Dr. Hogan Bedside Tut #9 Flashcards Preview

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Flashcards in Dr. Hogan Bedside Tut #9 Deck (23)
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1

what kind of facial expression in parkinson's?

Flat affect

2

hyper or hypothyroidism has periorbital oedema?

hypothyroidism

3

Cup test to distinguish?

Parkinson's
Cerebellar dysfunction

4

what does someone with Parkinson's cup test look like?

decrease tremor with focus on task

5

how to isolate heart sounds?

patient to hold breath after expiration

6

3 classic signs of Parkinson's?

Brady Kinesia
Tremor
Rigidity

7

Early Signs of Parkinson's?

Anosmia
diminished arm swing
reduced movement during sleep

8

writing in early parkinson's?

micrographia

9

5 Causes of resting tremor:

Parkinson's
salbutamol
cerebellar dysfunction
Hyperthyroidism
benign essential tremor

10

4 Causes of Parkinson's?

Idiopathic
Drugs (MPTP)
Trauma (boxing)
Carbon Monoxide

11

reflex for Parkinson's?

Glabellar Tap

12

Alcohol abuse history, looks for what in face?

trophic tongue changes or mouth changes due to vitamin deficiency

13

what is 4% albumin used for?

volume expander as a colloid

14

what is 20% albumin used for?

replace hypoalbuminaemia

15

What is transudate?

less proteins and cells, change in osmotic pressure

16

what is exudate?

large amount of protein and cells in fluid, usually when capillaries vasodilate or an obstruction

17

number one cause of exudative ascites?

malignancy

18

If you have chronic liver disease, what are 3 causes of ascites?

mechanical congestion
hypoalbuminaemia
diminished catabolism of mineralcorticoids

19

If you have chronic liver disease, what are 3 causes of ascites?

mechanical congestion
hypoalbuminaemia
diminished catabolism of mineralcorticoids

20

5 causes of hypoalbuminaemia:

Chronic liver disease
nephrotic syndrome
protein losing enteropathy
kwashiorkor
massive burns

21

molecular weight of albumin?

70kDA

22

3 kinds of capillaries in body?

Continuous endothelial
Fenestrated
Sinusoidal

23

where do you find: Continuous endothelial
Fenestrated
Sinusoidal

Continuous endothelial: nearly all tissue
Fenestrated: small bowel, endocrine glands
Sinusoidal: liver, spleen, bone marrow