What is Gilbert’s syndrome?
Hyper-unconjugatedbilirubinaemia due to deficient in UGT
Not as severe as Crigler-Najjar
What is a Le Fort fracture? Outline the classification system
A fracture of the midface involving separation of all or a portion of the midface from the skull base
- Horizontal maxillary fracture separating the teeth from the upper face
- A pyramidal fracture with the teeth at the pyramidal base and the nasalfrontal suture at the apex
- Craniofacial fracture. Fracture line passes through nasofrontal suture, maxillo-frontal suture, orbital wall and zygomatic arch
What is TTP? What are its five components?
Thrombotic thrombocytopenic purpura - a rare blood disorder characterised by clotting in small vasculature and subsequent thrombocytopenia
- Fever
- Renal impairment
- Microangiopathic haemolytic anaemia
- Thrombocytopenic
- CNS involvement
Which tremors don’t improve with intention?
Cerebellar
What is HIT? How does it present?
Heparin induced thrombocytopenia
Thrombocytopenia 4-10 days after heparin administration with skin lesions around injection sites or systemic symptoms of fever, chills, chest pain, and SOB
How do you assess the progression of a patient’s inflammatory arthritis on Hx alone?
Duration of morning stiffness
What are some of the first symptoms of Parkinson’s?
Anosmia
Reduced movement during sleep
What determines whether a autoimmune haemolytics anaemia is warm or cold? Which type of antibody predominates in each?
Whether the antibody attaches better to red cells at body temperature (warm) or below body temperature (cold)
Warm: IgG
Cold: IgM
What do you look for on examination of the eye after trauma?
Palpate orbital bones
Look for hyphema
Eye movement for entrapment of the lateral rectus
Look for retro-orbital haemorrhage with no posterior limit
CSF rhinorrhea - test glucose content
What is the hernia of bochdalek? How can it present on Ex?
Congenital hernia of the diaphragm, posterior
(5 Bs - Bochdalek, baby, big, back, and bad)
Bowel sounds heard in the thorax
What is nitrofurantoin? What is a side effect?
An antibacterial used for UTI’s
Peripheral neuropathy
What is Raynaud’s phenomenon?
Spasm of the digital arteries usually precipitated by cold and relieved by heat
What is Boerhaave syndrome?
Ruptured oesophagus
What is Mallory-Weiss syndrome?
Tear of the oesophagus typically secondary to dry renching after an alcoholic binge
