Dr. Hogan Bedside Tut #9

Question 1

what kind of facial expression in parkinson’s?

Answer 1

Flat affect

Question 2

hyper or hypothyroidism has periorbital oedema?

Answer 2

hypothyroidism

Question 3

Cup test to distinguish?

Answer 3

Parkinson’s

Cerebellar dysfunction

Question 4

what does someone with Parkinson’s cup test look like?

Answer 4

decrease tremor with focus on task

Question 5

how to isolate heart sounds?

Answer 5

patient to hold breath after expiration

Question 6

3 classic signs of Parkinson’s?

Answer 6

Brady Kinesia
Tremor
Rigidity

Question 7

Early Signs of Parkinson’s?

Answer 7

Anosmia
diminished arm swing
reduced movement during sleep

Question 8

writing in early parkinson’s?

Answer 8

micrographia

Question 9

5 Causes of resting tremor:

Answer 9

Parkinson's
salbutamol
cerebellar dysfunction
Hyperthyroidism
benign essential tremor

Question 10

4 Causes of Parkinson’s?

Answer 10

Idiopathic
Drugs (MPTP)
Trauma (boxing)
Carbon Monoxide

Question 11

reflex for Parkinson’s?

Answer 11

Glabellar Tap

Question 12

Alcohol abuse history, looks for what in face?

Answer 12

trophic tongue changes or mouth changes due to vitamin deficiency

Question 13

what is 4% albumin used for?

Answer 13

volume expander as a colloid

Question 14

what is 20% albumin used for?

Answer 14

replace hypoalbuminaemia

Question 15

What is transudate?

Answer 15

less proteins and cells, change in osmotic pressure

Question 16

what is exudate?

Answer 16

large amount of protein and cells in fluid, usually when capillaries vasodilate or an obstruction

Question 17

number one cause of exudative ascites?

Answer 17

malignancy

Question 18

If you have chronic liver disease, what are 3 causes of ascites?

Answer 18

mechanical congestion
hypoalbuminaemia
diminished catabolism of mineralcorticoids

Question 19

If you have chronic liver disease, what are 3 causes of ascites?

Answer 19

mechanical congestion
hypoalbuminaemia
diminished catabolism of mineralcorticoids

Question 20

5 causes of hypoalbuminaemia:

Answer 20

Chronic liver disease
nephrotic syndrome
protein losing enteropathy
kwashiorkor
massive burns

Question 21

molecular weight of albumin?

Answer 21

70kDA

Question 22

3 kinds of capillaries in body?

Answer 22

Continuous endothelial
Fenestrated
Sinusoidal

Question 23

where do you find: Continuous endothelial
Fenestrated
Sinusoidal

Answer 23

Continuous endothelial: nearly all tissue
Fenestrated: small bowel, endocrine glands
Sinusoidal: liver, spleen, bone marrow