random shit Flashcards
initial treatment of a paeds pt with DKA
IV fluids (0.9% NACl 10ml/kg) + SC insulin (0.1 unirs/kg/hour)
abnormalities seen in DKA
hyperglycaemia
acidosis
ketonaemia
raised creatinine
presentation of juvenile myoclonic epilepsy
myoclonic jerks (usually after waking up)
periods of absence (similar to absence seizures)
normal learning
typically aged 10-20
how does benign rolandic epilepsy present
tonic-clonic seizures in sleep
focal seizures w/ abnormal sensation in tongue/ face
first line management/ investigation in a pt with suspected epilepsy
EEG and follow up
assessment of cognition in general practice
6-CIT
Initial blood monitoring of a patient on clozapine
1 test a week for 18 weeks
then reduced to one every 2 weeks for 1 year
then monthly
how does uterine rupture occur
during active labour- incorrect use of oxytocins
how does uterine rupture present clinically?
unwell mother, abnormal CTG
occurs during induction/ labour
abdo pain, bleeding, UTERINE CONTRACTIONS STOP, hypotension, tachycardia and collapse
how is uterine rupture managed
emergency caesarian
Which hormone is initially produced by the corpus luteum and causes secretory changes to the
endometrium such as stromal hypertrophy and increased blood supply?
progesterone
what hormonal surge causes ovulation
LH
Causes of migraines (pneumonic)
Chocolate Hangover Orgasm Cheese OCP Lie in Alcohol Tumult Exercise
(others- smoking, hunger, periods, sensory)
stages of AKI
1- creatine 1.5-1.9 times baseline/ urine output <0.5ml/kg for > 6 hours
2- creatinine 2-2.9 x + urine output <0.5ml/kg for > 12 hours
3- creatinine >3 times plus urine output <0.5ml/kg for > 24 hours
staging of CKD
Stage 1: > 90 mL/min/ 1.73m
2
Stage 2: 60-89 mL/min/ 1.73m
2
Stage 3A: 45-59 mL/min/ 1.73m
2
Stage 3B: 30-44 mL/min/ 1.73m
2
Stage 4: 15-29 mL/min/ 1.73m
2
Stage 5/ESRF: <15mL/min/ 1.73m
2
