SBA Session Flashcards
What is the stool antigen positive for?
H pylori in peptic ulcer disease
How does tetsicular tortion present?
- High lying
- Red, swollen and tender
- Bell clapper deformity
What is the most appropriate investigation for a left lower limb swelling?
D-dimer are often persistently elevated thoughout pregnancy so it is useless in pregnancy (D-dimer is useful for ruling it out not diagnosing)
D-dimer is also useful if you’re distinguishing between cellulitis and DVT
Doppler ultrasound lower limb is the most useful in this case.
What is the most common cause of stiff neck, gram negative diplococci, segmented neutrophils? What is an adrenal complication?
Nesseria meningitidis - this is a BACTERIAL MENINGITIS
Adrenal haemorrhage –> hypoadrenalism - Waterhouse–Friderichsen syndrome
What is vascular dementia like compared to Lewy body?
Vascular dementia - step-wise progression, typical deficits –> e.g. hemiparesis.
Emotional component (frontal dementia)
Lewy body dementia is typically associated with Parkinsonism
What causes a spontaneously resolving visual symptoms (aura), migraines and headaches, 2-3 times per month?
Migraine
When are aphasias common?
Aphasias usually occur when the dominant part of the brain is affected.
When doing a neurology exam you should ask about hand dominance.
Right MCA - supplies most of the sensorimotor cortex so causes sensorimotor symptoms
What is the difference between pancreatitis and alcoholic hepatitis(bloods)?
Bilirubin, ALT/AST would be very high compared to pancreatitis. In pancreatitis you have very high AMYLASE
Microcytic anaemia, low ferritin –>?
If the patient has weight loss and dyspepsia, what test would you do?
Iron deficiency anaemia
OGD
What should you look out for in someone with metastatic cancer who has lost the ability to walk acutely?
Cauda equina syndrome
What is the most common type of metabolic acidosis?
Lactic acidosis is the most common type of metabolic acidosis which you usually get in end organ failure?
Multiple myeloma - what kind of bloods would you get?
Hypercalcaemia
Backache and weight loss symptoms
Myeloma kidney has its own clinic.
Prostate cancer with body metastases you would have a high ALP.
Which condition associated with rheyumatoid arthritis can cause peripheral oedema?
Amyloidosis
What is the best method for investigating for osteoporosis?
DXA scan
Put numbers in to FRAX score - but don’t delay treatment while waiting for these results when the patinet has already had a fracture.
What rash is associated with
Dermatitis herpetiformis
(Not psoriasis - extensor surfaces; eczema is on flexor surfaces)
