*T Med placement Flashcards
NSTEMI vs STEMI physiological relevance?
Complete occlusion ?distal infarct (smaller artery) vs bigger
What are the signs of cardiogenic falls (over neurological)?
- On exertion including e.g. putting scarf on (blocks carotids) ?stims vaso vagal - Short time LOC - Short Post-Ictal phase
What happens in overdose of: (1) Gabapentin? (2) Bisoprolol?
(1) Gabapentin While the effects of a gabapentin overdose vary from person to person, common ones include lethargy, problems with coordination, trouble breathing, and slurred speech. Life-threatening symptoms are more likely if it is combined with alcohol. (2) Bisoprolol An overdose with bisoprolol, or other similar beta blockers, may cause the following problems: Low heart rate (bradycardia) Low blood pressure (hypotension) Low blood sugar (hypoglycemia) Constriction of the airway, which may cause breathing problems.
What hormone causes gallbladder contraction?
CCK cholecystokinin secreted by enteroendocrine cells in the duodenum on sensing Amino acids and fatty acids there = gallbladder contraction
Why does SIADH cause hyponatraemia?
DDx hyponatraemia includes euvolemic, hypovolemic and hypervolemic
What is the pancreatic tumour marker
Ca199
What is the bowel cancer tumour marker?
CEA
What is the ovarian cancer tumour marker?
Ca125
What is AAFB?
TB
What is Murphys sign?
Breathe in with hand on gall bladder - pain in right upper quadrant
What are the 6F’s for gallstones?
Female [oestrogen is broken down to cholesterol] Fam Hx Fat Fair Forty Fertile
What are the 6F’s for gallstones?
Female [oestrogen is broken down to cholesterol] Fam Hx Fat Fair Forty Fertile
Where is the acromium? (vs coracoid process)
acromium is part of the scapula coracoid process is at the front
How are GP glycoproteins used as treatments?
NSTEMI treatment, clopidogrel, TKagrolol
fondaparinux
