CAP Flashcards
56 year old man with ascites pyrexia and ascitic fluid of 340 neutrophils - manage
paracentesis
62 man with alcohol related cirrhosis and alcoholic hepatitis and CVP of 12- manage
terlipressin
A 55 year old lady with known PBC whose bilirubin rose to 110 μmols/l, over 6months, Abdominal ultra sound show normal bile ducts.
liver transplant
A 75 year old lady on warfarin for atrial fibrillation is admitted with an acute upper GI bleed. Her haemaglobin is 108g/l and her INR is 7.6. She is given fluid resuscitation and 10mg intravenous vitamin K.
prothrombin complex concentrate
A 54 year old lady with chronic liver disease is listed for an endoscopic retrograde cholangio-pancreatography.
She has a platelet count of 102x109/L, a prothromin time of 28s (normal range 9-12s) and an APTT of 41s (normal range 22-30s). Her coagulation has not improved with intravenous vitamin K.
FFP
how to confirm diagnosis of A 50 year old male alcoholic with a history of recurrent abdominal pain and central abdominal calcification on abdominal x-ray.
faecel elastase - chronic pancreatitis
how to confirm diagnosis of A 24 year old back packer with pale floating stool which is difficult to flush away who has recently travelled to St Petersburg
Esophagogastroduodenoscopy (OGD) and duodenum (D2) biopsy
A 67 year old woman presents with cough, fever and mild confusion. Temp is 38oC. BP 97/57mmhg, Pulse 110b/min, RR 24, Blood Tests Show HB 16gd/l, WCC 16, Plt435, Na 146,K+ 4.2, Urea 9, Creatinine 109. She has no known allergies.
V Co-amoxiclav and IV Clarithromycin
An 87 year old man presents with a right sided weakness and dysarthria. He lay on the floor for 1 day before admission. On examination he has a temperature of 39oC and has right basal crackles. SPO2 92% on air, RR is 26, Pulse is 85b/min, BP 102/55mmhg. Urea is 16, Creatinine is 116.
This is suggestive of severe Aspiration Pneumonia and should be treated with IV Amoxicillin, Gentamicin and Metronidazole
A 12 year old girl has decreased pigmentation of skin and eyes, a history of severe bacterial and viral infections and bleeding abnormalities.
Chediak-Higashi syndrome
A 1 year old boy, well until 6 months of age, has developed recurrent otitis media. He had severe pneumonia at age 8 months. He now presents with a seizure, reduced GCS and a high fever. He has globally reduced tone.
Bruton’s agammaglobulinemia
A 28 year old man presents with a severe pneumonia that does not respond to standard antibiotic therapy. A CT scan shows multiple small gas filled cavities in both lung apices and bilateral ground-glass opacification. His
condition improves with high dose co-trimoxazole.
HIV infection
A 55 year old man with anaemia and no other symptoms.
colonoscopy
A 55 year old with anaemia, weight loss and early satiety.
gastroscopy
A 22 year old backpacker who travelled through southern Russia for several months.
distal duodenal biopsy
