Other

Question 1

What electrolyte imbalances do you get with FFP/Platlets/Blood products?

Answer 1

Hypocalcemia - FFP and platelets contain citrate therefore can chelate calcium.

Hyperkalemia - red cells stored for 4-5 weeks have 5-10mmol K+

Question 2

What are the features of TRALI?

Answer 2

Occurs within 6 hours of transfusion
Acute non-cardiac pulmonary oedema- respiratory distress - hypoxiamia - hypotension - fever

Rx- supportive care, O2, fluid maintainence, NOT diuretics (these are used in TACO)

Question 3

Features of cavernous sinus syndrome?

Answer 3

Pain - local invasion (eg NAsopharnygeal tumour)
Opthalmapegia - compression of cn3,4,6
Proptosis - enlarged cavernous sinus
Trigeminal nerve lesion - opthalmic branch - loss of corneal reflex
Horners syndrome - at level of internal carotid artery - postgangiolnic (no anhidrosis, ptosis and myosis seen)

Question 4

Differentials for abdo pain radiating to the back with hypotension?

Answer 4

Leaking AAA until proven otherwise

DDx: acute pancreatitis, mesenteric thrombosis, MI, perforated peptic ulcer

Question 5

Immediate management for someone with sudden bilateral sensorineural hearing loss?

Answer 5

Corticosteroids(Pred) for 2 weeks

Question 6

What is it called when you take biopsies at the time of surgery and analyse straight away?

Answer 6

Frozen section