GP Flashcards
Investigations for stool problems
Fecal immunochemical test (FIT test)
FBC
Differentials for tenesmus
Rectal cancer
Colon cancer
IBD
Diverticulits
Criteria for 2ww for
Unexplained weight loss
IDA
Change in bowel habit
PR bleeding
What is indapamide?
Thiazide diuretic
Differentials for
BPH
Prostate cancer
UTI
Diabetes
Investigations for urinary symptoms
DRE
Urine dip
PSA
USS
What’s something you have to remember regarding PSA?
Shouldn’t do it too close to the PR exam
Treatment for BPH
Alpha blocker first line) e.g. tamsulosin
Finasteride (5aplpha blocker?
What counts as orthostatic hypotension
A drop in systolic BP of greater than 20 OR a drop in diastolic BP >10 OR a patient who is symptomatic
Investigations for IBS type symtpoms
FBC - coeliac screen (anti TTG antibodies), foecal calprotectin, inflammatory markers
TFT
If someone comes back as coeliac positive, what do you need to do?
Endoscopy
What rash is linked to coeliac disease?
Dermatitis herpetiformis
Management of Dermatitis herpetiformis
Topical steroids
Check the pt is actually adhering to dermatitis herpetiformis
Dapsone
What is Elleste duet?
HRT
How would you ask about fatigue?
FLAWS
Mood
What would you think about
Hypothyroidism Anaemia Depression Cushings Vit D deficiency Diabetes
Hypothyroidism treatment
50-100mcg levothyroxine
Abdo pain and bloody diarrhoea dx
IBD
ischemic colitis
Acute management of IBD
rehydartion
aminosaliciliates
colonoscopy
Preferented antiHTN for diabetic patients
Ramipril
What is involved in a diabetic screen?
U&E, HbA1c
Retinopathy
Ulceration/feet testing/sensation/foot care
Urine sample - ACR
Cluster headaches symptoms
Typically uilateral
Periorbital pain
Lacrimation
Eyelid oedema
How long do the cluster headaches last?
15-180 mins, up to 8 hours a day
Triggers for cluster headaches
Alcohol
Physical exertion
Sleep!
Certain smells
Criteria for cluster headache diagnoses
ICHD
Treatment of cluster headaches
Triptan-nasal and SC
Short burst of oxygen
Verapamil
