• 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

• 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
• HTN
  
• SBP >160
• DBP >100
• Document all these if negative

SAH

• CT sensitivity
• 95% in day 1
• Esp. if within 6 hours
• 50% day 7
• Xanthochromia on LP sensitivity
• 98% 12 hours - 2 weeks
• 40% at 4 weeks
• Sentinel headache
• Only in <5% of cases
  

• 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