Surg, Opthal + Psych Flashcards
first line Tx for acute psychosis?
lorazepam
what med can cause a tremor?
lithium
what cardiac drug can cause lithium toxicity?
ACE
features of schizoid personality disorder?
withdrawn
no weird/magical thoughts (schizotypal)
no psychotic symptoms
medical Tx for PTSD?
venlaflaxine
blood test in anorexia?
hypercholesterolaemia
hypercarotinaemia
high cortisol and GH
low K, FHS, LH, oesto/testo
drugs that interact with SSRi?
NSAID
triptans
warfarin
heparin
aspirin
MAOIs
what can giving too much saline cause?
hyperchloremic acidosis
stages of shock classifiation?
I - compensate
II - tachy
III - tachy, low BP, confused
IV - LOC and low BP
medical Tx for PAD? range?
ABPI <0.9
atorvastatin
clopidogrel
Tx for epididomo-orchtis?
IM cef
10 days PO doxy
level of PSA after a prostatectomy?
undetectable
if lidocaine in 2%, what is the conc?
2g in 100mls
Tx for bilateral hydrocele in a newborn?
watch and wait
how should OD insulin dose be modified on the day of surgery?
reduce by 20%
how should BD insulin dose be modified on the day of surgery?
half AM dose
Tx for ureteric stone?
shockwave
Tx for a <5mm renal stone?
monitor
Tx for a 5-10mm renal stone?
shockwave
Tx for a >20mm renal stone?
percutaneous removal
what hernia protrudes through hesselbach area?
direct inguinal
what hernia is medial to the inferior epigastric artery?
direct inguinal
when does pyloric stenosis present?
2-12 weeks
PROJECTILE vomit
who gets necrotising enterocolitis?
prem babies
2nd week of life
when does a meconium ileus present?
24-48hrs
when does jejunal atresia present?
24hrs
what does malrotation present? Tx?
2-7 days
bilious vomits
Ladd’s procedure
when does duodenal atresia present?
hrs post birth
features of a carotid artery TIA?
contralateral limb weakness
ipsilateral headache
visual symptoms
what drug causes iris to become brown?
latanoprost
what eye drug should be avoided if pt taking MAOIs?
briminodine
terms for squints?
ESOtropia (nose)
Exo
Hypertropia
Hypo
what is a miotic eye drop?
pilocarpine
what sort of scotoma does pathology to the macula cause?
central
what sort of scotoma does glaucoma cause?
arcuate
what sort of scotoma does pathology to the retinitis pig cause?
ring
What medication can be given in acute hypertension?
IV labetolol
what sight has a higher risk of retinal detachment?
myopia (near sighted)
Tx for orbital cellulitis?
IV cef + met
or clinda + cipro (pen allergy)
Tx for acute angle closure glaucoma?
Pilocarpine
timolol
apriclonidine
Laser peripheral irodotomy
Tx for primary open angle glaucoma?
Timolol
dorzolamide
brimodine
stages of hypertensive retinopathy?
I silver wiring, tortuous vessels
II AV nipping
III cotton wool, flame, blot haem
IV papilloedema
stages of diabetic retinopathy?
mild - microaneurysm
mod - Mild + blot haem, hard exudate
severe - in all 4 quadrants
Tx for bac conjunctivitis when pregnant?
fusidic acid
tx for scleritis?
NSAIDs
what is an argyll robertson pupul?
small pupils that constrict when focusing on a nearby object
but do not constrict when exposed to bright light
lesion at site of R optic nerve causes?
R blindness
lesion at site of optic chiasm causes?
bitemporal hemianopia
lesion at site of R optic tract causes?
L homo hemianopia
lesion at site of R visual cortex causes?
L hom hem with macular sparing
Tx for renal stones?
watchful waiting if < 5mm and asymptomatic
5-10mm shockwave lithotripsy
10-20 mm shockwave lithotripsy OR ureteroscopy
> 20 mm percutaneous nephrolithotomy
Tx for ureteric stones?
shockwave lithotripsy +/- alpha blockers if < 10mm
10-20 mm ureteroscopy
