Bakr GP past papers notes (dragged).pdf

- High GGT point to alcoholic liver disease, macrocytic indicates live disease even more. 23. 63yo M w/ fatigue + Hb/MCV/MCH/hematocrit low à colonoscopy vs. Vitamin B12 levels – heamatology/ GI - Page 641, if anemic and above 50 then refer for a colonscopy, URGENTLY because he is above 50 (isn’t it...

- High GGT point to alcoholic liver disease, macrocytic indicates live disease even more. 23. 63yo M w/ fatigue + Hb/MCV/MCH/hematocrit low à colonoscopy vs. Vitamin B12 levels – heamatology/ GI - Page 641, if anemic and above 50 then refer for a colonscopy, URGENTLY because he is above 50 (isn’t it 60 or above?) - IT DOESN’T MATTER IF THEY HAVE CKD OR OTHER COMBORIDITIES, if they are above the age and have anemia then refer. 24. IMB + PCB + on OCP à stop pill – obs/gynae - - You don’t stop pill, you check for chlamydia, if negative then refer. You can also increase estrogen content then change progesterone then increase progesterone and/or try phased preparations