kaylea_clark@yahoo.co.uk 4th Year Medical Student Medic Cram!!!! kaylea_clark@yahoo.co.uk 4th Year Medical Student
Cardiology
SHE’S OVER 55 KNOW THE STUPID PICTURE Amlodipine
CHEST PAIN + FOOD = GORD
PREVIOUS EPISODES = ANGINA CHEST PAIN OVER 30mins – THINK MI
Does this look like a “saw tooth to you?
*Previous question = Atrial Flutter
NYHA – New York Heart Association
Respiratory
What is the BIGGEST cause of COPD!!!
CTPA = GOLD STANDARD!!!
What is the likely diagnosis at this point?
EXPLANATION ON NEXT PAGE
Explanation Peak flow would be investigation of choice for asthma. An echocardiogram would be used to diagnose Valvular disease. An ECG may be used to show ischemic changes in MI or heart failure. It can also be considered in COPD if features of heart failure or cor pulmonale are present. Sputum culture would be used to diagnose a pneumonia. May also be considered in COPD to identify organisms if recurrent infection. COPD should be suspected in anyone aged over 35, with any risk factors (eg smoking) with: exertional dyspnoea chronic cough (3 months +) regular sputum production regular winter bronchitis wheeze A diagnosis of COPD is made using spirometry, where the FEV/FVC ratio is < 0.7. FEV1 value can also be used as a good indicator of future morbidity and mortality. A chest X-ray is also suggested on diagnosis in order to rule out a tumour or pneumonia, but cannot be used to diagnose COPD.
Endocrine
LOW Na+ HIGH K+ ALWAYS ADDISONS
READ THE QUESTION --- MOST COMMON
Oral glucose tolerance test in normal patients GH is suppressed to < 2 mu/L with hyperglycaemia in acromegaly there is no suppression of GH SPADE LIKE HANDS = ACROMEGALY
Features of hypothyroidism Goitre: firm, non-tender Anti-thyroid peroxidase and also anti-Tg antibodies
LOW Na+ HIGH K+ Remember….
ADDISONS!!!!!
Anti TPO - Hashimoto
Gastrointestinal
RIF MASS = CROHNS
Theres a Triad here Bonus points if you can get the name?
ASCENDING CHOLANGITIS TRIAD = CHARCOTS = ASCENDING CHOLANGITIS
G Gall Stones E Ethanol T Trauma S Scorpion Sting M Mumps A Autoimmune Steroids H Hyperlipideamia ERCP D Drugs
Distended abdomen BOWEL OBSTRUCTION
Air in gall bladder = Gallstone ileus
GRADUAL DYSPHAGIA…..
GRADUAL = MALIGNANCY
DYSPHAGIA FROM THE START…..
START = ACHALASIA
Achalasia It looks like a ‘birds beak’ ‘beaking’
Remember GET SMASHED????
G Gall Stones E Ethanol T Trauma S Scorpion Sting M Mumps A Autoimmune Steroids H Hyperlipideamia ERCP D Drugs
PAINLESS JAUNDICE?
Painless Jaundice = PANCREATIC CANCER
Fatty Food = GALL STONES/COLIC
Neurology
Read the question!! What raises GGT?
“A few months ago she had blurred vision” = MS
LEARN THESE STUPID TRACTS
Radial is the BEST B – Biceps E – Extensors S – Supinator T - Triceps
C7 POINTS TO HEAVEN
HE HAS COPD!!!!
CO2 + FLAP = He’s Retaining YOU TEST THIS IN YOUR RESP EXAM
Shakes + Weight Loss – THINK THYROID
Bones & Joints
HE HAS FOOT DROP
THE END GOOD LUCK!!!!!!