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