13/5 Flashcards
What should be given to all pts on warfarin with major bleeding regardless of INR?
FFP
What are the 4 muscles that make up the rotator cuff?
What are their functions?
Subscapularis - internally rotates
Supraspinatous - abducts 0-15 degrees
Infraspinatous and teres minor - externally rotates
What is more common anterior or posterior dislocations of the shoulder. What kind of mechanism of injury is a posterior dislocation assoc with?
Anterior
Electric shocks + seizures
What tests are done to test the rotator cuff intergity?
Supraspinatous - jobe’s test - demonstrate it
Infraspinatous - external rotation against resistance
Subscapularis
- pressing hands away when on bum (internal rotation)
A loss of external rotation could suggest what?
Frozen shoulder
Glenohumeral arthritis
Locked posterior dislocation
Hill-sachs lesions are assoc with what?
Glenohumeral dislocations
How is the majority of shoulder pathology managed?
Pain management - NSAIDS + injections
Usually self-resolving with rest
If instabililty - physio
What is the process of frozen shoulder? good to be able to explain to patients
- freezing - increasing pain and stiffness
- frozen - bg pain and ROM stays the same
- thawing - slowly releases
process can take 3-4 years but it is self-limiting
Acute shoulder pain with calcium deposits seen on XR?
Acute calcific tendonitis
Steroid injections
Explain how anti-platelet management changes based on PCI in STEMI mangement?
If medical with no PCI
- aspirin + ticagrelor
If PCI
- taking no other AC - aspirin + prasugrel
- taking other AC - aspirin + clopidogrel
Chondrocalcinosis is present in what condition?
Psuedogout
Heinz bodies and bite cells present in what kind of anaemia?
Haemolytic
What are Tropicamide eye drops used for?>
Pupil dilations
What does amblyopia mean?
Lazy eye
