GP Flashcards
Referral Criteria for Urology 2ww
- Haematuria
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60 yo
45 yo
Causes for palpitations
Cardiac
- AF
- SVT
- mitral valve prolapse
-aortic regurgitation
Endocrine
- hyperthyroidism
- DM
Haem
- anaemia
O&G
- pregnancy
- menopause
Psych
- anxiety
- stress
Iatrogenic
- salbutamol
Drugs
- alcohol
- cocaine
- nicotine
- caffeine
Medical management of anxiety
1) SSRI (sertraline, paroxetine)
2) SNRI (duloxetine, venlafaxine)
3) TCAs (do ECG before to check QT interval)
Propanolol can be used for the physical symptoms of anxiety in stage anxiety/exam anxiety. only in short term anxiety.
Risk of splenic rupture in EBV
- 1%
- if it happens 50% is spontaneous because of the size of the liver
buzzword strawberry cervix
trichomonas
What makes you high risk for STIs according to NICE>
- > 25
- new sexual partner or more than 1 partner in the past 12 months
- previous STI
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Clue cells
Clue cells are epithelial cells covered by adherent gram-negative rods, observed in vaginal smears from women with bacterial vaginosis.
What could you see on microscopy of vaginal discharge in BV?
clue cells
?PID in GP
same day assessment for treatment in a GUM clinic
Pregnant with ?PID management
urgent admission to hospital
Management of BV
metronidazole 400 BD for 5-7d
or single dose of 2g if adherence will be an issue
can also offer topical treatment instead
oral clindamycin can be offered if allergic to metronidazole
What to inform about when prescribing metronidazole
- can get a bright red rash when drinking alcohol
- also headaches, dizziness, fevers etc.
- advise not to drink any alcohol
- no additional contraceptive measures required (unless there is vomiting/diarrhoea)
does partner need to be treated if a patient has BV?
- male no
- female yes
low b12 and low folate - replace which one first?
replace b12 first, then folate
something about acute degeneration of the cord.
How to check If someone can give consent?
Can they..
1. underststand
2. retain
3. weigh up
4. communicate
their decision?
What kind of LPAs are there?
- health
- finance
- both
At what level of ketones do we worry?
> 3 mmol/L
TVUSS findings in menopause
small atrophic ovaries
no follicles
When do you give patches rather than tablets? (HRT)
migraines
FH of clotting disorders
Fancy name for ecstasy
methylenedioxymethamphetamine
what infection can cause low sodium?
legionella pneumonia
can cause SIAADH
check urine legionella surface antigen
Which cancer can cause SIADH?
small cell lung cancer
NIICE guidaance on hyponatraaemia
What
In a hx of atopy, are you more likely to aadd a LABA for LTRA?
LTRA
example of LTRA
montelukast
example of LABA
salmeterol
When should a child be able to sit unsupported?
6 months
What is gross developmental delay
developmental delay amongst multiple domains
What is levonelle
high dose oral progesterone
emergency contraception
ellaOne, levonelle and copper IUD duration
ellaOne drug type
partial progesterone antagonist
1st line treatment for specific phobias
CBT
What SSRI in a PMH of MI?
Sertraline
Which SSRI in patient with other conditions and medications?
SSRI
What is venlafaxine?
SNRI
Which hip is more commonly affected by DDH?
left
What position does the pavlik harness hold hips in?
flexed and abducted
