Post-it notes Flashcards
SCC of the ear symptoms
Discharge (may be bleeding)
Hearing loss
Progressive otalgia
Why do you give life-long thyroxine in follicular thyroid cancer?
Follicular thyroid cancer is sensitive to TSH which may stimulate regrowth of tumour
Give life long thyroxine as this will suppress the production of TSH
Histology of tonsils
Squamous
Deep cysts
Lymphoid follicles
Adenoid histology
Collumnar
Deep folds
Columnar and deep folds, what am I? Hint Rory bradshaw
Adenoids
Centor Criteria
Fever
Absence of cough
Lymphadenopathy (anterior cervical)
Pus
2+ points –> antibiotics
Hammans sign?
Crunching rasping sound, hear over precordium
“Mediastinal crunch” = air in the mediastinum
Oseophageal rupture, cardiac surgery, alveolar rupture
Most often seen in young women
MEN 1
Parathyroid
Pituitary
MEN 2A
Medullary thyroid carcinoma
Adrenal (phaeochromocytoma)
Parathyroid
MEN 2B
Medullary thyroid carcinoma
Adrenal
Typical phenotype: slim body habitus, neuromas of lips, tongue and GI tract
Toxic megacolon
Transverse >5.5cm
Caecum >9 cm
Unilateral red eye with photophobia, pain and mild reduction in visual acuity
SMALL PUPIL
Iritis
- pupil is smaller than unaffected side
- hypopyon may be seen
Hypo-osmolality
Hyponatremia
Increase in urine osmolality
SIADH
Targets of the children’s diabetes team?
Routine screening (microvascular disease, BP, retinal, urine-creatinine ratio)
Registration on SCI
HbA1C < 58 mmol/mol
(if had for less than 1 year = <48 mmol/l)
Ramsay Hunt Syndrome
When shingles affects your facial nerve
Which organ tends to be spared in PAN?
The lungs
Waldeyers ring
Adenoids (pharyngeal)
(Palatine) tonsils
Lingual
Rheumatoid arthritis and the eyes
Dry eyes (keratoconjunctivitis sicca) Scleritis Corneal melt (peripheral ulcers)
Branch vein occlusion
Painless disturbance in vision
May be asymptomatic
May be aware of loss of part of field
Tympanometry
Assess the mobility of the tympanic membrane
-might use this and audiometry in OME
Two beta blockers which reduce mortality in any grade of heart failure
Carvedilol
Bisoprolol
PAPILLARY DERMAL MICROABSCESSES
Dermatitis herpetiformis
Treatment for undifferentiated thyroid cancer
Cervical radiotherapy
(or radio. in combo with chemo)
Undifferentiated will not respond to radioiodine
Corneal ulcer symptoms
Pain + + + Photophobia Profuse lacriamtion Vision may be reduced Red eye - circumcorneal
ACEi contraidndications
Renal artery stenosis
Pregnancy
Previous angioedema
Severe hypotension and dehydration precipitated by intercurrent illness, accident or operatino
Addisonian crisis
Menetriers Disease
Giant gastric folds
Hyperplasia of gastric outs, atrophy of glands and increase in mucosal thickness
Unilateral throat pain and odynophagoa
TRISMUS (locking jaw)
3-7 days of preceding acute tonsilitis
Peritonsillar abscess
Treatment = aspiration and Abx
Maculopapular rash Stomatitis Conjunctivitis Symblepharon (when eye fuses to eye lid) Occlusion of lacrimal glands Corneal ulcers
Stevens-Johnson syndrome
Patella dislocation managment
Reduction with extension X-ray Aspiration Brace Physio
Drugs to use in BP management for gestational diabetes
Labetalol
Nifedipine
Methyldopa
Give folic acid 5mg
Avoid ACEi, statin
Side effect of chloramphenicol
Aplastic anaemia
Conditions with trendelenberg gait?
CDH DDH SUFE Muscular dystrophy Cerebral palsy
