The Daily Dozen - Sunday, 18th November 2018.

What does this Audiogram show?
Presbycusis
Severe abdominal pain + abnormal illness behavior + 'red' urine
Murtagh's Triads

Screening for Kidney Disease

Situations where eGFR may be unreliable:
  • Acute changes in renal function
  • Patients on dialysis
  • Some diets (e.g. vegetarian, high protein, recent ingestion of cooked meat)
  • Extremes of body size or muscle mass
  • Children <18 years
  • Severe liver disease
Headache + anorexia / nausea/ vomiting + ataxia (children)
Murtagh's Triads
Joe, age 31, presents with a painful red right eye. He works as a carpenter and he feels like he might have got something in his eye. Fluorescein examination shows a vertical abrasion on the cornea.
Conjunctival foreign body. It is important to evert the eyelid to look for foreign bodies. Once the foreign body is removed, he should return for review in 24 hours to ensure the abrasion has resolved.

Jonathon Trobe University of Michagen Kellogg Eye Center

Tall stature + dislocated lens and myopia + aortic root dilatation
Murtagh's Triads
What does this Audiogram show?
Meniere disease in the right ear (unilateral sensorineural loss).
Leg weakness + ataxic gait + clumsiness (appears about 12 years)
Murtagh's Triads
John, age 82, noticed a sudden painless loss of central vision in one eye earlier this morning. His central vision is blurry and warped in that eye. He has a history of trouble with his 'macula'.
Submacular haemorrhage. Age-related macular degeneration can lead to choroidal neovascularisation, which is more prone to bleeding. The bleeding from these vessels can distort vision or cause a sudden painless loss of vision.

Jonathon Trobe University of Michagen Kellogg Eye Center

Fever + drooling + stridor (child)
Murtagh's Triads
What does this Tympanogram show?
Type B. The tympanogram is flat. This can suggest a middle ear effusion, or tympanosclerosis / cholesteatoma / tumour.
Mid to low back pain / discomfort + inability to touch toes + kyphosis
Murtagh's Triads
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