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Exam B: - Answers

Published online by Cambridge University Press:  21 January 2017

Keith Davies ,
Christopher Gough ,
Emma King ,
Benjamin Plumb  and
Benjamin Walton
Keith Davies
Affiliation:
Severn Deanery, Bristol
Christopher Gough
Affiliation:
Severn Deanery, Bristol
Emma King
Affiliation:
Severn Deanery, Bristol
Benjamin Plumb
Affiliation:
Severn Deanery, Bristol
Benjamin Walton
Affiliation:
North Bristol NHS Trust
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Summary

A 77-year-old woman is admitted to hospital with malaise, muscle weakness, nausea, palpitations and paraesthesia. Her regular medications include amiloride, lisinopril, atenolol, digoxin and naproxen. She has recently started a course of trimethoprim for a urinary tract infection. Her blood pressure is 85/55 mmHg. An electrocardiogram (ECG) is performed.

Type
Chapter
Information
Single Best Answer Questions for the Final FFICM , pp. 54 - 89
Publisher: Cambridge University Press
Print publication year: 2016

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References

References

Hollander-Rodriguez, JC, Calvert, JF. Hyperkalemia. Am Fam Physician. 2006;73(2):283–290.Google ScholarPubMed
Montague, BT, Ouellette, JR, Buller, GK. Retrospective review of the frequency of ECG changes in hyperkalemia. Clin J Am Soc Nephrol. 2008;3:324–330.CrossRefGoogle ScholarPubMed
Slovis, C, Jenkins, R. ABC of clinical electrocardiography: conditions not primarily affecting the heart. Br Med J. 2002;324:1320–1323.Google Scholar

References

Banks, PA, Bollen, TL, Dervenis, C, et al. Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62(1):102–111.Google Scholar
Nathens, AB, Curtis, JR, Beale, RJ, et al. Management of the critically ill patient with severe acute pancreatitis. Crit Care Med. 2004;32(12):2524–2536.Google Scholar
Shields, CJ, Winter, DC, Redmond, HP. Lung injury in acute pancreatitis: mechanisms, prevention, and therapy. Curr Opin Crit Care. 2002;8:158–163.Google Scholar
Tenner, S, Baillie, J, DeWitt, J, Vege, SS. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108(9):1400–1416.CrossRefGoogle ScholarPubMed

Reference

National Institute for Health and Care Excellence. CG144: Venous thromboembolic diseases: the management of venous thromboembolic diseases and the role of thrombophilia testing. London: NICE, 2012. http://www.nice.org.uk/guidance/cg144 (accessed April 2015).Google Scholar

References

Levi, M. Disseminated intravascular coagulation. Crit Care Med. 2007;35(9):2191–2195.Google Scholar
Wada, H, Thachil, J, Di Nisio, M, et al. Guidance for diagnosis and treatment of disseminated intravascular coagulation from harmonization of the recommendations from three guidelines. J Thromb Haemost. 2013;11:761–767.Google Scholar

References

Curley, GF. Rapid sequence induction with rocuronium – a challenge to the gold standard. Crit Care. 2011;15(5):190.Google Scholar
Flower, O, Hellings, S. Sedation in traumatic brain injury. Emerg Med Int. 2012;2012 637171. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461283 (accessed December 2014).Google Scholar

Reference

Phypers, B, Pierce, JMT. Lactate physiology in health and disease. Contin Educ Anaesth Crit Care Pain. 2006;6(3):128–132.Google Scholar

References

Peck, TE, Hill, SA, Williams, M. Pharmacology for Anaesthesia and Intensive Care. 3rd edition. Cambridge: Cambridge University Press, 2008.CrossRefGoogle Scholar
Salgado, DR, Silva, E, Vincent, J-L. Control of hypertension in the critically ill: a pathophysiological approach. Ann Int Care. 2013;3(1):17 .Google Scholar

Reference

Deakin, C, Nolan, J, Perkins, G, Lockey, A. Adult advanced life support. In Resuscitation Guidelines 2010. Resuscitation Council UK. https://www.resus.org.uk/resuscitation-guidelines/ (accessed April 2015).Google Scholar

Reference

National Institute for Health and Care Excellence (NICE). CG68: Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). London: NICE, 2008 (reviewed 2014). https://www.nice.org.uk/guidance/cg68 (accessed April 2015).Google Scholar

References

Celli, BR, Cote, CG, Marin, JM, et al. The body-mass index, airflow obstruction, dyspnea and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004;350(10):1005–1012.Google Scholar
National Institute of Clinical Excellence (2010). Chronic Obstructive Pulmonary Disease [CG101]. London: National Institute for Health and Care Excellence.Google Scholar

Reference

Scully, M,, BJ Hunt BJ, S Benjamin, S, et al., on behalf of the British Committee for Standards in Haematology. Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies. Brit J Haematol. 2012;158(3):323–355.CrossRefGoogle ScholarPubMed

Reference

NHS England never events data. http://www.england.nhs.uk/ourwork/patientsafety/never-events/ne-data (accessed April 2015).Google Scholar

Reference

Silvestri, L, van Saene, HKF. Selective decontamination of the digestive tract: an update of the evidence. HSR Proc Intensive Care Cardiovasc Anesth. 2012; 4(1): 21–29.Google Scholar

References

Conze, J, Klinge, U, Schumpelick, V. Hernias. In Holzheimer, RG, Mannick, JA. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt, 2001.Google Scholar
Di Saverio, S, Coccolini, F, Galati, M, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. Oct 10 2013;8(1):42.Google Scholar
Sartellie, M et al. WSES guidelines for emergency repair of complicated abdominal wall hernias. World J Emerg Surg. 2013;8:50.Google Scholar

References

Bhimraj, A. Acute community-acquired bacterial meningitis in adults: an evidence-based review. Cleveland Clin J Med. 2012;79(6):393–400.Google Scholar
Kennedy, AM. Meningitis and encephalomyelitis. In Bersten, AD, Soni, N. Oh's Intensive Care Manual. 6th edn. Edinburgh: Butterworth-Heinemann, 2009, pp 583–592.Google Scholar
Meningitis Research Foundation. Meningitis and septicaemia: UK facts and figures. http://www.meningitis.org/facts (accessed July 2014).Google Scholar
Okike, IO, Ribeiro, S, Ramsay, ME, Heath, PT, Sharland, M, Ladhani, SN. Trends in bacterial, mycobacterial, and fungal meningitis in England and Wales 2004–11: and observational study. Lancet Infect Dis. 2014;14(4):301–307.Google Scholar

Reference

National Institute for Health and Care Excellence (NICE). IPG482: Extracorporeal membrane oxygenation (ECMO) for acute heart failure in adults. London: NICE, 2014. http://www.nice.org.uk/guidance/ipg482 (accessed April 2015).Google Scholar

Reference

Hooper, C, Lee, YCG, Maskell, N. Investigation of a unilateral pleural effusion in adults: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65(Suppl 2 2009):ii4–i17.Google Scholar

References

ACC/AHA/HRS 2008 Guidelines for device-based therapy of cardiac rhythm abnormalities. Circulation. 2008;117:e350–e408.Google Scholar
Hunter, J, Sharma, P, Rathi, S. Long QT syndrome. Contin Educ Anaesthes Crit Care Pain. 2008;8(2): 67–70.CrossRefGoogle Scholar

Reference

Gough, C, Kannan, T. Transient coronary ischaemia resulting from paradoxical CO2 embolus. Anaesth Intensive Care. 2014:43;134–136.Google Scholar

Reference

Cross, M, Plunkett, E. Physics, Pharmacology and Physics for Anaesthetists: Key concepts for the FRCA. Cambridge: Cambridge University Press.Google Scholar

References

Brophy, G, Bell, R, Classen, J, et al. Neurocritical Care Society. Guidelines for the Evaluation and Management of Status Epilepticus. April 2012. http://www.neurocriticalcare.org/sites/default/files/pdfs/SE%20Guidelines%20NCS%200412.pdf (accessed April 2015).Google Scholar
National Institute for Health and Clinical Excellence (NICE). Appendix F: Protocols for treating convulsive status epilepticus in adults and children; adults. CG137. London: NICE, 2012.Google Scholar

References

Donovan, K, Colreavy, F. Echocardiography in intensive care. In Bersten, AD, Soni, N. Oh's Intensive Care Manual. 6th edition. Oxford: Butterworth Heinemann Elsevier, 2009, Chapter 23.Google Scholar
Evangelista, A, Gonzalez-Alujas, M. Echocardiography in infective endocarditis. Heart. 2004; 90(6):614–617.Google Scholar

Reference

Nolan, J, Soar, J, Lockey, A, et al., for the Resuscitation Council (UK). Chapter 11: Peri-arrest arrhythmias. In: Advanced Life Support. 6th edition. 2011, pp 110–111. https://www.resus.org.uk/resuscitation-guidelines/ (accessed February 2016).Google Scholar

Reference

Davis, P, Kenny, G. Basic Physics and Measurement in Anaesthesia. 5th edition. London: Elsevier, 2003.Google Scholar

References

Munn, J. TURP syndrome. In Allman, K, Wilson, I. Oxford Handbook of Anaesthesia. 2nd edition. Oxford: Oxford University Press, 2006.Google Scholar
O'Donnell, A, Foo, I. Anaesthesia for transurethral resection of the prostate. Contin Educ Anaesth Crit Care Pain. 2009;9(3):92–96.Google Scholar

Reference

British guideline on the management of asthma – a national clinical guideline. British Thoracic Society, Scottish Intercollegiate Guidelines Network (SIGN 141, October 2014). Thorax. 2014;69:i1.Google Scholar

Reference

Gibson, F, Bodenham, A. Misplaced central venous catheters: applied anatomy and practical management. Br J Anaesth. 2013;110(3):333–346. doi:10.1093/bja/aes497. http://bja.oxfordjournals.org/content/early/2013/02/04/bja.aes497.full (accessed March 2015).Google Scholar

References

Anaya, D, Dellinger, E. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis. 2007;44:705–710.Google Scholar
Public Health England health protection guidance – necrotising fasciitis. April 2013. https://www.gov.uk/necrotising-fasciitis-nf (accessed February 2015).Google Scholar
Sultan, H, Boyle, A, Sheppard, N. Necrotising fasciitis. Br Med J. 2012;e4274:1–6. http://www.bmj.com/content/330/7495/830.short (accessed February 2015).Google Scholar

References

Resuscitation Council (UK). Advanced Life Support. 6th edition. 2011. https://www.resus.org.uk/resuscitation-guidelines (accessed January 2016).Google Scholar
Simons, FER, Ardusso, LRF, Bilò, MB, et al. 2012 update: World Allergy Organization Guidelines for the Assessment and Management of Anaphylaxis. Curr Opin Allergy Clin Immunol. 2012;12:389–399.Google Scholar

References

Academy of Medical Royal Colleges. A Code of Practice for the Diagnosis and Confirmation of Death. 2008. http://www.bts.org.uk/Documents/A%20CODE%20OF%20PRACTICE%20FOR%20THE%20DIAGNOSIS%20AND%20CONFIRMATION%20OF%20DEATH.pdf (accessed February 2015).Google Scholar
The Faculty of Intensive Care Medicine Standards. Form for the Diagnosis of Death using Neurological Criteria. http://www.ficm.ac.uk/system/files/FICM-Diagnosis-of-Death-Full-Version2014.pdf (accessed August 2015).Google Scholar

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