GP Flashcards
(32 cards)
Deposition of copper in organs, especially liver
Wilson’s disease
Low birth weight, jaundice, seizures, increased risk of SID, developmental delays
Neonatal Abstinence Syndrome
Auto-antibodies against thyroid peroxidase, thyroglobulin and TSH receptors
Hashimoto’s thyroiditis
Hx of T1DM or thyroid dysfunction leads to increased risk of … after pregnancy?
Post-partum thyroiditis
High risk HPV genotypes
16 and 18
Post-partum GP visit: the 10 Bs
Bs: Baby, Blues, Breasts, Belly, Bottom, Bladder, Boinking, Birth control, Blood loss, Bowels
Asthma, sinusitis, eosinophilia
EGPA: eosinophilic granulomatosis with polyangitis (formerly Churg Strauss)
CFTS at 11.5-13.5 weeks involves
Maternal blood test: bhCG, PAPP-A + nuchal translucency
NIPT from 10 weeks (but $$$)
Measures cell free DNA fragments released from the placenta via maternal blood test
Diagnostic tests for chromosomal abnormalities in pregnancy
CVS (11-13.5 weeks) and amniocentesis (15-19 weeks) - both 1 in 100 chance of miscarriage, needle extraction –> karyotype
Yellowish raised growth on conjunctiva; a deposit of protein, fat or calcium
Pinguecula
Growth of fleshy tissue, may start as a pinguecula. May grow large enough to cover part of the cornea
Pterygium
Dry eyes, dry mouth, rheumatoid arthritis
Sjogren’s syndrome
Slightly elevated transaminases (AST and ALT) indicates
Hepatocellular injury: infection, alcohol, fatty liver or meds
10x higher than normal transaminases (AST and ALT) indicate
Hepatocellular injury: severe/acute injury e.g. drugs, acute viral hepatitis, hypoxia
Elevated ALP + GGT
ALP is also produced in bone, intestine and placenta. But since GGT is also elevated, we know the pathology is from the liver. Specifically cholestasis - biliary obstruction, infiltration from malignancy
What is elevated in both cholestatic and hepatocellular injury?
Bilirubin
What can low albumin mean?
Severe liver disease, but more often other causes like pregnancy, inflammation and malnutrition.
Distinctive facial features, hairy elbows, short stature and intellectual disability caused by a chromosomal mutation (autosomal dominant)
Weidemann-Steiner syndrome
How can you test for lactose/fructose intolerance?
Hydrogen breath test
Mnemonic for how to approach a rash
SCALDA: Size, Colour, Arrangement, Lesion morphology, Distribution, Always check hair, nails, mucus membranes and in between fingers and toes!
Abrupt onset of high fever w/o other symptoms, followed by maculopapular rash starting on trunk and spreading peripherally
Roseola infantum - self limited, no treatment required
Single oval shaped rose coloured patch on trunk, with smaller lesions developing later. May have mild URTI beforehand.
Pityriasis rosea
Hypersensitive rash to streptococcal tonsillopharyngitis which spreads throughout the body, sparing palms and soles. Sunburn-like, sandpaper-like papules
Scarlet fever - penicillin to treat strep infection