Peer teaching questions Flashcards
What are the symptoms of dyspepsia?
Epigastric pain, bloating discomfort, nausea, burping, reflux.
Causes of dyspepsia?
Hiatus hernia, Gord, barrets oesophagus, oesophogeal or gastric cancer, peptic ulcer disease
How to manage undiagnosed dyspepsia?
1 month PPI (omeprazole)
How to manage endoscopically diagnosed gord?
2 months PPI
How to manage peptic ulcer due to H.pylori?
Triple therapy:
PPI, amoxicillin and clarithromycin.
Symptoms of an upper gastric bleed?
Haematemesis, melaena, epigastric discomfort, collapse.
Causes of upper GI bleeds?
Oesophagitis, mallory-weiss tear, cancer, variceal, peptic ulcers.
Whatis the scoring for upper GI bleeds?
Rockall score
How to manage variceal bleeding?
Terlipressin, prophylactic antibiotics, band ligation
What are the risk factors for gall stones?
Fat, female, fertile, family history, forty
Symptoms of biliary colic?
Systemically well, collicky RUQ pain, post-prandial and may be worse with fatty food.
Symptoms of cholecystisi
Systemically unwell, constant pain, nausea, cholestatic murphys sign positive
Treatment for cholecystitis>
Cholecystectomy, IV abx Tazosin, IV fluids, analgesia.
What is charcot’s triad in acute cholangitis>
Jaundice, fever, RUQ pain,
What are the treatments for NAFLD>
Lose weight, lower BP, treat DM, treat hyperlipidaemia.
How to treat AFLD?
Stop drinking, steroids,
Which has bloody diarrhoea, crohns or UC?
UC
How do you maintain remission after a flare of UC?
Mesalazine
What type of drug is mesalazine?
Aminosalicylate
1st line treatment for crohns?
Steroids (prednisalone)
2nd line treatment for crohns?
mesalazine
How to maintain remission of crohns?
azothioprine
How to manage acute asthma?
O SHIT ME Oxygen Salbutamol Hydrocortisone Ipratropium Theophylline Magnesium suphate Escalate to anaesthetist
How to treat COPD?
- SABA or SAMA
- LABA + ICS (switch SAMA to SABA)
- LAMA + LABA + ICS
How to treat mild CAP?
Amoxcillin for 5 days
How to treat moderate CAP?
Co-amoxiclav, cetriaxone
How to treat PE in a haemodynamically stable patient?
DOAC (apixaban or rivaroxaban)
How to treat PE in haemodynamically unstable patients?
Thrombolysis with alteplase.