continued Flashcards
(26 cards)
selegiline
MAOI
- > dont give withSSRI -> serotonin syndrome
drug mx of PTSD
venlafaxine or SSRI
risperidone in severe, if-
- disabling sx + behaviours - psychotic, severe hyperarousal
- not responded to others
key difference between TRALI + TACO
TRALI = hypOOOOOtension
TACO = HypERtensionn
1st line mxx for acute stress reaction
trauma-focused CBT
(EMDR for PTSD only)
best IV anaesthetic for trauma - where patient is hypotensive
Ketamine
- doesnt drop BP
when should COCP and HRT be stopped before surgery
4wks before
what follow up mx should be done for all breech babies at or after 36wks
US of hips at 6 wks
(irrespective of presentation at delivery / mode of deliv)
peak incidence of delirium ttremens
48-72hrs
- coarse tremor
- confusion, delusions
mx of intractable hiccups in palliative care
chlorpromazine
- SE = extra pyramidal SE
(or haloperidol)
anorexia in kids/teens first line tx
family based therapy !!
what excerbates pain of lateral epicondylitis
worse on wrist extension against resistance with elbow extended
supination of forarm with elbow extended
what is the usual outcome easure in a case-control study
Odds ratio !!
–> in such studies, we start with the disease status and then look back at the exposure. The odds ratio compares the odds of exposure in the cases to the odds of exposure in controls
safest drug to used for rheumatoid in pregnancy
sulfasalazine
common complication of chicken pox
secondary infection
- cellulitis
- necrotizing fasc -> group A strep
NSAIDs may increase this risk
Obvious leucocytosis with eosinophilia and basophilia visible. Large numbers of immature granulocytes but no blast cells visible. – management?
imatinib - tyrosine kinase inhibitor
(chronic myeloid leukaemia)
not meeting milestones, drooling and is making lots of slow, writhing movements of his hands and feet. struggles to hold onto objects such as toys.
diagnosis
dyskinetic cerebral palsy
If in the past the patient has not had capacity to make a decision, but today for this decision you feel she has, how do you proceed?
consent from her only
- Capacity is time and decision dependent
someone wants DNACPR but as you walk away they choke and arrest
initiate CPR, call for help, …
- this is a non invisaged arrest
- classic exam q - choking or hit by bus
timing of swelling in meniscus vs ACL
ACL swell immediately (due to haemarthrosis)
meniscal tears swell over time
management of candidiasis in pregnancy
clotrimazole pessary
- pH <4.5
SUFE mx
internal fixation - single cannulated screw placed in centre of epiphysis
mx to rapidly reduce no. of sickle cells
exchange transfusion
also for sickle crises
cystic firbosis in for annual review, sputum grow pseudomonas aeruginosa, new compared to culture last year, systemically well - next steps?
prescribe oral ciprofloxacin
first line medical mx of endometriosis
NSAIDs and or paracetamol
then COCP can be tried
