Onemed year 4 Flashcards
(15 cards)
When is it normal to feel foetal movement during pregnancy?
24 weeks - definition due to legal liability.
Common pathogens for pelvic inflammatory disease
Chlamydia
Gonorrhea
Bacteriods
Complicated of PID?
Chronic pain
Tubular sub fertility
Ectopic
Risk factors for ectopic pregnancy
Previous surgery Hx ectopic Hx miscarriage IUP POP IVF
Criteria of hcg for viable pregnancy?
Increase of >66%
Systemic complications of RA?
Sjrogrens thyroid disease lung fibrosis Rheumatoid nodules Oesteoperosis
Red flags for ENT?
Persistent sore throat Hoarseness Dysphagia Odynophagia Weight loss Fevers Night sweats
Definitive surgical treatment of otosclerosis?
stapedectomy
Alternatively a hearing aid or BAHA can be used?
Treatment for ossicular erosions?
Ossicularplasty - reconstruct the ossicular chain of the conductive hearing.
Causes of sensorineural hearing loss?
Congenital Infection - Menigitis, ramsey-hunt syndrom Ischeamia - stroke Neoplastic - Acoustic neuroma Trauma Iatrogenic - gentamicin, ChT Idiopathic Presbycusis
Treatment for sensorineural hearing loss?
Hearing aid
Cochlear implant
What investigation for a unilateral sensorineural hearing loss?
MRI Head - to excluded acoustic schwanoma
Management of upper GI bleed in alcoholic cirrhosis?
- fluid resus
- tellopressin
- emergency OGD
What are the key BM values for gestational diabetes?
5678
fasting < 5.6
2 hour OGTT < 7.8
What is the management of gestational diabetes?
Screening at 24-28w Lifestyle + weight loss BM monitoring Medications - metformin, insulin booking and 28w ophthalmology check Planned delivery 37-39w