Surgery

Question 1

Name a drug (beginning with M) which can predispose you to having pancreatitis?

Answer 1

Mesalazine

Question 2

What is the modified

Glasgow score used for?

Answer 2

It allows you to predict the severity of pancreatitis

Question 3

Which factors are included in the modified Glasgow score?

Answer 3

Pa02<8kPA
Age >55
Neutrophila WBC>15
Calcium <2
Renal function UREA>16
Enzymes LDH>600 AST >200
Albumin <32
Sugar, blood glucose >10

Question 4

What is a common complication of a SAH?

Answer 4

Hydrocephalus
rebleeding (in 30%)
obstructive hydrocephalus (due to blood in ventricles)
vasospasm leading to cerebral ischaemia

Question 5

Lumbar puncture following SAH?

Answer 5

After 12 hours- shows xanthochromia

Question 6

How do you treat hydrocephalus?

Answer 6

Therapeutic lumbar puncture

Question 7

What is commonly given post-operatively following a SAH?

Answer 7

Nimodepine

Question 8

Drug tx of hydrocephalus if waiting for surgery?

Answer 8

Furosemide and acetazolamide inhibit secretion of CSF by the choroid plexus. Isosorbide promotes reabsorption.