MU4 Ward Round Pearls Flashcards Preview

Hugh's MD2 Gen Med > MU4 Ward Round Pearls > Flashcards

Flashcards in MU4 Ward Round Pearls Deck (20):
1

What do you think of with an isolated hyperbilirubinaemia?

Gilbert's syndrome

2

What is the medical term for sunken chest? What are its complications?

Pectus excavatum

Often asymptomatic but may cause displacement of the heart to the left and restricted ventilatory capacity

2

What are two causes of pleural effusions due to abdominal causes?

Sympathetic effusion due to exudate (eg from subdiaphragmatic abscess or pancreatitis)

Hole in the diaphragm

3

What are is the acronium for CXR interpretation?

A - Airways

B - Bones

C - Cardiac

D - Diaphragm

E - Effusion

F - Fields

 

3

What are the 10 consequences of alcoholism?

Cirrhosis

Wernicke's encephalopathy

Korsakoff psychosis

Cerebellar ataxia

Subdural/extra dural bleeds due to falls

Cardiac myopathy

Acute/chronic pancreatitis

Proximal myopathy

Peripheral neuropathy

Psychosocial

5

What must be considered when perscribing atenolol in the elderly?

It is renally secreted therefore the dose must be reduced as renal function declines with age

6

What is the MELD score used for?

Mortality for post-operative risk in patients with cirrhosis

7

What infections are worried about with a patient without a spleen?

Pneumonoccus

Neisseria meningitidis

Haemophilus influenza`

7

What should you think of when you see dilated chest wall vessels?

SVC compression

7

What are the 4 causes of seizures in alcoholics?

1. Electrolyte disturbances

2. Subdural/Extradural bleed due to alcohol induced fall

3. Hypoglycaemia due to depletion of glycogen stores

4. Alcohol withdrawal

8

What percentage of elderly females will have bacteria in the urine?

>70%

 

9

What is empysematous pyelonephritis?

A severe infection of renal parenchyma where there is gas accumulation in the tissues. It is commonly seen in diabetics. Can be fatal if not treated.

11

How do you calculate the MAP?

1/3(Systolic - Diastolic) + Diastolic

13

What should you have in the back of your mind with Italian patients?

Thalassemia

15

What does a haemolytic screen consist of?

Full red blood cell count

Peripheral Blood smear

Serum Lactate dehydrogenase

Serum Haptoglobins

Indirect bilirubin

16

How can you tell if bacteria in the urine of elderly women is signficant?

WBC >300

Other symptoms

17

How long would you expect fever to persist in a patient with acute pyelonephritis that is apropriately treated?

72 hours

18

What are some common sources of infection for septic arthritis?

Haematogenous spread secondary to:

Skin infections

UTIs

IVDU

19

Which antibiotics put people at particularly high risk for C. difficile infection?

Clindamycin

Quinolones

3rd and 4th generation cephalosporins

Augmentin duofort

20

What is platypnea and why does it occur?

SOB that is relieved upon lying

Weakened abdominal muscles cause lowering of the diaphragm which is improved with pressure from the abdominal organs below