Medicine Flashcards
First line treatment of SVT (fluttering in chest, tachycardia)
Carotid sinus massage (valsalva manoeuvre to stimulate vagus nerve!)
Test for carcinoid syndrome
24hr urine 5-HIAA
Medication to calm carcinoid syndrome
Octreotride
Which side of the heart does carcinoid affect?
Right side
Which valves are affected in carcinoid syndrome
Tricuspid insufficiency
Pulmonary stenosis
Which scoring system for NSTEM?
GRACE
Management of ACS
300mg aspirin stat
Oxygen
Morphine if severe pain
GI bleed can raise which electrolyte?
Urea
Because it’s like a big meal
How long do cluster headaches last for?
15min - 2hr
Opioid that you can use in neuropathic pain
Tramadol
Pneumonia in alcoholic
Klebsiella
Gallbladder removal leading to runny poo, what’s the problem and what’s the treatment?
Too much bile acid
Use bile acid sequestration with cholestyramine
Chole!
Post operative breathlessness DDx
PE Atelectasis (collapsed airways due to bronchial secretions/intubation)
Mx of atelectasis
Position pt upright Chest physiotherapist (breathing exercises)
Management of cluster headache (behind eye, excessive lacrimation)
High flow oxygen
Triptans
Persistent ST elevation post MI
No chest pain
Tiredness
Signs of heart failure
Left ventricular aneurysm
Child with recurrent infections and anaemia, worried about X. What should you do?
Leukaemia (ALL)
FBC in <48hr
Symptoms of leukaemia
Pallor Persistent fatigue Unexplained fever Infections Generalised lymphadenopathy Unexplained bruising and bleeding Persistent bone pain
Throat surgery complications
Laryngeal nerve damage
Bleeding -> can cause airway compromise, need to remove the sutures to relieve pressure!
Damage to parathyroid glands can cause hypocalcaemia
What do you do with patients on anticoagulants that present with TIA/stroke symptoms?
Immediate scan to rule out haemorrhage
Barium swallow for persistent heartburn shows fungus above the diaphragm, what is this?
Hiatus hernia (usually sliding)
PR interval in WPW
Shortened
Features on ECG for Wolff Parkinson White
Short PR interval
Slurred upstroke = delta wave
Can rapidly develop into VF
Patient with suspected pancreatitis, what do you do about their food and fluids?
If they are hungry, they can eat
They need aggressive fluid therapy
Blue hands in the cold, lymphoma Hx =>
Cold AIHA
Basically, an autoimmune haemolytic disease that will cause a macrocytic anaemia
What are the 2 types of AIHA?
Warm and cold
