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GP Block > Minor Illness > Flashcards

Minor Illness Flashcards

1
Q

UTI women

A

100mg Nitro 3 days
200mg trim 3 days

If persisting
Nitro (not used)
Penecillin based

If pregnant avoid trimethoprim- teratogenic
Nitro for 7 days BD
amoxicillin BD 7 days

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2
Q

Tonsillitis Complications

A

Peritonsillar abscess (inc post Abx)
Otitis media
Rheumatic fever/GN

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3
Q

UTI Complications

A 
stones
pyelonephritis
pre-term (women)
prostatitis
impaired renal functions
urosepsis
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4
Q

Tonsillitis cause

A

strep.pyogenes

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5
Q

Children Urine dip

A 
\+ve- Give Abx
-ve <3years- give Abx
-ve >3years- dont give Abx
Upper UTI- hospital +Abx
Lower UTI- trimethoprim/nitro Abx
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6
Q

Men UTI treatment

A

Non catheter- nitrofurantoin/trimethoprim 7 days

Catheter- amoxicillin/nitrofurantoin/trimethoprim 7 days

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7
Q

Acute Bronchitis vs pneumonia

A

AB may not have one of breathlessness, wheeze or sputum but will be present in pneumonia.
AB good chest sounds
AB not systemic

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8
Q

If AB not responding to conservative treatment

A

Doxycycline, unless pregnant/child- amoxicillin

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9
Q

Pneumonia treatment

A

Amoxicillin, if allergy- doxycycline/clarithromycin

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10
Q

Pneumonia symptom stages

A 
1 week- fever clears
4 weeks- sputum and chest pain clears
6 weeks- cough and breathlessness clear
3 months- fatigue persisting
6 months- all symptoms clear
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11
Q

Quinsy abscess features

A

Stiff neck
unilateral pain
uvula deviation away from affected side
difficulty opening mouth

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12
Q

Quinsy abscess treatment

A

I+D and IV Abx

tonsillectomy- so to reduce recurrence

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13
Q

Scabies treatment

A

All conservative measures +
permethrin 5%- 1st line
malathione 0.5%- 2nd line

reapply after 7 days

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14
Q

Fifth disease symptoms

A

Slapped cheeks
Lethargy
Fatigue
Headache

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15
Q

Fifth disease complications

A

hydrops fetalis/foetal death

anaemia

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16
Q

Nappy rash complications

A

Bacterial infection- Abx (oral)
Candida infection- Anti-fungal (topical- imidazole)

NB. red and inflamed- treat hydrocortisone

17
Q

Other causes of plantar fasciitis

A 
Due to repetitive microtears of the PF.
Also MSK (calcaneal fracture, Achilles tendinopathy), trauma, arthritis, infection, neurological.
18
Q

Impetigo treatment

A 
Non bullous (strep pyogenes/staph.aureus/both) local- topical hydrogen peroxidase 5 days. (Abx if contraindicated) 
Bullous (staph.aureus) systemic- Oral Abx (flucloxacillin) 5-7 days.
19
Q

Diarrhoea

A

Acute<14 days
Persistent>14 days
Chronic>4 weeks

20
Q

Diarrhoea Red Flags

A 
>4 weeks
persistent bloody
unintentional weight loss
rectal/abdominal mass
nocturnal diarrhoea
iron deficiency anaemia
21
Q

When to refer diarrhoea for cancer 2ww?

A

If palpable abdominal/rectal mass.

If >50yrs + change in bowel habit/abdo pain/ID anaemia/weight loss/

22
Q

Is GORD associated with H.pylori?

A

NOOOOOO

23
Q

GORD treatment

A

+ve endoscopy-
Full dose PPI for 1 month
Symptoms improve- continue on lower dose
Symptoms persist- double the dose.

-ve endoscopy-
Full dose PPI for 1 month
Symptoms improve- continue on lower dose as required
Symptoms persist consider H2RA

24
Q

Migraines meds

A

1st line Sumatriptan

Prophylaxis- Amitriptyline, propranolol

25
Q

Cluster headaches meds

A

Sumatriptan
NO NSAIDs/analgesia
O2 therapy short bursts

26
Q

Blackout causes

A 
Vasovagal- Prolonged standing, pain, sweating before
Orthostatic
Cardiac
Epilepsy
HypoG
27
Q

Bacterial vaginosis treatment

A

Oral metronidazole 5-7 days

EVEN IN PREGNANCY!!

28
Q

Thrush RF

A

DM, IC, pregnancy, Abx use

29
Q

Thrush treatment

A

topical (clotrimazole) or oral (fluconazole) antifungals

TOPICALS IN PREGNANCY!!

30
Q

Suspect orbital cellulitis

A 
Red/swelling
Visual disturbance
Sever ocular pain
Proptosis
Drowsiness
31
Q

Conjunctivitis treatment

A

Conservative
Bacterial- chloramphenicol drops 2-3hrly, ointment QDS.
If allergic then antihistamines

32
Q

Influenza complications

A

Acute otitis media
Acute bronchitis
Pneumonia
Sinusitis

33
Q

Headaches Red flags

A

Sudden onset (thunder clap)
Visual disturbance
Change in personality
Vomiting w/o other obvious cause

34
Q

Anaphylaxis Management-

A

Secure airway.
0.5mg Adrenaline, every 5 mins up to 3 times.
15L O2.
If wheeze then nebulised salbutamol.
IV- Fluids, Hydrocortisone 200mg, Chlorphenamine 10mg.
Monitor
Long term teach about allergy and self administered adrenaline (EpiPen).

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