Dr. Hogan Tutorial #10 Flashcards
how long to keep someone in hospital after trauma with LOC?
6 hours at least
how would you manage someone with head trauma with LOC in ED?
MMSE
Neuro exam
Neuro obs
Nil by mouth
what would you find in FBE of someone who was anaphylactic?
hyper eosinophilia
Anaphylaxis treatment?
IM adrenaline
IV hydrocortisone or dexameth
systemic mastocytosis? (systemic mast cell disease)
myeloproliferative neoplasm characterized by infiltration of clonally derived mast cells in different tissues, including bone marrow, skin, the gastrointestinal tract, the liver, and the spleen.
Hyper IgE?
rare primary immunodeficiency disease characterized by eczema, recurrent staphylococcal skin abscesses, recurrent lung infections, eosinophilia (a high number of eosinophils in the blood) and high serum levels of IgE.
C1 Esterase inhibitor deficiency? (hereditary angioedema)
- rare autosomal dominant loss of inhibition of the complement system to prevent spontaneous activation.
- angioedema in the upper respiratory, gastrointestinal tract or in subcutaneous tissues
C1 Esterase inhibitor deficiency? (hereditary angioedema)
- rare autosomal dominant loss of inhibition of the complement system to prevent spontaneous activation.
- angioedema in the upper respiratory, gastrointestinal tract or in subcutaneous tissues
side effects of adrenaline?
tachycardia
tremor
VOMITING
What should you examine on someone with suspected TIA?
Carotids - bruits
Heart - murmurs, AF
Pulse
what kind of imaging for suspected CVA?
CT-non contrast to pick blood on imaging (white)
what is Todd’s Paresis?
focal weakness in a part of the body after a seizure. This weakness typically affects appendages and is localized to either the left or right side of the body. It usually subsides completely within 48 hours. Todd’s paresis may also affect speech, eye position (gaze), or vision.
What is a Jacksonian March?
simple focal seizure spreads from the distal part of the limb toward the ipsilateral face. travel through the primary motor cortex in succession, affecting the corresponding muscles, often beginning with the fingers.
phenytoin side effects?
nausea, vomiting, insomnia, agitation; sedation, confusion, ataxia, nystagmus, diplopia, blurred vision, vertigo, behavioural disturbances, impaired learning (dose-related); gingival hypertrophy, skin eruption, coarse facies, hirsutism (long-term use)
phenytoin for?
seizures
