Arthritis Diabetes Insipidus Two forms cranial and nephrogenic – ‘Dilute Diagnosed with water deprivation test Getting up at to drink water Nephrogenic (renal insensitivity) vs central DDAVP controlled central – MEN syndromes 1 The Ps parathyroid, pituitary, pancreatic cell – – 2(a) (also parathyroid, medullary thyroid carcinoma) – 2(b) or 3 mmmm.... Marfanoid and mucousal neuromas – Brief Notes on Emergencies (look at OCHM and other handout notes) Acute Asthma (please see OCHM for details!!) High dose 100% Oxygen Salbutomol nebulised with oxygen Steroid CXR to exclude pneumothorax If no real improvement move to ITU and prepare to intubate. Cricothyroidotomy is a small incision in the neck…thus avoiding trauma area. Symptomatic AF: Oxygen heparin synchronised DC shock Chronic / Asymptomatic AF: Rate (Beta-blocker, digoxin) Rhythm (Anti-arrhythmics, Verapamil) Anti-coagulant (warfarin) Hyperkalaemia:Urgent Tx if >7 mmol/L or there are ECG changes
Arthritis Diabetes Insipidus Two forms – cranial and nephrogenic ‘Dilute Diagnosed with water deprivation test Getting up at to drink water Nephrogenic (renal insensitivity) vs central DDAVP controlled – central MEN syndromes 1 – The Ps – parathyroid, pituitary, pancreatic cell 2(a) – (also parathyroid, medullary thyroid carcinoma) 2(b) or 3 – mmmm.... Marfanoid and mucousal neuromas Brief Notes on Emergencies (look at OCHM and other handout notes) Acute Asthma (please see OCHM for details!!) High dose 100% Oxygen Salbutomol nebulised with oxygen Steroid CXR to exclude pneumothorax If no real improvement move to ITU and prepare to intubate. Cricothyroidotomy is a small incision in the neck…thus avoiding trauma area. Symptomatic AF: Oxygen heparin synchronised DC shock Chronic / Asymptomatic AF: Rate (Beta-blocker, digoxin) Rhythm (Anti-arrhythmics, Verapamil) Anti-coagulant (warfarin) Hyperkalaemia:Urgent Tx if >7 mmol/L or there are ECG changes