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Flashcards in Post-it notes Deck (33):
1

SCC of the ear symptoms

Discharge (may be bleeding)
Hearing loss
Progressive otalgia

2

Why do you give life-long thyroxine in follicular thyroid cancer?

Follicular thyroid cancer is sensitive to TSH which may stimulate regrowth of tumour

Give life long thyroxine as this will suppress the production of TSH

3

Histology of tonsils

Squamous
Deep cysts
Lymphoid follicles

4

Adenoid histology

Collumnar
Deep folds

5

Columnar and deep folds, what am I? Hint Rory bradshaw

Adenoids

6

Centor Criteria

Fever
Absence of cough
Lymphadenopathy (anterior cervical)
Pus

2+ points --> antibiotics

7

Hammans sign?

Crunching rasping sound, hear over precordium
"Mediastinal crunch" = air in the mediastinum
Oseophageal rupture, cardiac surgery, alveolar rupture

Most often seen in young women

8

MEN 1

Parathyroid
Pituitary

9

MEN 2A

Medullary thyroid carcinoma
Adrenal (phaeochromocytoma)
Parathyroid

10

MEN 2B

Medullary thyroid carcinoma
Adrenal

Typical phenotype: slim body habitus, neuromas of lips, tongue and GI tract

11

Toxic megacolon

Transverse >5.5cm
Caecum >9 cm

12

Unilateral red eye with photophobia, pain and mild reduction in visual acuity
SMALL PUPIL

Iritis
-pupil is smaller than unaffected side
-hypopyon may be seen

13

Hypo-osmolality
Hyponatremia
Increase in urine osmolality

SIADH

14

Targets of the children's diabetes team?

Routine screening (microvascular disease, BP, retinal, urine-creatinine ratio)

Registration on SCI

HbA1C < 58 mmol/mol
(if had for less than 1 year = <48 mmol/l)

15

Ramsay Hunt Syndrome

When shingles affects your facial nerve

16

Which organ tends to be spared in PAN?

The lungs

17

Waldeyers ring

Adenoids (pharyngeal)
(Palatine) tonsils
Lingual

18

Rheumatoid arthritis and the eyes

Dry eyes (keratoconjunctivitis sicca)
Scleritis
Corneal melt (peripheral ulcers)

19

Branch vein occlusion

Painless disturbance in vision
May be asymptomatic
May be aware of loss of part of field

20

Tympanometry

Assess the mobility of the tympanic membrane
-might use this and audiometry in OME

21

Two beta blockers which reduce mortality in any grade of heart failure

Carvedilol
Bisoprolol

22

PAPILLARY DERMAL MICROABSCESSES

Dermatitis herpetiformis

23

Treatment for undifferentiated thyroid cancer

Cervical radiotherapy
(or radio. in combo with chemo)
Undifferentiated will not respond to radioiodine

24

Corneal ulcer symptoms

Pain + + +
Photophobia
Profuse lacriamtion
Vision may be reduced
Red eye - circumcorneal

25

ACEi contraidndications

Renal artery stenosis
Pregnancy
Previous angioedema

26

Severe hypotension and dehydration precipitated by intercurrent illness, accident or operatino

Addisonian crisis

27

Menetriers Disease

Giant gastric folds
Hyperplasia of gastric outs, atrophy of glands and increase in mucosal thickness

28

Unilateral throat pain and odynophagoa
TRISMUS (locking jaw)
3-7 days of preceding acute tonsilitis

Peritonsillar abscess
Treatment = aspiration and Abx

29

Maculopapular rash
Stomatitis
Conjunctivitis
Symblepharon (when eye fuses to eye lid)
Occlusion of lacrimal glands
Corneal ulcers

Stevens-Johnson syndrome

30

Patella dislocation managment

Reduction with extension
X-ray
Aspiration
Brace
Physio

31

Drugs to use in BP management for gestational diabetes

Labetalol
Nifedipine
Methyldopa

Give folic acid 5mg
Avoid ACEi, statin

32

Side effect of chloramphenicol

Aplastic anaemia

33

Conditions with trendelenberg gait?

CDH
DDH
SUFE
Muscular dystrophy
Cerebral palsy