Week 4 bb revision Flashcards
‘Ring-enhancing’ lesion on MRI
Cerebral abscess
Tuberculoma
Toxoplasmosis
Forgetfulness
Ataxia
Spasms of muscles
EEG with periodic sharp waves
Prion disease CJD
General term for inflammation of brain and spinal cord
Encephalomyelitis
UTI treatment in early pregnancy
Nitrofurantoin
Organism causing functional/anatomical abnormalities of renal tract
(also cavitating lung lesions)
Klebsiella
Broad spectrum penicillin traditionally used in the treatment of UTIs.
Ampicillin
Most common cause of UTI in catheterised men
E. Coli
After E. coli this organism is the most common cause of uncomplicated UTI in women
Staph saprophyticus
Children
Haemorrhagic cystitis
Adenovirus
Treatment for pseudomonal infections in cystic fibrosis
Ceftazidime
Given IM as a single shot for gonococcal urethritis
Ceftriaxone
Dysuria
Frequency
No bacteriuria or any other cause found
Urethral syndrome
Painless frank haematuria
Bladder cancer
CF patient
wheeze and SOB
gram-negative bacteria
Burkholderia cepacia
MacConkey agar used to identify
Gram negative enteric bacteria and whether they ferment lactose
Aesuclin positive
Enterococci
Listeria Group D strep
American trypanosomiasis aka …
Chagas disease
Unilateral painless periorbital oedema and conjunctivits with ipsilateral regional lymphadenopathy
Romana’s sign seen in Chagas disease (where T. cruzi enters through the conjunctiva)
Offensive burps
stool with trophozoites/cysts
Giardia lamblia - giardiasis
Amastigote
Leishmania
Schistosoma associated with squamous cell cancer of the bladder
haematobium
Schistosoma associated with travel to carribean and south america as well as standard africa/middle east
Mansoni
Travel
contact with fresh water
Swimmer’s itch
month symptom free followed by rash fever myalgia and maybe pneumonitis
Schistosomiasis
Microfilariae
Wuchereria bancrofti
Sandly
leishmaniasis
Undercooked pork
facial oedema
myalgia
Trichinella spiralis
Fluctuating fever
brown black urine
africa
Falciparum malria
Tear drop or pear shaped trophozoites
Giardia
Machado-Guerreiro test
Trypanosoma cruzi
A neonate is referred and presents with skin lesions, lymphadenopathy and failure to thrive.
Syphilis
Raised APTT
Normal PT
Normal bleeding time
Haemophilia
Raised APTT
Normal PT
Raised bleeding time
vWD
coagulation disorder
Spontaneous bleeding
Haemophilia
coagulation disorder
usually noted after a challenge like injury or surgery
vWD
enlarged maxilla
prominent frontal/parietal bones
hepatosplenomegaly
expanded medullary cavity with ‘hair on end’ appearance on xray.
beta thalassaemia
Whole blood cutoff for diabetes
6.1mmol/l
fasting plasma glucose cutoff for diabetes
7.0mmol/l
random venous plasma glucose cutoff for diabetes
11.1mmol/l
Definition of impaired fasting glucose
fasting plasma glucose 6.1-6.9mmol/l
Definition of impaired glucose tolerance
fasting plasma glucose less than 7mmol/l
AND
2-hour glucose between 7.8 and 11 mmol/l
cerebral vessel
occlusion leads to contralateral lower limb weakness
milder contralateral upper limb weakness
ACA
infarcts affecting basal ganglia, internal capsule, thalamus, pons.
lacunar infarcts
Young person
headaches particularly worse in the morning
a bit of N+V
Benign intracranial hypertension
Ruptured berry aneurysm
SAH
hard palpable breast mass
calcified
pleomorphic nuclei
necrotic centre
DCIS
lump in breast
nipple discharge - sometimes bloody
branching fibrovascular cores
bland epithelium
duct papilloma
risk of breast cancer
multifocal lumps
lobular carcinoma in situ
nipple retraction breast clinic
invasive carcinoma
breast clinic
red
roughened
ulcerated nipple
Paget’s disease of the nipple
FNA with serous turbid fluid
breast cyst
cystic dilatation of duct during lactation caused by obstruction
galactocele
breast clinic
palpable mass
microcalcification
DCIS
Breast clinic
red around nipple
skin as scaly
Paget’s disease of the nipple