qs i got wrong Flashcards
Billious vomit in neonates
1. few hrs after birth with double bubble, down’s syndrome?
2. 3-7 days old, peritoneal sx, unwell, disension,
3. after 2 weeks of life with dilated loops on AXR, pneumatosis and portal venous air? premature hx
4. within 48 hrs, distension
- duodenal atresia - dudenduodenostomy
- Malrotation with volvulus - ladds procedure
- nec enterocolitis
- meconium ileus. AF CF
acromioclavicular tenderness vs impingement?
If painful arc + weakness of shoulder/ muscle wasting?
Acromioclavicular degeneration is often associated with popping, swelling, clicking or grindings and a positive scarf test.
likely rotator cuff tear
HIV post exposure prophylaxiss in pregnancy
7-14 days post exposure - acivloir no matter the getation
within 24 hrs onset of rash giv e. if <20 weeks gestation, get advice
when to give Ach cystiline in paracetmaol OD? immediately
100 mg/L at 4 hours and 15 mg/L at 15 hours
staggered
8-24 hours after ingestion of an acute overdose of more than 150 mg/kg
present > 24 hours if they are clearly jaundiced or have hepatic tenderness, their ALT is above the upper limit of normal
right iliac fossa pain mimicking appendicitis. It is a cause of bloody diarrhoea.
rmr the cx of GE and times?
campylobacter
going down (staff member Sal is Shy, Af. BEC (rhs) of GE .
1-6 hrs: Staphylococcus aureus, Bacillus cereus*
12-48 hrs: Salmonella, Escherichia coli
48-72 hrs: Shigella, Campylobacter
> 7 days: Giardiasis, Amoebiasis
penumothorax Mx guide?
high rf
if present?
if no rf factors?
High rifk factors:
50+ smoker/ lung disase/ B/L / haemothroax/ haemodynamically undtable
chest drain 1st line if 2cm laterally or apically on CXR if not do CT first.
no RF - aspirate for symptom relief
follow up 2 daily until resolved.
if drain removed, Fu in 2-3 weeks
TOOQQRsades qt prolongation mneumonic?
thiazide
ondansetron
opiods
quinidine
quinolones (ciproflox)
Risperidone
Sotalol
Antihistamine
Depressant (TCA)
Erythromycin (macrolides)
SSRI
Miscarriage Mx?
expectant 7 to 14 dyas
medical: mifepristone and the 48 hrs later misoprolol
surgical - if haemorrhage/ bleeding diorser or trauma/ infection sx
Adrenaline doses?
anaphylaxis mx?
<6 m - 100-150mcg
6m-6 years old: 150micrograms (0.15ml 1 in 1,000).
6-12 years old: 300micrograms (0.3ml 1 in 1,000).
13+ years old: 500micrograms (0.5ml 1 in 1,000).
hiccups tx paliaitve?
chlopromazine
intracranial sickness palliative tx?
cyclizine + dex if icp rised
Tx of alzheimer’s dementia?
which is a relative contraindictation to bradycardia?/ complete CI to sick sinus syndrome
demenita: 64 YOperonality change, can remember what happened last week, FH
dementia: fluctuating consciousness and hallucinations +- PD sx develop afterwards
acetylcholinesterase inhibitors (donepezil, galantamine and rivastigmine)
memantine - NMDA anagonist
donezapil
frontotemporal
lewybody (mind before body)
SSRI dicont sx - worse with which one?
restless, mood, unsteady, sweating, GI sx. paroxetine
ekbomsyndrome?
capgras delusion?
ekbom - belief they ahve bugs under the skin
caogras - people been replaced by identical imposter
