Random extra Flashcards
How to tell between cardiogenic pulmonary oedema and ARDS?
Pulmonary capillary wedge pressure = Normal.
In cardiogenic pulmonary oedema, the pulmonary capillary wedge pressure = High
Inferior ST elevation (II, II, vF) + aortic regurg ??
Think aortic dissection
ST elevation + Mitrl regurg ??
Papillary muscle rupture
How can HOCM be managed?
Refer to cardiology for a implantable cardioverter-defibrillator
How do you decide target sats in COPD?
Do an AGBBG
if retaining co2 / compensatory raised bicarb - then 88-92
If co2 is normal then 94-98
What is the criteria for NIV in a COPD exacerbation?
pH 7.25-7.35
Less than 7.25 = invasive
What can be used to prevent altitude sickness
Acetozolamide
What can be used to treat altitude sickness?
Dexamethasone
What are the indications for corticosteroid treatment in sarcoidosis?
PUNCH Parenchymal lung disease Uveitis Neurological involvement Cardiac involvement Hypercalcaemia
What autoimmune haemolytic anaemia is in infective mononucleosis?
Cold
What are features of aortic dissection?
- Absent/weak femoral pulses
- BP variation in each arm
- Aortic regurg - may be a early diastolic murmur
- Will also be general hypertension
- ST SEGMENT ELEVATION IN INFERIOR LEaDS
How is aortic dissection diagnosed?
CT angiography chest/abdomen/pelvis
If unstable - TOE
How does coarctation of the aorta present?
Infant goes into circulatory collapse at around 2 days when PDA closes
Heart failure
Absent femoral pulses
Systolic murmur
How is heart failure classified?
Class I - no symptoms
Class II - mild, some limitation of ordinary activity
Class III - less than ordinary activity causes symptoms
Class IV - symptoms at rest
Heparin induced thrombocytopenia?
x
What are general features of both types of autoimmune haemolytic anaemia?
Anaemia
High reticulocytes
Raised LDH
Raised bilirubin
How does diphtheria present?
Sore throat with diphtheric membrane - grey membrane
Bulky cervical lymphadenopathy
Heart block
Will be systemically unwell
What are management options of actinic keratosis?
Options are
- 5-fluorouracil cream
- Imiquimod cream
- Diclofenac cream
How is a verruca managed?
Salicylic acid
What is the first line for head lice?
Malathion
Why can burns cause oedema?
Hypoalbuminaemia
Rash around mouth that gets worse with topical steroids?
Perioral dermatitis
Needs managing with abx
Management of athletes foot
Topical imidazole
Oral terbinafine
