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safest opioid to use in renal impairment
Buprenorphine as it is the safest opioid choice in patients with renal impairment.
prochlorperazine vs chlorpromazine
prochlorperazine = for vertigo
P for Puke
chlorpromazine = antipsychotic
C for craaazy
management of renal stones <5mm
watchful waiting, follow up imaging in 4 weeks
most common malignancy associated with acanthosis nigricans
gastrointestinal adenocarcinoma
management of pagets
bisphosphonates
xray - Findings of mixed lytic/sclerotic lesions
raised ALP
management of tines capitis
oral antifungal
topical ketonazole for 2 weeks to prevent transmission
commonest bacterial cause of otitis media
HAEMOPHILUS INFLUENZA
mx of vestibular neuronitis going on for 3 months
vestibular rehabilitation exericses
- indicated for more chronic vertigo sx
meineres mx
betahistine
management of otitis externa in DIABETICS
ciprofloxacin
–> to cover pseudomonas
At what GCS should patient be intubated
less than 8
transjugular intrahepatic portosystemic shunt (TIPS) procedure connects which vessels
hepatic vein and portal vein
management of Suspected asthma in children < 5
8 to 12 week trial of twice-daily paediatric low-dose ICS as maintenance therapy + SABA as required
bronchodilator therapy in kids with acute asthma attacks
- give a beta-2 agonist via a spacer (for a child < 3 years use a close-fitting mask)
- give 1 puff every 30-60 seconds up to a maximum of 10 puffs
if symptoms are not controlled repeat beta-2 agonist and refer to hospital
Ottawa ankle rules (for ankle x-ray)
pain in malleolar zone + 1 of;
- tenderness in medial malleolar
- tenderness in lateral malleolar
- inability to weight bear 4 steps
most common ligament injured in ankle sprain
ATFL
- anterior talofibular ligament
what can be added to insulin in the mx of T1DM when BMI >25
metformin
