Flashcards in Formative Assessment Pointers Week 4 Deck (18)
A paraneoplastic change, also known as myasthenic syndrome, involving hyporeflexia, proximal limb weakness and reduced autonomic activity.
Eaton Lamber syndrom
Local tumour spread that can cause effusion of the related anatomical cavity and atrial fibrillation
A feature of metastatic disease, found on examination and often affecting the neck. Cells from the primary tumour can be seen on aspiration or biopsy.
Causes pneumonia, or a pyrexia of unknown origin (Q fever). This infection is a zoonosis. Complicated cases can include a culture-negative endocarditis
This organism causes an atypical community acquired pneumonia. It is mostly seen in older children and young adults, and spreads from person to person
An organism that causes pneumonia, acute epliglottitis and exacerbations of COPD. It is gram negative and is cultured on chocolate agar
A boy is referred to genetics following investigation for repeated infections. He has had multiple viral and bacterial infections, and has had recurrent oral candidiasis. Clinically he has multiple facial features suggestive of a genetic cause to his condition. His investigations to date have revealed a low T cell count and hypocalcaemia. His cardiovascular system is abnormal.
A patient with psoriatic arthritis is started on an immunological therapy for their joint disease. They had no clinical features of chest disease prior to treatment, but now they are short of breath and feel generally unwell. A new chest x ray shows a suspicious cavitating lesion in their left lung apex.
Reactivation of latent TB
A 3 month old baby boy is referred to dermatology with recurrent skin rashes and infections, and the GP was unsure if this was eczema or another underlying diagnosis. His skin is noted to be abnormal across his whole body, and the underlying diagnosis is found to be a form of SCID, though his skin condition has a specific cause.
Graft vs Host Disease
Occurs when the airway is narrowed. May be distressing, can be associated with shortness of breath. Can be relieved with stents
An interruption in the sympathetic chain affecting the innervation of the face. Includes ptosis, anhydrosis and miosis
A lung cancer in the apex of the lung which can invade into the brachial plexus, causing wasting of the small muscles of the hand and interrupts sympathetic innervation to the head.
A 57 year old woman has been in hospital in the intensive care unit following GI surgery. She has been fed via a nasogastric tube, but the aspirate is inconclusive. On CXR the NG placement is found to be incorrect, but there is a further abnormality within her right lung field which you believe is secondary to this
A patient with slowly resolving pneumonia is found to have a new abnormality on CXR. It is unclear whether this requires drainage, surgical management or is likely to resolve. Investigations show pH 8.1, LDH 800, Glucose 3.5. Clear fluid on tap.
A 35 year old man is admitted to the acute medical unit short of breath. He seems generally unwell. On examination he has a low BMI (17), and you notice multiple bruises and infected puncture wounds on his extremities. He tells you he regularly injects various street drugs. He has a cardiac murmur and his CXR shows multiple small opacities throughout both lung fields
Right sided bacterial endocarditis
Early morning headache, no photophobia, distended external jugular vein, anastamoses visible on abdomen
A paraneoplastic change affecting the ends of long bones, causing pain and altered shape
hypertrophic pulmonary osteoarthropathy