cards Flashcards
what are the requirements for forceps delivery
fully dilated cervix ruptured membranes OA or OP position cephalic presentation head presenting pain relief bladder empty clear indication
when should post exposure prophylaxis be given
no later than 72 hours
if a patient has a GCS of less than 13 in a and e what imaging must you do
CT head in one hour
what could enlarged lymph nodes that become painful on alcohol consumption suggest
Hodgkins lymphoma
what pathogen is associated with gangrene
clostridium perfringes
pre hepatic jaundice LFTs
normal ALT, AST and ALP
hepatic jaundice LFTs
elevated ALT and AST, moderately high ALP
post hepatic jaundic lfts
very high ALP
moderatley high ALT and AST
Often pale stools
what are the features of kartageners syndrom
dextrocardia or situs invertus bronchiectasis sinusitis otitis media suberfertility
what is kartageners syndrome
ciliopathy
what are smudge or smear cells
CLL
rouleaux formation
multiple myeloma
Auer rods
AML
Psuedo pelger huet cells
CML
what is the transfusion threshold for patients with ACS
80 g/L
what is the treatment for wolf Parkinson white syndrome
accessory pathway ablation
what are the features of wolf parkinson white
palpitations. ECG shows a shortened PR interval and wide QRS complexes associated with a slurred upstroke seen in lead II.
axis deviation
congenital accessory conducting pathway between the atria and ventricles leading to a atrioventricular re-entry tachycardia (AVRT)
why can furosemide cause hearing loss
ototoxic
what drugs can be used to treat oesophageal varices
terlipressin
octreotide
also quinolones
endoscopic band ligation
how do you prevent bleeding oesophageal varices
propanolol
endoscopic variceal band ligation
what is a transjugular intrahepatic potosystemic shunt
connects hepatic vein to the portal vein
what disease causes upper zone pulmonary fibrosis
tuberculosis
what is the most common cause of hepato cellular carcinoma in europe
hep c
what is fontaine classification
chronic ischamia asymptomatic claudicatin rest pain tissue loss
what is an aneurysm
swelling of the aorta to 1.5 its normal size
