February 2023 Flashcards
erectile dysfunction
1 cause ?
aclidinium
(long acting M antagonist)
pyoderma gangrenosum
Rx ?
topical/intra-lesional Steroids
larger lesions - oral steroids
cocichine, ciclosporin, infliximab - steroid sparing
Urge Incontinence
Rx ?
Oxynutynin (avoid in old age)
tolterodine
Mirabegran (old age)
stress incontinence
Rx ?
pelvic floor muscle exercises
dulan
Exoxaparin
HIT
Rx ?
change to Danaparoid
19 yr found unconscious in flat. Rx for paracetamol Overdose
GCS 6/15
Next best step ?
Check BSR
next: intubate/ventilate
Gum hypertrophy as s/e ?
Ciclosporin
tacrolimus
Chronic diarrhea
Right sided abdomen tenderness
CRP - 75
CXR - right upper lobe patch
Next step ?
CT abdomen
(r/o Abdomen TB)
azathioprine use ?
steroid sparing in IBD
auto-immune hepatitis
Ankylosing spondylitis
Rx ? long-term…
TNF-inhibitor
adalimumab, infliximab
sheep/cattle (livestock related Dz)
2 diseases…. ?
*Brucellosis (fever, cough, endocarditis, joint pain)
*Q fever (diarrhea, vomiting, muscle aches)
pSVT
Rx ?
adenosine
avoid DC cardioversion - to avoid aspiration
androgen abuse
Dx ?
B/L small testes
gynecomastia
low FSG, Low LH, high Testo
tonic-clonic seizures
left-sided body neglect
fever
CT brain - multiple hypodense regions
Toxoplasmosis
Membraneous GN (nephrotic syn) association
Bronchial CA
Q fever Rx ?
doxy + HCQ
Primary polydipsia Dx ?
Serum osmolarity - 290 (N)
Urine osmolarity - slightly lower than normal - 500 (it does not get back to normal > 600 because of chronic increase water intake)
COPD Rx ?
LAMA (Glycopyrinium)
+
LABA (Indacaterol)
teenage
pain/swelling B/L knees
pain/ swelling B/L Tuberal tuberosity
Dx ?
multiple avulsion fractures
alzheimer’s Dz
Rx ?
Donapezil, galantamine, rivastigmine (Ach Inhibitors)
add on Rx….
Mamentine (NMDA Antagonist)
large complex renal cyst on USG with other features.
renal adenocarcinoma
