Dr. Hogan Bedside Tut #3

Question 1

what kind of fever for DVT?

Answer 1

mild

Question 2

2 ways to investigate a PE?

Answer 2

1. VQ scan: radioactive xenon 2. CTPA: pulmonary angiogram

Question 2

which ECG limb gives you sinus rhythm?

Answer 2

Lead II

Question 2

which 3 tests do you use to manage anticoagulants?

Answer 2

unfractionated heparin: APTT Clexane: LMW heparin: Anti-factor Xa warfarin: INR

Question 4

3 types of NOF fractures:

Answer 4

Intertrochanteric Surgical NOF subcapital

Question 5

how to investigate a DVT? Imaging?

Answer 5

ultrasound, see how compressible

Question 6

how to place the 4 limb leads for ECG?

Answer 6

White is Right UL black is left UL Red>communism>left of center>left LL other colour> grounding

Question 6

what is howman’s sign?

Answer 6

DVT: pain in calf on dorsiflexion, Sen: 60-88% Spec: 30-72%

Question 6

3 ways to manage DVT acutely?

Answer 6

unfractionated heparin Clexane: LMW heparin warfarin later

Question 7

how does someone present with NOF?

Answer 7

externally rotated and shortened lower limb

Question 8

5 Ps for arterial insufficiency?

Answer 8

pallor pulseless paralysis paraesthesia pain

Question 10

what is methoxyflurane?

Answer 10

inhaled anaesthetic for paramedics

Question 13

where do you kind clear cell carcinoma?

Answer 13

kidney

Question 14

2 surgeries that give highest risk of PE?

Answer 14

LL ortho pelvic

Question 15

structures in femoral triangle?

Answer 15

NAVEL from lateral to medial: Nerve artery Vein Empty space lacular ligament Gimbernat’s ligamen

Question 16

what is lymphangitis?

Answer 16

inflamm of lymph vessels due to infection: IV antis

Question 17

where to get technicium?

Answer 17

from molybdenum decay

Question 18

what causes painless haematuria?

Answer 18

clear cell carcinoma

Question 19

low trauma causing immense sudden pain in otherwise well individual

Answer 19

pathlogical fracture