PACES Flashcards
what should you look for on examination of someone with OSA
Ask for BMI and measure neck circumference
BP
examine neck and orofacial region - goitre, large tongue, enlarged tonsils and low lying soft palare
listen to lungs - osa co-exists with COPD
listen for P2
check for leg oedema
how do you classify the severity of OSA
The apnea-hypopnea index (AHI)
-combined average number of apneas and hypopneas that occur per hour of sleep
what question should you ask someone that with marfanoid habitus
Family history
Cardiac sx - SOB, Palpiations, dizziness on standing or syncope
Previous pneumothorax
Joint pain, double jointed or joints gets easily dislocated
Skin stretch easily? burise?
sight
what does s3 sound indicate?
s3 is a low pitched and indicates rapid ventricular filling from LA
what are the complications of of Mitral regurg
- AF - due to LA enlargement
- Pulmonary oedema
- Pulmonary hypertension
- Endocarditiis
what is the name of the score to assess for join hypermobility
Beighton score
How would you investigate someone with marfnoid habitus
- ECHO - Aortic root dilatation
- Slit lamp- Ectopia Lentis
- Systemic score >/= 7
of note Lorsartan - slow progression of aortic root dilatation
Cerebellar signs
1 gaze evoked nystagmus
2 dysarthria
3 intention tremor
4 dysmetria - results in past pointing during finger nose test
5 dysdiadochokinesia
6 heel shin incoordination
7. Broad base and gait
Causes of lower motor neurone of facial palsy
Bell’s palsy
Brain stem stroke tumor or demyelination
Cerebellopontine angle tumour e.g acoustic neuroma
Ramsey hunt syndrome -herpes zoster of geniculate ganglion
Middle ear infection
Lyme disease
Sarcoidosis’s
GBS
Parotid tumour or parotidedtomy
what are the extra-renal manifestation of polycystic kidney disease
Liver cyst
Aneurysm
MVP in 25%
