Rheumatology & Haematology — Flashcards

Flashcard 11: Management of No Bleeding on warfarin when INR 5.0-8.0 involves: _____ Reduce subsequent maintenance dose

Answer: Withhold 1 or 2 doses of warfarin

Flashcard 12: Buerger's disease is also known as _____

Answer: thromboangiitis obliterans

Flashcard 13: Buerger's Disease is a _____

Answer: small and medium vessel vasculitis

Flashcard 14: Aspirin functions _____

Answer: non-reversible COX 1and 2 Inhibitor

Flashcard 15: Features of Buerger's Disease includes: _____

Answer: Extremity Ischaemia (Intermittent claudication, Ischaemic Ulcers) Superficial Thrombophlebitis Raynaud's Phenomenon

Flashcard 16: A patient with a Well's score of <4 would indicate?

Answer: • A low-risk patient • They should have D-dimer measured • CTPA if D-Dimer is elevated

Flashcard 17: The variables involved in assessing the ORBIT score are: _____ Reduced Hemoglobin/Anemia (<130 g/L in males, <120 g/L in females) Bleeding History (e.g., GI, Intracranial, or Hemorrhagic stroke) Insufficient Kidney Function (GFR <60 mL/min) Treatment with antiplatelet agents

Answer: Older age (≥75 years)

Flashcard 18: DOACs are advantageous over warfarin due to the fact that they do not _____ to check the INR

Answer: require regular blood tests

Flashcard 19: What is given as VTE prophylaxis for patients?

Answer: • LMWH (e.g. enoxaparin)

Flashcard 20: Would a Haemoglobin of 10.1 g/dL indicate LTOT?

Answer: No. Secondary polycythemia (Hematocrit > 55%) is an indication for LTOT, not anemia.

Extra: LTOT Indication in COPD (Stable patients, non-smokers): 1. PaO2 < 7.3 kPa (regardless of other factors). 2. PaO2 7.3 – 8.0 kPa AND one of: - Secondary polycythemia (Hct > 55%) - Peripheral edema (cor pulmonale) - Pulmonary hypertension