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DPD 2 > GP Clinic > Flashcards

GP Clinic Flashcards

1
Q

Haematuria differentials

A 
Renal colic - Stones  
Pyelonephritis
UTI
Trauma
BPH
Malignancy
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2
Q

Investigations/next steps for renal stones

A

Pain management and CTKUB - check whether there’s an infection/obstruction

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3
Q

What increases the risk for AKI with renal stones?

A

Bilateral renal stones

One kidney

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4
Q

Safety netting

A

Vomiting

Fever

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5
Q

Painless haematuria

A

LUTS
FH
Risk factors for urologic malignancies e.g. smoke/aromatic amines e.g. dye

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6
Q

Painless haematuria questions to ask

A

LUTS
FH
Risk factors for urologic malignancies e.g. smoke/aromatic amines e.g. dye

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7
Q

Microscopic haematuria differentials

A 
UTI
Pyelonephritis
BPH
Vigorous exercise
Sex
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8
Q

What is persistent haematuria?

A

2/3 positive dips between a few weeks

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9
Q

When do you refer for 2WW for bladder malignancy?

A

Over 45 with unexplained VISIBLE haematuria

Above 60 with unexplained non -visible haematuria and raised WCC or dysuria

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10
Q

What is dysuria?

A

Painful urination

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11
Q

Causes of tonsillitis - what scoring system would you use to differentiate?

A

Viral >bacterial

Centor criteria - age, exudate or tonsil swelling, tender swollen anterior cervical lymph noes, temp, cough

If above 3, bacterial

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12
Q

Treatment for tonsillitis

A

Pencillin

Erythromycin 3 day course

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13
Q

Other signs of glandular fever/EBV

A

SPlenomegaly

Axillary lymphadenopathy

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14
Q

EBV diagnosis

A

Monospot/heterophile test (looks for antibodies)

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15
Q

EBV diagnosis

A

Monospot/heterophile test (looks for antibodies)

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16
Q

What would you see on a blood test with glandular fever?

A

Haemolytic anaemia
Transient thrombocytopenia
Reactive lymphocytosis

17
Q

Advice for someone with glandular fever

A

Avoid contact sports (as risk of splenic rupture)

Avoid close contact

18
Q

Dfx for RUQ after eating

A 
Right lower lobe pneumonia
Biliary colic
Peptic ulcer
Cholecystitis
Hepatitis
19
Q

What is cholecystitis?

A

Gall stone stuck in cystic duct and inflammation
tenderness in area
Fever

20
Q

Investigations for biliary colic

A 
FBC
U and E
LFT
CRP
Amylase 
Abdo USS
21
Q

Who would you refer gall stones to and why?

A

Referral to upper GI surgery

Laparoscopic cholecystectomy

22
Q

When do you not refer gall stones?

A

Asymptomatic and small stones within gall bladder

23
Q

Dfx for calf pain

A

Intermittent claudication
PVD

Diabetic neuropathy
Spinal stenosis

24
Q

What relieves spinal stenosis?

A

Fetal position relieves spinal stenosis

25
Q

Investigations for calf pain

A 
Cap refill
Hair loss
6Ps of acute limb ischemia
Buerger's test
ABPI ankle brachial pressure indx
26
Q

Differentiate between intermittent claudication, critical limb ischemia and acute limb ischemia

A

Intermittent claudication - pain on walking - conservative and medical treatment needed
Rest pain for more than 2 weeks with ulcers - critical limb ischemia - bypass needed
6Ps - acute limb ischemia, sudden onset due to blockage - embolectomy needed

27
Q

How long do you give omeprazole for in gord

A

4 week trial of omeprazole

or hpylori test

28
Q

Treatment for h pylori

A

7 day course of triple hterapy:

PPI BD
Metronidazole
Amoxicillin
Clarithromycin

29
Q

What else would you examine if someone has facial weakness

A

Scalp, ears, mastoid, parotid, glands, oral cavity

30
Q

Treatment

A

Reassure
careful of eye as might not close
Eye lubricant
Tape eye shut overnight
Any eye symptoms - refer to ophthalmology
Prednisolone 50mg 10 days
Neuro referral if you don’t recover within 3-4 months

31
Q

LMN facial palsy causes

A

Idiopathic -
HZV - ramsay hunt syndromeNeoplastic - acoustic neuroma o rparotid malignancy

Traumatic
Otitis media, lyme diseaes,

32
Q

LMN facial palsy causes

A

Idiopathic -

HZV - ramsay hunt syndrome

Neoplastic - acoustic neuroma or parotid malignancy

Traumatic
Otitis media, lyme diseaes,

DPD 2 (22 decks)

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