random 2 Flashcards
what compartment is most commonly affected in the lower leg
anterior compartment in lower leg
what is the chronic disabling condition seen after untreated forearm compartment syndrome
Volkmann ischaemic contracture
auer rods are seen in
AML
which scoring system is used to predict risk of adverse outcome in an upper GI bleed
Rockhall score
when can coffee ground vomit be seen
in gastric stasis
what is the gold standard management and investigation of torsion
surgery
if one testical is torted you fix both
correct
what does the Blatchford score do
score how likely you are to need intervention eg upper OGD, blood transfusion
what is a positive Simmonds test for
rupture of achilles
how would pseugout present
positive birefrignetn rhomboid shaped crystals
linear calcification of eniscus and articular cartilage on X ray
how would an L5 radiculopathy present
weakness of hip ABduction, weakness in big toe dorsiflexion presents with +ve SLR and reflexes in tact
how would a L4 radiculopathy present
decreased knee jerk, sensory loss anterior aspect of knee, weak quads and +ve fem stretch test
rash that sometimes is present in reactive arthritis
keratoderma blenorrhagic
haemorrhage 5-10 days post tonsillectomy should be treated how
ABCDE and antibiotics
symptoms of meniers
tinnitits, vertigo and sensorineural hearing loss
treatment for menieres
cant drive during acute attacks, prochoperazine and prevention with betahistine/vestibular rehab
what is sringomyelia
fluid filled cavities develop within the spinal cord
what sympotms does a syngomyelia cause
pain and temperature loss due to spinothalamic tract damage, shawl like distribution over arms, shoulders and upper body, patients tend to burn themselves without noticing
what are the sympotms of cerebellar syndrome
DANISH, dysdiadokinesis, dymetria, ataxia, nystagmus, intention tremor, slurred speech/staccato speech, hypotonia
would a common peroneal nerve lesion present
injury to neck of fibula, weakness of foot eversion, weakness of EHL, sensory loss over dorsum of foot and lower lateral part of leg
what are the peritoneal sacs divided into
greater and lesser peritoneal sacs
how big is the greater peritoneal sac
it occupies most of the peritoneal cavity
where is the lesser peritoneal sac
small and lies posterior to the stomach and lesser omentum
how are the lesser and greater sac connected
via the epiploic foramen
how do you treat variceal bleeding
terlipressin 2g QDS for 72 hours cuases splanchnic vasoconstriction of blood vessels and give antibiotic cover due to risk of bacterial translocation
describe histrionic personality trait
inappropriate sexual seductiveness, need to be centre of attention, rapidly shifting and shallow expression of emotions, appearance used for attention seeking, impressionistic speech lacking detail
what are the fist rank symptoms of schizophrenia
auditory hallucinations, passivity phenomenoa, delusional perceptions, thought disorders
describe schizoid personality disorder
indifference to praise and criticism, preference for solitary activities, lack of interest in sexual interactions, emotional coldness, few interests, prefer to be alone, don’t like relationships, low libido
describe a narcissitic personality disordrer
grandiose sense of self importance
what is the triad of symptoms for cardiac tamponade
hypotension, raised JVP, muffled heart sounds + pulsus paradoxus=abnormally large drop in BP during inspiration
what is plummer-winson web
thin eccentric extension of normal oesophageal tissue, upper oesophageal web in association with iron deficiency anaemia and syphagia
what is riglers sign
when both sides of the bowel wall are visualised show intra luminal and extra luminal gas
what is cupola sign
free air under the central portion of the diaphragm
what is thumbprinting
thickened haustra due to oedema seen in IBD also seen in advanced mesenteric ischaemia
features of eosinophilic granulomatosis with polyangiits
pANCA, asthma, blood eosinophila, sinusitits, mononeuritis multiplex
granulomatosis with polyangiitis
renal failure, epistaxis, haemoptysis, cANCA
what does section 2 of the mental health act allow
admission for assessment, 2 doctors must make the recommendation and application is then made by an AMHP, it lasts for a max of 28 days
where is the triangle of safety for inserting a chest drain
5th intercostal space or inferior nipple line
mid axillary line (or lateral edge of latissimus dorsi
anterior axillary line or lateral edge of pectoris major
what is the parotid gland supplied by
CN IX
how is legionella diagnosed
urinary antigen
features of legionella
dry cough, relative bradycardia, deranged LFTS, hyponatraemia
features of mycoplasma
haemolytic anaemia/ITP
erythmema multiforme, encephalitis/GBD
peri/myocarditis
what is freidrich-waterhouse syndrome
a rare complication of menicococcal sepsis involving bilateral adrenal haemorrhage
