Compare and contrast Acute Fulminant Liver Failure (AFLF) and Chronic Decompensated Liver Disease (CDLD) History AFLF CDLD – Acute ingestion (eg paracetamol)– Drug interactions– Viral– Ischaemic– Post-operative– Herbal / alternative Rx eg St John’s Wort – Chronic liver disease– Encephalopathy– Hepatitis (eg chronic Hep C)– GI bleeds Examination AFLF CDLD Jaundice YES YES Coma YES […]
Read More »Here’s a flash card version of the WTET post on Dexmedetomidine Click here to start flashcard deck[qdeck] [q unit=”Pharmacology” topic=”Dexmedetomidine”] Rationale for Dexmedetomidine [a] Sedation practice varies widely around the world. Propofol and Midazolam are the mainstays of sedation, in addition to an opiate as an antitussive. Traditional first line agents act mainly via GABA. […]
Read More »Alas, no longer Frusemide. Click here to start flashcard deck[qdeck] [q unit=”Pharmacology” topic=”Frusemide”] Potential indications for the use of Furosemide [a] Cardiovascular indications– Diuresis to decrease fluid balance, thought to be associated with improved mortality– Preload reduction by volume reduction and venodilation– Hyperkalemia and hypercalcemia Toxicological and endocrine indications– Diuresis to force urine output, […]
Read More »There are several cerebral herniation syndromes. Lets drill them Click here to start flashcard deck[qdeck] [q unit=”Neurology” topic=”Cerebral_Herniation_Syndromes”] Falcine Herniation 1. Structures involved and Radiological features2. Clinical features [a] 1. Displacement of cingulate gyrus under falx cerebri 2. Leg weakness (contralateral) [q unit=”Neurology” topic=”Cerebral_Herniation_Syndromes”] Midline Shift 1. Structures involved and Radiological features2. Clinical features [a] […]
Read More »Types of Fungi: Yeasts (single celled) Molds (multicellular, hyphated) Dimorphous (can have yeast and mold forms) – very common for human pathogens Fungal components Nucleus (they’re eukaryotes after all, where the DNA lives) Cytosol (with organelles, where the proteins are made) Cell membrane (regulates transmembrane transport) Cell wall (structural integrity to the cell) Examples of […]
Read More »Equations to define as much as we can about the human body and its physiology. This list will be perpetually updated. Haemodynamics Systemic Vascular Resistance (SVR) – normal 700-1600 dyn.s.cm-5SVR = ([MAP-CVP] x 79.9) / CO Systemic Vascular Resistance Index (SVRI) – normal 1900-2300 dyn.s.cm-5.m-2SVRI = ([MAP-CVP] x 79.9) / CI Cardiac Output (CO) – […]
Read More »There is a great document from RCH which details the use of midazolam, ketamine and clonidine in paediatric premedication.
Read More »Equipment list for incision and drainage of a collection PPE Gloves, sterile, 8.5 (9 if n/a, 8 if neither available) Mask, surgical, with face shield Gown, non-sterile Equipment ICU Basic procedure pack (small) essential components: scalpel (pref. 11-blade), non-toothed forceps, needle holders, artery clips, scissors, galli-pots, gauze Blueys Chlorhexidine 1% or 2% with alcohol, red […]
Read More »Equipment list for performing a speculum examination PPE Gloves, sterile, size 8.5 (9 if n/a, 8 if neither available) Mask, surgical Gown, non-sterile Equipment Large bluey Dressing pack (standard) Speculum (size: ___________) Lubricant, sterile, x4 packets Jumbo swabs, whole pack Sponge-holding forceps Gauze, 10cm squares, x10 (usually 5 per pack, so 2x packs) Kidney dish […]
Read More »Equipment list for performing a lateral canthotomy PPE Gloves, sterile, size 8.5 (9 if 8.5 n/a, 8 if neither available) Gown, sterile, size XL (L if XL n/a) Mask, surgical Hair net Equipment ICU Basic procedure pack (large preferably, or small) essential components: scissors (sharp/sharp), artery clamp, non-toothed forceps, galli-pots, gauze 10cm squares, prep forceps, […]
Read More »