Karim Meeran 1 - internal med Flashcards
List 5 features of rheumatic fever
Subcutaneous nodules Arthritis Myocarditis Chorea Erythema marginatum
What is the pathology of rheumatic fever?
AI disease where cross reactive ABs attack self AGs eg in basal ganglia.
List normal Na result
135 - 145
List normal K result
3.5 -5
List normal urea result
Around 4
List normal creatinine result
<100
Low iron, high platelets, low MCV.
Dx?
Iron deficiency anaemia, secondary to slow GI bleed
What does a normal RDW show?
Homogenous population of RBCs
What does a high RDW show?
Anisocytosis (different sizes of RBCs)
List 3 scenarios in which you would have a high RDW
Coeliac
Malabsorption
Chronic disease
What is pernicious anaemia?
Lack of intrinsic factor leading to B12 deficiency
Low WCC, fever, low platelets. Travel Hx.
Dx?
Malaria
Exceptionally high WCC.
Dx?
CML
Irregular R-R intervals. No p waves.
Dx?
AF
List Tx for AF
Beta blocker eg metoprolol
Digoxin
What is the Tx for Graves disease?
Carbimazole
Spider naevi refill from the _____ ?
Inside out
Where are spider naevi found?
In distribution of SVC, which is above nipple line
When are Campbell de Morgan spots found?
Over 40s
No known pathology
Jaundice and raised ALP.
Dx?
Obstructive jaundice eg pancreatic cancer
Jaundice with raised AST and ALT.
Dx?
Hepatitis
ALT > AST in what?
Viral hepatitis
AST > ALT in what?
Cirrhosis
What does S3 indicate?
Heart failure due to rapid ventricular filling
