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KFP > June 5th, 2021 > Flashcards

June 5th, 2021 Flashcards

1
Q

16F, 1/52 sore throat, high fevers, fatigue, weight loss, new sexual 17M 6/52 ago, on OCP, no condoms, working partime vet clinic, temp 38.1, cervical lymphadenopathy, splenomegaly, 3 ddx

A
  • cytomegalovirus
  • acute HIV seroconversion
  • leukaemia
  • lymphoma
  • toxoplasmosis
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2
Q

16F, 1/52 sore throat, high fevers, fatigue, weight loss, new sexual 17M 6/52 ago, on OCP, no condoms, working partime vet clinic, temp 38.1, cervical lymphadenopathy, splenomegaly, 3 mx steps

A
  • paracetamol, 1g, Po, QID, PRN
  • rest
  • no contact sports for 3-4 weeks
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3
Q

16F, 1/52 sore throat, high fevers, fatigue, weight loss, new sexual 17M 6/52 ago, on OCP, no condoms, working partime vet clinic, temp 38.1, cervical lymphadenopathy, splenomegaly, 3 complications

A
  • splenic rupture
  • deranged liver function tests
  • airway compromise
  • pneumonia
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4
Q

16F, 1/52 sore throat, high fevers, fatigue, weight loss, new sexual 17M 6/52 ago, on OCP, no condoms, working partime vet clinic, temp 38.1, cervical lymphadenopathy, splenomegaly, positive chlamydia, 5 mx

A
  • contact tracing for last 6 months
  • 1G azithromycin, PO, stat
  • advise no sexual intercourse until 7 days after treatment
  • discuss use of condoms
  • no sex with partners from last 6 months until partners tested and treated
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5
Q

36F 2/7 of left lower calf tenderness, more running training for 10k, non-smoker, on OCP and mefenamic acid, phx appendicectomy, endometriosis, 5hx questions

A
  • chest pain?
  • recent trauma
  • recent long haul flights?
  • recent fever? skin changes?
  • phx of DVT?
  • sudden onset of pain?
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6
Q

36F 2/7 of left lower calf tenderness, more running training for 10k, non-smoker, on OCP and mefenamic acid, phx appendicectomy, endometriosis, 5 examination findings

A
  • left calf skin cellulitis skin changes
  • tenderness left calf
  • increase circumference >3cm in left limb measured 10cm below tibial tuberosity compared to right
  • pedal pulses
  • prominent superficial veins in left calf
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7
Q

36F 2/7 of left lower calf tenderness, more running training for 10k, non-smoker, on OCP and mefenamic acid, phx appendicectomy, endometriosis, tenderness over left perineal vein, single Ix?

A

urgent venous doppler ultrasound left lower limb

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8
Q

36F 2/7 of left lower calf tenderness, more running training for 10k, non-smoker, on OCP and mefenamic acid, phx appendicectomy, endometriosis, DVT, 3 mx

A
  • cease oral contraceptive pill
  • commence Apixaban 10mg, BD for 7/7, then 5mg, BD for 6 weeks
  • graduated compression stockings 30-40mmHg pressure up to knee
  • paracetamol 1G, po, QID, PRN
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9
Q

57M, 1 episode of PR bleeding, father dx bowel cancer age 88, 30py smoker, 8SD, perindo5, atorva80, ibuprofen PRN, venlafaxine75 for anxiety. 8 hx questions

A
  • unintended weight loss?
  • change in bowel habit?
  • previous episodes of PR bleeding?
  • fever?
  • associated abdominal pain?
  • hx of constipation?
  • blood bright red?
  • pain with defecation?
  • lumps around anus?
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10
Q

57M, 1 episode of PR bleeding, father dx bowel cancer age 88, 30py smoker, 8SD, perindo5, atorva80, ibuprofen PRN, venlafaxine75 for anxiety. 3mx for anal fissure?

A
  • high fibre diet
  • stool softeners
  • warm sitz bath
  • glyceryl trinitrate 0.2% ointment
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11
Q

68F, 3/7 severe mid thoracic back pain, fall onto buttocks, lives alone, Panadol not enough, worse at night, pmhx: distal radius # 5ya, OA L knee, DMII, tenderness T12, L1, 156cm tall, thoracic kyphosis, 159cm 20ya, 4 ddx

A
  • pathological vertebral fracture
  • spinal disc herniation
  • osteoporotic crush fracture
  • facet joint arthritis
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12
Q

68F, 3/7 severe mid thoracic back pain, fall onto buttocks, lives alone, Panadol not enough, worse at night, pmhx: distal radius # 5ya, OA L knee, DMII, tenderness T12, L1, 156cm tall, thoracic kyphosis, 159cm 20ya, 5 history questions, underlying risk factors

A
  • low exposure to sunlight
  • sedentary lifestyle
  • low dietary calcium intake
  • early menopause
  • smoking
  • alcohol >2SD
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13
Q

68F, 3/7 severe mid thoracic back pain, fall onto buttocks, lives alone, Panadol not enough, worse at night, pmhx: distal radius # 5ya, OA L knee, DMII, tenderness T12, L1, 156cm tall, thoracic kyphosis, 159cm 20ya, 5 mx, 1 Pharma

A
  • ensure adequate calcium intake 1330mg/day
  • sun exposure 15min/day
  • resistance training
  • baseline DEXA
  • commence denosumab 60mg, SC, 6monthly
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KFP (47 decks)

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