24/1

Question 1

What meds are used for hyperthyroidism?
What is the main side effect to be aware of with the first choice med

Answer 1

Beta-blockers for symptom management

1. Carbimazole (+ form of contraception)
2. Propylthiouracil - used in 1st trimester

Agranulocytosis = warn about mouth ulcers and regular FBC

Question 2

Name the layers for epidural and spinal injections

What is cause of post lumbar puncture headache?

Answer 2

Skin
S/C
Supraspinous ligament
Intraspinous ligament
Ligamentum flavum (FEEL A POP)
epidural space (stop here for epidural)
meninges (DAP - dura mater, arachnoid mater, subarachnoid space (stop here for spinal) pia mater)

Headache caused by CSF leak from puncture in the dura mater - more likely in epidural due to larger needle

Epidural - feed a catheter into the epidural space
Spinal - thin needle