SBA buzzwords Flashcards
SOB on exertion
Wheeze
Chronic productive cough
COPD
COPD investigation
Post-bronchodilator spirometry
Fever
Chronic cough
Weight loss
Asian
TB
Red Ziehl-Nelson stain
Acid fast bacilli
TB
TB treatment
Rifampicin
Isoniazid
Pyrazinamide
Ethambutamol
Rifampicin side effect
Orange tears
Isoniazid side effect
Peripheral neuropathy
Pyrazinamide side effect
Hepatitis
Ethambutamol
Colour blindness
Steatorrhoea, DM Clubbing Recurrent infections Bronchiectasis Sodium >60 mmol
CF
Shipyard/power station worker
End-inspiratory crackles
Non productive cough
Mesothelioma
Exposure to mouldy hay
Farmer’s lung (hypersensitivity pneumonitis)
Exposure to birds
Bird fancier’s lung (hypersensitivity pneumonitis)
Exposure to silica
Nodular shadowing
Egg shell nodules
Hypersensitivity pneumonitis
Horner’s syndrome
Arm pain
Pancoast tumour
Hypercalcaemia
Ectopic PTH
Constipated, tired
Epithelial cells
Squamous cell carcinoma
Lung cancer with:
Neuroendocrine symptoms
Paraneoplastic syndromes
Small cell carcinoma
Small cell producing ACTH
Cushings
Small cell producing ADH
SiADH
Small cell producing Anti Ca abs
Lambert Eaton syndrome
Lung cancer:
Of goblet cell origin
Non-smoker
Female
Adenocarcinoma
Fever SOB Productive cough Bronchial breath sounds Coarse creps
Pneumonia
Assessed with CURB65
Pneumonia
CURB 65 components
CRP Urea RR BP Age >65 y/o
Pneumonia treatment
IV clarithromycin, oral amoxicillin
Rusty sputum
Younger patient
S pneumonia
Small segmental infiltrates, sinusitis, pharyngitis, laryngitis
Chlamydia pneumonia
Adolescent (pneumonia)
Erythema nodosum
Pericarditis
Haemolytic anaemia
Mycoplasma pneumonia
Pneumonia with abscesses
Staph aureus
Purulent dark sputum (pneumonia)
Klebsiella
Pneumonia in AIDS with widespread infiltrates and low O2 sats
Normal CXR
Dry cough and SOB
Pneumocystitis jiroveci
Pneumonia with: Low Na Low albumin SOB, muscle cramping Air conditioning exposure
Legionella pneumophila
Pneumonia with: Hepatosplenomegaly Conjunctivitis Arthralgia Lower lobe consolidation Bird exposure
Chlamydophila psittaci
Child coughing up blood
Inhaled foreign body
Night cough
Intermittent wheeze
Eczema/hayfever
Diurnal variation
Stable asthma
Severe exacerbation of asthma treatment
60% O2 via facemask
Back to back nebs
Systemic steroids
Life threatening exacerbation of asthma treatment
IV magnesium sulphate, intubation
Silent chest, apparent improving O2, fatigue, bradycardia
Life-threatening exacerbation of asthma
Anacrotic pulse
Breathlessness, syncope
Angina on exertion
Aortic stenosis
Narrow pulse pressure, ejection systolic murmur radiating to carotids
Aortic stenosis
Pink frothy sputum
Post MI
Mitral regurgitation
Graham Steel murmur
Mitral regurgitation
Displaced apex beat, pan systolic murmur radiating to axilla
Mitral regurgitation
Late systolic murmur with mid-systolic click
Mitral prolapse
Murmur with Barlow syndrome
Mitral prolapse
Decrescendo diastolic murmur
Aortic regurgitation
Displaced apex beat with early diastolic murmur heard in expiration over left sternal edge
Aortic regurgitation
Pansystolic murmur at lower left sternal edge
Tricuspid regurgitation
Murmur associated with large V waves in JVP
Tricuspid regurgitation
Rumbling mid-diastolic murmur heard loudest at apex with tapping apex beat and loud first heart sound
Mitral stenosis
Muffled heart sounds following lupus/malignancy
Pericardial effusion
Positive valsalva manoeuvre
Harsh ejection systolic murmur
Sudden unconsciousness in young person
Hypertrophic Obstructive CardioMyopathy (HOCM)
Machine-line murmur with bounding pulse, wide pulse pressure and left supraclavicular thrill
Patent Ductus Arteriosus
Dyspnoea, orthopnoea
Fine inspiratory crepitations
Heart failure
Increased BNP
Heart failure
Gold standard investigation for heart failure
Transoesophageal echo
Heart failure CXR signs
Alveolar oedema Kerley B lines Cardiomegaly Diversion of upper lobes Effusion
Petechiae, microvascular haematuria, Janeway lesion, splinter haemorrhages
Infective endocarditis
Scoring for infective endocarditis
Modified Duke Criteria
Irregularly irregular pulse
Atrial fibrillation
ECG shows absent P waves
Atrial fibrillation
Palpitations, SOB, fatigue, syncope in elderly person
Atrial fibrillation
Narrow complex tachycardia with rate >150 bpm and 2:1 block
Atrial flutter
Saw-tooth appearance of ECG
Atrial flutter
Broad complex on ECG of individual with previous MI
Ventricular tachycardia
Pulseless patient needing cardioversion
Ventricular fibrillation
Delta wave (slurred upstroke on ST)
Wolff-Parkinson White syndrome
ECG with:
Broad QRS, uniform P waves with random QRS, cannon waves on JVP
Complete heart block
Collapse when running
Tearing pain to back
Connective tissue disorder
Dissected aortic aneurysm
Friction rub on cardiac auscultation
Pericarditis
Male, post-MI
Chest pain worse on lying down
Pericarditis
Central crushing chest pain radiating to jaw/Left arm
Myocardial infarction
Initial MI intervention
Morphine Oxygen Nitrates Aspirin Reperfusion (thrombolysis/PCI) Clopidogrel Heparin
Beta blocker
ACEi
Risk factors
Statin
Sharp, pleuritic chest pain
Haemoptysis
OCP/long haul travel
Pulmonary embolism
PE scoring system
Wells
Anxiety, paroxysmal hypertension
Phaeochromocytoma
Interscapular murmur
Decreased femoral pulses
Turner’s syndrome
Radio-radial delay
Aortic coarctation
HTN, polymyalgia, polyuria, polydipsia
Increased Na, reduced K
Normal renal function
Increased aldosterone, decreased renin
Conn’s syndrome
ANCA positive, micro aneurysms and MI
Polyarteritis MI
ST depression and T wave inversion on exertion
Normal resting ECG
Stable angina
Exertion chest pain, radiating to jaw
Stable angina
Episodic chest pain on rest
Unstable angina
ST elevation at rest in cycles
Prinzmetal angina
ST depression on ECG with normal angiogram
Syndrome X
Chest pain waking patient up at night, lying down
Decubitus angina
Pleuritic chest pain, low grade fever and pericarditis a few weeks post-MI
Dressler’s syndrome
Right heart failure, pulmonary hypertension
Large A waves in JVP
Cor pulmonale
Pulmonary hypertension, heart failure, shunt reversal
Ventricular septal defect
Harsh pan systolic murmur at left sternal edge with a left parasternal heave
Ventricular septal defect
Wide, fixed, split second heart sound
Ejection systolic murmur in ICS2/3
Atrial septal defect
Anterior leads
V1-V4
Anterior artery on ECG
Left anterior descending
Inferior leads
II, III, aVF
Inferior artery on ECG
Right coronary
Lateral leads
I, V5-V6
Lateral artery on ECG
Circumflex
Raised and fixed JVP
SVC obstruction
Increased JVP on inspiration
Cardiac tamponade
Constrictive pericarditis
Saddle shaped ST elevation on ECG
Acute constrictive pericarditis
S1, QIII, TIII on ECG
Pulmonary embolism
Tall tented T waves on ECG with wide QRS
Hyperkalaemia
Flattened T waves on ECG with prominent U waves
Hypokalaemia
Long QT interval on ECG
Hypocalcaemia
Stroke with receptive aphasia
L temporoparietal
Receptive aphasia
Wernicke’s
Stroke with expressive aphasia
L frontal
Expressive aphasia
Broca’s
Stroke with face/arms involvement >legs
Middle cerebral artery
Stoke with legs involvement> face/arms
Anterior cerebral artery
Stroke with visual involvement
Posterior cerebral artery
Acute vertigo, cerebellar signs, Horner’s
Lateral medullary syndrome
Confusion
Dizziness
Anxiety
Loss of consciousness
Hypoglycaemia
Uni/bilateral headache, pulsating
Nausea and vomiting
Photophobia
Aura
Migraine
Headache like tight band around head
Stress
Tension headache
Jaw claudication, severe headache
Fatigue, weight loss, sore throat
Red face, scalp tenderness
Temporal arteritis
Multinucleated giant cells on artery biopsy
Temporal arteritis
Shooting pains when touching face
Trigeminal neuralgia
Head trauma followed by loss of consciousness, then lucid period
Extradural haemorrhage
Progressively developing head pain and loss of consciousness
Subdural haemorrhage
Severe orbital/temporal pain, occurring in clusters
Cluster headache
Progressive worsening headache
Worse on coughing, sneezing, bending
Headaches in morning
Space occupying lesion
Stepwise deterioration in cognitive function
Cardiovascular risk factors
Vascular dementia
Gradual memory loss, impaired speech
Alzheimers dementia
Disinhibition, personality changes, inappropriate behaviour
Normal memory
<65 years
Pick’s disease (frontotemporal dementia)
Myoclonus, memory loss, hallucinations
Rapid progression
CJD
Parkinsonism
Vivid visual hallucinations
Sleep disturbance
Lewy body dementia
Loss of consciousness precipitated by emotion/pain/fear/prolonged standing
Nausea
Pallor
Clonic jerking, no stiffness
Vaso-vagal syncope
Loss of consciousness after reduced cardiac output
Arrhythmia
Pale, slow/absent pulse
Flushing afterwards
Stokes-Adams attack
Head turning –> dizziness and syncope
Carotid sinus syndrome
Tonic-clonic sequence
Tongue biting
Incontinence
Post-ictal confusion
Epilepsy
No loss of consciousness/amnesia/confusion
Pause
Simple partial seizure
No loss of confusion
Aura
Automatisms
Complex partial seizure
Seizure lasting more than 30 mins
Status epileptius
Status epilepticus treatment
IV lorazepam + 50% glucose, IV phenytoin
UMN lesion signs
Spasticity
Hyperreflexia
Babinski +ve
LMN lesion signs
Floppy paralysis
Wasting
Fasciculations
Muscular weakness improving with exercise
Lambert-Eaton syndrome
Lambert-Eaton syndrome antibodies
Pre-synaptic Ca channel
Muscular weakness worse with exercise
Myasthenia gravis
MG antibodies
Anti-ACH
Transient loss of vision, paraesthesia, paralysis, worse in heat
Episodes separate in space and time
Multiple sclerosis
Tremor after alcohol withdrawal
Confusion, crawling sensation
Delirium tremens
Cerebellar signs
Dysdiadocokinesa Ataxia Nystagmus Intention tremor Slurred speech Hyperreflexia
Peripheral neuropathy in alcoholics
B12/folate deficiency
Peripheral neuropathy with glove and stocking distribution
Diabetes
Confusion, ataxia and ophthalmoplegia in alcoholic patient
Wernicke’s encephalopathy
Wernicke’s encephalopathy treatment
IV pabrinex
Anterograde amnesia, confabulation in alcoholic
Korsakoff’s
Cafe au lait spots, axillary freckling, neurofibromas
Neurofibromatosis I
Bilateral acoustic neuroma
Neurofibromatosis II
Telangiectasia, epistaxis, vascular disorder
Osler-Weber-Rendu
Wasting of thenar eminence and weakness in abductor pollicis brevis
Median nerve
Loss of sensation in lateral palmar serve of 3 and a half digits
Median nerve
Median nerve distribution
C6-T1
Wasting of hypothenar eminence and weakness in abductor digiti minimi, claw hand
Ulnar nerve
Sensory loss over medial one and a half digits
Ulnar nerve
Ulnar nerve distribution
C8-T1
Weakness in wrist extension, wrist drop
Radial nerve
Anaesthesia over first dorsal interosseous muscle
Radial nerve