Other Flashcards
Features of beta-blocker overdose
bradycardia, hypotension, heart failure, syncope
Treatment of beta-blocker overdose
If bradycardic then atropine
If resistant then glucagon
Then pacing if unresponsive to pharmacological therapy
How is Marfans inherited
Autosomal dominant
Contraindications to insulin stress test
Epilepsy, IHD, adrenal insufficiency
What do you do if poor response to 2nd line treatment
Upper GI endoscopy
How long to wait before retesting for h.pylori
4 weeks
Result of Vitamin B6 deficiency
peripheral neuropathy
Result of vitamin b2 (riboflavin) deficiency
angular cheilitis. 3-4 months of inadequate intake of riboflavin is sufficient to lead to depletion and becoming symptomatic
Result of Vitamin B6 deficiency
peripheral neuropathy
How do steroids affect WCC
Neutrophilia
Diet recommendation for Cystic Fibrosis
High calorie, high fat + pancreatic enzyme supplementation at every meal
Tetanus with wounds recommendations
High risk wounds (compound #, delayed surgical intervention, signif degree of devitalised tissue) give IM human tetanus immunoglobulin
- also give tetanus vaccine if vaccination hx is incomplete or unknown
Antibiotic therapy recommended for animal bite
Co-amoxiclav
Doxy and metronidazole if patient is pen allergic
HIV post-exposure prophylaxis
Oral antiretroviral for 4 weeks
Serological testing at 12 weeks following completion of PEP
What is Familial Mediterranean Fever
autosomal recessive - typically presents by 2nd decade - common in Mediterranean.
1-3 days attacks of pyrexia, abdo pain, pleurisy, pericarditis, arthritis and rash
- Colchicine may help