Things To Remember... Flashcards
Antibiotic that causes C.diff and achilles tendonitis
Ciprofloxacin
Zollinger-Ellison disease
Peptic ulcer dx
Islet cell tumour (pancreas)
Gastric acid hyper-secretion (on PPIs)
Coffee ground vomit
Upper GI bleed from stomach or duodenum
> partially digested
> ulcer, gastritis
Blood diarrhoea + LIF pain
UC
Egypt + haematemesis =
Schistomosiasis
mature in mesenteric veins > hepatosplenomegaly > portal HTN > varices > haematemesis
(SCC bladder too & swimmers itch)
Antibiotics H.Pylori
PAC500 - PPI, amoxicillin, clarithromycin
PMC250 - PPI, metronidazole, clarithromycin
Lump jaw ugandan expresses EBV antigens
Burkitts lymphoma
Christmas disease
Haemophilia B
Flamingo pink tympanic membrane
Otosclerosis
Feltys syndrome
Splenomegaly
RA
Neutropenia
Boerhaave’s syndrome
Oesophageal perf with massive bleed
Diuretic of choice cirrhosis
Spironolactone
Polycythaemia rubra vera
Pruritis / plethora
Cyanosis
Ringing in ears
Visual disturbance
JAK2
Polycythaemia rubra vera
Low O2, normal CO2
T1RF
PE, pnrumonia
Low O2, high CO2
T2RF
COPD, asthma, myasthenia gravis, opiate overdose
Dizziness, loss of vision, headaches, HTN, cysts in liver, kidney
Von Hippel Lindau disease
Whilst measuring BP, person’s fingers flex and draw together
Trosseau's sign Low calcium (after neck surgery can have stunned parathyroids)
Bud-chiari
Portal HTN
Haematemesis
Wegeners
URTI + LRTI + kidney
c-ANCA
Dry cough
Goodpastures
Anti-GBM
Lung + kidney
Sheehans syndrome
Hypopituitarism due to post partum pituitary haemorrhage
Waterhouse friedrichsen
Acute adrenal failure following meningococcal septicaemia (intra-adrenal haemorrhage)
Only hepatitis which is DNA not RNA
Hep A
Hormones in adrenal cortex
ACTH - cushings & addisons
Aldosterone - Conns
Testosterone - virilism
3 days post RTI nephropathy
IgA nephropathy
10-14 days post nephropathy
Post-strep nephropathy
DMARD causing loss of taste
Penicillamine
Curtain falling down in vision
Temporary loss of vision
Amourosis fugax
RAPD
Pupil dilates
Marcus gunn pupil
Absent knee jerk & dilated pupil
Holmes-Adie pupil
Pupil accommodates but does not react to light
Argyll-Robertson
Superior quadrantanopia
Temporal lobe lesion
Inferior quadrantanopia
Parietal lobe lesion
Legally blind acuity
6/60
Redcurrant sputum
Klebsiella penumonia
Redcurrant stool
Intusussception
Non-necrotising granuloma
Sarcoidosis
Necrotising granuloma
TB
Leiomyoma
Fibroids
African women
INFERTILITY
Vegetarians and Asians can be deficient in Vit d…putting them at risk of…
Osteomalacia
Factor 8 deficiency
Haemophilia A
Factor 9 deficiency
Haemophilia B
Tall young adult, small testes, gynaecomastia
Klinefelters syndrome
47XXY
Tall young adult who can’t smell
Kallmans syndrome
Gram positive organism meningitis
Strep pneumonia
Gram negative organism meningitis
Neisseria meningitidis
Neonatal jaundice - Mediterranean parents
G6PD
Neonatal jaundice - reducing substances in urine
Galactosaemia
Neonatal jaundice - asian parents, raised direct & indirect bilirubin
Neonatal hepatitis
Causes neonatal jaundice due to unconjugated (indirect) hyperbilirubinaemia
Crigler-Najaar
Gilberts
Hypothyroidism
Mild jaundice pt fasting, LFTs normal
Gilberts
Causes neonatal jaundice due to conjugated (direct) hyperbilirubinaemia
Hepatitis
Galactosaemia
Biliary atresia
CLO test aka…
Rapid urease test for h.pylori
Behçets
Uveitis
Genital ulcers
Oral ulcers
No see, no pee, no spicy curry
p-ANCA, alleryg, asthma, eosinophilia, granuloma
Churg strauss
HTN refractory to medication & worsened by ACEi
Renal artery stenosis
Indications for emergency haemodialysis
persistent pericarditis, acidosis, hyperkalaemia
24 hour urinary HIAA raised
carcinoid syndrome
management of carcinoid syndrome
somatostatin analogue (octeotride)
pericardial rub, 3rd heart sound
pericarditis
c-anca
granulomatosis with polyangitis (wegeners)
anti-dsDNA + anti-nucler
SLE
anticentromere
CREST
anti-jo
dermatomyositis
anti-nuclear + RF
Sjorgens
Cystic bone lesions + precocious puberty + cafe au lait spots
Mccune-Albright
Mx pericarditis
NSAIDs
Dresslers
Pericarditis weeks - months post-MI
Tx: colchicine
AED causing gingival hypertrophy
Phenytoin
AED causing low IQ and autism of child
Sodium valproate
Mx status epilepticus
1) Rectal diazepam x2
2) Buccal midazolam
3) IV lorazepam + their usual AED
4) IV phenytoin
Acute alcohol withdrawal Mx
Diazepam or chlordiazepoxide
Delirium tremens Mx
Oral lorazepam
Antidote TCA overdose
Flumazenil
Antidote calcium channel / beta blockers
Glucagon
Presentation TCA overdose
Coma
Cardiac arrhythmia
Convulsions
Digoxin overdose presentation
Yellow - green discolouration to vision & bradyarrythmia
Which nerve is damaged by mid shaft humerus #
Radial nerve
Post-op complication THR is damage to which nerve…?
Sciatic nerve
Which nerve extends arm back to normal anatomical position?
Triceps
Non-motile bacteria causing diarrhoea
Shigella
Motile bacteria causing diarrhoea
Salmonella
Bloody diarrhoea aka…
Dysentery
Chest pain on swallowing caused by…
Oesophageal spasm
Conus medullaris
Sudden onset
Symmetrical
Back pain
Bilateral
Solar lentigines
Sun spots / age spots
Flat & brown
Actinic keratosis
Thick scaly crusty
Seborrheic keratosis
Senile wart
Palpable
Hip pain 4-10 y/o
Perthes (AVN femoral head with subchondral sclerosis & flattening femoral head)
Hip pain 10-16 y/o
SUFE
Onion skin / moth eaten hip on Xray
Ewings sarcoma
Anti-topoisomerase
Systemic sclerosis
Aurimime stain acid fast bacili
TB
Query fever
Farm workers
C.burnetti
Stokes-Adams attack
Sudden collapse due to bradyarrythmia
1 aplha adrenoceptor blocker (prostate)
Tamsulosin
High calcium
1’ hyperparathyroidism
Low calcium, high PTH
2’ hyperparathyroidism
High calcium, high PTH
3’ hyperparathyroidism