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#ENT

Antibiotics in Pharyngitis

April 12, 2024

Ampicillin and amoxicillin should be avoided in patients with pharyngitis when glandular fever is considered a possibility as it may cause…

#Ophthalmology

Hypertensive retinopathy classification

April 11, 2024

You have one TORToise, who NIPPS you twice, you need three COTTON WOOL to BLOT the bleeding (haemorrhages), before(be-four) the swelling starts (papi…

#Ophthalmology

Laser photocoagulation

April 11, 2024

  Following panretinal laser photocoagulation up to 50% of patients have a noticeable reduction in their visual field

#Ophthalmology

Acute angle-closure vs Primary open-angle

April 11, 2024

Short sighted (myopia) - you are short in primary school - primary open angle associated with myopia Far sighted (hypermetropia) - you g…

#Ophthalmology

Pharyngoconjunctival fever

April 10, 2024

Caused by adenovirus Fever Pharyngitis Periauricular lymphadenopathy Bilateral conjunctivitis Corneal involvement  

#Acute #Endocrinology

Myxoedemic coma

April 10, 2024

Severe hypothyroidism Hypothermia, hyporeflexia, bradycardia and seizures Medical emergency Thyroid hormone replacement, and glucocorticoid…

#Drug #Endocrinology

Diabetes Sick Day Rules

April 10, 2024

Type 1 diabetes if a patient is on insulin, they must not stop it due to the risk of diabetic ketoacidosis check blood glucose more frequentl…

#Endocrinology #OBGYN

Insulin dose changes

April 10, 2024

DKA: long-acting insulin should be continued, short-acting insulin should be stopped (to prevent hypos after the fixed rate insulin is stopped) …

#Endocrinology

Maturity-Onset Diabetes of the Young

April 10, 2024

Maturity-onset diabetes of the young refers to any of several hereditary forms of diabetes mellitus caused by mutations in an autosomal dominant gene…

#Drug #Neurology

Carbamazepine

April 10, 2024

Drug Class Anti-convulsant Mechanism GABA-mediated inhibitory transmission in the CNS  Typical Dose …

#Drug #Neurology

Phenytoin

April 9, 2024

Drug Class Anti-convulsant Mechanism Alters transmembrane movement of Na+/K+ by blocking voltage-gated Na+ channels -…

#Drug #Neurology

Levodopa

April 9, 2024

Drug Class Dopamine precursor Mechanism Crosses blood-brain barrier and converted by enzyme dopa decarboxylase …

#Drug #Respiratory

Oxygen

April 9, 2024

Drug Class Therapeutic gas Mechanism Specifically binds to Hb and dissolves in plasma Typical Dose Ox…

#Drug

Prednisolone

April 9, 2024

Drug Class Corticosteroid Mechanism Inhibits phospholipase A2 activity - arachidonic acid production …

#Drug #Respiratory

Ipratropium Bromide

April 9, 2024

Drug Class Anticholinergic Mechanism Blocks ACh - inhibit parasympathetic pathway which is responsible for smoot…

#Surgery

Combined Oral Contraceptive

April 9, 2024

COCP = 4 letters = 4 weeks Should stop taking 4 weeks before surgery

#Haem

Abnormal coagulation

April 9, 2024

Too much clotting: CLOT C - C/S deficiency L - Leiden (factor V) O - Odd (mutated) prO-thrombin T - anTi-thrombin III deficiency Too much blee…

#Haem #ID

Neutropenia sepsis

April 9, 2024

  Gram-positive bacteria such as Staphylococcus epidermidis are the most common cause of neutropenic sepsis

#Haem

Memorising the leukaemias

April 9, 2024

  Increasing age--------------------------------------------------------------------> ALL CML AML CLL …

#Drug #Respiratory

Salbutamol

April 9, 2024

Drug Class β2 agonist Mechanism Stimulates β2 receptors in the airways generating cAMP …

#Cardiovascular #Drug

Enoxaparin

April 8, 2024

Drug Class Low molecular weight heparin Mechanism Activation of antithrombin causing inactivation of coagulation…

#Cardiovascular #Drug

Streptokinase

April 8, 2024

Drug Class Thrombolytic Mechanism Binds to circulating plasminogen forming activator complex Converts…

#Cardiovascular #Drug

Clopidogrel

April 8, 2024

Drug Class Anti-platelet agent Mechanism Irreversibly to the platelet P2Y12 receptor, inhibiting ADP-mediated pl…

#Cardiovascular #Drug

Aspirin

April 8, 2024

Drug Class Anti-platelet agent Mechanism Irreversible COXI and COXII inhibitor Typical Dose 75g OD - …

#Cardiovascular #Drug

Amiodarone

April 8, 2024

Drug Class Anti-dysrhythmic (Class III) Mechanism Prolongs refractory period in all parts of conduction system - …

#Cardiovascular #Drug

Digoxin

April 8, 2024

Drug Class Cardiac glycoside Mechanism Inhibits Na/K pump - ↑ intracellular Na conc inhibiting N…