Random Flashcards
middle age man with knee arthritis
more likely gonococcal sepsis
older ppl: staph
sarcoidosis, erythema nodosum, arthropathy
Loffgrens syndrome
- benign, no treatment needed
Diagnosis of renal artery stenosis?
MR angiogram
- RAS clue: different kidney sizes
Causes of loss of vision secondary to temporal arteritis?
90% ischaemic neuropathy, 10% retinal artery occlusion
Diagnosis of insulinoma?
24 hour supervised fasting hypoglycaemia
albumin normal, total protein high?
think of multiple myeloma
Ix of tumour compressing respiratory tract?
flow volume loop
Guillain barre syndrome: what to monitor in terms of respiratory function?
check vital capacity
What is Parinaud’s syndrome?
dorsal midbrain syndrome
features of Parinaud’s syndrome?
- impaired upward gaze
- Eyelid retraction (Collier’s sign)
- convergence retraction nystagmus
- Damage in midbrain and superior colliculus
Causes of Parinaud’s syndrome?
MS, stroke, hydrocephalus, pineal tumour
investigation of paradoxical embolus?
TOE
Addisonian crisis with low TFTs?
TFTs typically abnormal in this setting, don’t give thyroxine!
give hydrocortisone
Diagnosis of CLL?
immunophenotyping
commonest finding in G6PD haemolysis?
haemoglobinuria
