General mix (5) Flashcards
Myxoedemic coma
hypotensive, bradycardic, hypotheric
- Old people
- Give IV levothyroxine
- Fluid overload in the heart
pleural effusion: exudate
infection and malignancy
protein >3g
pleural effusion: transudate
CCF and liver failure
protein <3g/dl
pneumonia parrot
Chlamydia psittaci
which channel affected in CF
Cystic Fibrosis Transmembrane Conductance Regulator (CFTR)
- chloride channel
management of simple pneumothroax
No SOB and <2cm- follow up in 2-4 weeks
SOB or >2cm- aspiration and reassess
- failed aspiration chest drain
tension pnuemothroax manageemnt
- insert large bore cannula in the 2nd intercostal mid-clavicular line
2) followed by chest drain after decompression (safe triangle
drugs which cause PF
amiodarone
methotrexate
bleomycin
nitrofurantoin
well score for DVT
<2 D-dimer
>2 ultrasound
well score for PE
<4 D-dimer
>4 do CTPA
provoked DVT anticoag
3 months
active cancer DVT
6 months minimum
if paralysis in cold limb
amputation
ABPI
leg pressure /arm pressure
ABPI <0.5
severe PAD
ABPI: 0.5- 0.79
moderate PAD
ABPI: 0.9-0.8
mild PAD
ABPI: 0.9-0.8
mild PAD
if suspect of acute limb ischaemia
do duplex US and then VT angio
aortic dissection on x-ray
widened mediastinum
type A dissection
A massive problem- surgery
def of leg ulcer
break in skin not healed in 2 weeks
stopping lactorrhea
dopamine agonist- cabergoline
calcium in ostoeporosis vs osteomalaecia
- osteoporois- normal
- osteomalaecia- low
pagets vs eczema
look. very similar
- eczema spares the nipple
- pagets disease of the nipple
mastectomy
removal of all tissue of the affected breast alongisde skin
- multifocal or high disease to breast ratio
transudate
protein <30
- cardiac failure
- cirrhosis
excudate
>30g/l
- infection
- malignancy
coeliac rash
Dermatitis herpetiformis
which microbe associated with infective endocarditis within 2 month of prosthetic valve surgery
staphylococcus epidermis
strep bovis
infective endocarditis- colorectal cancer
strep sanguinis and viridans
infective endocarditis- poor dental hygeine
genetic cause of DVT
anti-phospholipid sydrome
common feature of anti-phospholipid
miscarriages
what drug can worsen psoriasis
propanolol
eGFR and vasoconstriction/ dilatation
which drug in renal transplant can cause squamous cell carcinoma
tarcolimus
which drug in renal transplant can cause squamous cell carcinoma
tarcolimus
