MCCC webinar support questions Flashcards
48F BP aboriginal, finance officer, atenolol 50mg, fatigue, family events, vulval itch-hydrocortisone, regular periods, exsmoker, rare drinking BP 160/95, HR 70, weight 75kg, increased , BMI 27.5 5 ddx
- Type 2 diabetes
- hypothyroidism
- iron deficiency anaemia
- depression
- chronic kidney disease
- Obstructive sleep apnoea
- perimenopause
- side effect from atenolol
48F BP aboriginal, finance officer, atenolol 50mg, fatigue, family events, vulval itch-hydrocortisone, regular periods, ex-smoker, rare drinking BP 160/95, HR 70, weight 75kg, increased , BMI 27.5,
- low sodium diet <4G/day
- 150-300min exercise moderate intensity per week
- weight loss BMI<25, 5-10%
- low fat diet <20-35% energy intake
29M, 1-2/52 right testicle larger than left, no pain, no hx of trauma, no urinary symptoms or discharge, no meds, no smoking, 4SD per week 3 hx
- unintended weight loss
- history of undescended testes
- any unprotected sexual intercourse recently?
- recent fever?
- FHx of testicular cancer
29M, 1-2/52 right testicle larger than left, no pain, no hx of trauma, no urinary symptoms or discharge, no meds, no smoking, 4SD per week 4ddx
- right sided seminoma
- right sided hydrocele
- right sided varicocele
- right epididymal cyst
- right sided inguinal hernia
29M, 1-2/52 right testicle larger than left, no pain, no hx of trauma, no urinary symptoms or discharge, no meds, no smoking, 4SD per week, 1 ix
Testicular/scrotal ultrasound
13M, 2-3/52 of knee pain, trains 5x per week, swelling below the knee, slim antalgic, tenderness medial joint line, tibial tubercle, normal AROM, 3 ddx
- Right Osgoode Schlatter’s Disease
- osteomyelitis
- osteosarcoma
- right tibial tubersity avulsion fracture
- right Medial collateral ligament sprain
- Right patellofemoral pain syndrome
13M, 2-3/52 of knee pain, trains 5x per week, swelling below the knee, slim antalgic, tenderness medial joint line, tibial tubercle, normal AROM, 4 mx of osgoode schlatter’s
- rest from vigorous training
- reassure, self resolving in 2-3months
- physiotherapy for quads strengthening
- ice compress, 10minutes, TOP, TDS, PRN, acute phase
- ibuprofen: 10mg/kg(max 400mg), PO, TDS, PRN
22F right arm paraesthesia past 4 weeks, weakness, at work as childcare worker. Fatigue, no reg meds, has migraines more, no phx, no fhx, no smoke, 4SD, BMI 20, caucasian, FWT-NAD, 4 most important dx to consider
- Multiple Sclerosis
- transverse myelitis
- cervical myelopathy
- intracranial lesion
- cervical radiculopathy
- B12 deficiency
22F right arm paraesthesia past 4 weeks, weakness, at work as childcare worker. Fatigue, no reg meds, has migraines more, no phx, no fhx, no smoke, 4SD, BMI 20, caucasian, FWT,-NAD - 5 hx features
d,e,k,i,j
- unintended weight loss
- previous similar episodes of paraesthesia
- symptoms brought on by neck movements
- fever
- visual disturbance
- vegan diet?
52F, ?osteoporosis, active, runs, non smoker, ‘social’ drinker. 6 risk factors
- dark skin phenotype?
- premature menopause before age 40
- previous minimal trauma fractures
- history of coeliac disease
- prolonged oral corticosteroid use
- adequate calcium intake
52F, ?osteoporosis, active, runs, non smoker, ‘social’ drinker. single Ix?
Bone densimometry (DEXA) scan
52F, ?osteoporosis, active, runs, non smoker, ‘social’ drinker. osteopaenia, 4 lifestyle advice:
-vitamin D rich foods aim 1000IU per day
-add 30 to 60minutes resistance/weight bearing exercises spread over 2 days per week
-healthy weight BMI-20-25
alcohol max 2SD, + 2 alcohol free days per week
52F, ?osteoporosis, active, runs, non smoker, ‘social’ drinker. 3 issues prior to prescribing oral bisphosphonates
- risk of osteonecrosis of jaw
- GI upset, need to stay upright for 30min after ingestion
- usual course is for 5 years
- needs calcium and vitamin D supplementation
