Notes in Medicine::MD4::Teaching content (Western)

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Published	02/04/2024	Inpatient glycaemic targets:Most patients: {{c1::7.5}} +/- {{c1::2.5}}Renal impairment: {{c1::5}} - {{c1::12}}Frail/Multimorbid: {{c2::5}} -…
Published	02/04/2024	Withhold these medications in hospital when:Metformin:{{c1::AKI}}{{c1::Very unwell}}{{c1::Contrast scan}}SU:{{c2::AKI}}{{c2::Not eating}}{{c2::Very un…
Published	02/04/2024	Key determinants of inpatient DM management:1. {{c1::Oral intake}}2. {{c1::Degree of illness}}3. {{c1::Pre-admission control (HbA1c)}}4. {{c1::Renal f…
Published	02/04/2024	{{c1::Most}} inpatients should have OHG withheld{{c1::All}} inpatients should recieve a sliding scale
Published	02/04/2024	Sliding scales are determined by:{{c1::Weight}} if insulin naive or {{c1::Pre-admission insulin requirements}}
Published	02/04/2024	If twice out of BSL range (5-10) (i.e. having to use sliding scale twice) in 24 hours, commence {{c1::basal/regular (not PRN) insulin}}
Published	02/04/2024	When considering a change in insulin regimen because BSL's are out of range, consider:{{c1::Which insulin is active at the time of the out of range gl…
Published	02/04/2024	Fasting plans:Day before:Nothing needs to change the day before except {{c1::withholding SGLT2i}}Day of:Withhold all {{c1::OHG}}Withhold {{c…
Removal Requested	02/04/2024	Test
Removal Requested	02/10/2024	Test
Removal Requested	02/10/2024	TEST TEST {{c1::TEST}}
Published	02/11/2024	Most common ECG change in raised ICP is: {{c1::Widespread giant T-wave inversions}}
Published	02/11/2024	Tools to rule out PE:{{c1::Wells}}{{c1::PERC}}
Published	02/16/2024	Adult anaphylaxis management in ED:Adrenaline: {{c1::3}} doses of {{c1::500mcg::dose}} adrenaline each {{c1::5}} minutes apartIf symptoms st…
Published	02/14/2024	Overdoses:Benzodiazapines: {{c1::Dilated}} pupils.Opioids: Pinhole {{c2::pupils}}Severe {{c2::respiratory depression}} Reversal with {{…
Published	02/23/2024	Osteoporosis management:Aim to start anti- resorptive therapy in hospital if Vitamin D {{c1::>50nmol/I}}, normal {{c1::Calcium}} and {{c1::Phosphat…
Published	03/02/2024	Primary biliary cholangitis - the {{c1::M}} ruleIg{{c1::M}}anti-{{c1::Mitochondrial}} antibodies{{c1::Middle aged females::population}}
Published	03/02/2024	Patients who've had a catheter ablation for atrial fibrillation {{c1::still::do/do nor}} require long-term anticoagulation
Published	03/08/2024	SpO2 of {{c1::90%}} = ABG PaO2 of {{c2::60}}
Published	03/08/2024	Raised bicarbonate on blood gas in pt with COPD indicates {{c1::chronic hypoventilation}}
Published	03/08/2024	Normal male catheter size:{{c1::14}} - {{c1::16}}
Published	03/08/2024	Diverticulitis surgical management options:{{c1::Hartmanns}}{{c1::Anterior resection}} if very well and could tolerate {{c1::anastomoses}}
Published	03/08/2024	ABG needle size:{{c1::23G}}
Published	03/10/2024	Post-thyroidectomy hematoma causing airway obstruction - what do you do?:{{c1::Cut open sutures ASAP::}}
Published	03/10/2024	Anti-phospholipid syndrome antibodies are {{c1::lupus anticoagulant (LA)}} and {{c1::anti-cardiolipin antibodies (aCL)}}
Published	03/11/2024	Primary Biliary Cirrhosis is associated with {{c1::Rheumatoid arthritis}}Primary Sclerosing Cholangitis is associated with {{c1::Ulcerative …
Published	03/13/2024	Autoantibody to test for Autoimmune pancreatitis:{{c1::IgG4}}
Published	03/13/2024	10mmol of KCl increases K+ levels by ~{{c1::0.1}}
Published	03/13/2024	Hypoglycaemia management:If concious: {{c1::Glucogel}}If unconcious with IV access: {{c1::IV Dextrose 50%::route + intervention}} {{c1:…
Published	03/17/2024	Surgical prophylaxis:Most procedures: {{c1::Cefazolin::drug}} {{c1::2g::dose}} {{c1::IV::route}}Timing: Within {{c1::60 minutes}} …
Published	03/25/2024	Gradual withdrawal of systemic corticosteroids if patients have:{{c1::received more than 40mg prednisolone daily for more than one week}}{{c1::receive…
Published	04/03/2024	Investigations to establish cause of pancreatitis:Imaging:{{c1::Abdo USS}}{{c1::MRCP}}Bloods:{{c1::IgG4}}{{c1:::Lipid studies}}
Published	04/12/2024	Max rate of flow on Alaris pump is {{c1::999mL/hr}}
Published	04/12/2024	K+ administration should not exceed a rate of {{c1::10mmol/hour}}Fluid bag choices:{{c1::10mmol KCl in 100mL ("Mini bag")}} to be infused over {{…
Published	04/12/2024	5 pillars of HFrEF management:{{c1::ACEi/ARB}}{{c1::B-blocker}}{{c1::MRA (i.e. spiro)}}{{c1::Neprilysin inhibitor}}{{c1::SGLT2i}}{{c1::Frusemide}} for…
Published	04/12/2024	Blood test raised in heart failure:{{c1::BNP}}If on Entresto, must order {{c1::Nt-pro-BNP}} instead
Published	04/12/2024	NYHA Classification:NYHA I:{{c1::No}} limititation of PA{{c1::No symptoms}} during {{c1::ordinary}} PANYHA II:{{c1::Slight}} limititation of PA{{…
Published	04/12/2024	Diagnosis:HFrEF: Signs + symptomsLVEF {{c1::<40}}%HFmrEF: Signs + symptoms LVEF {{c1::41-49}}%HFpEF: Signs + symptomsLVEF >{{c1::…
Published	04/12/2024	A cardiac resynchronisation therapy (CRT) implantable device is for {{c1::advanced heart failure}}
Published	04/12/2024	Must take {{c1::crossmatch}} before giving {{c1::O-}} blood in massive transfusion protocol
Published	04/12/2024	Differentiating SVT vs Atrial flutter:{{c1::Younger populations with SVT vs older with flutter}}{{c1::Trial of adenosine}}
Published	04/12/2024	If severe ST depression in anterior leads (V1-4) suspect {{c1::posterior STEMI (V7-9 for posterior MI)}}
Published	04/12/2024	STEMI elevation criteria:> {{c1::2}}mm elevation in chest leads> {{c1::1}}mm elevation in limb leads
Published	04/21/2024	Multiple myeloma blood tests:{{c1::SPEP}}{{c1::Free light chains}}
Published	04/21/2024	Domperidone vs Metoclopramide:Domperidone does not {{c1::cross the BBB}}, therefore has less {{c1::CNS adverse effects}}
Published	04/21/2024	Peripheral stigmata of IE:{{c1::Osler nodes}} - {{c2::tips of toes/fingers::location}} {{c2::painful::painful/painless}}{{c1::Janeway lesion…
Published	04/21/2024	Iron infusions should not be given when patients are {{c1::septic}}
Published	04/21/2024	In patients with community-acquired pneumonia (CAP), {{c1::procalcitonin}} findings can help distinguish {{c2::bacterial from viral pathogens}}, …
Published	04/21/2024	HINTS Exam:1. Head impulse{{c1::Move their head left to right with their eyes fixed on your nose, then briskly to centre::How to perform}}Look for&nbs…
Published	04/27/2024	Mainstay of rhabdo management:{{c1::Fluid resuscitation}}
Published	04/27/2024	Steroids effect on:Glucose: {{c1::Increased}}WCC: {{c1::Increased}}
Published	04/27/2024	Suspect and look for {{c2::right ventricular infarction}} in all patients with {{c1::inferior STEMI}}These patients are very {{c3::preload}}…
Published	04/27/2024	Diagnosis of right ventricular infarction is confirmed by the presence of ST elevation in the {{c1::right-sided leads (V3R-V6R)}}
Published	04/27/2024	Urinary antigens to test for in pneumonia:{{c1::Strep}}{{c1::Legionella}}
Published	04/27/2024	Test you can send following anaphylaxis:{{c1::Serum tryptase}}
Published	05/04/2024	All apneas are worst at {{c1::night}}
Published	05/22/2024	Most common dressing in plastics:{{c1::Jelonet, Gauze, Crepe}}
Status	Last Update	Fields