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A Revision Y5 > Criggler Najjar, Potassium and Calcium Replacement, Vaginal Discharge > Flashcards

Criggler Najjar, Potassium and Calcium Replacement, Vaginal Discharge Flashcards

1
Q

What is Crigler Najjar?

A

Poor conversion and clearance of bilirubin from the body.

UGT1 A1 defect.

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2
Q

What are the symptoms of Crigler Najajar?

A

Baby
Diarrhoea/ vomiting/ swallowing problems
Fever
Confusion/ Slurring/ Seizures

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3
Q

What is the treatment of Crigler Najjar?

A

Phototherapy/ Exchange transfusion

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4
Q

What are the causes of hyperkalaemia?

A

Renal Impairment
Drugs
Addisons (+low aldosterone)
Cell release

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5
Q

What is the treatment of hyperkalaemia?

A

10 ml 10% calcium gluconate
50 ml 50% dextrose + 10 units of insulin
Nebulized salbutamol
Treat the underlying cause

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6
Q

What is the treatment of severe hypokalaemia?

A

IV potassium chloride
Maximum rate 10 mmol per hour
Rates > 20 mmol per hour are highly irritating to peripheral veins

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7
Q

What is the treatment of hypercalcaemia?

A

Fluids

Pamidronate

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8
Q

What is the treatment of hypocalcaemia?

A

Depends on cause

Vitamin D
Calcium supplements
Surgery etc.

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9
Q

What causes cottage cheese like discharge?

A

Thrush

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10
Q

What causes green frothy discharge?

A

Trichomonas Vaginalis

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11
Q

What causes a strawberry cervix?

A

Trichomonas Vaginalis

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12
Q

What causes a thin grey fishy discharge?

A

Bacterial Vaginosis

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13
Q

What causes cervicitis?

A

Chlamydia

Gonorrhoea

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14
Q

How do you treat thrush?

A

Fluconazole 150mg (PO, STAT) (BUT NOT IF PREGNANT)

Clotrimazole 500mg (TOP, STAT pessary))

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15
Q

How do you treat trichomonas vaginalis?

A

Metronidazole PO 5-7 days

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16
Q

How do you treat Bacterial vaginosis?

A

Metronidazole PO 5-7 days

17
Q

How do you treat Chlamydia?

A

Doxycycline (7 days) PO

-> Azithro 1g OD one day then 500mg OD for 2 days

18
Q

How do you treat gonorrhoea?

A

IM ceftriaxone 1g (STAT)

19
Q

How do you treat PID?

A

IM ceftriaxone
Oral doxycycline
Oral metronidazole

20
Q

What is cluster A?

A

Odd Eccentric

21
Q

What is cluster B?

A

Dramatic unpredictable

22
Q

What is cluster C?

A

Anxious Fearful

23
Q

Which personality disorders are in cluster A?

A

Paranoid
Schizoid
Schizothypal

24
Q

Which personality disorders are in cluster B?

A

Antisocial
BPD/ EUPD
Histrionic
Narcissistic

25
Q

Which personality disorders are in cluster C?

A

Avoidant
Dependent
Obsessive Compulsive

26
Q

Which cluster is odd eccentric?

A

A

27
Q

Which cluster is dramatic unpredictable?

A

B

28
Q

Which cluster is anxious fearful?

A

C

29
Q

Which cluster does antisocial belong to?

A

B- dramatic, unpredictable

30
Q

Which cluster does obsessive compulsive belong to?

A

C- anxious, fearful

A Revision Y5 (9 decks)

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