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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the scores for qSOFA? |
RR >22, GCS<15, SBP<100 |
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What are the parameters of CURB65? |
confusion, urea>7, RR >30, BP <90/60, age>65) - severe pneumonia if 2 or more |
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What are the parameters of the Glasgow Coma Scale? |
Eyes: spontaneous, to sound, to pressure, none Verbal: orientated, confused, words, sounds, none Motor: obey commands, localising, normal flexion, abnormal flexion, extension, none
Mild 13-15, moderate 9-12, severe 3-8 |
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What is the NEWS score and what are its parameters? |
National Early Warning Score for sepsis; parameters = RR, ox sats, SBP, HR, confusion/consciousness, temperature |
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What is the Mantoux skin test and what is it used for? |
a test for immunity to tuberculosis using intradermal injection of tuberculin |
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What are treatments for TB? |
Rifampicin Isoniazid Pyrazinamide Ethambutol (only if Rifampicin/isoniazid resistance) |
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What is the NYHA classification used for and what are its components? |
Heart failure staging Asymptomatic Mild = SOB +/- angina; slightly limits ADL Moderate = only comfortable at rest; markedly limits ADL Severe = symptoms even at rest; usually bedbound |
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What is the Duke criteria used for and what are its parameters? |
Endocarditis = 2M or 1M + 2m or 5m Major = typical organism in >=2 blood cultures; pos echocardiogram or new valve regurgutation Minor = predisposition; fever; vascular phenomena; immunological phenomena; atypical organism in blood cultures |
2 major; 5 minor |
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What is Well's clinical score used for and what are some of its parameters? |
Active cancer Recently bedridden Calf swelling >3cm compared to other leg Collateral superficial veins present Entire leg swollen Localised tenderness along deep venous system Pitting oedema only in symptomatic leg Paralysis/paresis of lower extremity Previously documented DVT |
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What is Light's criteria for and what are its parameters? |
Exudative pleural effusion LDH > 2/3 upper limit normal Pleural/serum protein ratio >0.5 Pleural/serum LDH ratio >0.6 |
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What is Whipple's Triad used for and what are its parameters? |
Symptoms of hypoglycaemia (insulinoma) → autonomic → moderate/severe (late symptoms) = neuroglycopaenic Measured plasma glucose → <2.8 for normal (some <2.2), <4 for insulin-treated DM Better after glucose treatment → 15-20g fast acting carb + IM glucagon, IV dextrose (if severe) + longer acting carb to prevent further drop in blood sugar
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What is the Leeds Acne Grading System and what is it used for? |
Pictorial method to diagnose + follow up on acne |
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Name 3 scoring systems for psoriasis |
DLQI (dermatology life quality index), PASI (psoriasis area and severity index), PEST (psoriasis epidemiology screening tool) |
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What is the Enron classification used for and what are its parameters? |
Cellulitis treatment 1) not systemically unwell - flucloxacillin, doxycycline, vancomycin 2) systemically unwell or significant comorbidities - ceftriaxone 3) systemic upset/limb threatening vascular compromise 4) sepsis/severe life threatening complications - admit for IV therapy +/- surgical management |
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What is SCORTEN used for and what are its parameters? |
Used for toxic epidermal necrolysis |
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What staging system would you use for subarachnoid haemorrhage and what are its parameters? |
(WFNS grades I-V) – based on GCS (3-6, 7-12, 13-14 with/without deficit, 15) |
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What is the Conn Score (West Haven classification) used for staging and what are its parameters? |
Hepatic encephalopathy |
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How would you assess the severity of cirrhosis? |
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What are the parameters of the Glasgow alcoholic hepatitis score? |
Glasgow alcoholic hepatitis score (GAHS) = age >/< 50, WCC >/< 15, urea >/< 5, PT ratio >/< 1.5-2, bilirubin >/< 125-250 → score 1-3 |
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What is the Rockall score used to assess? |
risk prediction for survival on admission for GI bleed → age, shock, co-morbidity |
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What is the Glasgow-Blatchford score used for and what are its parameters? |
need for intervention or death in context of GI bleed → blood urea, Hb, BP, melaena/syncope/hepatic disease/HF |
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What is the Gleason score used for and how is it calculated? |
1st zone + 2nd zone = Gleason score Used for prostate cancer |
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What treatment regime is used to treat bladder cancer? |
MVAC Methotrexate Vinblastine Doxorubicin Cisplatin |
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What is the Nottingham index used for staging and what are its parameters? |
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How would you assess the severity of breathlessness in COPD? |
MRC Dyspnoea Scale Grade 1: Dyspnoea on strenuous exercise. Grade 2: Short of breath when hurrying or walking up a slight hill. Grade 3: Walks slower then contemporaries on level ground because of breathlessness, or has to stop for breath when walking at own pace Grade 4: Stops for breath after walking about 100 meters or after a few minutes on level ground Grade 5: Too breathless to leave the house, or breathless when dressing or undressing |
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What is the Ankle Brachial Pressure index? |
Ankle Brachial Pressure Index ABPI (blood pressure comparison between upper and lower limbs) should be roughly equal; 0.8 ratio might suggest occlusion and need vascular arterial assessment; >1.1 ratio might suggest calcification |
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What is the Marsh classification used for and what are its parameters? |
Coeliac disease |
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