Post it Notes Flashcards
Diagnosis and management of placenta accretta
MRI
Deliver at 35-36 weeks
Scan dates for placenta praevia
Identify at 20wk
If major, rescan at 32wk
If minor, rescan at 36wk
If symptomatic, deliver 34-36 weeks (corticosteroids)
If asymptomatic, deliver 36-37 weeks
What would you see on biopsy of Crohn’s
non caseating granuloma
intraepithelial lymphocyte infiltration
transmural inflammation
skip lesions
What would you see on biopsy of UC
neutrophils forming crypt abscesses
continuous circumferential inflammation
Early CT signs of a CVA
hypodense basal ganglia
hyperdense MCA
loss of white/grey matter differentiation
loss of sulci
Describe malignant MCA sydrome
stroke followed by rapid neurological decline and headache
Ix: midline shift and displaced lateral ventricles
Rx: craniotomy
O/E for TGA
no murmur
loud S2
cyanosis
Management of nappy rash
Child asymptomatic: barrier cream
Child >1mo in discomfort: topical hydrocortisone 1% 7 days
Persistent rash/Candida: topical azole plus barrier cream
Bacterial infection: PO flucloxacillin 7 days
Which tracts are affected in anterior cord syndrome? What pattern does this produce?
Spinothalamic and corticospinal
Bilateral paralysis
Loss of pain/temp
Autonomic dysfunction
UTI management in children
Lower:
<3mo, IV amoxicillin + gentamycin
>3mo, PO trimethoprim
Upper
PO cefalexin
IV coamoxiclav
Caput seccundem vs cephalohaematoma
caput saccadenim = immediate, crosses sutures, ventouse, resolves quickly (think hickey)
Cephalohaematoma - takes a few days to show, doesn’t cross sutures, instrument delivery, resolves in 3-4 months
Which side does the uvula deviate to
contralateral
When to do lithium levels
one week after starting treatment, one week after every dose change, and weekly until the levels are stable. Once levels are stable, levels are usually measured every 3 months.
Always measure 12 hours after the last dose
What areas of the brain cause expressive and receptive dysphasia?
expressive: Brocas, frontal, left
receptive: Wernickes, temporal, sylvian fissure
What types of ovarian tumours are most common
young women: dysgerminoma, terratoma
older women: serous adenocarcinoma (epithelial)
secondary: breast, GI
3 symptoms of peroneal nerve palsy
2 symptoms of L5 palsy
peroneal - foot drop, weak dorsiflexion, weak eversion
L5 - weak inversion, weak hip adduction
FBC and LFT results in GCA
NN anaemia
high plts
high ALP
Who gets a statin?
10yr CVD risk >10%
T1DM and >40yo
CKD
Abx for NEC
ampicillin/gentamycin + metronidazole
Breast cancer FU
annual mammograms until they enter the routine screening programme. if they are already in the screening programme, offer annual mammogram for 5 years then back to routine recall
What measures are used for pregnancy dating and at what times?
6-12 weeks: crown rump length
14-20 weeks: biparietal
At what gestation should monoamniotic twins be born and by what route?
32-33 weeks
CS
Abx for toxic shock?
vancomycin and clindamycin
Pattern in anterior cord syndrome
loss of pain, temperature and motor
preserved touch
