ILA Flashcards
What is piriton?
- An anti-histamine which relieves the symptoms of allergies
- Can make you feel drowsy
What is hydrocortisone cream?
- A steroid medicine
- Used to treat swelling, itching and irritation
What is menorrhagia?
- Heavy periods
What is Hodgkin’s Lymphoma?
- Uncommon cancer that develops in the lymphatic system
What is the most common symptom of Hodgkin’s Lymphoma?
- Painless swelling in a lymph node - usually in neck, armpit or groin
What are other symptoms in Hodgkin’s Lymphoma?
- Night sweats
- Unintentional weight loss
- High temperature
- cough
- persistent itching
Name 2 common causes of generalised itching.
- Contact allergy
- Scabies
- Atopic eczema (inflammatory)
- pityriasis rosea
- psoriasis
Name 2 occasional causes of generalised itching.
- Urticaria - hives
- Jaundice
- Iron deficiency anaemia
- endocrine-related
- prickly heat
- renal failure
What does a liver-function test do?
- Bilirubin
- ALT
- AST
- Albumin
When is a rash/itch ‘chronic’?
- Presents for more than 6 weeks and is not relieved by scratching
What should you think about when examining an itch?
- OLDCARTS
How would you diagnose a haematological disease?
- Tissue sample
- lymph node biopsy
Which drug can give itching as a side effect?
- ACE inhibitors
- generalised
What are the 4 types of leukaemia?
- Acute lymphocytic leukaemia
- Acute myeloid leukaemia
- Chronic myeloid leukaemia
- Chronic lymphocytic leukaemia
What are some side effects of chemotherapy?
- Fatigue
- Nausea and vomiting
- Hair loss
- infections
- anaemia
- sore mouth (mucositis)
- sex/fertility issues
- insomnia
What are the side effects of radiotherapy?
- Sore skin
- Fatigue
- Hair loss
- Nausea
- diarrhoea
- stiff joints and muscles
What is cauda equina syndrome?
- Nerves at the base of the spinal cord are squeezed together
What are the symptoms of cauda equina syndrome?
- Pain in back and/or legs
- Weakness and numbness
- Problems with bladder, bowel and sexual function
What can cause cauda equina syndrome?
- Disc herniation (most common)
- L4/5 compression
- Epidural abscess
- trauma
- spinal stenosis
What is the treatment for cauda equina syndrome?
- Laminectomy
- Part of the vertebra is removed to open space and relieve pressure on nerves
What is cord compression surgery?
- Treats compressed nerves in the lower spine
What is spondylolysis?
- Separation of the small bony part - fracture
- can be congenital
How can you manage back pain pharmacologically?
- Painkillers
- Diazepam
- Amitriptyline
How can you manage back pain without medication?
- Exercise
- Physiotherapy
- CBT
- Surgery
- Complimentary therapies
What is TENS?
- Transcutaneous electrical nerve stimulation
- low electric pulse that can encourage your body to produce more endorphins
What are red flags in back pain?
- Recent trauma
- unexplained weight loss
- immunosuppression
- IV drug use
- osteoporosis
- sphincter disturbance
- duration >6 weeks
What is sciatica?
- When the sciatic nerve is irritated
What are symptoms of sciatica?
- Pain (stabbing, burning or shooting)
- Tingling
- Weakness
- Worsen on movement, and sneeze/cough
What is a slipped disc?
- When the disc between the bones of the spine pushes out
- Can cause lower back pain, numbess in area of body, neck pain
What is paralysis?
- Loss of ability to move some or all of the body
- Can be sudden or gradual
What is paraplegia?
- Impairment in motor or sensory function of the lower half
- T1-L5
What is quadriplegia?
- If all 4 limbs are affected by paralysis
What is atrial fibrillation?
- Heart condition that causes an irregular and abnormally fast HR
- Symptoms include dizziness, SOB and tiredness
How would you recognise atrial fibrillation?
- Measure HR, it is irregular and occasionally fast
- May have noticeable heart palpitations