Management Flashcards
General CA Management
Investigations
- CT-Scan, MRI, PET
- CXR, Mamogram
- FBE
Management
- Treat the Source - Surgery, Chemo, Radio
- Treat Symptoms - Pain, N/V
- Advance Care Directive
Neck Pain Investigations
MRI - Soft Tissue
X-ray - Spine
ESR, CRP, RF
Gout Mx
Investigation
- Joint USD + Joint Aspiration
- Uric Acid, UEC
- FBE, ESR, CRP
- FBS, Lipid Profile
Immediate
Pharma - NSAIDS, Steroids (Oral or IV), Colchicine
Non-Pharma - RICE and Lifestyle Modification
Longterm
Alopurinol + Colchicine
Change Anti HTN Meds (From HTZ)
OA Mx
Flagging - Irreversible Damage, Control Sx and Maintain Activity
Non-Pharma - Lose Weight, Physiotherapist, Walking Aids, Fall Assessment
Pharmacologic - Step by Step
- Topical NSAIDS
- Paracetamol
- NSAIDS (Avoid in HTN)
- Pain Clinic
- Steroid Injection
Surgery - Only if Severe and Not improving
- Total Knee Replacement
Venous Insufficiency Mx
Prevent Ulcers - Refer Podiatrist, Moisturizes, Check Always
Elevate Leg, Avoid Static Positions
Compression Socks
CVS Rf - SNAP
Surgery if gets worse
UTI Mx
Mid Stream Urine, Urine MCS
Ab - Trimethoprim 300mg x 7d
Pain - Paracetamol or Alkalizing Agent
Good Hydration
Long T Investigation (Men)
- PSA, UEC
- KUB USD, CT Scan
Catheter Induced UTI Mx
Immediate
- Vitals Stable (ABC)
- Oxygen <90%
- 2 Large Bore Cannula
- Investigation - BC, Urine MCS
- Other Invest - FBE, UEC, ESR, CRP
- Start IV Antibiotic - Gentamycin + Amox
Intermediate
- MCS Result - Change Ab
- Change to Oral if Stable
- Duration of Ab - depends on response
Long-Term
- Treat BPH - Tamsulosin or Finasteride or Duo-Dart
- if persistent - Urologists’ - TURP
Erectile Dysfunction Mx
Treat the Cause & RF (DM, HTN, Etc)
CVS Risk Assessment
Meds - Sildenafil (1)
Vaccum or rings (2)
Urologist - Injection (3)
Surgery - Implant (4)
Sexual Counselling
Fibromyalgia Mx
Investigations - ESR, CRP, FBE, CXR, TSH, RF, ANA
Exercise, Life Style modification, Sleep Hygiene
CBT
Amitriptyline
Pain Clinic
Cystitis Mx
Inv - Urine MCS (Via. midstream urine)
Immediate
- Trimethoprim
- Pain Relief - Paracetamol, Alkalizing Agent
- Good Hydration
Long Term - Can consider doing other investigations
- PSA
- KUB USD
- CT-Scan
- UEC
Hydrocele Mx
Inv. - USD, Tumor Markers, STI Screening
Management
- Depend on the Cause
– CA - Surgery and Chemotherapy, Radiotherapy
– STI - Treat STI
- Swelling
– Conservative - If no symptoms
– Aspirate - If w/ Symptoms
– Surgery - If persistent
Mechanical Low Back Pain Mx
Reassure
Painkillers - NSAIDS
Rest - But Still do daily activities
ICE - Ice on the area then warm compress
Refer to physiotherapist
F/u after 2-3 weeks
Monitor RF
Return to work plan - Medical Certificate - F/u for reassessment
Lumbar Radiculopathy Mx
Conservative Tx 6-8 weeks
Rest and Stay Active
Painkillers
Pain Get worse or persistent or Cauda Equina Sx
- MRI
- Steroid Injection
Olecranon Bursitis Mx
PRICE
Severe - X-ray and USD, Drain Fluid and Give Steroids
