The Daily Dozen - Tuesday, 19th March 2019.

Molly, age 24, complains that both of her eyes are constantly itchy, red and watering. This seems to happen every spring, especially on hot windy days or after thunderstorms. Her vision is normal and she is otherwise well.
Allergic Conjunctivitis. Red, itching eyes with watery discharge.

Jonathon Trobe University of Michagen Kellogg Eye Center

Malaise + headache + undulant fever
(with cattle contact, unpasteurised milk or undercooked meat)
Murtagh's Triads
What does this Audiogram show?
Unilateral mild conductive hearing loss in the right ear, ie impacted wax or perforated tympanic membrane.
Headache + anorexia / nausea/ vomiting + ataxia (children)
Murtagh's Triads

Middle Age (50-64 yr) Preventive Health Check

Ask about:
  • SNAP and readiness to change
  • Risk of diabetes (AUSDRISK tool)
  • Depression
  • Risk factors for osteoporosis
  • Skin cancer
Measure:
  • Weight, height (calculate BMI) and waist circumference
  • BP
  • Lipids
  • Fasting blood glucose in patients at high risk of diabetes
  • Urinalysis for protein
Perform:
  • Cervical screening test every 5 years
  • CRC screening - FOBT at least every 2 years
  • Mammography every 2 years
  • Vaccination for dTpa.
  • Consider influenza and pneumococcal vaccination if high risk.
Calculate:
  • Absolute cardiovascular risk.
Adolescent with limp + knee pain + hip pain
Murtagh's Triads
What does this Tympanogram show?
Type C tympanogram. There is a peak but it is shifted to the left of normal. This suggests there is negative pressure in the middle ear, such as sinusitis or eustachian tube dysfunction without a middle ear effusion.
Polyarthritis + fever + rash
Murtagh's Triads

Preconception Assessment

Medical history
  • Reproductive life plan and family planning
  • Reproductive history
  • Chronic conditions
  • Medication use
  • Vaccinations
  • Screening – pap smears and breast screening if relevant
Family history
  • Genetic conditions
Social history
  • Smoking cessation
  • Nutrition and folic acid + iodine supplementation
  • Alcohol and drugs
  • Physical Exercise
  • Psychosocial health and wellbeing
Physical examination
  • BMI, BP
Tiredness + husky voice + cold intolerance
Murtagh's Triads
Molly, age 24, presents with visual disturbance. At first she noted a flickering light near the center of her vision, then it expanded outwards. Shortly after this she developed a headache.
Classic migraine. Scintillating scotoma and binocular visual loss, followed usually (but not always) by a headache.

Jonathon Trobe University of Michagen Kellogg Eye Center

Fever + myalgia / headache + dry cough
Murtagh's Triads
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