opic Flashcards
(44 cards)
vomiting post fall needs
CT head
after fall always mention
confusion screen - Us and Es, FBC, CRP, LFT, TFTs, haematinics, bone profile
ramipril could be causing
orthostatic hypotension
think really carefully aboutt
opening line, and probing questions that are open to get max info abt the fall
if they have hallucinations you can say
you would speak to a specialist about further meds
other aspects of fall
environment, lighting, dementia charities
postural instability - don’t say functional
what is aricept
donepezil
mixed dementia on donepezil with worsening symptoms add on
memantine
other options for BPSD
lorazepam or antipsychotics
who deals with packages of care
adult social care
in dementia always explore
mood components
charities for dementia support
alzheimers society, dementia UK,
BPSD antipsychotic medication
drowsiness, dizziness, and confusion. They can also worsen dementia symptoms, increase the risk of falls, and even lead to stroke or premature death. Some common side effects include muscle stiffness, shaking, and problems with movement.
after 36 weeks is it likely a transverse lie baby will move
no
You can attempt external cephalic version for a transverse lie if the
amniotic sac has not ruptured
If a pregnant woman is not immune to rubella, she should be
offered the MMR vaccination in the post-natal period
abortion meds
Oral mifepristone and vaginal misoprostol
A 64-year-old woman presents with a 1 month history of post-menopausal bleeding. Her only medication is aspirin 75 mg once daily. An ultrasound scan of the uterus shows an endometrial lining thickness of 4.1 mm. An endometrial pipelle biopsy is taken but is inconclusive. What is the next step?
hysteroscopy with biopsy
perineal tears classification and RF
A 22-year-old woman presents to the early-pregnancy unit with painless vaginal bleeding. She had a positive urine pregnancy test 6 weeks ago. An ultrasound shows an unruptured left tubal pregnancy that is 36mm in size. There is a detectable foetal heartbeat. Her serum beta-hCG level is 6,150 IU/L.
mx
Laparoscopic salpingectomy would be the most appropriate surgical management as the patient has no history of contralateral fallopian tube damage. The removal of the affected fallopian tube would be the most effective way to prevent the progression of the intratubal pregnancy while maintaining fertility.
Laparoscopic salpingotomy would not be indicated here. This is a surgical procedure that is reserved for women with risk factors for infertility. It involves an incision made into the fallopian tube, through which the ectopic pregnancy is removed. Its goal is to terminate the intratubal pregnancy whilst preserving the fallopian tube. There is no evidence of contralateral tube damage in this case, and as this procedure is less effective than salpingectomy, it would not be appropriate here.
do you use hba1c in GDM
no HbA1c of 6.5% may suggest diabetes in a non-pregnant individual, but it is not used to diagnose gestational diabetes due to physiological changes during pregnancy that can affect HbA1c levels.
baby losing weight after birth mx
If a breastfed baby loses > 10% of birth weight in the first week of life then referral to a midwife-led breastfeeding clinic may be appropriate
when emergency contraception with missed COCP
could be considered if she had missed two or more pills in the first week of starting the COCP or after a pill-free week and presented within 72 hours of unprotected sexual intercourse (levornogestrel) or 120hrs (ulipristal acetate)
metformin when breastfeeding?
yes
