EFFA Flashcards
If there is no risk factor for stroke, and you find AF which is long term, do you do anything?
Consider CHADSVASC score -
DOAC - apixaban
Rate control (if 100 over)
Diltiazem
What if someone has a metallic heart valve, how do you anticoag with heart failure?
Warfarin - only if contraindication for DAOC
What do you do if someone has stable angina
Rapid access clinic
for assessment of stable angina
GTN
avoid risk of
Diabetic and black - what do you prescribe for hypertension
ARB
If not black and diabetic with hypertension
ACEi
What is the QRISK cut off for starting atorvastatin
Q risk score
Painless haematuria
Bladder cancer
repeated candidiasis - what is the diagnosis you have to screen for
diabetes
How do you diagnose BV
BV ph over 4.5
What do you give for a hard cord in the vein
Thrombophlebitis - management
as it is in really superficial vein, your clot risk is low
NSAIDs just for ?
Webers - which side is quieter or louder
Rhinne’s -
Air conduction is normally louder than
any obstruction amplifies vibrations
if air is better than bone, no conductive problem
if bone conduction is louder than air conduction, something is obstructing the external ear canal
indirect inguinal hernia - through canal
direct - through all layers
If eating makes gastric pain symptoms better, what is the differential?
Duodenal ulcer - when you eat it produces alkaline substances which neutralise the acid
whereas eating causes more HCl so worsens gastric ulcer pain
What else can cause pain after eating?
Chronic pancreatitis
antimitochondrial antibidy
PBC
anti nuclear
Lupus
Things which drop with coeliac disease
Folate
Iron
Vit D
Anaemic with normal MCV but raised mean cell width distribution - mixed anaemia
What do you replace firs out of folate and b12
B12 to avoid Subacute combined degeneration of the cord
