Nov 21 Flashcards
60 yo wnats to change her will
Advise her to talk with her lawyer about the change of her will
Melena , ulcer present
blood transfusion was given but no improvement
Mgt?
Capsule Endoscopy
Painful defecation
Anal fissure
Episode swelling on the Right side
Spermatic cord is thicker
Diagnosis?
Hernia - Silk glove sign
Dragging sensation
pain is present
Dx: Varicocele
US ABDOMEN
Family hx of father with brain tumor
inv?
CT
Dysphagia , hoarseness after surgery
Affecting laryngeal nerve
Thoracic inlet there is mass
dx?
Esophageal cancer
Intestinal obstruction
Cecum 11cm
Sigmoid colon has stricture
What will you do next?
Colostomy
COVID vaccine - S ARS covid 1 : After first dose, got a headache
What will you test?
Thrombo something + D dimer
30+ weeks , she called Dr with abdominal pain
when does she need to go to the hospital
if contraction lasts 30 sec every 8 min
Immunisation in aboriginal
4yo
vaccination up to date
what will you give?
Hep A
Asthma
Ipratropium with asthma history
on discharge, logn term?
Inhaler
ST elevation in leads 1 and 2 with pains and gets better when bending down
Pericarditis
Distal pulses not palpable with Claudication
Doppler - next
best - CTA
Trauma injurt with Associated floaters
Intra ocular pressure 25 mmHg
Retinal detachment
tx?
ACETAZOLAMide - Oral
Only after 24 wks of pregnancy
A second opinion or second GP must agree the termination
Tx for Her 2 breast ca
Tamoxifen
Suspected endometrial hyperplasia
Hysteresocopy and Biopsy
10 month old baby with URTI
How to give hin O2
2L nasal canula
male history of promiscousity
and hikin gin victoria
polyarthrlagia of hands and wrists and has rash prior to the pain
Cause
Ross River
On Warfarin, no evidence of bleeding
INR 7
Stop Warfarin
About a new approved drug
RCT
If the lady has rep symptom come with O2 level is very low
How will you give O2 with this patient
CPAP
Tonic Clonic Seziure
recurrent
mgt
IV Diazepam
Chlamydia, Urethray discharge, dysuria frequency
inv
SWAB woman
Urine MALE
Xray of neonates
not NEC but Pleural effusion in the RIght side
Inv?
Needle Aspiration
Brown Snake with a long scratch on leg
Swab and apply bandage?
PArotid gland swelling in old lady
Painless CT
Painful USG
Right sided pleural effusion
Tx: Needle aspiration
urethral dischrge
urinary hesitancu
dribbling urine
next inv
Urine analysis
Intern saw resident doctor taking psychotic drugs
Inform APHRA
38 wks 10ml blood loss
USG shows placenta previa grade 4
now at 39 wks 50ml blood loss
what’s next?
LUCS
Blood on sanitary pads
Lochia rubra
A couple is your patient one day wife confronts her marriage
Ask details
1st degree colon cancer diagnosed at 51
IFOBT every 2 years from 40-49
Pop up sund while playing football
ACL injury
Old age PSA 14
tumour invade to seminal vesicle
Mgt
External beam Radiotherapy
DVT prophylaxis in pregnant lady
LMWH
Aboriginals vaccination 4yo
Hep A
Upper GI bleeding
Endoscopy
Post-op subclavian catheter inserted
flushing, swelling of face and hand
CTA
Patient with lethargic and ptosis
with double vision
MG
Man joint pain
effusion in the knee
travel around the world
hiking
rash fever multiple sex partners
Ross RIver
third day post op Alcoholoc patient
BT 37.9
What to do
Midazolam
A newborn with crusted unilateral eye
Blocked duct
4-6 wk month dialysis, hypertensive before dialysis
Normotensive during dialysis
Hypertensive
What to do
Review Ideal weight
A patient with hematuria with dribbling and LUTS
Prostate was enlarged
Urinalysis was done
Rectal US
Diplococci was seen in a 2 -3 days old neonate in eye discharge
Gonorrhea
Old man on multiple drug
metformin, Diuretic, Perindopril
SSRI etc
Hyponatremia
What is the cause of hyponatremia
Fluoxetine
Pleural effusion total protein is 15
what is the cause
Exudative
Recurrent groin swelling
Thick spermatic cord in a todder
Dx
Idiopathic Scrotal edema
Night sweats and loss of weight
Xray - bilateral diffuse infiltrates
Lymphoma
scrotal mass
palpable mass
inv
tumor markers
Acute Resp Symp + green sputum
Ticarzillin