GP Flashcards
Tiredness screen
FBC
ESR/CRP
LFT
U&E
TFT
random glucose / HbA1c
IgA + TTG
+/-
Vit D
iron studies
monospot test (if sx)
HIV
hepatitis serology
bone profile
pregnancy test
…
what is the worst case scenario in a patient presenting with PAD?
critical limb ischaemia / acute limb ischaemia
what is the relation between QRISK score and stage 1 HTN?
you only tend to treat them if they are under 80 with evidence of end-organ damage or if QRISK is >10%
e.g. cardiac disease, etc.
Managment of intermittent limb claudication in GP
clopidogrel
statin
manage RF e.g. diabetes, smoking, diet, exercise
What features would make you think of mesenteric ischaemia?
pain out of proportion of clinical findings
vascular risk factors (generally caused by a clot disclodging)
high lactate
criteria for 2ww colorectal cancer
> 40 yo with unexplained WL and abdo pain
50 with unexplained rectal bleeding
or
60 with IDA or change
in bowel habit or +ve FIT test
What is poly pharmacy?
when patients are taking more than 5 medicationsS
osteoporosis - primary prevention
FRAX/QFRACTURE score -> >10% consider DEXA
secondary prevention of osteoporosis
do DEXA scan (no need for FRAX score)
what specialist should pts see before starting alendronate?
dentist
due to risk of jaw osteonecrosis
in vertebral fracture, what do you need to do before starting alendronate?
you don’t need a DEXA scan to start treatment (compared to other fractures)
you could start treatment right away
First line anti-HTN in afro-Caribbean
CCB
first line anti-HTN in pts with diabetes
Qrisk cut off for statin
10%
pH cut off for diagnosing BV
> 4.5
