questions Flashcards
In patients with a history of anticoagulant use and suspected intracranial haemorrhage what is the appropriate management
it is crucial to reverse the effects of warfarin promptly. Management includes the use of specific reversal agents such as vitamin K, prothrombin complex concentrates, or fresh frozen plasma, depending on the clinical situation.
what ecg finding is seen in elderly people with hypothermia
J-wave/Osborne wave
antibiotic that should be withheld in people with epilepsy
Ciprofloxacin may reduce the seizure threshold, so is important to avoid in patients with a known history of epilepsy, if possible.
confirming death steps
Confirming the patients identity
Checking for any obvious signs of life
Checking response to verbal and painful stimuli
Assessing pupils - they should be fixed and dilated
Feeling a central pulse
Listening for heart sounds and respiratory sounds for a total of 5 minutes.
if a question runs along the lines of - An 85 year old male presents with progressive confusion, increasing drowsiness and vomiting four weeks after a fall at home. and they are are on blood thinners what should you think
brain bleed
subdural haemorrhage.
A hypodense, crescent shaped lesion
CT changes with vascular dementia
White matter hyperintensities on MRI are commonly associated with vascular dementia as they represent chronic small vessel ischemic changes in the brain.
what are the findings seen on a CT of someone with a subdural heamatoma
it will always be crescent shaped
if its a new bleed it will be hyper dense
if its an old bleed it will be hypotenuse
which scan of the brain is best for diagnosing dementia
MRI, better for looking at early changes
CT for late changes
when lifestyle changes have been tried for constipation, and they have failed what is the best option for a laxative
isphagula husk
bulk forming laxative
