GP Tutorials Flashcards
What is delirium?
An acute transient global organic disorder of CNS functioning resulting in impaired consciousness and attention
What would a Fractured NOF preset with?
Shortened externally rotated leg
What causes WCC in urine dip in elderly?
Malignancy of the renal tract (prostate) UTI Kidney calculi Fungal Schistomiasis (+ blood) TB (only picked up if 3 early morning urine cultures) Glomerulonephritis Tubular interstitial nephritis
What is frailty?
A clinically
What does naproxen have an interaction with?
ACE-I
Because both cause renal impairement
What is a drug which increases your risk of osteoporosis after breast cancer?
Anatrazole
Oestrogen antagonists
High risk recurrence- 10 years
Low risk recurrence- 5 years
What can be put in place to prevent admissions in the elderly?
Tendency allowance Non means tested Purely based on medical need 65 day rate 150 night
What is a fall?
Female gender Assistive device Relative risk 2.6 Medication/ Antipsychotics, antidepressants,
What are the risk factors for osteoporosis?
Female- post menopausal Lower BMI Smoking Steroids Poor nutrition Lower activity level Age
What is secondary osteoporosis due to?
Type 1 diabetes
Osteogenesis imperfecta
Untreated long standing hyperthyroidism
Hypoogonadism
How do you calculate the fracture risk of osteoporosis?
FRAX score
When do you manage osteoporosis?
If the risk factor is above treatment threshold then do a dexa scan
If the T score is less than or equal to 2.5 then offer treatment
If T> or eaual yo 2.5 then modify risk factors, treat conditions and repeat at 2 years
When would you do a DEXA scan?
If on the frax score they are amber
What is the role of social services?
They protect children and vulnerable adults
Government led organisation
What does a social prescriber do?
Have a very good understanding of the support groups including charity groups within the local area
Assess peoples non medical needs
Connect people to appropriate non medical care
Help people access help within the community including- housing support, food banks, weightwatchers/ slimming world, exercise support, substance abuse groups, befriending services
Discuss long term problems and monitor progress
Motivational interviewing
Tackle obstacles to health improvement
