Derm/Other Flashcards
Atopic dermaatitis - deficiency of what molecule?
Filaggarin
Small bowel features on XR
Lines whole way through - valvulae conaventes
Large bowel features XR
Partial lines - haustra
Is bowel dilated? - rule?
3-6-9
Normal diametes
- 3cm small bowel
- 6cm - large bowel
-9cm - caecum
SOB and dry cough 6 weeks after radiotherapy for met breast cancer
- ?Dx
- ?Rx
Radiation induced lung injury
Treatment - prednisolone
Which antipsychotic least associated with photosensitiviy?
Aripiprazole
White out lung, trachea pushed towards white out
- causes
Lung collapse
Pneumonectomy
White out lung, trachea pushed away from white out
Pleural effusion
Pulmonary mass
Hernia
White out lung, trachea middle
Consolidation
Pulmonary oedema/ARDS
What defines a tension pneumothorax?
Pneumothorax with clinical instability - low BP, low sats, high RR, clinical tracheal deviation
Bilateral hilar lymphadenopathy - cause?
Sarcoid
Unilateral hilar lymphadenopathy - cause?
TB
Which mineral can result in raised intracranial pressure?
Retinol
Dix Hallpike - testing for which canal in BPPV?
What finding?
Posterior canal BPPV
Testing for torsional nystagmus
Horizontal canal BPPV - what type of nystagmus?
Horizontal
Cause of hyerptonic hyponatremia
Hypergylcaemia
Mannitol
IVIG
Causes of pseudohyponatremia
Lipemic serum
Obstructive jaundice
Plasma cell dyscrasia
Thunderstorm asthma
- previous exposure
Rye grass
Most pathogenic autoantibody?
IgG
Ab association of amyopathic dermatomyositis
MDA-5
CK4 and CK14 - which cell origin?
Epithelial
Anti-epileptic causing reduced bone density
Phenytoin
G6PD produces what to prevent from oxidative injury?
NADPH
Granular deposits IgA in skin?
Dermatitis herpetiformis
1st line treatment dermatitis herpetiformis
Gluten avoidance
Dapsone
Pregnant and bipolar - which medication to reduce manic episodes?
Antipsychotics
Lifetime risk of depression reucrrence
50%
Lobar ICH
CAA - particularly if old
HSCT
<D30
LFT derangement
Veno-occlusive disease
Loss of joint space at base of thumb (carpometocarpal joint)
OA
Loss of joint space 2nd and 3rd metacarpophalangeal joints
Haemachromatosis
Correlates with visceral adipose tissue?
Waist circumference
Main receptor target of antipyschotics
D2
Malignant bowel obstruction - managed symptoms?
Octreotide
1st management of bullous pemphigoid
TOpical steroids
Immune mediated necrotising myopathy vs statin induce myoncerosis
Inflammatory infiltrate for immune mediated - MHC1 and complement
Dark coarse granulated WCC on blood film
Think CML
Common autoimmune manifestation of C1q deficiency
SLE
Other name for transcobalamin 1
R protein or haptocorrin
Neurogenic spinal canal stenosis vs vascular claudicaton
- tingling/weakness?
- relief standing erect?
- Relief when flexed
-
Neurogenic
- Has tingling
- Does not have relief with standing erect
- Relief with flexing
PD-1 inhibitors
Pembrolizumab
Nivolumab
PD-L1 inhibitors
Atezoliumab
durvulamab
Checkpoint which enhances TReg activity?
LAG3
- LAG3 blockers reactivate immune system - relatlimab
FABER test
Flexio, ABduction, external rotation
Specific for greater trochanteric pain syndrome/Hip pathology
Which medication displaces plasminogen to stabilise clot?
Tranexamic acid
Also reduces C1 esterase consumption so minimises symptoms of HAE
BNP
- Reduces sensitivity?
- Reduces specificity?
Sensitivity - Obesity (tend to have lower BNP)
Specificity - renal failure, tend to have higher BNP
B2MG - what structure?
MHC1
Weight loss OHG’s
GLP-1
SGLT2
Weight gain OHG’s
Insulin
Sulfonylureas
Piaglitizone
Weight neutral OHG’s
DPP4
Acarbose
Weight neutral
Second wind phenomenon, fatigue with excercise
MCardle disease
Taxanes act at which cell cycle phase?
M