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15 Cards in this Set
- Front
- Back
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What cancers is tumour lysis syndrome associated with? What can precipitate it? Why is it caused? |
High grade lymphoma's and leukaemia's Starting combination therapy can precipitate this Caused by breakdown of tumour cells, can lead to hyperkalaemia and high phosphate levels |
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What and when do you give prophylaxis for Tumour lysis syndrome? |
Give Allopurinol. Give it prior to chemotherapy. |
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Pt with lymphoma comes in complaining of having a seizure and has an arrhythmia. They started combination chemo yesterday. What is the diagnosis? |
Tumour Lysis Syndrome |
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Which bone diseases can someone have due to underlying Hepatic problems? |
Osteoporosis and more rarely osteomalacia |
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What measure is used to see the severity of COPD? |
FEV1 |
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What will spirometry and a CXR show in someone with COPD? |
Spirometry - Post bronchodilator FEV1/FVC ratio of 0.7 CXR - Hyperinflation, flat hemidiaphragm, bullae |
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Pt comes in with pain and tenderness of the elbow. The pain is worse on wrist extension or supination...both when the elbow is extended. What is the likely diagnosis? |
Lateral Epicondylitis (tennis elbow) |
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Pt comes in with pain at the elbow. Symptoms are exaggerated on wrist flexion and pronation. Sometimes the 4th and 5th fingers tingle too. What is the diagnosis? |
Medial epicondylitis (golfer's elbow) 4th/5th finger symptom is due to ulnar nerve involvement. |
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Pt comes in with a painful red eye. Also says he can't stand looking at bright lights and his vision is blurry. Examination reveals a small, fixed oval pupil with cilliary flush. |
Anterior Uveitis |
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What effect does cocaine have on the brain? |
It affects the monoamine neurotransmitter. And thus blocks the uptake of dopamine (blocks the dopamine transporter protein), noradrenaline and serotonin. |
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25 year old lady comes in complaining of lumpy breasts. On examination she has discrete lumps which are mobile. What is the diagnosis? |
Fibroadenoma |
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45 year old lady comes in complaining of painful breasts, particularly near her periods. Says she has felt some lumps too. What is the likely diagnosis? |
Fibroadenosis |
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What would a breast lump that is cancerous feel like? |
Hard and rubbery with possible nipple inversion or skin tethering. |
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Woman comes in with a red, thickened areolar region on her breast. There is also some flakiness/eczema on the nipple. What is the likely diagnosis? |
Paget's disease of the breast (intraductal carcinoma) |
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A 55 year old lady who is obese comes in complaining of a hard breast lump. She mentions last week there may have been trauma to the breast during a car accident. What is the diagnosis? |
Fat necrosis |
