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AMC CLINICALS > Points To Remember > Flashcards

Points To Remember Flashcards

1
Q

Glasgow coma scale

E

A

4 spontaneous

3 verbal

2 pain

1 no response

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2
Q

Glasgow coma scale V

A

5 oriented (TPP)

4 confused

3 inapp words

2 incomprehensible sounds

1 no response

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3
Q

Glasgow coma scale M

A

6 obeys commands

5 moves to loc pain

4 flexion withdrawal from pain

3 decorticate (abn flexion)

2 decerebrate (abn ext)

1 no response

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4
Q

NEXUS criteria (to remove cervical collar or not)

A

N - neuro deficit

S - pinal tenderness

A - lt. LOC

I - ntoxication

D - istracting injury

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5
Q

Innocent murmur

A

Bet 5-7yo

No symptoms
Normal exercise tolerance
Not cyanosed
Doesn’t suffer from recurrent chest infxns

Soft midsystolic
No radiation
Varies with posture and respi
No diastolic component
No thrill
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6
Q

Low Ferritin

A

IDA

Hemodialysis

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7
Q

Snake bite.

What to look for:

A

DRSABC

cardiac
Respi
Bleeding
Neuro
Renal
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8
Q

Features of alcoholic cirrhosis

A

ABCDEFGHI SPIT

A- sterixis/ ascites

B ruising

Caput medusae

Dermatologic changes

Edema/ encephalopathy

Fetor hepaticus

Gynecomastia

Hepato renal/ pulmonary syndrome

Icterus

Spider nevi

Palmar erythema

Icterus

Testicular atrophy

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9
Q

IgM

A

Current or recent infection

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10
Q

IgG

A

Immunization or previous infection

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11
Q

No breastfeed

A

HIV

Active TB

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12
Q

Dysphagia for solids

A

Stricture

Tumor

(STRUCTURAL solid)

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13
Q

Dysphagia for liquids and solids

A

Oesophageal motility disorder

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14
Q

Visual acuity NOT improved by pinhole test

A

Macular degeneration

Cataract

Glaucoma

Retinal detachment

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15
Q

Central vision affected

A

Macular degeneration

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16
Q

Peripheral vision affected

A

Chronic glaucoma

Pituitary tumor

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17
Q

Vision decreased with light

A

Cataract

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18
Q

Floaters

A

Retinal detachment

Vitreous hge

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19
Q

Complications of myopia

A

Retinal detachment

Chronic glaucoma

Macular degeneration

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20
Q

No light perception

A

Amaurosis

Glaucoma

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21
Q

Haloes around lights

A

Cataract

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22
Q

Always ask in hx OB

A

Blood grp

Hgb

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23
Q

Hepa

A

A ntibiotics
B lood transfusion
P iercinh

F ood
I V drug use
T ravel

N eedle stick injury
o

SEX

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24
Q

All females (Ask P)

A 
P eriod
P regnancy
P ills
P apsmear
P artner
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25
Postpartum (Ask B)
``` B reast B aby B lues B leeding Bladder ```
26
Pneumonia (admit/not)
C onfusion U rea > 7 mmol/L R R > 30/min B P
27
COMA cocktail
T hiamine O xygen N aloxone G lucose
28
Hypochromic Microcytic Anemia
S ideroblastic I DA T halassemia S ickle cell *Alpha thalassemia silent 1 abn trait. 2 HbH. 3
29
Surgery complications
B leedings A nesthesia D amage to surr tissues I nfection
30
High ESR (chronic inflamm)
P olymyalgia rheumatica T emporal arteritis
31
Haemochromatosis sx
C irhhosis H eart failure S kin changes D M
32
Chorionic Villous Sampling
T1
33
Amniocentesis > 12 weeks
T2 High bHCG High INH Low AFP Low Estriol
34
Do fundoscopy for all..
Headaches DM Neuro symptoms
35
Heart failure meds
A CE I B eta blockers D igoxin D iuretics
36
STI screen
S yphillis G onorrhea C hlamydia H IV H EPA A B C * HSV
37
Immunizations
Birth: hepB 2/4/6 mos: DTP, HepB, O/IPV, Hib, Pneumococcal, Rotavirus 12 mos: MMR, Hib, MenC 18 mos: MMR, Varicella, DTP 4 yo: DTP, O/IPV 12-13 yo: Varicella, HPV, DTP
38
Don't do Per Vaginal exam
- not sexually active - placenta previa (antepartum hge) - HSV2
39
INR
Ther range: 2-3 w/ prosthetics: 2.5-3.5
40
INR more than therapeutic range
Stop warfarin If INR normalized.. Low dose warfarin
41
INR 5-9 No bleeding
Stop warfarin Vit K (high risk) INR @ 6-12H..
42
INR >9 No bleeding
Stop warfarin Vit K Rpt INR @6H
43
Taking warfarin With bleeding
Stop warfarin Prothrombinex + FFP High dose Vit K Monitor INR until
44
Urine specimen
3 yo. MSU
45
Zero order kinetics High toxicity
A SA P henytoin E thanol
46
Post splenectomy vaccines needed
H ib once I nfluenza Q year M eningococc Q3-5 yrs P CV Q5 yrs Malaria and Babesiosis
47
Barking cough
Croup Viral (influenza) Steeple sign Steroids/racemic epinephrine
48
Whooping cough
Pertussis Macrolides
49
Hot potato voice
Epiglottitis HiB Edematous epiglottis & aryepiglottic fold & valeculla Intubate Ceftriaxone PCN Also: Peritonsillar abscess
50
Laryngomalacia
Congenital Observe x 6mos Surgery >2 yrs
51
Developmental milestones 1-6mos
1 1/2 smile 3 hold head up- recognize mom- coo 6 sit- babble
52
Developmental milestones 9mos- 24 mos
9 stand with support- grab with fingers- put in mouth (10) 12 walk - 1 word 24 1 sentence * anything >18 mos abN * no smile at 3 mos abN
53
Gas above liver
Intestinal perforation
54
Abruptio placenta
Severe abd pain Vaginal bleed No FHT Tachy tachy 20ml/kg IV bolus
55
Hypertrophic pyloric stenosis
Cont. hungry
56
Brochiolitis
Air trapping--> lung hyperinflation Perihilar infiltrates Bronchial markings & atelectasis
57
Prostate Cancer tx
Early - R adical prostatectomy (also remove seminal vesicle) +|- pelvic lymphadenectomy Mets - A ndrogen ablation Goserelin
58
Prostate ca (old/co morbids)
Exteral beam radiation Androgen ablation Brachytherapy * orchidectomy * TURP
59
Prostate Ca grade
1 prostate 2 capsule (radical prostatect) 3a extra capsular 3b seminal vesicles (andro Abla, radiother) 4 mets (androgen ablation)
60
Ovulation
Shortest cycle -14 -6 | Longest cycle -14 + 2
61
Mc urinary stones
Ca oxalate
62
Radioluscent urinary stones
Uric acid stones
63
Nephrolithiasis ix
1st Xray kub 2nd ct scan if positive
64
Urinary stones Any site
Wait STRAIN
65
Urinary stone Kidney pelvis
2.5cm nephrolithotomy
66
Urinary stone Upper 1/3 of ureter
ECSWL >1cm ecswl vs nephrolithotomy
67
Urinary stones Lower 1/3 ureter
Ecswl >1 cm basket removal
68
Bladder Urinary stones
3cm cystoscopy
69
Infection hx POUTS
Procedures O ccup and exposure U ti Travel Sexual
70
Blood test for hemolytic disease of NB and explain
Direct coomb's Patient's blood taken and serum with autoantibodies added Agglutinate is +
71
Blood test for Rh -incompatibility prenatal screen
Indirect coomb's Serum from mom (Rh -) Add normal rbc (Rh +) Agglutinates because with autoantibodies
72
Depression sx
Two weeks everyday plus low mood or anhedonia for two weeks ``` S leep disturbance A ppetite G uilt E nergy low C oncentration low A nhedonia P sychomotor S uicidality ```
73
3ple whammy kidney failure
D iuretics A CE I NSAIDs
74
Drugs causing hyperK
NSAIDs Cox 2inh ACEI ARBS ALDACTONE TRIMETHOPRIM DIGOXIN MODURETIC
75
Gestational diabetes complications to baby
P remarurity Pre -eclampsia Polyhydramnios Placental abruption
76
Nephrotic syndrome
E dema P roteinutia 3+ A lbuminuria L ipid high
77
Primary Survey
D anger (safe environment) R esponse S end for help A irway. Guedel B reathing. Spontaneous? C irculation. Pulse and BP. D isability. E xposure
78
5 P's (all women)
M - Periods O - pregnant? G - papsmear S - partner C - pills
79
Post partum B's
B reastfeeding B aby B lues B leeding
80
Thins out womb lining
Progesterone Endometrial atrophy
81
Post partum pyrexia
After Uni, Every Woman Should Marry ``` A telctasis U TI E ndometritis W ound infxn S eptic thrombophlebitis M astitis ```
82
Post menopause
4B 2P B ladder B owel B reast B one P rolapse Postmenopausal symptoms
83
Bilious vomiting after birth
Duodenal atresia
84
Non bilious vomiting Always hungry
Pyloric stenosis
85
No meconium at 48H after birth
Hirschprung disease
86
What to give acidotic patient
NaHCO3
87
Prenatal screen check
FBE BLOOD GROUP RUBELLA INDIRECT COOMBS HEPA SEROLOGY VDRL MIDSTREAM URINE PAPSMEAR
88
CHorionic villous sampling dona @
11-14 weeks AOG
89
Amniocentesis done @
15-18 weeks AOG
90
Nicotine quitting programme
Definite QUIT BY date Aim for TOTAL ABSTINENCE Review PREVIOUS ATTEMPTS Inform FAMILY & FRIENDS
91
Alcoholism minimum intervention technique plan
1 Advise reduction to safe levels (no more than 2 SD on any day. No more than 4SD on any occassion) 2 outline benefits 3 self help pamphlet 4 diary 5 ff up 6 support grp
92
Woody dullness
Pneumonia
93
Stony dullness
Pleural effusion
94
Hyper resonance
Pneumothorax
95
Increased vocal fremitus
Pneumonia
96
Decreased vocal fremitus
Pleural effusion
97
Test for Parkinson's
Glabellar tap Piano test Twiddling Write on paper (micrognathia)
98
Test for PTL
Fibronectin

AMC CLINICALS (3 decks)

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