Drugs in COPD- Anticholinergic inhaler
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
- Beta-agonist inhaler
- Salmeterol (Serevent)
- Formoterol (Foradil)
- Inhaled corticosteroid (gargle after use)
- Beclomethasone (Qvar)
- Fluitcasone (Flovent)
- Ciclesonide (Alvesco)
- Flunisolide (Aerobid)
- Mometasone (Asmanex)
- Triamcinolone (Azmacort)
- Budesonide (Pulmincort)
- Combination: Budesonide/formoterol = Symbicort
Miller Fisher syndrome
- Rare variant of GBS
- Accounts for approximately 5% of GBS cases
- Manifests as a descending paralysis, proceeding in the reverse order of the more common form of GBS
- Usually affects the eye muscles first
- Presents with a classic triad:
- Ophthalmoplegia
- Ataxia
- Areflexia
- The ataxia predominantly affects the gait and trunk, with the limbs relatively spared
- Anti-GQ1b antibodies are present in 90% of cases
Bartholin's cyst
- Formed when a Bartholin's gland is blocked
- Tubes which lead from the glands to the vulva
- May develop to a Bartholin's abscess
- If the infection is severe or repeated, a marsupialization may be required to stop further recurrences
Headache: Indications for a scan/investigation
- Any one of:
- Age >40
- Witnessed LOC
- Neck pain or stiffness
- Onset with exertion
- Arrived by ambulance
- Vomiting
- Document all these if negative
SAH
- CT sensitivity
- Xanthochromia on LP sensitivity
- 98% 12 hours - 2 weeks
- 40% at 4 weeks
- Sentinel headache
Notes- LRTI is often used as a synonym for pneumonia
- But can also be applied to e.g. bronchitis, lung abscess
- Useful renal books:
- Pocket tutor of renal medicine
- Brenner: Textbook of nephrology
- UGIB => Rockall score
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