Intro lectures Flashcards

1
Q

glucose in urine leading to polyuria

A

osmotic diuresis

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2
Q

problem list for diabetic foot ulcer

A
  1. dehydration and low bp
  2. pain
  3. septic ulcer
  4. high blood glucose
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3
Q

prescription for fluid challenge

A

500ml 0.9% saline over 30 mins

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4
Q

prescription for maintenance fluids

A

1 litre 0.9% saline with 20mmol of potassium over 8 hours

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5
Q

step 1 pain management

A

paracetamol, NSAIDS

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6
Q

step 2 pain management

A

Codeine

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7
Q

Step 3 pain management

A

morphine

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8
Q

When to avoid metformin

A

eGFR less than 30 (risk of lactic acidosis)

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9
Q

Variable rate insulin infusion lowest rate (50units actrapid in 50ml of 0.9%saline)

A

T1DM 0.5/hour

T2DM 0/hour

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10
Q

When should TED stockings be avoided

A

peripheral vascular disease

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11
Q

A of ABCDE

A

Is the airway patent

no stridor

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12
Q

B

A
  • Respiratory rate
    – Using accessory muscles?
    – O2 saturations; inspired O2
    – Chest examination – crackles, wheeze
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13
Q

C

A
CIRCULATION
– Capillary refill time (press nail bed, hand above the heart, for 5 secs) ‐ should be <2 secs
– Pulse
– Blood pressure
– Urine output
– Cardiovascular examination
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14
Q

D

A

DISABILITY (DON’T FORGET THE GLUCOSE) – GCS E4 V5 M6

– Capillary blood glucose (BM)

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15
Q

E

A

Exposure

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16
Q

Family history of renal stones

A

consider cystinuria (rare)

17
Q

Most common constituent of renal stones

A

Calcium oxalate. Also CaP, Uric acid, cysteine, indinavir; Infec7on MAP/Struvite

18
Q

Investigations that give a diagnosis of renal colic

A

Usually dipstick haematuria

Must confirm with CT/KUB

19
Q

Renal Colic management

A
Analgesia - NSAID’s &amp; opiates
Admit if:
Single kidney
Pyrexia
Continuing pain
Renal impairment
Pregnancy
Large stone/severe obstruction on CT
Otherwise can be discharged with stone clinic OPA
20
Q

Tx of renal stones

A

Conservative/Medical - tamsulosin
ESWL
Ureteroscopy
PCNL

21
Q

General advice for stone formers

A
High fluid intake –2.5-3L per day
• Do not cut out dairy products
• Less salt
• Less animal proteins especially red meat
Attend / return to A&amp;E if
• Pain not controlled by analgesia
• PYREXIA