Things to know Flashcards

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0
Q

Hepatic drug toxicity liver: hepatitis

A
Statin
Rifampicin
Isoniazid
Ketokonazole
Paracetamol
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1
Q

transaminases

A
  • 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
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2
Q

Hepatic drug toxicity: cholestatic

A
Flucloxacillin
Erythromycin
Chlorpromazine
Oral contraceptive
Augmentin
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3
Q

Iron studies

A

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
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4
Q

anisocytosis

A

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.

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5
Q

Thrombohilia screen

A

Anticardiolipin antibodies, lupus anticoagulant, protein C, protein S, anti thrombin, factor V-Leiden

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6
Q

Poikilocytosis

A
  • abnormal shaped redbloodcells

- nutrient deficiencies, myelodysplastic syndromes

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7
Q

Cranial nerves

A

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
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8
Q

Tremor DDX

A

Must include OPTHALMOSCOY!!

Blood pressure, meningism, cranial nerves, general neurology, sinusses, vision

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9
Q

Headache examination

A

Must include OPTHALMOSCOY!!

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10
Q

aortic stenosis symptom triad

A
  • syncope
  • exertional dyspnoea
  • angina
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11
Q

Acute anterolateral infarction

A
  • ST elevation I, aVL, V2-V6
  • Q waves in aVL, V2, V3,
  • Loss of R waves across chest leads
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12
Q

Acute inferior myocardial infarction

A
  • ST elevation in II, III, aVF

- common slow rate

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13
Q

posterior-inferior MI

A
  • ST elevation II, III, aVF
  • Q wave in II, III, aVF,
  • Can see ST depression in anterior leads
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14
Q

postero-lateral infarction

A
  • prominent R waves in V1, V2
  • ST elevation V5, V6
  • Q waves V5, V6
  • Can see ST depression anterior leads
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15
Q

posterior

A
  • Tall R wave in V1, V2

- St depression V1-2

16
Q

weakness and recently started diuretics

A

diuretic –> Hypokalemia –> weakness

17
Q

PE ECG

A

S1Q3T3
S in I
Q wave in III
And inverted T in III as well.