general passmed Flashcards
what valve is most commonly affected in infective endocarditis in IVDU
tricuspid valve
what valve is most commonly affected in infective endocarditis
mitral valve
ECG findings in pericarditis
concave ST elevation and PR depression
unilateral polyp management
urgent referral to ENT
- red flag symptom
if women are rly dehydrated with hyperemesis gravidum, what should they get in hospital
IV saline with potassium
-dehydration often causes hypokalaemia
in a normal pregnancy, how much folic acid should women take and for how long
400mcg from conception and until 12 weeks gestation (can be taken before conception too)
what causes mitral stenosis
RHEUMATIC FEVER
murmur for mitral stenosis
loud S1 with an opening snap and a diastolic murmur
treatment of femoral hernias and why
urgent surgery
- high risk of strangulation
LFTs in biliary colic
normal
unilateral glue ear in an adult
urgent referral to ENT
u
contraindications for vaginal delivery after c-section
-classical c-section scar (verticle)
-previous uterine rupture
aortic regurgitation murmur
early diastolic
what valve disease causes the murmur to increase on handgrip
aortic regurgitation
low pitched diastolic murmur
mitral stenosis
pansystolic murmur
mitral regurgitation
ejection systolic murmur
aortic stenosis
first line for vomiting in pregnancy
antihistamines
if uncontrolled upper GI bleeding what do you do
give terlipressin
then the Sangsten-Blakemore tube
symptoms of dressler’s syndrome
around 4 weeks post MI
- fever
- pleuritic pain
- pericardial effusion
- raised ESR
what are cholestatic picture liver function tests
-raised ALP
-raised GGT
-raised bilirubin
pregnant woman with BP >160/110
admit!!!! and give oral nifedipine
what age to refer women to suspected cancer pathway with a breast lump
over 30
how much amiodarone should be given in pulseless VT
300mg
