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128 Cards in this Set
- Front
- Back
Risk factors for spinal cord injury?
|
MVA
Young male Trauma High Falls Osteoporosis Diving Surfing |
|
Primary prevention for spinal cord injury?
|
Education - diving
Legislation Randomized Breathe Testing Seat belts, child safety seats, Safer roads & cars Random breath testing, legislation Helmut use, diving education, workplace safety Falls prevention measures and education |
|
Secondary prevention for spinal cord injury?
|
Protective Equipment – harnesses, helmets, etc
Improved retrieval, specialized care, early decompression |
|
Tertiary prevention for spinal cord injury?
|
Immobilization
Aggressive management Steroid injection Rehabilitation Rehabilitation programs Education and self management re: health maintenance (regular check ups, nutrition, exercise, pressure area care |
|
Risk factors for stroke?
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Diabetes
Dyslipidemia FHx HTN Atrial fibrillation Age Males Myocardial infarction Smoking Cocaine OCP Obesity |
|
Primary prevention for stroke?
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Discourage smoking
Promote healthy diet, active lifestyle Monitor BP |
|
Secondary prevention for stroke?
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Lower BP
Antithrombotic agents Carotid revascularization Warfarin anticoagulation Lipid lowering agents Aspirin FAST |
|
Tertiary prevention for stroke?
|
Aspirin as soon as possible
Avoid full dose heparin Management in an acute stroke unit Thrombolysis if readily available |
|
Risk factors for dementia?
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FHx
Head injury Low education ApoE4 Smoking Aluminium Down Syndrome Alcoholism Prion disease |
|
Primary prevention for dementia?
|
Healthy diet, exercise
Education |
|
Secondary prevention for dementia?
|
Cognitive exercises
MMSEs for elderly |
|
Tertiary prevention for dementia?
|
cholinesterase inhibitors
memantine (NMDA) antidepressants trazadone carer support |
|
Risk factors for epilepsy/seizures?
|
Idiopathic
FHx Head trauma Drug withdrawal |
|
Primary prevention for epilepsy/seizures?
|
Helmet laws
|
|
Secondary prevention for epilepsy/seizures?
|
Good compliance
Good sleep patterns Helmets Avoid strobes/triggers - hypoglycemia |
|
Tertiary prevention for epilepsy/seizures?
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Medication
Avoid triggers |
|
Risk factors for birth defects?
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Folate deficiency
Teratogenic medication smoking Maternal age |
|
Primary prevention for birth defects?
|
Education – age, toxins
Folate fortification |
|
Secondary prevention for birth defects?
|
Folate supplements
Abstain from alcohol |
|
Tertiary prevention for birth defects?
|
amniocentisis
|
|
Risk factors for meningitis?
|
URTI
Penetrating head injuries Neurosurgery Cancer & immunodeficient states Alcohol Contact with infected patients |
|
Primary prevention for meningitis?
|
Vaccination – influenzae, HIP
education |
|
Secondary prevention for meningitis?
|
Face masks & gowns
Prophylactic antibiotics notification |
|
Tertiary prevention for meningitis?
|
Antibiotics
Csteroids |
|
Risk factors for migraine?
|
Female
Travel Menstruation Stress Sleep deprivation OCPs |
|
Secondary prevention for migraine?
|
Prophylactic medication
Trigger avoidance |
|
Tertiary prevention for migraine?
|
Medication
Rest |
|
Risk factors for Multiple Sclerosis?
|
Female
Higher latitude (before age 16) FHx HLA – DR15 |
|
Tertiary prevention for Multiple Sclerosis?
|
Avoid heat
Csteroids Interferon-beta methotrexate |
|
Risk factors for Parkinson's Disease?
|
MPTP
Smoking Coffee Pesticides genetic |
|
Secondary prevention for Parkinson's Disease?
|
PPE – head
|
|
Tertiary prevention for Parkinson's Disease?
|
L-DOPA
DBS COMT inhibitors MOAI |
|
Risk factors for depression?
|
Childhood abuse
Thyroid disease Brain injuries Chronic disease Social isolation Parental mental health |
|
Primary prevention for depression?
|
Exercise & Diet
Positive Parenting Program (Triple P) Depression campaigns |
|
Secondary prevention for depression?
|
Exercise
Educating social support |
|
Tertiary prevention for depression?
|
Antidepressants
Exercise CBT/counselling ECT |
|
Risk factors for schizophrenia?
|
FHx
Drug abuse GAD-65 |
|
Tertirary prevention for schizophrenia?
|
antipsychotics
|
|
Risk factors for thyroid disorders?
|
Female
Thyro-gastric autoimmunity Iodine deficiency |
|
Primary prevention for thyroid disorders?
|
Iodine fortification (salt, milk)
|
|
Secondary prevention for thyroid disorders?
|
Investigations
|
|
Tertiary prevention for thyroid disorders?
|
Surgery
Medications Iodide supplementation Carbimazole or PTU |
|
Risk factors for T2DM?
|
Dyslipidemia
HTN Obesity FHx PCOS Age History of Gestational Diabetes ethnic |
|
Primary prevention for T2DM?
|
Food labels
Health promotion Smoking cessation |
|
Secondary prevention for T2DM?
|
Exercise
Diet Weight loss Monitor HbA1c Statins Education about food |
|
Tertiary prevention for T2DM?
|
Metformins
Insulins Regular monitoring HbA1c/BSLs |
|
Risk factors for infertility?
|
Age
Gynaecological issues Obesity Chronic disease Radiation Tubal disease misconception |
|
Primary prevention for infertility?
|
Promote exercise
education |
|
Secondary prevention for infertility?
|
Reduce BMI
More sex Investigations |
|
Tertiary prevention for infertility?
|
Adoption
Surrogacy IVF |
|
Risk factors for steroid excess?
|
Taking steroids
Pituitary tumour |
|
Primary prevention for steroid excess?
|
legislation
|
|
Tertiary prevention for steroid excess?
|
Remove steroids
Surgery for tumour Monitor Correct electrolyte imbalances |
|
Risk factors for STIs?
|
Unprotected sex
Multiple partners Other STIs Prior infection IVDU Sex worker MSM Contact with infected person |
|
Primary prevention for STIs?
|
Education
Barrier Contraception Immunization Abstinence Reportable disease |
|
Secondary prevention for STIs?
|
Barrier Contraception
Screen high-risk populations Targeted education |
|
Tertiary prevention for STIs?
|
Barrier Contraception
Antibiotics Antivirals Education Wart removal Contract tracing |
|
Risk factors for obesity?
|
Lower SES
smoking |
|
Primary prevention for obesity?
|
Active lifestyle
Good diet Food labels |
|
Secondary prevention for obesity?
|
Active lifestyle
Good diet |
|
Tertiary prevention for obesity?
|
Active lifestyle
Good diet |
|
Risk factors for uterine cancer?
|
Late menopause
Nulliparity Prolonged unopposed estrogen exposure Obesity Other cancers Familial Cancer Syndromes Polycystic ovarian disease Hypertension Diabetes |
|
Secondary prevention for uterine cancer?
|
Oral Contraceptive Pill
Alcohol Progestogens |
|
Risk factors for Benign Prostatic Hyperplasia?
|
Age
Male |
|
Secondary prevention for Benign Prostatic Hyperplasia?
|
PSA
DRE |
|
Tertiary prevention for Benign Prostatic Hyperplasia?
|
Alpha-inhibitors
|
|
Risk factors for prostate cancer?
|
Male
Age Genetics Urban Black High dietary fat smoking |
|
Primary prevention for prostate cancer?
|
Screening programs
Education Health Care Campaigns |
|
Secondary prevention for prostate cancer?
|
PSA
DRE |
|
Tertiary prevention for prostate cancer?
|
Finesteride
Radiotherapy |
|
Risk factors for Acute Kidney Injury?
|
Crush injuries, rhabdo
Hypotension Iatrogenic IV contrast Infection dehydration |
|
Primary prevention for Acute Kidney Injury?
|
Access to drinking water
|
|
Secondary prevention for Acute Kidney Injury?
|
Hydration
|
|
Tertiary prevention for Acute Kidney Injury?
|
Hydration
Correct electrolyte imbalance Dialysis Antibiotics Remove obstructions |
|
Risk factors for Chronic Kidney Disease?
|
T2DM
HTN GN Recurrent UTIs Indigenous Polycystic renal disease Analgesic renal disease Obstructive nephropathy |
|
Secondary prevention for Chronic Kidney Disease?
|
Screening
Monitoring Treat HTN Treat T2DM |
|
Tertiary Prevention for Chronic Kidney Disease?
|
Dialysis
Kidney transplant Low protein diet Dietary restrictions – water/Na, potassium, ACE-I |
|
Risk factors for Kidney Stones?
|
Dehydration
Genetic – AH-I/-II UTI – Summer (stone belt) |
|
Primary prevention for Kidney Stones?
|
Education
Varied diet |
|
Secondary prevention for Kidney Stones?
|
Vitamin C
Hydration Reduced caffeine and tomatoes |
|
Tertiary prevention for Kidney Stones?
|
Diet - Vitamin C,
Avoid – caffeine, tomatoes Nephrostomy Lithotripsy Allopurinol/ chlorthalidone |
|
Risk factors for Gallstones?
|
Fat
Female Fair Forties Age Estrogen (OCP, pregnancy) Rapid weight loss Bile stasis Hyperlipidemia syndromes Chronic haemolytics syndromes Increased unconjugated Bilirubin Biliary infection GI disorders – Crohn’s, CF |
|
Primary prevention for Gallstones?
|
Promote healthy lifestyle
|
|
Secondary prevention for Gallstones?
|
Low fat intake
Statins |
|
Tertiary prevention for Gallstones?
|
ERCP
Statins |
|
Risk factors for peptic ulcers?
|
H pylori
NSAIDs Stress ZE syndrome smoking |
|
Primary prevention for peptic ulcers?
|
Education re: NSAIDs
Legislation re: dosages |
|
Secondary prevention for peptic ulcers?
|
Triple therapy
Urea breathe test screen PPI |
|
Tertiary prevention for peptic ulcers?
|
Triple therapy
Quadruple therapy PPI |
|
Risk factors for Acute Liver Disease?
|
Alcohol
Hepatitis virus Paracetamol OD IVDU Haemachromotosis |
|
Primary prevention for Acute Liver Disease?
|
Vaccinations
Legislation – dosages Education re: alcohol |
|
Risk factors for Acute Liver Disease?
|
Vaccination
Needle exchange Protocol for needle stick injuries |
|
Primary prevention for Acute Liver Disease?
|
N-acetyl cysteine
Liver transplant Correct hypoglycaemia PPIs |
|
Risk factors for Chronic Liver Disease?
|
Alcohol
Hepatitis virus Paracetamol OD IVDU Haemachromotosis Alpha-1-antitrypsin def Wilson’s disease |
|
Primary prevention for Chronic Liver Disease?
|
Vaccinations
Legislation – dosages Education re: alcohol |
|
Secondary prevention for Chronic Liver Disease?
|
Vaccination
Needle exchange Protocol for needle stick injuries |
|
Tertiary prevention for Chronic Liver Disease?
|
Liver transplant
Antivirals Diurectics for encephalitis |
|
Risk factors for Coeliac disease?
|
White
Northern latitudes HLA-DQ2/DQ8 Female FHx |
|
Primary prevention for Coeliac disease?
|
Proper labelling
|
|
Secondary prevention for Coeliac disease?
|
Education
Biopsy |
|
Tertiary prevention for Coeliac disease?
|
Biopsy
GFD |
|
Risk factors for Inflammatory Bowel Disorders?
|
FHx
Autoimmune cluster Parental smoking Caucasian, Ashkenazi Jews Lack of smoking (UC) |
|
Secondary prevention for Inflammatory Bowel Disorders?
|
Alcohol avoidance
Smoking cessation |
|
Tertiary prevention for Inflammatory Bowel Disorders?
|
Steroids
Smoking cessation 5-ASA Methotrexate, azathioprine, 6-MP Antibiotics Antidiarrhoeals Infliximab Surgical resectioning |
|
Risk factors for Infectious Diarrhoea?
|
Low SES
Contact with infected individuals lack of clean drinking water poor food hygiene pregnancy elderly/young |
|
Primary prevention for Infectious Diarrhoea?
|
Purification of water
Vaccination Proper waste treatment Proper food hygiene |
|
Secondary prevention for Infectious Diarrhoea?
|
Proper food hygiene
Hand washing notification |
|
Tertiary prevention for Infectious Diarrhoea?
|
Antibiotics
Antidiarrhea agents Rehydration |
|
Risk factors for Colorectal Cancer?
|
HNPCC, FAP
Smoking Diet – high fat, meat, alcohol, IBD Age Adenomatous polyps Previous CRC, breast or gonadal cancers Obesity Sedentary lifestyle Diabetes Acromegaly Genes – hMSH2, hMLH1 |
|
Primary prevention for Colorectal Cancer?
|
Patient education
National screening program (fecal occult) Healthy lifestyle (diet/exer) |
|
Secondary prevention for Colorectal Cancer?
|
Screening >50yo
Colonoscopy/biopsy Diet Weight loss DRE Virtual colonoscopy CEA screening |
|
Tertiary prevention for Colorectal Cancer?
|
Surgery
Chemo/radiotherapy Palliation Mets screening Surveillance for re-occurrence |
|
Risk factors for Lung Cancer?
|
Smoking
Urban centre Occupational exposures Other cancers Radiation Arsenic, chromium, nickel HIV Parenchymal scarring |
|
Primary prevention for Lung Cancer?
|
OH&S
Legislation for smoking, asbestos Anti-smoking campaigns Age restrictions of smoking Regulation on air pollution |
|
Secondary prevention for Lung Cancer?
|
Smoking cessation
PPE – breathing apparatus Removing risk factors |
|
Tertiary prevention for Lung Cancer?
|
Treat paraneoplastic
Chemo/radio surgery |
|
Risk factors for Cervical Cancer?
|
Early age of sex
HPV infection (16,18) Female age |
|
Primary prevention for Cervical Cancer?
|
Population screening
Population vaccination Education |
|
Secondary prevention for Cervical Cancer?
|
Screening
Colposcopy Biopsy |
|
Tertiary prevention for Cervical Cancer?
|
Chemo/radio
Surgery - hysterectomy |
|
Risk factors for Breast Cancer?
|
Female
BRCA1/2 HRT/OCP |
|
Primary prevention for Breast Cancer?
|
Population screening – mammograms
Promote self-screening Education |
|
Secondary prevention for Breast Cancer?
|
Mastectomy
Screening Genetic testing |
|
Tertiary prevention for Breast Cancer?
|
Lumpectomy
Mastectomy Radiation Chemotherapy Aromatase inhibitor tamoxifen |
|
Risk factors for HIV/AIDS?
|
Unprotected sex
Other STIs Multiple partners IVDU Drug/alcohol use MSM Vertical transmission |
|
Primary prevention for HIV/AIDS?
|
Education – safe sex
Abstinence Circumcision legislation |
|
Secondary prevention for HIV/AIDS?
|
Vaccination
Caesarean sections Free condoms Targeted education |
|
Tertiary prevention for HIV/AIDS?
|
Antiretroviral therapy
Treat complications Education notification |