1st Line Flashcards by Chang Kim

Q

Pulmonary embolus

Well’s score >4

A

CTPA

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Q

Pulmonary embolus

Well’s score <4

A

D-dimer

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Q

Pneumothorax

A

CXR

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Q

Peptic ulcer
<55yr
No red flags

A

13C urea breath test

Stool antigen test

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Q

Peptic ulcer
>55yrs
Red flags (WL, bleeding, anaemia, vomiting, early satiety, dysphagia)

A

OGD endoscopy and biopsy

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Q

Hiatus hernia

A

Barium swallow

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Q

GORD

A

Clinical diagnosis

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Q

GORD

On PPIs but symptoms persist

A

Endoscopy

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Q

Oesophageal cancer

A

Endoscopy and biopsy

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Q

Dysphagia with red flags

A

Endoscopy

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Q

Achalasia

A

Barium swallow

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Q

Mallory-Weiss tear

A

Endoscopy

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Q

Oesophgeal varices

A

FBC
LFT
U+E

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Q

Ruptured peptic ulcer

A

BP- rule out shock

Bloods- rule out varices

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Q

Crohn’s

A

Stool sample

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Q

Ulcerative colitis

A

Stool sample

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Q

Coeliac disease

A

Stool sample

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Q

Anal fissure

A

Clinical diagnosis

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Q

Haemorrhoids

A

Digital rectal exam

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Q

Viral hepatitis

A

Liver function tests

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Q

Gallstones

A

LFTs

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Q

Primary biliary cirrhosis

Study These Flashcards

A

LFTs

Q

Primary sclerosing cholangitis

Study These Flashcards

A

LFTs

Q

Diverticular disease

Study These Flashcards

A

FBC (leukocytosis)

Inguinal hernia

Clinical diagnosis

Femoral hernia

Clinical diagnosis

Molluscum contagiosum

Clinical diagnosis

Atopic eczema

Clinical diagnosis

Contact dermatitis

Skin patch test

Erythema multiforme

Clinical diagnosis

Stevens-Johnson syndrome

Clinical diagnosis

Septic arthritis

Joint aspiration

Gout

Synovial fluid polarised light microscopy

Pseudoout

Synovial fluid polarised light microscopy

Osteoarthritis

Joint XR

Ankylosing spondylitis

XR pelvis

Osteomalacia

Bloods | Vit D, PTH, Ca, PO4, ALP etc

Paget's disease of bone

ALP- very very high

Haemophilia A/B

APTT

Prostate cancer

PSA

Urinary tract calculi

Urine dipstick

Testicular torsion

Exploratory surgery

Renal artery stenosis

Urinalysis

UTI

Urine dip

Renal cell carcinoma

USS

Diabetes insipidus

U+E, glucose

Acromegaly/gigantism

Serum IGF-1

Adrenal insufficiency

9am cortisol

Cushing's syndrome

24hr urinary free cortisol

Hyperaldosteronism

Aldosterone/renin ratio (raised)

Phaeochromocytoma

24hr urinary catecholamines, metanephrines, normetanephrines, and creatinine

Pernicious anaemia

Serum vit B12

Stroke/TIA

CT head

Folate deficiency

Bloods eg. FBC, serum folate