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Anti-histone antibody
Drug induced lupus
Precocious puberty and bone pain
McCune Albright syndrome
SLE treatment
Hydroxychloroquine
Perineal swelling and bruising with blood at the urinary meatus
Pelvic fracture
Lower limb innervation: 1 - Anterior thigh? 2 - Posterior thigh? 3 - Medial thigh? 4 - Anterior leg? 5 - Lateral leg? 6 - Posterior leg?
1 - Femoral nerve 2 - Sciatic 3 - Obturator 4 - Deep fibular 5 - Superficial fibular 6 - Tibial
Distal radius fracture with dorsal displacement wrist/hand
Colles’ fracture
Other features - dinner fork deformity, FOOSH
Late complication of a Colles’ #?
Extensor pollicis longus rupture
What is a Smith’s #?
Reverse Colles’ - ventral displacement of wrist/hand. Fall on flexed wrist
FOOSH + pain at the base of the thumb + pain in the anatomical snuffbox
Scaphoid #
Complication = AVN
Ix for scaphoid #
4 x x-ray views (if not seen, repeat in 10-14 days)
Young, soft bones that bends and partially breaks - what type of fracture?
Greenstick
What is a buckle fracture?
Incomplete # characterised by bulging of the cortex
What is a Monteggia’s #?
Treatment?
Fracture of the ulna with dislocation of the radius at the elbow
ORIF to treat
Fracture of the radius with dislocation of ulna at the distal radioulnar joint - what type of #? Treatment?
Galeazzi - ORIF to treat
What is a Barton’s #?
Intra-articular # of the distal radius
ORIF to treat
Human placental lactogen (HPL)
Causes increasing insulin resistance in pregnancy
Intrauterine adhesions after dilation and curettage - what syndrome?
Asherman’s syndrome
Alpha feto protein levels in;
1 - Down’s syndrome?
2 - Neural tube defect?
1 - Low
2 - High
Fitz-Hugh Curtis syndrome?
Chlamydia (PID) causing liver capsule inflammation and adhesions
Duke’s staging of colorectal cancer?
Duke’s A = Mucosa
B = Bowel wall
C = Lymph node involvement
D = Distant mets
Classifications of colorectal, cervical and prostate cancers?
Colorectal - Duke’s
Cervical - FIGO (Luis Figo shagger)
Prostate - Gleason
Lymphoma - Ann-arbor (Michigan wolverines)
40 year old brittle asthmatic with a 3 week Hx of worsening hoarseness. The patient has never smoked and drinks very little alcohol?
Fungal laryngitis
70 year old ex smoker. Has progressive hoarseness dysphagia, right otalgia and ?foeor? (
Hypopharyngeal cancer
