Flashcards in Misc Stuff Deck (48):
When is Men C given?
3m, 12-13m and 13-15 years
When is pneumovax given?
2, 4 and 12-13m
When is rotavirus vaccine given?
2 and 3m
What is in the 3fold DTaP vaccine?
Diphtheria polio and tetanus
What is given alongside DTaP at 2, 3 and 4m?
Haemophilus and pertussis vaccines
When is MMR given?
12-13m and 3yrs 4m
How do you take a cervical smear?
Rotate cytobrush 5x clockwise
What is foot slapping/steppage gait associated with?
Foot drop - sciatic/common fibular nerve damage
What is a diplegic gait associated with?
Periventricular stroke/lesions - swinging gait (circumduction) on both legs, arms held in mid/low guard position
When does uk breast screening take place?
3 yearly from 50-70
Being extended from 47-73
What normally happens to thyroid hormones in pregnancy?
T3 and T4 increase
What causes maternal T3/4 to increase physiologically in pregnancy?
Action of hCG
2 most significant complications of hypothyroidism in pregnancy? (1 Fetal 1 maternal)
What will happen to pre-existing hypothyroid disease in pregnant women?
Thyroxine requirements will increase
What is transient gestational thyrotoxicosis?
Due to increasing BhCG
What is postpartum thyroiditis? RFs?
Rebound autoimmune disease following birth looks a bit like Hashimotos; transient hyper then hypo may persist
Thyroid peroxidase enzymes (TPAs) are associated early in pregnancy, alongside hyperemesis
What normally happens to CVS in pregnancy?
CO up by 30-50% due to increase in SV and HR
Peripheral vascular resistance decreases
BP normally falls by roughly 30/15 second trimester
What normally happens to respiratory system in pregnancy?
Tidal volume increases, increasing vital capacity
Resp rate unchanged or marginally increased
What pH state is the body in during pregnancy? (Due to change in tidal volumes)
Respiratory alkalosis compensated by drop in bicarbonate
Why does reflux occur in pregnancy?
Progesterone releases LES
What imaging is required for kids presenting with UTIs?
All kids under 12 presenting with 1st UTI
Under 1s have whole shabang
1-3s have US and DMSA
Over 3s have US +/- DMSA
What monitoring is required for VUR in kids with UTIs?
Monitor with 4 yearly MAG3 Cystography as normally subsides
+/- Abx prophylaxis
What warrants lifelong BP monitoring in the context of paeds UTIs?
Confirmed scarring via DMSA/MCG
Triad of organ systems affected by Wegeners? (Granulomatosis with polyangiitis GPA) What antibody letter thingy is it mediated by?
URT/sinuses (chronic sinusitis, cough, haemoptysis)
Kidneys - blood, protein
Mediated by ANCA
What is Conns syndrome?
Aldosterone secreting adrenal tumour causing hypernatraemia and fluid retention (mega BP) alongside hypokalaemia
What is the test for acromegaly?
Oral glucose suppression test - if glucose doesn't suppress GH (IGF1) = acromegaly
What are the 2 manoeuvres used in checking baby hips?
Barlow (posterior and adduction pressure to click out)
Ortolani (anterior and abduction pressure to click in)
What type of immune vasculitis is HSP?
What is the tetrad of infectious tenosynovitis?
Digit held in flexion
Pain on extension
Flexor sheath tenderness
What is Rosacea?
Chronic inflammatory skin disease causing mega hyperreactivity of arteries so loads of red face and telangiectasias in response to heat, stress etc
Accompanied by papules and pustules but no commedones
What is Holmes Adie pupil?
Loss of parasymp so one big pupil that is slow to respond to light
More common in women in 30s/40s
What is Argyll Robertson pupil?
Neurosyphillis - bilateral small inward gazing pupils, non reactive to light but quick in response to accommodation
What triggers haemolysis in G6PD?
Oxidative drugs e.g. Aspirin, Nitrofurantoin
Rx for Ménière's?
Restrict salt, caffeine, alcohol etc. and fluid
What criteria is used to define acute rheumatic fever?
What is the difference between Hordeolum and Chalazion?
Hordeolum is an acute painful infection of gland etc on eyelid
Chalazion is chronic painless hard lump
Rx for SUFE?
Percutaneous screw fixation
4 rotator cuff muscles and functions?
Supraspinatus - abduction
Infraspinatus - external rotation
Teres minor - external rotation
Subscapularis - internal rotation
BLT Kosher Pickle of common cancer mets to bone?
Define chronic bronchitis?
Productive cough for >3m in at least 2 consecutive years
What is Boerhaeves syndrome? Common signs?
Complete lower esophageal rupture - mega bleeding, CP, shock
Crunching sound on heart auscultation due to pneumomediastinum and also surgical emphysema
3 things characterising nephritic syndrome?
Commonest cause of nephritic syndrome?
Bergers IgA nephropathy
Tetrad of nephrotic syndrome?
What causes infection and abscess in the context of long term IUD insertion?
Rash that starts as small herald patch before spreading from this?
Rash characterised by blistering which spreads under pressure, more common on arms and legs and in older women with autoimmune background?