Has there been loss of consciousness or syncope?
Has there been seizure activity?
Is there a NEW ACUTE onset (or on awakening from sleep)?
I. Asymmetric facial weakness
II. Asymmetric arm weakness
III. Asymmetric leg weakness
IV. Speech disturbance
V. Visual field defect
Stoke is likely if score >0
Loss of the radial pulse by rotating head to the ipsilateral side with extended neck following deep inspiration
Sign of thoracic outlet syndrome
e.g. Cervical rib, Pancoast tumour
CKD: only diagnose stages 1 & 2 if supporting evidence to accompany eGFR (i.e. Abnormal U+Es, Proteinuria)
Percultaneous Transhepatic Cholangiogram
Dissection AAA going down leg
Man returns from trip abroad with maculopapular rash and flu-like illness - think HIV seroconversion
Offer LTOT to patients with a pO2 of < 7.3 kPa or to those with a pO2 of 7.3 - 8 kPa and one of the following:
Combined oral contraceptive pill
increased risk of breast and cervical cancer
protective against ovarian and endometrial cancer
Erythromycin can cause cholestasis but gastrointestinal upset is by far the most common side-effect
WAGR syndrome with Aniridia, Genitourinary malformations, mental Retardation
The presence of psychotic symptoms differentiates mania from hypomania