Random Flashcards
Flu vaccine c/I
hypersensitivity to egg
Dabigatran reversal
Idarucizumab
Heparin reversal
Protamine
Rivaroxaban and apixaban reversal
Andexanet alfa
What is an Argyll Robertson pupil?
Where the accommodation reflex is fine but direct is not.
2 main causes of Argyll Robertson pupil?
Neurosyphilis/ diabetes
What does a right hemi involve and when would you do this
Removal of caecum, ascending colon and proximal transverse colon.
Would do if ca at any of these points
What is the anastomosis after right hemi
iliocolic
What does a left hemi involve and when would you do this
Removal of distal transverse and descending colon
What is the anastomosis after left hemi
colon to colon
What does a high anterior resection involve
Removal of sigmoid colon.
What is anastomosis for high anterior resection
Colo-rectal
What is an anterior resection
Take out upper rectum
What is a low anterior resection
Take out lower rectum
What is a Hartmas procedure
when Sigmoid is taken and an end colostomy is put in. Usually emergency.
Who would you do an anterior resection over a abdominoperineal resection.
If tumour is not invading pelvic floor, anal canal or sphincter can do anterior resection.
If tumour is in lower 1/3 of rectum you would do abdominoperineal resection.
What does abdominoperineal resection take out
Anus, rectum and sigmoid.
Need stoma for life.
Which antimalarial can cause neuropsychiatric disturbance?
Mefloquine
how to follow up people started on statins?
Repeat a full lipid profile at 3 months.
If the non-HDL cholesterol has not fallen by at least 40% concordance and lifestyle changes should be discussed with the patient.
Consider increasing the dose of atorvastatin up to 80mg
When would you stop an ACEi that has been started?
If creatinine increases by 30% or eGFR falls by 25% or greater.
