ALARMS 55: Urgent Endoscopy Number needed to Topical Steroids Systemic steroids:

Anaemia treat = Potencies: Dexamethasone>

Loss of weight 1/(Absolute risk Betamethasone> Betamethasone>
Anorexia reduction) Fluticasone> Methylprednisoone>
Recent onset/ progressive Symptoms Sensitivity = true Fluocinonide> Prednisolone>
Melena +/all + Hydrocortisone Deflazacort>
Swallowing difficult Specificity = true - Hydrocortisone
>55 years /all -
Tumour markers Clubbing: Bronchial CA, Rest tremor= Rinne negative: Lateral Medullary
CA 19-9: Cholangio, empyema, abscess, Parkinsonism Conductive deafness. Syndrome: Infarction
pancreatic, gastric atrial myx Intention tremor = BC>AC of lateral medulla,
FP: HCC bronchiectasis, CF, Cerebellar, MS, Rinne Positive: inferior
CA 15-3: Breast endocarditis, Crohns, Stroke, drugs. Normal/ Sensorineural cerebellum
CA 125: Ovarian Cirrhosis, GI lymphoma, Fine: Lithium, MS loss. AC/BC vertigo, vomiting,
CEA: Colorectal Coeliac, Congenital Coarse: Cerebellar, dysphagia, ataxia,
HCG: germ cell heart Lithium toxicity nystagmus, Horners
Kings College 2 day Stroke risk after TIA: Erythema Nodosum: Lacunar Infarcts:
criteria for ABCD2: Streptococcal, around basal ganglia,
transplant in Age >60 = 1 Sarcoidosis, TB, internal capsule,
paracetamol liver BP >140/90 = 1 Mycoplasma, EBV, thalamus, pons =
failure: Clinical Features: OCP, Oestrogen, Pure motor, pure
PH<7.3 Unilateral weakness=2 Crohns/UC, sensory, Mixed,
OR: INR >6.5 Only speech=1 Lymphoma, leukaemia Ataxia. Intact
(PT>100s) + Duration of Symptoms >60=2, 10-59=1 cognition,
Creatinine > Diabetes = 1 consciousness
300mol/L + 0-3= low 4-5 = Moderate, 6-7=High Risk
Encephalopathy III
Enzyme Inducers: Stroke risk in AF: Stones: Bacterial Vaginosis Trichomoniasis
Phenytoin CHADS2 75%= Ca Oxalate, Fishy smell Foul smell
Rifampicin Congestive Heart phosphate (Rx White/grey Frothy/yellow/green
Carbamazepine Failure = 1 thiazides, K citrate) itching Intense itching/pain
Omeprazole Hypertension = 1 10-20% MgAl PO4 Gardnerella Trichomonad
Alcohol Age >75 = 1 UTI CLUE CELLS
St Johns Wort DM = 1 5% Urate No WBC WBC>10/hpf
Stroke/TIA = 2 (Allopur.) Not painful urination Painful urination
Radiolucent
Reed-Sternberg ALP: Pagets disease AD AR X linked
Cells = Hodgkins ANCA, ALP: Primary Noonans, Wilsons, CF, 1 anti Colour blindness
Lymphoma sclerosing cholangitis Achondroplasia, trypsin def, Albinism, Wiscott-Aldrich
Bence Jones = cANCA: Wegeners APCKD, Myotonic CAH, Inborn metabolic Haemophilia A & B
Myeloma pANCA: Churg-Strauss dystrophy, Ehlers- errors, Hereditary DMD, Beckers
Danlos, Marfans, Haemo, Xeroderma Muscular dystrophy,
pig, Infantile PCKD Hunters.
Cellulitis- ANA, Sm mm Ab: Bone mets: Wernickes: Ataxia, HTN: >55 or blacks,
Co-amoxiclav, Autoimmune Hep Prostate, Breast, Ophthalmoplegia, CCB, then add ACEi,
Flucloxacillin Lung +thyroid, Confusion Diuretics, blockers.
kidney. Korsakoff: memory <55: start with ACEi
Meningitis- DM2 Treatment: Metformin: Lactic Measles Ig: 30S subunit:
Ceftriaxone + Metformin then ADD acidosis Postexposure Tetracyclines,
Benzylpenicillin gliptins or pioglitazone SU: prophylaxis only in Aminoglycosides
Strep Pneumonia: or SU or SGLT then Hypoglycaemia, immunocompromised, (Genta, strepto)
Amoxicillin 500/8hr ADD + 2 others weight gain pregnant women. 50S subunit:
Chlamydia:Tetracyc Pioglitazone:Hypo, Tetanus Ig: All high Macrolides,
Mycoplasma: fluid retention, risk wounds: soil, Chloramphenicol,
Erythr hepatotoxic, faeces, devitalised Linezolid
weight gain
Urosepsis: H. pylori: PPI + C5-C6: biceps STEP 3 Anterior MI: LAD V1-
Cefuroxime Amoxicillin + C7-C8: triceps Strong Opioids: V6
Clarithromycin or L3-L4: knee jerk Morphine p/o 30mg < Septal MI: V1-V4
Metronidazole S1-S2: Ankle Oxycodone p/o < Lateral: LCX I, aVL,
Intra Abdominal VT: Amiodarone or STEP 2 IV morphine15mg< V5, V6
Sepsis- Lidocaine, DC shock Weak opioid: Methadone< InFerior RCA II, III,
Cefuroxime + SVT: Vagal, Adenosine, Tramadol, IV Diamorphine10mg= avF
Metronidazole verapamil Codeine, IV Oxycodone 10mg< Posterior RCX: V7-
AF: Heparin, Dihydrocodeine Alfentanyl< V9, High R in V1-V3
Amiodarone, Flecainide PLUS NSAID, Buprenorphine < ST elevation >1mm
Spontaneous STEP 1 Adjuvants: Fentanyl in 2 consecutive limb
Bacterial Non Opioid: NSAID Gabapentin, 1/6 daily dose as leads, >2mm or new
Peritonitis- Adjuvant: Paracetamol, dexamathasone breakthrough LBBB in chest leads.
Cefotaxime Antidepressant,
Contaminated Upper GI bleed: TB drugs s/e Thiazides: K, Na, Disordered thinking
laceration: Co- 1: Propranolol, endo Rifampicin: Gout Euphoria/labile
amoxiclav band ligation. Orange coloured, ACEi: K, cough, Language impaired
Clean, high risk 2: 1+intrahep shunt Hepatitis renal failure, Illusions, delusions
laceration: Fluclox Acute: Saline,vit K, FFP, Isoniazid: angioedema Reversal of sleep
Endocarditis: Terlipressin, banding Peripheral Neurop. CCB: fatigue, gum Inattention
Benzyl+gentamycin Hepatitis. hyperplasia, oedema Unaware/disoriented
Ethambutol: Optic Memory deficits.
n Lorazepam/
Pyrazinamide: Haloperidol
Hep.
PID: Ceftriaxone Chlamydia: 1g Gonorrhoea: Anaphylaxis: 100%O2, MI: Aspirin 300mg
500mg+ Azithromycin or 100mg Ceftriaxone IM + 0.5mg adrenalin IM: PO, Morphine 5-
Doxycycline + doxycycline bid 1 week 1g Azithromycin as 0.5mL of 1:1000 every 10mg IV +
Metronidazole. single dose. 5 minutes. metoclopramide
Contacts = 1g Chlorphenamine 10mg IV, GTN,
azithromycin 10mg IV+ Primary PCI or
Hydrocortisone fibrinolysis.
200mg IV, saline.
COCP c/i: Regular + menorrhagia tranexamic acid Hypercalcaemia:
Pregnancy, Regular + menorrhagia + contraception Rehydrate with saline, All the best for your
smokine >20/d mirena Furosemide, exam!
AND >35 years, Regular + menorrhagia + contraception + pamidronate Have a good
Previous DVT or PE, dysmenorrhoea COCP breakfast!
Migraine with aura Irregular COCP Hyperkalaemia:10mL
or >35 yrs, Liver Dysmenorrhoea NSAIDs calcium gluconate,
disease, BMI >39. insulin+glucose