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imo132's version from 2016-09-20 04:22

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Question Answer
Lipids & BSLsDecreases TG but not LDL, improves HDL
Venous ulcersAching, hyperpigmented, moderate painful, shallow, near malleoli, treat oedema
Neurotrophic ulcersBurning, tingling, numb, plantar, MT head, calloused, pressure relief, debride
Arterial ulcersWith claudication, shiny, cool, pale, painful, lower leg, heel, digits, hallux, dry, bark base, remove granulation
CVD testing>30 ATSI, >45 non
Male cancersProstate, colon, lung, skin
Female cancersBreast, colon, lung, skin
Cancer mortalityLung, breast/prostate, colon
Chancroid treatmentAzith/ceftriaxone/cipro
Donovanosis treatmentKlebsiella, azith
Chlamydia treatment D-K, azith/doxy
LGV treatmentL1-3, doxy
Gonorrhoea treatmentCeftriax + azith/doxy
<29 STIChlamydia & hep B
<29 ATSI STIChlamydia, gonorrhoea & hep B
STI requestChlamydia, hep B, HIV, syphilis
MSM STIChlamydia, gonorrhoea, hep B, HIV, syphilis, hep A
Sex worker STIChlamydia, gonorrhoea, hep B, HIV, syphilis
IVDU STIChlamydia, gonorrhoea, hep B, HIV, syphilis, hep C
Pregnant STIHep B, HIV, syphilis
Abx contra in breastfeedingTetracyclines, ciproflox, chloramphen
0 months vaccinationHep B
2, 4, 6 months vaccinationDPT, polio, Hib, Hep B, pneumococcus, rotarix (2/4)
12 months vaccinationHib, Men C, MMR
18 months vaccinationDPT, MMRV
4 years vaccinationDPT, polio
Premature vaccinationsExtra pneumo at 12 months (prevenar) & 4 years (pneumovax)
SyphilisLong incubation, papule, single,smooth base, painless, non-tender LND
ChancroidHaemophilus, short incubation, pustule, multiple, deep, purulent, painful, tender unilateral LND
LGVChlamydia, short incubation, single, painless, suppurative tender unilateral LND
DonovanosisKlebsiella, long incubation, papule, bleeding, painless, BEEFY
Painless ulcersSyphilis (non-tender LND), LGV (tender, pus LND), donovanosis (no LND)
DPP-4 (gliptins)Increase glucose-sens insulin release, decrease glucagon, SE pancreatitis
GLP-1 (Byetta)Increase glucose-sens insulin release, decrease glucagon, SE pancreatitis, weight loss, contra GFR <30
Alpha-gluco (acarbose)Decrease glucose absorption, SE flatulence & diarrhoea
MetforminDecrease glucose output, increase ins sens, contra GFR <30, SE weight loss, lactic acidosis
Sulfonyl/gliclazi (diamicron)Increase insulin release, SE hypo, weight gain
SGLT2 (dapaglif)Induce glycosuria, SE hypo, weight loss, UTI, candida, hypoTN
ThiazolDecrease glucose output, increase ins sens, SE weight gain, contra CHF
Weight gain drugsSulfonylureas, thiazolidinediones
Weight loss drugsMetformin, SGLT2, GLP-1 (byetta)
Hypo drugsSulfonylureas, SGLT2
Stage 1 ulcerNon-blanchable
Stage 2 ulcerShallow, no slough
Stage 3 ulcerFull thickness, fat visible
Stage 4 ulcerBone, tendon, muscle visible
Unstageable ulcerFull-thickness loss covered by slough or eschar
Tinea corporisRingworm, itchy red pustules, healed in middle, body folds, microsporum canis, weeks, scaly, central clearing, KOH
Granuloma annulareMonths, hands/feet, knuckles, firm border, autoimmune
Discoid eczemaNummular, itchy, 1-10 cm, bite/burn, alcoholics, males, exudative, limbs, hyper-hypo pig, staph, Rx fluclox if crusty
Pityriasis roseaHHV6, after URTI, 6-12 weeks, chest & back, oval, herald patch, tree, along tension lines, not on face, scalp, palms
Pityriasis RxAciclovir or erythromycin
PsoriasisSilver scale, on scalp, elbow, knees, lichenification, guttate is drop-like after strep infxn
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