Helpful pointers from the wards:
1. Patient with gout is usually managed with Colchicine. However, if patient suffers from renal disease, the alternative to use is STEROIDS - prednisolone
2. When assessing a patient who fell (fall assessment, especially for geriatric patients) - always based your history and assessment according to these 4:
- BALANCE - musculoskeletal problems?
- BRAIN - drugs/alcohol?
- BLOOD PRESSURE - orthostatic hypotension?
- NEUROLOGY - vertigo, vision, delirium, seizures?
3. Risk factors for urinary retention:
- Trauma (pelvic injury)
- Surgery - orthopedic, pelvic surgery
- Post Op - anaesthesia
- Drugs - antimuscarinic/cholinergic
4. Urinary retention causes:
- External mechanical obstruction
- Detrusor muscle laxity / detrusor problems
- Spinal cord injury
5. Orthostatic blood pressure: from sitting to standing, the systolic blood pressure should drop a little, while the diastolic blood pressure should rise to compensate for systolic, additionally, the heart will beat faster.