LOBs Flashcards

1
Q

what is the prostatic venous plexus?

A
  1. internal iliac vein to the vertebral venous plexus

2. to the batson venous plexus to the internal venous plexus

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2
Q

what is the route that mets take from the prostate?

A

Venous route through the internal iliac vein

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3
Q

what is an indirect inguinal hernia?

A

the peritoneal sac enters the canal through the deep inguinal ring

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4
Q

what is a direct inguinal hernia?

A

the peritoneal sac enters the inguinal canal through the posterior wall of the inguinal canal. the contents will emerge medially to the deep ring

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5
Q

what are causes of an inguinal hernia?

A
chronic cough
constipation
heavy lifting
age
obesity
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6
Q

what is a sliding hiatus hernia?

A

part of the stomach at the oesophageal gastric junction is pulled up through the diaphragm

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7
Q

what is a rolling hiatus hernia?

A

Part of the fundus extends through the diaphragm at a separate site to the oesophagus

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8
Q

what can be used to detect delirium?

A
CAM 
1. acute onset and fluctuating course
AND
2. inattention
AND EITHER
3. disorganised thinking
OR
4. altered consciousness
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9
Q

what are first line investigations for delirium?

A
FBC
CRP
U E
Ca
LFT
TFT
Glucose
CXR
ECG
oxygen sats
urine sample
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10
Q

what is the definition of dementia?

A

an acquired global and progressive impairment of mental function

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11
Q

what are types of dementia?

A

Alzheimers
vascular
lewy body
fronto-temporal

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12
Q

what are the geriatric giants?

A
  1. confusion
  2. falls
  3. incontinence
  4. immobility
  5. breakdown in social circumstances
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13
Q

what are degenerative causes of dementia?

A
Parkinsons
Alzheimers
Lewy body
Fronto temporal
Huntingtons
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14
Q

what are vascular causes of dementia?

A

vascular dementia

cerebral vasculitis

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15
Q

what are metabolic causes of dementia?

A

uraemia

liver failure

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16
Q

what are vitamin causes of dementia?

A

B12 deficiency

thiamine deficiency

17
Q

what is the apthology in alzheimers?

A

deposition of beta amyloid plaques
changes in tau protein and formation of neurofibrillary tangles
laying down of amyloid

18
Q

what is the management of dementia?

A
Vitamin B supplements
cholinesterase inhibitors (donepezil, rivastigmine) increase Ach levels 

NMDA antagonist memantine when cholinesterase inhibitors are not tolerated