haemorrhoids - las preguntas

Question 1

Presentation of immune thrombocytopenia purpura?

Answer 1

Easy bruising
Epistaxis
Menorrhagia
Purpura (purple spots on the skin caused by bleeding underneath the skin)
Gum bleeding

Rare = splenomegaly, major haemorrhage

Question 2

Investigating immune thrombocytopenia purpura?

Answer 2

Bone marrow exam - thrombocytopenia w/ increased or normal megakaryocytic in the marrow
Platelet autoantibodies - present in 60-70%

Question 3

Managing immune thrombocytopenia purpura?

Answer 3

1st LINE
- corticosteroids (eg. Prednisolone)
- IV immunoglobulin (eg. IV IgG - raises platelet count more rapidly than steroids)

2nd LINE
- splenectomy
- then if fails, immunosuppression (eg. oral/IV azathioprine)

Question 4

Signs of Fe deficiency anaemia?

Answer 4

Koilonychia
Angular stomatitis (/chelitis)
Brittle skin/nails
Subconjunctival pallor
Atrophic glossitis

Question 4

Signs of Fe deficiency anaemia?

Answer 4

Koilonychia
Angular stomatitis {/CHELITIS}
Brittle skin/nails
Subconjunctival pallor
Atrophic glossitis

Question 5

Presentation of malaria?

Answer 5

Fever ( often 39’ +)
Sweats and/or chills (RIGORS)

Question 6

Presentation of malaria?

Answer 6

Fever (often 39’ +)
Fatigue
Sweats and/or chills {RIGORS}
Headache
Myalgia
Diarrhoea
Vomiting
Abdo discomfort

Anaemia
Jaundice
Hepatosplenomegaly
‘Black Water Fever’

Question 7

What is