YSKT compile AS Flashcards
Patient has a fall and fractures hip. Cardiac problems, the fall was due to an MI, how do you manage?
Hemiarthroplasty, Dynamic hip screw, intramedullary device
57 year old male trips on pavement falls onto outstretched arm. X ray shows midshaft humeral fracture and osteolytic lesion on head of humerus. Fracture was opened and fixed. How would you describe this?
Pathological fracture due to mets
Pelvic X ray of osteoarthritis acetabulum, what do you do?
Total hip replacements
Patient has a fall and fractures hip - Extracapsular fracture (non special type). Cardiac problems, the fall was due to an MI, how do you manage?
Dynamic hip screw
Patient has a fall and fractures hip - Extracapsular fracture (reverse oblique, transverse or sub trochanteric). Cardiac problems, the fall was due to an MI, how do you manage?
Intramedullary device
Age <70 Patient has a fall and fractures hip - Displaced intracapsular fracture. Cardiac problems, the fall was due to an MI, how do you manage?
Internal fixation (if possible), hip arthroplasty if not
Osteopenia vs Osteoporosis
Male vs female Age (Younger = penia)
Patient has anatomical snuffbox tenderness and bait scaphoid fracture but no obvious signs on x ray. How do you manage?
Cast and return for x ray in 2-3 weeks
Parathyroid blood results: Raised calcium Raised PTH Low phosphate High ALP Serum Ca:Cr clearance >0.01
Primary hyperparathyroidism
Parathyroid blood results: Low/normal calcium High PTH High phosphate Low Vit D High ALP
Secondary hyperparathyroidism (gland hyperplasia)
Parathyroid blood results: Raised calcium Very raised PTH decreased or normal phosphate Normal/low Vit D High ALP
Tertiary hyperparathyroidism
Parathyroid blood results: High/normal calcium Normal/low PTH High phosphate Normal Vit D High ALP
Familial hypocalciuric hypercalcemia
Jaundice in first 24 hours - cause? Mother is O+ve?
ABO incompatibility
Jaundice in first 24 hours - cause? Mediterranean/African Americans/ Middle Eastern Male infant
G6PD deficiency
Jaundice in first 24 hours - cause, FH and spherocytic blood film
Spherocytosis
Jaundice in first 24 hours - Mother was infected during pregnancy Treat?
Growth restriction Hepatosplenomegaly TTP (Congenital infections) Exchange transfusion
Parathyroid blood results: High Calcium Normal/low PTH Low phosphate High ALP
Parathyroid malignancy
Child presents with bruising, high lymphocytes
ALL
Child presents with bruising, high lymphocytes Reddish purple dots on the ankles and feet (petechia)
Immune Thrombocytic Purpura
Child with purpuric rash Bloody diarrhoea and abdo pain Rash on buttocks, legs and feet
Henloch Schonlein purpura
Child with purpuric rash + splenomegaly
ALL
Back pain with irregular prostate, and urinary symptoms
Prostate cancer
Solid mass on liver imaging, diabetes, women taking estrogen-containing oral contraceptive medication - 4cm, vascular?
Hepatic adenoma
Alcoholic patient with solid mass on liver imaging - 4cm, vascular?
Hepatocellular carcinoma




























































