Cards Flashcards
(21 cards)
Lab results for acute intravascular hemolysis
Anaemia
Hyperbilirubinemia
High LDH
Low haptoglobin
Which anaesthetic is contraindicated in aortic stenoiss
Spinal anasthetics- sympathetic block causes Peripheral vasodilation and reduced venous return –> profound hypotension
Congenital melanocytic neavus
Mng of large congenital melanocytic naevus
Surgical excision
Management of hemorrhoids
Grade 1 and 2 - infra-red photocoagulation or sclerotherapy (small, non prolapsed internal hemorrhoids)
Grade 2 and some Grade 3 - rubber band ligation. Contraindicated in permanently prolapsed haemorrhoids and relatively in anticoagulated patient
Grade 4 - excisional hemorrhoidectomy
Metabolic changes expected with severe anaemia
Normal Pa02 with resp alkalosis
Kaposi sarcoma
Type of cancer caused by human Herpes virus 8
Purple, raised and irregularly shaped lesions that occur anywhere in the body.
Painless but bleed easily
MC neoplasm in patients with aids and other immunocompromise
Mng ankle fractures- acc to Weber classification
Weber A -short cast with weight bearing as tolerated
Which maneuvers increase HOCM murmur
Valhalla
Management of uncomplicated pancreatitis
Supportive
- analgesia
- IVF
- Enteral nutrition
Time period for physiological jaundice
Common in the first week of life
Cutaneous horn
Distinguish between ocular htn and glaucoma
Presence of optic nerve damage and visual field defects in glaucoma
Optical coherence tomography
Ix glaucoma
Detailed imaging of optic nerve head and retinal nerve fiber layer thickness
Fluroesciene angiograohy
Assess retinal vascularture.
Diabetic retinopathy or ARMD
Assessment of ocular HTN
Optical coherence tomography
Visual field testing
Gonioscopy go assess anterior chamber angle
Central corneal thickness measurement
Lung function findings for hemidiaphragm paralysis
Elevated hemidiaphragm if cxr
Restrictive PFTs
Preserved KCO despite reduced DLCO
Penile ulceration ddx
Penile SCC
Chancroid
Primary syphilis
Herpes simplex
Lichen sclerosus
Ddx:
Hirschprung
Volvus neonatorum
Meconium ileus
Small bowel artesia
Duodenal obstruction
Difference between high risk and intermediate high risk PE
High risk - shock or persistent hypo SBP <90 for >15min
Intermediate high risk - RV dysfunction and elevated cardiac biomarkers without shock
Intermediate low risk- either RV or cardiac but not both
Low risk has neither
Complication of shoulder dislocation
Axillary nerve injury - numbness over regimental badge distribution
