Dr. Hogan Tut #15

Question 1

causes of acute thrombocytopaenia

Answer 1

autoimmune: Abs to platelets
SLE
Rheumatoid
chemotherapy
medications

Question 2

what is felty’s syndrome triad? who gets it?

Answer 2

Rheumatoid
splenomegaly
neutropaenia

ppl who have RA for more than 10 years

Question 3

what can cause a paradoxical thrombus and thrombocytopaenia?

Answer 3

antiphospholipid syndrome

heparin induced thrombocytopaenia and thrombosis

Question 4

heparin induced thrombocytopaenia and thrombosis presents how?

Answer 4

DVTs, PEs, MIs

Question 5

3 types of antiphospholipids?

Answer 5

anti-lupus
anti-B2 glycoprotein
anti-cardiolipin

Question 6

why do you get thrombosis in antiphospholipid syndrome?

Answer 6

lupus anti-coagulant binds to prothrombin, increasing it’s cleavage = procoagulant state

Question 7

when examining eyes post a head strike, what to look out for?

Answer 7

entrapment of lateral rectus
CSF rhinorrhea
blood in anterior chamber
retro-orbital haemorrhage with no posterior limit

Question 8

how to check rhinorrhoea for CSF?

Answer 8

urine dipstick will show glucose if it is CSF

Question 9

which area in brain is affected when the tremor gets worse with movement?

Answer 9

cerebellar lesion

Question 10

parkinsonian writing?

Answer 10

micrographia

Question 11

first symptoms the partner reports in someone with early parkinson’s?

Answer 11

they don’t turn over in bed

Question 12

what the le fort classification for?

Answer 12

facial fractures
Type I: horizontal maxillary fractures
Type II:pyramidal fracture
Type III: passes through, naso, maxillary, orbital and zygomatic arch

Question 13

Causes of DIC?

Answer 13

malignancy: ApML
gram -ve sepsis
burns
obstetric: eclampsia
snake bite
acute liver disease
malaria
dengue