MOD, paeds and ortho Flashcards

1
Q

compartment syndrome produces pain on what movement

A

passive stretching

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2
Q

antiphospholipid syndrome treatment

A

low dose aspirin

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3
Q

most common cause of OM

A

staph aureus

salmonalle in sickle cell

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4
Q

achilles tendon rupture what investigation

A

ultrasound

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5
Q

what are the mechanisms of tissue hypoxia

A

Hypoperfusion - shock
microvascular thrombosis
tissue oedema
vasodilation and capillary shunt

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6
Q

what should you prescribe with allopurinol as cover

A

NSAID or colchine

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7
Q

what cause multi organ failure

A

sepsis
trauma- associated with tissue damage
Burns
pancreatitis
massive transfusion - transfusion cells are like an inflammatory trigger as act like antigens
shock states
poisoning
iatrogenic

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8
Q

investigations in MODS - multi organ failure

A

FBC, CRP , elcrotlytes, LFTs, coag screen, glucose and lactate, BAG, and full microbiology screen
radiology if required

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9
Q

lack of oxygen leads to anaerobic tissue metabolism causes what

A

high lactate

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10
Q

management of MOD

A

treat underlying cause

CVS - fluids and ionotropes
RESP - o2 and ventilaation
GUT - nutrtion
renal - fluids, pressure , flow and CVVH
Blood - cryoprecipitate, RBC and FFP
others - specifics eg surgery

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11
Q

salmon pink rash

A

JIA

ANOXERIA AND WL
ARTHTIRIS
LYMPHADENOPATHY
PYREXIA
ANA POSITIVE

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12
Q

most common complication of scarlet fever

A

otitis media: the most common complication
rheumatic fever: typically occurs 20 days after infection
acute glomerulonephritis: typically occurs 10 days after infection

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13
Q

when do you examine an undescended testis and refer

A

3 months

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14
Q

labetolol has what affect on the baby if in preg

A

Infants whose mothers who are receiving LABETALOL, the antihypertensive agent, are at increased risk of hypoglycaemia.

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15
Q

tx meningitis in children

under 3 months what else do they need to cover listeria

what is co prescirbed under 3 months too

A
  1. Antibiotics
    < 3 months: IV amoxicillin (or ampicillin) + IV cefotaxime
    > 3 months: IV cefotaxime (or ceftriaxone)

steriods co prescirbed

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16
Q

Introduce oral rehydrating solution (ORS) used in under5s instead of

A

antidiarhoels