Chronic Disease Flashcards

1
Q

What does low albumin indicate?

A
  • malnutrition
  • coeliac disease
  • kidney disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does high albumin indicate?

A
  • severe infection
  • dehydration
  • chronic inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does high bilirubin indicate?

A

High conjugates: liver/bile duct disease
High unconjugated: Gilbert’s/haemolytic anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is GGT a marker of?

A

Marker of liver disease from drugs/alcohol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are AST/ALT markers of?

A

Liver disease markers of drugs, toxins
and alcohol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is ALP a marker of?

A

High in obstructive liver disease.
(bile duct destruction stimulates ALP)

  • Can have a non-hepatic origin (high osteoclast activity- Paget’s, osteomalacia)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does a high CRP/ESR mean?

A

CRP/ESR are markers that show if there is any inflammation in the body, it can be raised if you have any burns, infections and in other scenarios

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does a high INR mean?

A

High susceptibility to bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does a low INR mean?

A

Clot susceptibile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some symptoms of a raised INR?

A

headache
stomach ache
bleeding
bruising
gum bleeding
blood in urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some symptoms of a low INR?

A

weakness
numbness
vision changes
new pain/swelling/redness in calf/ chest pain (DVT/PE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does an increased consumption of green fruit/veg effect your INR?

A

Lowers INR

-Vit K increased blood thickness “clot”
-Vit K is antagonist to warfarin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the HBA1C range for pre diabetes?

A

42-47

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What HBA1C is diagnostic for diabetes?

A

> 48

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is HBA1C? (in patient friendly language)

A

“HBA1c is a test that measures your average blood sugar levels over the previous 2-3 months as the sugar sticks to cells in the blood”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some important questions to ask in a diabetes history?

A
  • Are you alternating injection sites?
  • Have you ever had a hospital admission?
  • How often do you monitor glucose levels
17
Q

If a patient with diabetes is unwell, what advice do you give them?

A

SICK RULES: when sick check blood sugar more regularly (4 hourly), contact diabetes team, check ketones.

18
Q

What’s the difference between peak flow and spirometry?

A

PF: “A measure of how fast you can breathe out so we can assess how well your lungs are working”

SPIRO: “measures lung function, specifically the amount and speed of air in/out.”

19
Q

What are some important questions to ask in an asthma/COPD history?

A
  • What medications and inhalers? How often?
  • Technique!!! And check a nurse has assessed it.
  • Spacer?
  • Any Beta blockers?
  • Any new pets?
  • Recent travel?
  • Housing- damp/new house?
  • Hay Fever?
  • Smoking?
20
Q

What are the 5 main tumour markers?

A
  • ALP: hepatocellular cancer
  • CEA: bowel cancer
  • PSA: prostate cancer
  • CA125: ovarian cancer
  • CA 19-9: pancreatic