CARDIO
ARCTIC MONKEYS AH ARRYTHMIA
TDP
A 43 yr old presents with a bilateral headache describing it as pressure. He can still go about his day. No aura, nausea/vomiting or triggers.
DIAGNOSIS?
Tension type headache
A 30 yr old presents with a lump which is diagnosed as a fibroadenoma. The lump is causing her moderate discomfort and she says she would like to have it removed.
Next option of management?
Remove it
Hyperglycaemia → ↑ serum osmolality → osmotic diuresis → severe volume depletion
Pathophysiology of what emergency?
HHS
A man aged 79 has a symptomatic osteoporotic vertebral fracture, what is your next step
BIZZPHOS
_______________ score assesses the risk of in-hospital mortality of patients with ACS (NSTEMI).
WHAT % PROMPTS CT ANGIO?
GRACE (Global Registry of Acute Coronary Events)
A 14 yr old presents with 2 day history of Purulent discharge from eyes. Also describes that they are. 'stuck together' in the morning.
DIAGNOSIS?
MANAGEMENT?
Conjunctivitis (BACTERIAL)
Chloramphenicol
All patients with suspected upper GI bleed require an ___________ within 24 hours of admission.
What investigation?
endoscopy
Sensory loss typically results in a ____________ distribution in Diabetic neuropathy.
_____________ is a disorder of ineffective neuromuscular contractions of the stomach, due to DN.
GLOVE AND STALK
GASTROPARESIS
Medication to chill Delirious pt.
HALOPERIDOL
____________ should be given to patients who are in VF/pulseless VT after 3 shocks.
ALTERNATIVE MED?
Amiodarone 300 mg
Lido
A patient with chronic obstructive pulmonary disease (COPD) remains breathless despite using a salbutamol inhaler as required. There is no history of asthma, eosinophilia or FEV1 variation.
What is the most appropriate next step?
LAMA LABA
You are examining a wound that is surrounded by blackened skin with purulent discharge. There are areas of moist, swollen tissue surrounding the wound And it is very painful.
Systemic symptoms of infection.
DIAGNOSIS?
MANAGEMENT?
WET GANGRENE
SURGICAL DEBRIDE
A diagnosis of DKA is based on the what criteria?
GIMME 3
What are the G stages of chronic kidney disease?
Stage 3 CKD: eGFR of 30-59, further divided into 3a (45-59) and 3b (30-44).
What device may be used in unusual cases of patients with recurrent PEs or patients with deep vein thrombosis that are unsuitable for anticoagulation?
IVC FILTER
A pt was recently diagnosed rheumatoid arthritis. The clinician uses a scoring system to guide the patient's management.
What scoring system is most likely used?
DAS 28
Asymptomatic Femoral hernia repair requires a _______ referral while Asymptomatic inguinal hernia repair requires a _________ referral.
URGENT, NON URGENT
A 65-year-old woman has become confused, lethargic, and difficult to arouse over the last week. Over the past 6 months, she has experienced progressive fatigue, weight gain, and leg swelling.
Chest X ray clear, dry skin, hypotensive.
No JVP elevation.
What endocrine emergency?
Treatment?
Myoedema coma
T3+ HYDROCORTISONE
LIST CAUSES OF DELIRIUM:
PINCH ME
Yh whatever
_________________ is a treatment for adults with critical aortic stenosis who are not fit for valve replacement.
What findings on auscultation?
(I WANT WORD BY WORD JK)
Balloon valvuloplasty
ejection systolic murmur
30-year-old woman with a diagnosis of generalised anxiety disorder (GAD). She is currently prescribed sertraline 200mg daily. Her sx are still uncontrolled.
Next step of management?
Try SNRI
Gimme complications of Laparoscopy
A pt comes with knee pain associated with erythema and swelling. Aspiration shows calcium pyrophosphate dihydrate crystals.
What abnormality may increase risk for this disease?
HYPERPARA
MANAGEMENT OF PRESSURE SORES
(GIMME CONSERVATIVE, MEDICAL, SURGICAL)