week one ward learning Flashcards

(20 cards)

1
Q

what are the causes of acanthosis nigricans

A
too much insulin (prediabetes)
gastric adenocarcinoma 
pituitary/ thyroid problems 
obesity 
medication
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2
Q

how does warfarin work

A

coumarin vit K antagonist

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3
Q

how does heparin work

A

antithrombin 3 promoter

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4
Q

how long is warfarin effective for

A

3 days

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5
Q

how long is heparin effective for

A

24 hours

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6
Q

what is obstructive jaundice

A

bile duct is blocked so bile cant reach intestine

pale stools dark urine

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7
Q

what is gastrografin

A

an iodine based contrast agent used in abdo X rays

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8
Q

what is octaplex

A

blood product used to reverse the effects of warfarin quickly

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9
Q

what is lynch syndrome

A

heriditary non polyposis colorectal cancer

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10
Q

what does SNAPS stand for when treating fistulas

A

sepsis
nutrition
anatomy
procedure

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11
Q

what must you always check on a ward round

A

TED stockings

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12
Q

what examination is easy to forget when examining the gi system

A

hernial orifices

Palpate and ask to cough

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13
Q

what sign suggests hypocalcaemia

A

trousseaus sign

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14
Q

what is erythema nodusum a sign of

A

crohns

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15
Q

what is xerostomia

A

dry mouth

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16
Q

what is cullens sign indicative of

17
Q

what is grey turners sign indicative of

A

peritoneal bleeding

18
Q

what questions can you ask patients about their stoma

A
what side is your stoma on 
whats the consistency of what you pass
how often do you pass stools 
how much comes out 
is it solid or liquid
is it a ileostomy/colostomy or urostomy
19
Q

how much liquid would you expect someone with a urostomy to pass per day

20
Q

what is a loop colostomy

A

loop of colon brought through the skin
double lumen
may be created to protect a healing anastomosis in which case usually found in the transverse colon
may be created to defunction obstructed bowel in which case they may be found in the LIF