GP Clinic 3 Flashcards
what define parkinsons disease?
bradykinesia
rigidity
tremor, pin rolling 4-6Hz
if drugs are causing Parkinsonism what do you do?
acute akinesia
neuroleptic malignant syndrome
what is classified as recurrent UTI?
3x or more in 1 year
2x in 6 months
management for UTI
msus
abx
safety net
investigating recurrent uti?
residual volume
hba1c
if pregnancy and uti
how does management differ?
longer course
give abx that is safer in pregnancy likes lkjhbgvc amoxicillin
if someone is incidentally found to have a bacteria in urine but no symptoms normally would not treat but if pregnant then would treat
uti in pregnancy complications?
pre-term delivery
low birth weight
risk factors for complicated uti?
older age
pregnant
CAP - what would you find on examination? percuss? auscultation? breathing sounds? vocal resonance?
dullness to percuss over that area
auscultation - course crepitations
bronchial breathing and
INCREASED vocal resonance
what does asthma present on examination?
auscultation?
bilateral polyphonic wheeze on auscultation
but not necessarily always, can be completely normal
asthma triggers
NSAIDS
aspirin
b blocker
viral illness pets pollution smoking damp in house
asthma management
adults
1- saba
+ low dose ICS as a preventer
chronic cough RED flags
systemic symptoms
fever, weight loss, myalgia
unexplained xray shadowing -
marked blood eosinophilia