Integrative Flashcards
normal range ph
7.35 - 7.45
how anion gap calculated
NaK - ClHCO3
causes of metabolic acidosis with normal anion gap
diarrhoea, renal tubular necrosis
how t1dm lead to shock
DKA causing dehydration
what is patient safty incident, near miss, serious untoward incident, never event
PSI - unintended event leading to pt harm
near miss - potential for harm
serious untoward incident - incident which may have legal or media reprecussions
never event - serious and largely preventable
how report clinical incident
datix reporting, inform key line managers
where haemotpoeisis in fetus
0-2 mths - yolk sac
3-5 mths - liver and spleen
6+ - BM
what is red an dyellow BM
red - haematopoeitic
yellow - fatty
what is red and white pulp of spleen
red - sinuses lined by endothelial macrophages
white - like lymph follicles
anatomy of lymph node. where are b and t cells found
see book
cortex - B cell
paracortex - t cell
what causes splenomegaly
increased work load, congestion e.g. portal hypertension, infilatration by WBC eg. brucellosis
causes of hyposplenism
coeliac and sickle cell
wat is aplastic anaemia
pancytopenia with hypocellular BM
what is ataxia telangiectasia. treat?
thymic hyperplasia leading to reduced B cells. treat with BM transplant
what is myelodysplasia
BM failure - reduced mature blood cells and increased erythrocytes. Abrnomal RBCs in blood
what are stellate cells of liver
secrete collagen scar tissue in damage
how does diastolic and systolic heart failure occur
diastolic - hypertrophy leading to stiff ventricles, improper diastole
systolic - dilated cardiomyopathy
what is clonus
3+ beats
what is folate
vit b9
what is hoffman reflex
tap middle or ring results in flexion of thumb. pathological if asymmetrical (UMNL)