continued Flashcards
(21 cards)
pathophys brain changes in alzheimers
cerebral atrophy mainly involving cortex + hippocampus
is neuroimaging required to diagnose dementia
yes !
MRI
what should peak expiratory flow be before discharge post acute asthma attack
> 75% of best or predicted
food with gluten in it
rye bread
barley
wheat
couscous
role of dexamethasone in meningitis mx
improves outcomes by reducing neurological sequelae
mx of Patient with acute asthma who do not respond to full medical treatment and are becoming acidotic
intubation + ventilation
(NOT BiPAP - thats in COPD NOT asthma)
min time between first and second puff of salbutamol
30secs
isolated loe eGFR - CKD stage?
NOO !! can only diagnose CKD if supporting evidence to the eGFR - eg abnormal U&Es, proteinuria
patient with severe diarrhoea and excess fluid therapy, what likely to see on ABG?
hyperchloraemic metabolic acidosis
indapamide affect on potassium
hypOkalaemia
fever on alternating days - diagnosis?
malaria !!
- headache, myalgia + foreign travel
strong suspicion of PE but delay in scan
start treatment dose apixaban whilts waiting
(LMWH used to prevent PE NOT treat)
drugs that exacerbate psoriasis
betablockers!
antimalarials
discontinuing steroids
initiating NSAIDs
lithium
order of tx in pernicious anaemia? what can happen if not?
B12 first thenn folate replacement
- can precipitate subacute combinded degen of spinal cord
adverse effects of PPIs
hyponatraemia
hypomagnesaemia
osteoporosis
microscopic colitis
increase risk of cdiff !!
what indicates patients with CKD should be started on an ACEi
if ACR >30
what vaccine should be offered to MSMs
hep A vaccine
management of wide QRS complex tachycardia with potassium of 7
syncronished cardioversion
(ie done manage the K, manage the VT)
what medication should be given to patient with alcoholic liver cirrhosis post upper GI bleed PRIOR to endoscopy
antibiotic prophylaxis
- reduce mortality in cirrhotic patients with GI bleeding
“hook-like osteophytes at the 2nd and 3rd digits at the metacarpophalangeal joints “
haemochromatosis
- secondary osteoarthritis
what drug type is terlipressin
vasopressin analogue
