other Flashcards
Diagnostic tests asthma
fractional nitric oxide testing
spirometry FEV1/FVC <80% +/- bronchodilator reversibility >15%
variable peak flow readings (look for >20% variability)
Medical management of angina
sublingual GTN Beta blocker low dose aspirin statin control hypertension
definitive diagnoses for
- breast cancer
- lung cancer
- prostate cancer
- bowel cancer
- punch biopsy
- bronchoscopy and biopsy
- transrectal biopsy
- flexi sig/colonoscopy and biopsy
absolute contraindications for COCP
- age >35 and >15 cigarettes
- hx of VTE
- migraines with aura
- previous CVS disease/TIA/liver disease
- hx of hormone dependent cancer
(also avoid if BMI >35 and risk factors for VTE/arterial disease)
how long do you need additional contraception for after emergency contraception
levonelle- 7 days if COCP or 2 days if POP
Ella-one- use barrier contracep until next period
treatment for primary hypercholesterolaemia
ezetimibe
Differentials for TATT
- Anaemia
- hypothyroidism
- diabetes
- insomnia
- depression
- chronic fatigue syndrome
- early pregnancy
- rule out cancer*
copper coil contraindications
- suspected pregnancy
- PID
- cervical/endometrial cancer
- trophoblastic disease
- cervical/uterine abnormalities
abx for
- campylobacter
- shigella
- cholera
- giardiasis
- norovirus
- cipro
- cipro
- tetracyclines
- metronidazole
- none- rehydration
describe action of
- mebeverine
- loperamide
- Amitriptyline (for IBS)
- linaclotide
- antispasmodic for bloating etc
- antidiarrhoeal for short term relief
- for diarrhoea and abdo pain
- mod-severe constipation (new drug)
what is achalasia
degeneration of the myenteric ganglion cells in the oesophagus- presents with progressive worsening of dysphagia (solids - liquids)
Plummer-vinson syndromw
- dysphagia
- iron deficiency anaemia
- glossitis
- oesophageal webs
how is a diagnosis of reflux oesophagitis made
oesophageal pH monitorine <4
role of haemaglutinin and neuramnidase in the influzena virus
H- anchors virus to cell
N- digests mucus to allow host cell invasion- inhibited by tamiflu and relenza
when can neuramnidase inhibitors be given
Relenza and tamiflu
in pandemic
only in first 24hrs of illness
as prophylaxis in high risk groups post exposure
when are abx given for otitis media
not routine only if
- under 3 months
- systemically unwell
- high risk due to other illnesses
- under 2yrs with bilateral sx
- perforation/otorrhoea
Repeated OTITIS media in adults?
nasopharyngeal carcinoma
when to suspect mastoiditis
> 10d discharge
sx of mastoid tenderness, pain, swellin
