Passmed Flashcards
(51 cards)
What does liver and neurological disease indicate?
Wilson’s disease
What is wiskott-Aldrich stroke?
X linked recessive disorder presents in infancy or early childhood with eczema, recurrent infections (due to immunodeficiency), and thrombocytopenia with small platelets leading to bleeding problems
What is friedreich’s ataxia?
Friedreich’s ataxia is a neurodegenerative disorder that typically presents before adolescence with progressive gait instability (ataxia), dysarthria, loss of deep tendon reflexes and hypertrophic cardiomyopathy
What investigation to confirm pancreatic cancer?
CT scan
-> faecal elastase is only for exocrine function
What i
What is used in management of oesophageal cancer early stage?
Surgical resection
What is performed in locally advanced prostate cancer?
Neoadjuvant chemoradiotherapy is used for locally advanced oesophageal cancer to downstage the tumour before surgery
What should be done if a patient has already tried topical aminosalicylate for UC and is currently on oral?
DO NOT DO HIGHER DOSE BECAUSE THEY ARE CLEARLY NOT RESPONDING
Try steroid
What causes a palpable pass in epigastric region and repeated superficial thrombophlebitis?
Pancreatitis which is associated with Trousseau’s causing migratory thrombophlebitis
What is Courvoisier’s law?
Painless obstructive jaundice with smooth non tender meats in RUQ is pancreatic cancer.
What is the LFT pattern for pancreatic cancer?
obstructive pattern with markedly elevated bilirubin and alkaline phosphatase (ALP)
What causes symptoms of diarrhoea, abomdinal pain and bloating to improve after taking antibiotics?
Small bacterial overgrowth syndorme
What is indicated for prophylaxis of variceal bleeding?p
Propanolol and Terlipressin
What is used to determine severity of C.diff?
white cell count
What are enteral features of lfe threatening i bwelo infections
hypotension, partial or complete ileus, toxic megacolon, or CT evidence of severe disease
WHAT IS TERLIPRESSIN?
VASOPRESSIN ANALOGUE
WHAT is alpha fto protein associated with?
Germ cell tumours
Hepatocellular carcinoma
When is urgent referral to hepatology indicated for NAFLD?S
USPECTED MAIGINACY
What is the anagement of acute mesenteric ischaemia?
Laparoscopy
What should be suspected in IBD and rigours, fever and sore throat sudden onset
Agranulocytosis with the use of masala zine which presents with sudden onset rigors, fever and sore throat
When are negative pressure rooms used?
Airborn communicable diseases ike tB
How to differentiate between chronic pancreatitis and pancreatic cancer?
Chnic pancrreatititis repeated episodes of abdominal pain and often relates to chronic alcohol consumption or genetic predispositionsor
Pancreatic cancer has weight loss, recent onset diabetes and history fo smoking
What does simultaneous dilation of common bile duct and pancreatic duct indicate?
Double duct sign seen in pancreatic cancer has weight
What liver pathology occurs after cardiac arrest?
Ischaemic hepatitis which will show extremely high LAT
