final push Flashcards
(23 cards)
MG antibodies
anti musk, anti ach, at NMJ
MG treatment
pyridostigmine, thymectomy, energy conservation,
prednisone but only short term as risk of adrenal suppression
Myasthenia crisis
resp difficulty, dropping peak flow, dropping FVC, inability to cough swallow
bedside test MG
FVC - less than 1L, or less than 15ml/kg
avoid meds in MG
aminoglycoside (gentamicin), fluoroquinolone (ciprofloxacin), magnesium, beta blocker, NMJ blockers
bloods in seizure
glucose, Us and Es, calcium, LFTs, FBC, toxicology
important investigations in seizure
EEG and MRI
common causes of seizures young adults
brain tumour, trauma, infection, hyponatraemia, alcohol, benzos
how long can’t drive first fit
6m
management first seizure
neurology referral not urgent unless high risk, AEDs not started after a single unprovoked seizure
neonatal sepsis with seizure early and late onset abx
benzylpen, gentamicin, amox
late onset - fluclox and gentamicin
EEG findings
3 hertz spike and wave, temporal spike, generalised spike and wave, polyspike- wave
aacg
sudden closure of the anterior chamber angle, blocked drainage of aqueous humour, rapid rise in intraocular pressure
pilocarpine MOA
constrict pupil
avoid in aacg
dim lights
screening qs before starting potent steroids topically
active skin infection, site of application, previous steroid use, skin thinning
screening tool for joint involvement in psoriasis
PEST
nail sign psoriasis
pitting - abnormal keratinisation
derm referral for psoriasis
severe, topicals failed, arthritis, uncertain diagnosis
psoriasis counselling
SE, no cure
SSNHL mx
urgen steroids 72 hours to reduce inflammation, differentiate from stroke (facial droop, vertigo, ataxia, slurred speech, diplopia - posterior circulation stroke )
supportive mx SSNHL
avoid noise, urgent ENT, emotional reassurance, safety net for red flags
