GP Flashcards
52!! year old man!
normal hba1c!!
no pmh eg thromboembolic events, or HF not present.
what is the most appropriate treatment
no treatment!!!
need to know chadsvascscore for exam!!
you treat if score is at least 2 in men and at least 3 in women
65 YO is one point, 75 or over is 2 points
previous stroke, TIA or thromboembolism = 2 points
Vascular disease history (prior MI, peripheral artery disease, or aortic plaque) = 1 point
female = 1 point
52 year old afro carribbean man is reffered to the hypertension clinic with an average reading of 164/105
no other conditions
10 year cardiovascular risk = 23%
in addition to atorvastatin, what else do you prescribe?
usually under 55 will be offered an ACE
but patients who are afro carribbean, offer calcium channel blocker instead - amlodipine!!!
treatment for superficial thrombophlebitis without deep vein thrombosis!!
NSAIDs = 1st line!!!!
eg naproxen
antibiotics not indicated!!! unless signs of infection eg high fever
47 YO with HTN. takes ramipril.
BP = 138/78
elevated potassium!! - 6.3
urea and creatinine normal. first step in management?
Repeat U&Es!! and arrange ecg
if it was due to ramipril, you would expect changes to renal function as well eg urea and creatinine
