ENT/Dermatology/Opthalmology/Haematology Flashcards
Identify cataract
Gradual
Haloes around lights
Identify keratitis
Painful red eye
Gritty sensation
Identify acute angle closure glaucoma
Severe pain and reduced vision
Halos around light
Dilated non-reacting pupil
Treatment acute closure glaucoma
Laser peripheral iridiotomy
Identify primary open angle glaucoma
Peripheral visual field loss
Disc cupping
Treatment primary open angle glaucoma
1) Prostaglandin analogue eyedrop
2) Beta blocker, carbonic ahydrose inhibitor or sympathetic eye drops
Identify central retinal artery occlusion
Sudden unilateral vision loss
Cherry red spot and pupillary defect
Identify anterior uveritis
Painful red eye
Small pupils
Pus in chamber
Identify age related macular degeneration
Gradual onset central visual loss
Identify optic neuritis
Worse colour vision
Pupillary defect
Identify retinal detachment
New floaters
Sudden painless progressive visual field loss - curtain
Treatment ottitis external
1) Topical flucloxacillin and steroid
Organism otittis media
Haemophilus influenza
Treatment otittis media
1) Amoxicillin if <2y, systemically unwell or perforation
Identify menieres
Recurrent vertigo lasting minutes to hours
Sensation of pressure
Treatment menieres
Acute - prochlorperazine
Prevention - vestibular rehabillitation exercises
Treatment sinusitis
Intranasal corticosteroids if >10d
Identify viral labrynthitis
History bug
Vertigo and hearing loss
Treatment viral labrinthitis
Prochlorperzine
Microcytic anaemia
TAILS:
- thalasaemia
- anaemia of chronic disease
- iron deficiency
- lead poisoning
- siderblastic
Normocytic anaemia
3As 2Cs:
- acute blood loss
- of chronic disease
- aplastic
- haemolytic anaemia
Macrocytic anaemia
Megaloblastic:
- B12/folate
Normoblastic:
- alcohol
- liver disease
- reticulocytosis
Identify haemochromatosis
Bronze skin
Liver disease
Erectile dysfunction
Diagnose haemochromatosis
Transferrin saturation
Haemophilia coagulation
Increased APTT, normal everything else
Identify AML
Typically elderly
Bone marrrow failure - anaemia, neutropenia, thrombocytopenia
Auer rods
AML
t (15, 17)
AML
Identify CML
Younger than AML
Increased WCC
Granulocytes at different stages development
Splenomegaly
t (9, 22)
CML
Identify ALL
Children
Bone marrow failure - anaemia, neutropenia, throbocytopenia
Identify CLL
Most common leukaemia in adults
Lymphocytosis
Richters transformation
CLL to high grade lymphoma
Reed sternberg cells
Hodgkin lymphoma
Identify burkitts lymphoma
EBV, malaria and HIV
Starry sky
t (8, 14)
Treatment polycythaemia
Aspirin for VTE prevention
Venesection
Diagnose sickle cell
Haemoglobin electrophoresis
Identify sequestrian crises
Sickling within organs
Anaemia and increased reticulocyte count
Identify aplastic crises
Infection with parovirus
Anaemia and decreased reticulocyte count
Identify G6PD deficiency
Neonatal jaundice
Heinz bodies
Spenomegaly
Diagnose G6PD deficiency
G6PD enzyme assay 3 months after episode
Identify hereditory spherocytosis
Neonatal jaundice and failure to thrive
Splenomegaly
Spherocytes
Diagnose hereditory spherocytosis
EMA binding test
Blood profile in vit K deficiency
Increased APTT and PT
Normal bleeding time
Identify graft v host disease
Within 100d
Painful rash
Blood profile in vWD
Prolong bleeding time
Rest normal, APTT maybe prolonged
Anaphylaxis doses
6m to 6y - 150 micrograms
6y - 12y - 300micrograms
>12y - 500 micrograms
Eczema treatment
Maintanence - emolients
Flares - thicker emollients and topical steroids
Treat infection in eczema
Flucloxacillin - staph aureus
Treatment eczema herpeticum
IV aciclovir
Treatment chronic plaque psoriasis
1) Topical potent corticosteroid and vit D analogue OD 4w
2) Vit D 2x
3) Corticosteroid 2x
4) Phototherapy or methotrexate - secondary care
Treatment scalp psoriasis
1) Topical corticosteroid
Treatment face or flexor psoriasis
1) Topical mild corticosteroid only 2w
Treatment acne
1) Topical benzoyl peroxidase or retinoid
2) Doxycycline and benzoyl peroxidase/retinoid
3) Oran retinoid by specialist
Acne long term topical antibiotic
High dose oral tetracyclines
Most common melanoma
Superficial spreading
Most aggresive melanoma
Nodular
Melanoma in black people
Acral lentignous
Scabies treatment
1) Permethin 5%