May 22nd, 2021 Flashcards
10/12F bronchiolitis, 5 exam serious findings
central cyanosis decreased consciousness accessory muscle use capillary refill >3seconds o2 saturations <92-94% on RA
10/12F bronchiolitis, 3 non-pharmacological?
- small frequent feeds
- ensure no cigarette smoke exposure
- rest
- early review in 24-48 hours
4 underlying factors exacerbating CCF in a 70M stage 4 glioblastoma?
- acute MI
- anaemia of chronic disease
- pneumonia
- pulmonary embolism
2 x-ray features in multiple myeloma?
cortical thickening
lytic lesions
46F left leg weakness, muscle twitching, quads weakness, hyperreflexia, upgoing planters. 3 ddx
c,e,g,h
multiple sclerosis
motor neuron disease
spinal cord lesion
39M, 5/7 hx of central chest pain, 30min post prandial, radiates to jaw, nausea, strong fhx, BP 140/80, 5ddx
- GORD
- coronary artery spasm
- myocardial infarction
- peptic ulcer disease
- pancreatitis
- oesophageal spasm
39M, 5/7 hx of central chest pain, 30min post prandial, radiates to jaw, nausea, strong fhx, BP 140/80, 5hx
- nature of pain, sharp?
- trauma to chest wall?
- provoking ?movement
- recent NSAID use?
- relieving factors ?rest
- weight loss?
39M, 5/7 hx of central chest pain, 30min post prandial, radiates to jaw, nausea, strong fhx, BP 140/80, 3 non- Pharma
- sit upright after meals
- avoid spicy/fatty foods
- smaller meals
- decrease ETOH
Advice on PPI course and cessation?
- complete 4 week course
- step down to second daily then PRN dosing
65M 3/52 ago, anterior STEMI treated with fibrinolytic, asthma on sere tide and Ventolin , 4 meds he would be discharged on
- atorvastatin 80mg, po, nocte
- perindopril 2.5mg, po, daily
- aspirin, 100mg, po, daily
- clopidogrel 75mg, po, daily
- bisoprolol 1.25mg, po, daily
65M 3/52 ago, anterior STEMI treated with fibrinolytic, asthma on sere tide and Ventolin , travelling caravan, 2 aspects of care
- regular medical check ups
- low salt diet, <4G per day
- pneumococcal vaccine
