GP Flashcards
What is acne vulgaris?
Chronic inflammation of the pilosebaceous unit
the cutibacterium acnes bacteria is felt to play an important role in acne
What makes up the pilosebaceous unit (2)?
- Hair follicule
- Sebaceous gland
How is acne vulgaris treated?
- Benzoyl peroxide (topical)
- Topical/ oral retinoids
- Topical/ oral antibiotics
- Contraceptive pill (for females)
What is an example of an oral retinoid?
Isotretinoin
When can isotretinoin not be used?
During pregnancy (teratogenic)
Example of oral antibiotic for acne vulgaris?
Lymecycline
Example of topical antibiotic for acne vulgaris?
Clindamycin
What is an example of an oral contraceptive used for acne vulgaris?
Co-cyprindiol
What are the two types of chest infection?
- Pneumonia
- Acute bronchitis
How is pneumonia diagnosed?
Usually clinically - crackles on the lungs. This usually corresponds to consolidation on X-ray.
How is acute bronchitis treated?
Rest + fluids (unless more severe or immunocompromised)
What are some symptoms of acute stress reactions (3)?
- Anxiety
- Flashbacks/nightmares
- Fear/ helplessness
How long is the duration of symptoms in an acute stress reaction?
< 1 month
Symptoms of allergic rhinitis (4)?
- Itchy nose
- Sneezing
- Blocked nose
- Red watery eyes
Allergic rhinitis treatments (2)?
- Antihistamines
- Steroid nasal sprays
What are some examples of nasal sprays (3)?
- Beclometasone
- Fluticasone
- Mometasone
What is anaemia?
Low concentration of haemoglobin in the blood
What are the three types of anaemia?
- Microcytic
- Normocytic (80-100)
- Macrocytic
What causes microcytic anaemia (5)?
- Thalassaemia
- Anaemia of chronic disease
- Iron deficiency
- Lead poisoning
- Sideroblastic anaemia
What causes normocytic anaemia (5)?
- Anaemia of chronic disease
- Acute blood loss
- Aplastic anaemia
- Haemolytic anaemia
- Hypothyroidism
What are the two types of microcytic anaemia?
- Megaloblastic
- Normoblastic
What causes megaloblastic anaemia?
B12 or folate deficiency
The nucleus can’t condense
What causes normoblastic anaemia?
- Alcohol
- Reticulocytosis (rapid turnover of RBCs)
- Hypothyroidism
- Liver disease
- Drugs (e.g. azathioprine)
What are the general signs/ symptoms of anaemia?
- Fatigue
- Pale skin
- Paraesthesia
- Tachypnoea/ tachycardia
- Dizziness