Formatives Flashcards
What is Section 5 (2) of Mental Health Act? (3 things)
- Gives doctors ability to detain someone in hosp for 72 hours
- Can be done quickly by 1 doctor, e.g if a pt is suicidal
- Gives time to do further assessment n see if you need to detain them longer under another Act
What is Cyclothymia? (2 things)
- Milder form of Bipolar
- Feeling low to high (very mild depression –> hypomania)
What is the tx for Cyclothymia? (3 things)
- CBT
- SSRI
- Lithium
What is Carbamazepine?
Anti-epileptic (mood stabiliser as well)
What does Carbamazepine do to the liver?
Enzyme inducer
Carba gives it kahraba
What is the difference between Social anxiety n Agoraphobia?
Agoraphobia - fear of CROWDS
Social anxiety - fear of ppl judge / criticise
What is the difference between Mental Health Act and Mental Capacity Act?
Mental Health Act: detain ppl with psychiatric illnesses
Mental Capacity Act: detain ppl with no capacity, aka DRUNK
What meds is CI in ppl taking Clarithromycin abx?
What does this increase risk of if given?
Statins (e.g simvastatin)
Statin-related Myopathy: Rhabdomyolysis (aka Coca Cola urine)
What is a big RF of VT?
Smoking
What meds is CI for HF pt wt reduced EF?
Verapamil (any Ca channel blockers)
Remember HF is ABS
- ACEi
- Beta blockers
- Spironolactone
- (very acutely give furosemide tho)
What do you give to reverse Digoxin toxicity?
DigiBind
Digibind to bind da digoxin innit lol
Which COPD pt should be offered LTOT? (2 people)
pO2 7.3-
OR
pO2 8- with ONE of:
- Pulm HTN
- Peripheral Oedema
- Secondary Polycthaemia (red face remember)
What should you give to induce remission for SEVERE UC?
Hydrocortisone
remember if Severe UC, Skip da aminosalycilates, jus go Str8 to Steroids
After stopping a blood transfusion bc given wrong blood, what should you do?
Fluids but remember dis:
IV 0.9% saline, 500ml over 30 mins
What is Amyloidosis? (2 things)
- Kidney condition
- EC deposition of Amyloid protein
What are the common NON-specific CF of Amyloidosis? (3 things)
- Fatigue
- SOB
- WL
What are the specific CF of Amyloidosis? (5 things)
- Ischaemic stroke
- HF symptoms
- Nephrotic syndrome
- Hepatosplenomegaly
- Peripheral neuropathy
+ Fatigue, SOB, WL
How does Oesophageal varices secondary to Cirrhosis present? (4 things)
- Vomiting fresh blood
- Raised INR - bc no clotting factors bc damaged liver
- Low platelets - bc reduced thrombopoetin prod
- Macrocytic anaemia - bleeding + Chronic alcoholism / liver disease
How does Adrenal crisis present? (5 things)
- Probs already have Addisons
- Fatigue
- Abd pain
- Low BP
- Low Na, High K
How can Adrenal Crisis be caused?
Get ill aka V+D n already have Addisons
How do you tx an Adrenal Crisis?
IV hydrocortisone 100mg urgently
What is Primary Biliary Cholangitis?
AI disease aka Primary Biliary Cirrhosis
Who usually has Primary Biliary Cholangitis (PBC)?
Middle ages women
How does PBC happen? (2 things)
- AI condition
- Bile ducts damaged by Chronic Inflamm –> Cholestasis (reduced bile flow) –> Cirrhosis
What are the CF of PBC? (4 things)
- RUQ pain
- Pruritis (itching)
- Jaundice
- Xanthelasma
What antibodies are associated w PBC?
Anti-Mitochondrial Antibodies (AMA)
What is the tx for PBC? (2 things)
- Ursodeoxycholic acid (FIRST LINE FOR PBC)
- Cholestyramine (for itching)
What is Ursodeoxycholic acid? (2 things)
- Secondary bile acid
- Tx for Primary Biliary Cholangitis (PBC)
What is Cholestyramine? (2 things)
- Bile acid sequestrant
- Reduces jaundice related Itching
What are the complications of PBC? (2 things)
- Cirrhosis –> Ascites / Varices / Encephalopathy
- High risk of HCC
Which test is the most specific for Hepatocellular damage?
ALT (ALanine aminoTransiferase)
What is the best investigation for Coeliac disease?
Gastroscopy w Duodenal biopsies
(remember looking for Villous Atrophy + Crypt Hyerplasia)
What is the Tx for MRSA?
Topical Mupirocin
Mupi-Rock-In for MRSA