Appetite

April 17, 2015

CLINGS

  • Cholecystokinin
  • Leptin
  • Inhibit appetite
  • Neuropeptide Y
  • Ghrelin
  • Stimulate appetite

Pellagra symptoms

March 23, 2015

Vitamin B3 (niacin) deficiency

The three D‘s:

  • Dermatitis
  • Diarrhoea
  • Dementia

Pancreatic hormones

March 19, 2015

PIGS

  • Pancreatic polypeptide
  • Insulin
  • Glucagon
  • Somatostatin

Multi System Atrophy

March 18, 2015

Please Straighten Any Shy C*nts Out

  • Parkinsonism – Striatonigral degeneration
  • Autonomic failure – Shy-Drager syndrome
  • Cerebellar ataxia – Olivopontocerebellar atrophy

Papp-Lantos bodies found

WHO Declarations

March 9, 2015

Declaration of:

  • Geneva – Germany (Nazi); new Hippocratic oath in view of crimes committed in Nazi Germany
  • Helsinki – Human subjects; ethical principles against testing man
  • Tokyo – Torture; physician ethics regarding torture and inhumane treatment
  • Malta – Munchies; force-feeding people is inhumane
  • Lisbon – Liberties; the rights of patients
  • Ottawa – Optimal child health / Offspring (think children)

Genetic testing

March 2, 2015

Southerners Do Not Rush Willing People

  • Southern blot – detects DNA
  • Northern blot – detects RNA
  • Western blot – detects Protein

End-of-life symptoms

November 23, 2014

PANDA

  • Pain – consider diamorphine 2.5 mg SC hourly PRN, adjust as required
  • Agitation – consider midazolam 2.5 mg SC hourly PRN, adjust as required
  • Nausea and vomiting – consider haloperidol 0.5-2 mg QDS PRN, cyclizine, levomepromazine 3.125-6.25 mg SC
  • Dyspnoea – consider regular morphine, steroids, diazepam
  • Airway secretions – consider hyoscine butylbromide 20 mg SC TDS PRN

Consider palliative care team review and syringe driver

Source here

Recognising end-of-life

November 22, 2014

Inert People Breath Slowly (to be used in the clinical context)

  • Infections / ulcers that are recurrent or persistent
  • Progressive weight loss (>10% over last six months)
  • Breathlessness at rest or minimal exertion (MRC scale 4/5)
  • Self-care reduced or lack of interest (in a chair >50% of the time)

More information here

Sepsis 6

November 17, 2013

O2 FLUID

  • Oxygen
  • Fluids IV
  • Lactate measurement
  • Urine output measurement (catheterisation)
  • Infection screen inc. blood cultures, FBC, CRP +/- urine dip/culture, swabs
  • Drugs – antibiotics as appropriate

ACE inhibitor contraindications

October 20, 2013

PARK

  • Pregnancy – teratogenic
  • Allergy
  • Renal artery stenosis (caution in renal failure especially if creatinine >200umol/L)
  • Kalaemia – hyperkalaemia, also hyponatraemia or hypotension/hypovolaemia