Pastest Flashcards
Signet cells and linitis plastica?
Adenocarcinoma
signet cells confirms a poorly differentiated adenocarcinoma
Carcinoid syndrome
Flush is the main symptom Hypotension Tachycardia Right sided cardiac valve fibrosis Increased skin temperature PROFUSE secretory diarrhoea
Charcot’s triad
- Fever
- Jaundice
- Abdominal pain
(acute cholangitis)
Spider naevie and hepatic disease?
True
Acanthosis nigricans and gastrointestinal malignancy?
True
Cutaneous pigmentation and Peutz-Jeghers syndrome?
True
Most common cause of GI haemorrhage?
Peptic ulcer disease
Can GI be a complication of overwhelming sepsis?
Stress ulcers causing severe GI bleeding are a recognised complication of severe burns and overwhelming sepsis
Causes of orogenital ulceration?
Behcets Pemphigus and pemphigoid Erythema multiforme Reiter's syndrome Herpes simplex virus HIV Syphilis
Prognostic indicators for acute pancreatitis?
Age over 55
Raised white count
Blood glucose
Urea
A fall in haemocrit and calcium and blood gas derangement
Amylase is not of prognostic value, it is only useful to make the inital diagnosis
Diptheria treatment?
Diptheria anti-toxin and penicillin/erythromycin
Nasal flaring. intercostal recession, increased respiratory effort and cyanosis are signs of what?
Respiratory distress
How might tracheo-oesophageal fistulae present?
May present immediately with an inability to feed
- Chronic cough
- pneumonia
- cyanosed when feeding
- failure to grow/thrive
- when coughin, produces copious amounts of secretions and appear to “blow bubbles”
A 5 year old presents with a severe sore throat, drooling of saliva, high temperature and difficulty in breathing
The is the unforgettable clinical picture of acute epiglottitis
Breslow thickness?
The depth from the granular layer of the epidermis to the deepest melanoma cell
-The breslow thickness is a prognostic indicator
