General mix (6) Flashcards
Sjrogens
MAD FRED
MAD FRED
myalgia
Arthralgia
dry mouth
fatigue
raynauds
enlarged parotids
dry eyes
Limited systemic sclerosis
CREST
CREST
calcionosis
raynauds
esophageal dysmotility
sclerodactyl
telangasia
pancreatitis
i get smashed
I get smashed
idiopathic
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion sting
Hyperlipidaemia
ERCP
Drugs
SLE
SOAP BRAIN
SOAP BRAIN
Serotis
Oral ulcers
Arthritis
Photosensitvity
Blood- anaemia
Renal
ANA
Immunologic - anti- dsDNA
Neurologic- psycho
Subacromial impingement-
hard reaching up for things
rotator cuff
passive is fine
paroxysmal atrial fibrillation management
Flecainide
hypophosphataemia
- refeeding syndrome serious comp of TPN
- can lead to heart failure, seizures, confusion
SWINGING PYREXIA
THINK ABSCESS
rapid sequence induction
the induction drug and neuromuscular blocking agent are administered in rapid succession with no time allowed for manual ventilation
- for those at risk of aspiration
what would you give for GA
Induction: propofol
Muscle relaxant: suxamethonium
analgesia: fentanyl
ectopic pregnancy risk
copper coil
aspirin and children
Reyes- liver problems
- can give for kawasaki
kawaski is a medium
medium vessel vasculitis
symptoms
- strawberry tongue
- cervical lymphadenopathy
manaegemnt of kawasaki
aspirin to prevent thrombus formation
do echocardiogram to look for coronary artery aneurysm
when can a patient not be cardioverted during Atrial fibrillation
For cardioversion of AF: patients must either be anticoagulated or have had symptoms for < 48 hours to reduce the risk of stroke.
stone <1cm
watch and wait- diclofenac
unless very symptomatic (systemically unwell)
stone >1cm
- extracorporeal shock wave lithotripsy
- Percutaneous nephrolithotomy
Recurrent Stones
recurrent stones
One episode of renal stones predisposes patients to further episodes. NICE guidelines (2019) recommend advising patients to:
- Increase oral fluid intake (2.5 – 3 litres per day)
- Add fresh lemon juice to water (citric acid binds to urinary calcium reducing the formation of stones)
thiazide like diuretic
indapamide
BNP
NT-proBNP