ILA high yield topics Flashcards
1
Q
RF for self harm
A
- Socioeconomic disadvantage
- Social isolation
- Stressful life events
- Mental and physcial health problems
- Alcohol or drug misus =e
2
Q
Suicide risk after self harm
A
Increased, esp if:
- Repeated episodes
- Males
- Expressed intent
- Physical health problems
3
Q
Mx self harm
A
- Physical or psychological risk = urgent referral
- Treat minor injury
- Self poisoning = emergency
4
Q
Self-harm review
A
- Within 48 hours in primary care to assess risk and needs
5
Q
Long term SH management
A
- Harm minimization techniques and alternative coping strategies
- Care and crisis plan
- Refer for psychological interventions if needed
6
Q
define hallucination
A
sensory perception that occurs in the absence of actual external stimulus
7
Q
define delusion
A
abnormal belief held with subjective certainty which requires no external proof, held inf ace of contradictory evidence and personal significance to person involved
8
Q
Positive psychosis symptoms
A
- Disorganised behaviour
- Thought disturbance
- Delusions
- Hallucinations
9
Q
Negative psychosis sx
A
- Emotional blunting
- Reduced speech
- Loss of motivation
- Self neglect
- Social withdrawal
10
Q
Schizoid personality disorder
A
- Indifference to praise or criticism
- Preference for solitary activities
- Lack of interes in sex or companionship
- Emotional coldness
- Few interests
- Few friends
11
Q
Antisocial personality disorder
A
- Fail to conform to social norms
- Repeatedly lying, impulsiveness, irritability and aggression
- Consistent irresponsibility
- Lack remorse
12
Q
Borderline personality disorder
A
- Emotionally unnstable
- Unstable relationships alternating between idealisation and devaluation
- Impulsivity in self damaging area
- Recurrent suicidal behaviour
13
Q
Obsessive compulsive personality disorder
A
- Occupied with details and ruls
- Perfectionism that hampers with tasks
- Dedicated, meticulous, scrupulous
- Unwilling to share tasks
- Stiff and stubborn
14
Q
Bipolar disorder
A
- Characterised by episodic depressed and elated moods and increased activity
15
Q
Manic episode
A
- Abnormally and persistently elevated, expansive or irritable mood lasting at least 1 week
- At least 3 other sx
- Severe enough to cause marked impairement in social or occupational functioning
- Psychotic eatres
16
Q
hypomanic episode
A
- Sx for 4 days
- Not severe enough to cause marked impairement in functioning
- No psychotic features
17
Q
bipolar management
A
- Psychological interventions
- Lithium = mood stabiliser
- Stop antidepressant if manic/hypomanic
18
Q
Bulimia DSM 5
A
- Recurrent binge eating
- lack of control
- recurrent inappropriate compensatory behaviour to prevent weight gain
- this ocurs at least 1 week for 3 months
19
Q
Anorexia DSM5
A
- Restriction of energy intake relative to requirements keading to significantly low body weight
- Intense fear of gaining weight
- Disturbance in way ones body weight or shape is experienced
20
Q
Learning disability
A
- Reduced ability to understand new or complex information, new skills
- Reduced ability to cope independently
- Started before adulthood with a lasting effect on development
21
Q
Learning diffuculty
A
- Children and young people who have specific learning difficulties = dyslexia
- No significant general impairement of intelligence
21
Q
Learning diffuculty
A
- Children and young people who have specific learning difficulties = dyslexia
- No significant general impairement of intelligence
22
Q
CAM criteria for delirium
A
- Confusion that has developed suddenly and fluctuates
- Inattention
- Disorgansied thinking
- Altered LOC
23
Q
PTSD
A
- More than 1 month
- Re experiencing
- avoidance
- hyperarousal
- Emotional numbing
24
anxiety mx
- sertraline
- alternative ssri or snri
pregabalin
25
In primary care, child with purpuric rash - what do you give
IM benzylpenicillin
26
Mx bacterial meningitis
- >3m = ceftriaxone
- <3m cefotaxime and penicillin
27
Bacterial infection LP features
- Cloudy
- High protein
- Low glucose
- High neutriphils
28
Viral infection LP features
- Clear
- Mild proteins
- Normal glucose
- High lymphocytes
29
What does a salmon pink rash in a child with a limp show
JIA
30
JIA Tx
- NSAIDs
- DMARD
31
Criteria to diagnose kawasaki
- CREAM
- Conjunctivitis
- Rash (maculopapular)
- Erythema
- Adenopathy
- Mucosal involvement
- strawberry tongie
32
kawasaki management
- IvIG 10 days
- aspirin
33
Why dont normally give children aspirin
- Reyes syndrome
34
Diagnosing DKA
- Hyperglycaemia = >11 mmol/l
- Ketosis = >3mmol/l
- Acidosis = pH <7.3
35
DKA Mx
- Correct dehydration evenly over 48 hrs
- Fixed rate insulin infusion
36
Treatment of congenital hypothyroid
- Levothyroxine before 2 weeks old
- 10 - 15 mcg per kg
37
DD in sepsis
MISFITS
Metabolic
Inborn disorders metabolism
Sepsis
Formula
Intestinal
Toxins
Seizures
Trauma
Heart disease
Endocrine
38
Congenital adrenal hyperplasia
- Congenital deficiency of 12 hydroxylase = underproduction cortisol and aldosterone and overproduce androgens
- AR
39
S=S CAH
- Virilised genitalia
- Enlarged clitoris
- Hyponatraemia hyperkalaemia and hypoglycaemia
- Poor feeding
- vomiting
- dehydration
- arrhythmia
40
Mx CAH
- Hydrocortisone
- fludrocortisone
41
Croup cause
parainfluenza
42
tx croup
oral dexamethaone = 0.15mg/kg
- oxygen
- nebulised budenoside
- nebulised adrenaline
43
cause of bronch
RSV
44
when is prevention of bronch done
- Monoclonal antibody to RSV (palivizumab) in high risk rpe term babies
45
inheritance of CF
AR
46
S+S CF
- chronic cough
- thick sputum
- recurrent respiratory tract infections
- steatorrhoea
- abdo pain and bloating
FTT
47
Sweat hloride result for CF
>60 mmol/l
48
HF S+S paeds
- FTT
- SOB on exertion and feeding
- murmur
49
UTI
look at your mindmap its great
50
nephrotic syndrome diagnostic criteria
- Proteinuria
- Hypoalbuminaemia
- Oedema
51
mx nephrotic
- Steroids
- 60mg/m2 per day prednisolone
52
mx constipation
- movicol
- lactulose
- dietary advice
- disempaction
- NG kleanprep if severe
53
causes of cerebral palsy
- Antenatal = maternal infection, trauma in pregnancy
- perinatal = birth asphyxia, pre term birth
- postnatal = meningitis, jaundice, head injury
54
EEG absence seizure
- Fast generalised spike and wave discharges (3-5hx)
- bilaterally synchronous
55
Juvenile myoclonic epilepsy
- Myoclonic jerks after waking up
- Clumsy
56
squint
look at slides
57
Respiratory distress syndrome
- Can occur after C section as fluid not squeezed
58
harmful se of jaundice
kernicterus = encephalopathy from unconj bili in basal ganglia
59
pelvic organ prolapse
look
60
Reasons for failure to progress labour
PPP
Power
Passenger
Passage
61
Significance of meconium liqour
- sign of hypoxia and predictor of poor foetal outcome
- can indicate foetal distress
- breech = thick pure mec
62
time of thrombolysis
- within 4.5hrs onset
- ischaemic stroked only
63
optic neurtis
- reduced visual acuity over few days
- pain on moving eye
- exacerbated by heat or exercise
- afferent pupillary defect
- dyschromatopsia
64
typical ms features
- opti neuritis
- pyramidal weakness, spatic paraparesis
- sensory disturbance
- cerebellar sx
- bladder
- lhermitte and uhtoff
- fatigue
- umn signs
65
RF falling
- previous falls
- fear of falling
- gait and mobility
- balance
- drugs
- cardiovascular
- cognitive impairement
- incontinence
- stroke
- DM
