Others Long Flashcards
1
Q
DDx for PUO
A
- Infection: TB, abscess, endocariditis, pericarditis, OM, cholangitis, pyelonephritis
- Cancer - Solid, lypmhoma, leukemia
- CTDs - RA, SLE, rheumatic fever, stills
- Vasculitis
- Drug fever
- IBD
- Sarcoid/granulomatous disease
- Thyroiditis
- Hemolysis
- Haematoma
2
Q
Obesity Hx General questions
A
- Timing of weight gain
- FHx of obesity
- MEds that may have contributed
- Exercise, how often, type, how long
- Eating patterns
- Insight into the problem and willingness to address it
- PRevious attempts to lose weight
- Mood
- Diabetes during pregnancy
3
Q
Obesity Hx Complications
A
- Arthritis
- Diabetes
- CVS risk and risk factors
- Sleep apnea
- Fatty liver
- Mobility issues: balance, bathing
- Social life and work
- Mood
4
Q
Waist circumference
A
> 88 cm for women
105 cm in men
associated with increased risk of diabetes, lipids, HTN, heart disease, independent of BMI
5
Q
CRC Cancer screening
A
- FOBT >50YO - every 2 years until age 75YO
- If mod-high risk - straight to sigmoidoscopy/C’scope
6
Q
Breast Cancer screening
A
- For asymptomatic/low risk women, mammograms every 2 years from age 50 to 74YO
- If family history of breast cancer, mammograms every 2 years from age 40YO to 74YO
- More specifically, if 1st-degree relative <50YO with breast cancer, annual mammograms from 40YO to 74YO.
- If deemed high risk - refer to Oncologist for genetic screening/BRCA. Regular self-breast exams, annual mammograms/MRI/USS. Consider prophylaxis mastectomy/oophorectomy
If wanting mammogram >40YO - 50YOF, can have it, just not invited.
7
Q
Cervical Cancer screening
A
- ‘HPV test’ every 5 years from age 25 to 74YO (newish guideline)
8
Q
HIV related conditions with severe immunosuppression
A
PJP Kaposis Non Hodgkins Disseminated MAC CMV Cerebral toxoplasmosis Oeseophageal candidiasis AIDS dementia complex
9
Q
Ix for all HIV patients
A
CD4 count Viral load Hepatitis serology A, B, C CMV IgG Syphillis serology Toxoplasma antibodies LFTs and UEC CXR
10
Q
Extra Ix in HIV if CD4 <200
A
Hepatitis C RNA
Cryptococcal antigen
Stool OCP
11
Q
Extra Ix in HIV if CD4 <100
A
CMV PCR
Mycobacterial blood cultures
Fundoscopy
ECG
12
Q
CD4 count 200-500 presentations
A
HSV Oral candidiasis Hairy leukoplakia Kaposi's sarcoma Pulmonary TB Lymphoid interstiial pneumonitis HIV associated indiopathic thrombocytopenia
13
Q
CD4 count <200
A
PJP Microsporidium and Cryptosporidium Esophageal candidiasis PN Wasting Miliary and extrapulmonary TB HSV
14
Q
CD4 Count <100
A
Cryptococcal meningitis Cerebral toxo CNS lymphoma Dementia Non hodkins Multifocal leukoencephalopathy
15
Q
NRTIs (Names)
A
nucleoside reverse transcriptase inhibitors (NRTIs)
Tenofovir -disoproxil fumarate(TDF) -alafenamide(TAF) Abacavir (ABC) Zidovudine (ZDV/AZT) Emtricitabine (FTC) Lamivudine (3TC)
