What is the management plan for MCL injury?
What are the two names for a raised lesion?
<0.5cm = Papule
>0.5cm = Nodule
How would you explain fribromyalgia?
Medicine as a whole doesnt know the wholes story with fibromyalgia. There is a theroy though that it is to do with abnormal pain messages. So changes in your brain and nerves could be responsible for the pain you are feeling rather than your muscles and joints actually been damaged.
How do you treat thrush?
Nystatin or Clotrimazole
What vitamin supplements should babies and mothers be taking?
all children not on formula could take ACD supplements
BF mothers vitamin D and Iron
How do you manage an LCL injury?
If pulled:- Physio , NSAIDs and rest
If ruptured :- Surgery
How would you explain a cholesteatoma?
you have some abnormal collection of skin cells inside your ear. Its not a cancer but it is quiet serious.
ENT referall for surgery
How do you treat ringworm/athletes foot?
What is the management plan for Psoriasis?
Vitamin D analogues
How do you diagnose congenital hip dysplasia?
Barlow and Ortolani
Ultrasound if less than 3 months
xray if older than 3 months
What are the red flags for back pain?
loss of sensation
old or young
What is the managment plan for rosacea?
Reduce aggravating factors
- Spicy food,
- Topical metronidazole
- Oral tetracycline
What are the special parts of a Paeds History?
How would you explain eczema to a patient?
Usualy the skin acts as a barrier strong barrier to infection or irretation. However if your skin gets too dry this barrier doesnt work as well resulting in your skin becoming inflamed giving you a rash
How do you treat transient synovitis?
How would you explain addison's disease to a patient?
Your Adrenal glands which sit on your kidneys normally produce hormones that your body needs to work properlly. Addisons disease is an autoimmune condition where your immune system accidently attacks your adrenal glands meaning that they no longer work properlly. As a result the adrenal glands dont produce the hormones that you need
What is the management plan for OA?
Paracetamol or cocodamol
What important saftey things should you remember about hyperthyroidism?
Carbimazole cant be used in early pregnancy
Use propythiouracil 1st trimester
Risk of agranulocytois- fever, swollen glands and a sore throat then come back just to be safe
Cancer:- Lumps? changing voice? Weight loss?
What is the managment plan for Gout?
if >2 attacks start allopurinol
Reduce Purines - Alcohol, red meat, pulses
What RA drugs are safe in breatfeeding and pregnancy?
What is the management plan for Eistaxis?
How can you pick up saftey marks when talking about eczema?
- If you think it might be infected e.g pus or blood then come right back
- Use the correct amount of steroid cream.( one finger tip covers a whole palm)
- Use the correct amount of steroid cream.( one finger tip covers a whole palm)
What are the two names for a flat lestion?
<1cm = macule
>1cm = Patch
What are the differences between the three skin cancers?
BCC- 80% common, slow growing and locally invasive. Rarley met
SCC- arise of sun damaged skin, grow fast, can bleed and metastases
Melanoma - Superficial and dangerous, metastases
What is the managment plan for a metatarsal stress fracture?
Prolonged rest for 6-12 weeks in a "moon boot"
How would you explain hyperthyroidisim to a patient?
Your thyroid gland sits in your neck and its jump is to produce hormones. These hormones do lots of things in your body to keep everything working correctly. In your case your thyroid gland is overactive so you are making too many thyroid hormones resulting in the symptoms you are experiancing
How would you describe psoriasis?
Well demarcated scaly erythematous plaques on extensore surfaces. Silvery appearance
( give dimensions)
What must you remember to tell patients if you are prescribing a diuretic?
It will make you pee more
Come back in a week and we will check that your electrolyte balance is ok ( vitamins and minerals)
Theres a risk small risk that the medication might make you low in potassium. If this happens then you will start to feel tired with sore muscles, you might also notic some funny heart beats. If this does happen then come back to hospial
What is the management plan for impingement syndrome?
What "saftey marks" are available in Acne?
Ask about depression.
- Can cause mood change
How would you explain transient synovitis?
Inflammation around the hip joint. Medicine doesnt really know why we happen but we do know it is common after an infection.
How do you treat DKA?
How do you treat congenital hip dysplasia?
Must be worn constantly. Only to be taken off by a health proffesional
Lots of support because it can take some time for you and baby to get used to it
Where can you pick up Safey marks in a psoriasis station?
Correct steroid usage
Only use Vitamin D on the plaques
Try and avoid the sun
"If you are feeling really down about your psoriasis or depressed then please do come back. Im here to to help you"
If you think your plaques might be infected e.g blood or puss then come back
How do you treat Addison's disease?
Steroid replacement:- hydrocortisone and fludrocortisone
How would you explain Rosacea to someone?
Medicine as a whole does not know the whole process behind rosacea. What we do know is that it is an inflammatory process which results in a spotty rash across the face and nose.
How would you explain osteoporosis?
It means that your bones are weaker than normal, so they are much more fragile and likely to break.
Everyones bones deteriorate at different rates, just some peoples bones weaker faster than others
How would you explain psoriasis to a patient?
Medicine as a wole doesnt yet know the whole story with psoriasis. What we do know however is that it is and inflammatory condition which is causing your skin cells to be made really quickly. The main thing is that we can treat it
What is the management plan for eczema?
How do you treat hyperthyroidisim?
What is the management plan for Acne?
- Benzoyl peroxide
- Topical vitamin A derivatives
- Topical antibiotic - Clindamycin
- Dry skin, dry eyes, dry mouth, mood changes ( saftey net depression)
What saftey mark can you gain in an Epistaxis statin?
Are you taking Asprin or anything that thins your blood?
If its a child under the age of 2yrs then come to hospital
If you feel light headed and notice you are looking very pale then come back
come back if the bleeding is very heavy and/or lasts longer than 20 minutes
What is the treatment for osteoporosis and what saftey marks should you remember?
They help to strengthen your bones.
Small chance of tummy upset, if this is the case then come back.
Also very rarley people get pain in their jaw from it. Come straight back if this happens. Have you had dental work done on your jaw?
What is the treatment pathway for RA?
- Biologics (infliximab, rituximab)
what is the management for an ACL rupture?
Phsyio and brace
How do you treat Cushing syndrome?
Diagnose with dexamethasone suppression test
What is the management plan for rotator cuff tears?
Surgery has a 30% failure rate so if we can manage without then that would be alot better.
How would you explain RA to a patient?
It is an autoimmune disease which means your immune system which normally fights off infections is attacking the lining of your joints instead. This is resulting in you having sore, inflammed and stiff joints. Over time this leads to damage to the joint and the bone around the joint. However we are able to slow this process using medication and sometimes pretty much stop it all together
What is the management plan for Dupuytren's Contracture?
Surgery but it is likely to reoccur
How do you treat SUFE?
Surgery to pin the femoral head to prevent further slippage
How would you explain dupuytren's contracutre to a patient?
The connective tissue in your hand is thickening, evenually it gets so tight and thick it will pull back your ring finger
What important saftey marks should you remember to mention when starting a patient on methotrexate?
- Take Folic acid with it
- No pregnancy - Oral contraception + condoms
- Rarley Liver damage - LFT check in 2 weeks / carefull with alcohol
What are the red flags for child development?
6 month- unable to reach for objects
12 months- unable to sit supported
18 months- unable to walk
18 months - no speach
What is the checklist for ruling out viral tonsilitis?
History of fever
>3 = bacterial (give antibiotics)
what is the management plan for carpal tunnel syndrome?
Wrist splints + steroid injections
How would you explain Duchenne's muscular distrophy?
It is a genetic condition which results in the childs muscles not working properlly. It is progressive and very serious condition that gets worse with age. It can affect the muscles responsible for your heart beating and for breathing.
There is no cure but with can try our best to manage the symptoms
(death < 20 yrs)