Chronic Disease Flashcards
Sx of Addisons
Hyperpigmentation, vitiligo
Hypotension
Salt craving, impotence, low libido
Amenhorrhea
Fatigue, wt loss
Ix + results for Addisons
ACTH Stimulation test
Lymphocytosis, neutropenia
Normocytic anemia
Hyponatraemia
Hyperkalemia
Hypoglycemia
Reduced AM serum cortisol
Rx for Addisons
Glucocorticosteroids
Testosterone
Spironolactone
Four principles of family medicine
Family doctor is skilled clinician, community based discipline, family doctor is a resource to a defined practice population, pt-physician relationship is at the centre
HIV medication complications
dyslipidemia, hyperglycemia, BMD loss, renal dz
Chronic complications of HIV
CKD, cardiovascular, cervical cancer, DM, OP
How often are paps in HIV pts?
Annual
Which antivirals for HIV in pregnancy + neonates?
Combivir
What things to consider in chronic dz?
Suicide, biopsychosocial, function
What is an increased QT?
> 450 in men, >460 in women
RF for torsades
congenital long QT syndrome, hypokalemia, older age, females, prolonged QT at baseline
Meds that prolong QT
domperidone, citalopram, macrolides, quinolones
Secondary causes of raynauds
SLE, systemic sclerosis, RA, Sjogrens syndrome
Sx on exam that would make you think of secondary raynauds
nail fold capillary changes