High risk CVD, osteoporosis, coroner's Flashcards
What are some maternal factors that would make a pregnancy high risk?
- advanced maternal age >35
- drug use; smoking, drinking, illicit substance use
- maternal health conditions: diabetes, HTN, thyroid disease, epilepsy, poorly controlled asthma , certain mental health conditions, BMI >30
- previous pregnancy complications; premature birth, pre-eclampsia, gestational diabetes
What are some situations that occur during pregnancy that would make a birth high risk?
- multiple pregnancy
- abnormal placental position
- foetal growth restriction <10%
- Rh sensitisation
Deaths reportable to coroner’s?
- person unknown
- un-natural circumstances; violent, homicide, suicide, drug and alcohol related deaths
- accidents and work place related deaths
- cause of death unknown
- unexpected deaths in health care facility, after a procedure
- deaths in custody
72yo Margaret had a DEXA scan 1 year ago and was diagnosed with osteoporosis, when will she be eligible under medicare for the next DEXA?
In 1 year (1 service every 2 years)
Elise had a minimal trauma fracture and was initially started on denosumab injections, she has been recently changed to weekly oral alendronic acid. She had a DEXA last year, can she have another one this year?
Yes 1 yearly if there is a significant change to treatment
Tom has recently been diagnosed with CKD stage 4, how often should he have a DEXA scan?
2 yearly
What conditions would make a patient eligible for an annual DEXA?
male hypogonadism, female hypogonadism under age 45 lasting more than 6 months, conditions w excess glucocorticoid secretion, prolonged glucocorticoid therapy
How much is high dose glucocorticoid therapy making someone eligible for a DEXA?
7.5mg or more /day for more than 3 months
Who is already at high risk CVD and does not need the calculator?
- Max 55 yo diabetic with hba1c 8.9%
- Lucy a 45yo with CKD eGFR 50
- Tanya a 50 yo with HTN 170/100
- Bob a 52 yo diabetic with albumin creatinine ratio 3
- John a 70 yo man of Aboriginal Torres Strait Islander background.
Bob.
A person of Aboriginal and Torres Strait Islander origin is high risk and does not need CVD risk calc from what age?
75 and over
Total cholesterol value over what automatically makes you high risk?
7.5
Systolic pressure over what makes you high risk?
180 and above
Diastolic pressure over what makes you high risk?
110 and above
A diagnosis of what familial condition automatically makes you high risk?
Familial hypercholesterolaemia
CKD with eGFR less than what makes you high risk?
eGFR <45
