Medical Notes PDF

- 10. 11. 12. 13. \ Medications that can trigger gout o Chlorothiazide. o Chlorthalidone. o Hydrochlorothiazide. o Indapamide. o Metolazone. o Spironolactone. Acute confusion in elderly à infection – infection - Urine Dipstick - Infection Particularly UTI, pneumonia; rarely encephalitis/ mening...

- 10. 11. 12. 13. \ Medications that can trigger gout o Chlorothiazide. o Chlorthalidone. o Hydrochlorothiazide. o Indapamide. o Metolazone. o Spironolactone. Acute confusion in elderly à infection – infection - Urine Dipstick - Infection Particularly UTI, pneumonia; rarely encephalitis/ meningitis - 988 acute delirium Hyperkalemia secondary to medication à remove Ramipril – CV ACEI cause hyperkalemia 409 - Always know ACEi cause hyperkalemia and SSRI (fluoxetine) causes hyponatremia especially in elderly. Post-MI intervention to prioritize à diet vs. smoking vs. alcohol? I think smoking bc cessation decreases risk of death by 50% over 15y – CV - I would pick smoking cessation - Smoking is most important here and also biggest risk factor for AAA. Meningitis à IM penicillin (benzylpenicllin; cefotaxime if anaphylaxis against penicillin) – neuro - Refer emergency, if meningeal sepsis give antibiotics while waiting IM penicillin/IV if ambulance is there, if allergic to penicillin give cefotaxime Typical symptoms/ signs • Meningism Headache, stiff neck (cannot put chin on chest), and photophobia. Kernig’s sign may be +ve (with hips fully flexed, resists passive knee extension). May also be seen with subarachnoid haemorrhage