Acute Medical Presentations UK Medical PG Flashcards - Medical Study Cards
Master Acute Medical Presentations with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Acute Medical Presentations Flashcard Deck - 10 Cards
Flashcard 221: What is the concentration and dose of adrenaline given for anaphylaxis in _____?
500 micrograms of 1 in 1000 (0.5ml)
Answer: adults & children >12 years
Flashcard 222: In anaphylaxis, the dose of IM adrenaline for _____ is 300 micrograms (0.3 mL) of 1:1000.
Answer: children aged 6–12 years
Extra: IM adrenaline (1:1000) doses for anaphylaxis:
- < 6 months: 100-150mcg (0.1-0.15mL)
- 6 months to 6 years: 150mcg (0.15mL)
- 6-12 years: 300mcg (0.3mL)
- > 12 years (and adults): 500mcg (0.5mL) or 300mcg if small/pre-pubertal.
Flashcard 223: People with suspected metastatic spinal cord compression should recieve an _____ within 24 hours
Answer: full spine MRI
Flashcard 224: What is the initial medical management of suspected metastatic spinal cord compression?\n_____
Answer: 16 mg oral dexamethasone
Flashcard 225: Immediate management of suspected or confirmed metastatic spinal cord compression (MSCC) includes _____ and high-dose steroids (e.g., Dexamethasone).
Answer: immobilisation
Extra: Metastatic Spinal Cord Compression (MSCC) is an oncological emergency. Initial management includes flat bed rest (immobilization) to prevent further mechanical damage, along with dexamethasone (usually 16mg/day divided) and a proton pump inhibitor for gastric protection. Definitive treatment involves surgical decompression or radiotherapy.
Flashcard 226: Impaired cognition, reduced oral intake, peripheral cyanosis and altered breathing pattern are all signs that a palliative patient is _____
Answer: dying
Flashcard 227: What is the initial management of dyspnoea in palliative patients?
Answer: Correct the correctable (e.g. drain pleural effusion, treat chest infection or PE, blood transfusion)
Flashcard 228: _____ therapy may be used in palliative patients for dyspnoea if they are at risk of symptomatic hypoxia
Answer: Oxygen
Flashcard 229:
What non-pharmacological measures can be taken to reduce noisy respiratory secretions?
_____ or suction
Answer: Elevating the head of the bed with the patient on their side
Flashcard 230:
Gurgling and 'death rattle' in the end stages of terminal illness are due to airway _____
Answer: secretions
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