Things to know Flashcards
This flashcard deck was created using Flashcardlet's card creator
Hepatic drug toxicity liver: hepatitis
Statin Rifampicin Isoniazid Ketokonazole Paracetamol
transaminases
- ALT more specific for liver damage than AST
- AST:ALT > 2.5 = Alcoholic
- AST:ALT <1 = hepatocellular damage, viral hepatitis, paracetamol OD, ischeamic necrosis, toxic hepatitis
- AST:ALT = 1 = ischeamia eg CCF
Hepatic drug toxicity: cholestatic
Flucloxacillin Erythromycin Chlorpromazine Oral contraceptive Augmentin
Iron studies
Transferrin:
- iron transporting protein
- may rise in iron deficiency (TIBC transferrin binding capacity)
- transferrin saturation may be low
Ferritin:
- protein that binds iron in cell,
- indicative for amount of iron available
anisocytosis
Redblood cells of different shapes, indicative of: iron deficiency anemia esp in combination with folate def, Thalassemia Major, Thalassemia Intermedia and myelodysplastic syndromes.
Redcell Distribution Width (RDW) is meassurement.
Thrombohilia screen
Anticardiolipin antibodies, lupus anticoagulant, protein C, protein S, anti thrombin, factor V-Leiden
Poikilocytosis
- abnormal shaped redbloodcells
- nutrient deficiencies, myelodysplastic syndromes
Cranial nerves
Oh, Oh, Oh, To Touch And Feel Very Good Velvet, Such Heaven.
- olfactory
- opticus
- oculomotor (moves eyes up, down and medial, raises eyelids, pupil adjustment; palsy: ptosis, downwards lateral gaze)
- Trochlear
- Trigeminal
- Abducens
- Facial
- Vestibulocochlear
- Glossopharyngeus
- Vagus
- Spinal Asseccory
- hypoglossal
Tremor DDX
Must include OPTHALMOSCOY!!
Blood pressure, meningism, cranial nerves, general neurology, sinusses, vision
Headache examination
Must include OPTHALMOSCOY!!
aortic stenosis symptom triad
- syncope
- exertional dyspnoea
- angina
Acute anterolateral infarction
- ST elevation I, aVL, V2-V6
- Q waves in aVL, V2, V3,
- Loss of R waves across chest leads
Acute inferior myocardial infarction
- ST elevation in II, III, aVF
- common slow rate
posterior-inferior MI
- ST elevation II, III, aVF
- Q wave in II, III, aVF,
- Can see ST depression in anterior leads
postero-lateral infarction
- prominent R waves in V1, V2
- ST elevation V5, V6
- Q waves V5, V6
- Can see ST depression anterior leads