GP

Question 1

21 yo female
COCP
Fit and well until flu two weeks ago
Got better, but now 2 day hx SOB

Obs: 
BP: 120/70 
O2 : 99% on Air 
HR: 100, regular
RR: 16

Differentials

Answer 1

Acute SOB…

PE
Pneumothorax
Pneumonia

Question 2

What do you have to be wary of in lady asking for contraception if she smokes?

Answer 2

PE

Question 3

What risk factor for vertebral compression fracture does a person with IBD have?

Answer 3

They may be on steroids hence osteoporosis

Question 4

Tonsilitis - how to decide to give Abx

Answer 4

FeverPAIN criteria

Fever (during previous 24 hours)

Purulence (pus on tonsils)

Attend rapidly (within 3 days after onset of symptoms)

Severely Inflamed tonsils

No cough or coryza (inflammation of mucus membranes in the nose)

Each of the FeverPAIN criteria score 1 point (maximum score of 5). Higher scores suggest more severe symptoms and likely bacterial (streptococcal) cause. A score of 0 or 1 is thought to be associated with a 13 to 18% likelihood of isolating streptococcus. A score of 2 or 3 is thought to be associated with a 34 to 40% likelihood of isolating streptococcus. A score of 4 or 5 is thought to be associated with a 62 to 65% likelihood of isolating streptococcus.

Penicillin V - 10 days
Clarithromycin if allergic