WANNA BE A DOCTOR IN AUSTRALIA?

Interested in working as a doctor in Australia?Yes.......ok you can! 

You can find all the information in AMC(Australian Medical Council website).

(A).

1.Are you eligible for AMC exams - Self-Check Eligible Medical Schools 

2.How to get Medical Registration-Pathways for International Medical Graduates

(B).

How to Apply-Click Here

(C)

1. English Language requirement-Not for AMC exams but only when you apply for medical registration.

ACNE IMPORTANT POINTS.

ACNE IMPORTANT POINT IN HISTORY AND EXAMINATION.

History

• How long have you had
pimples for?
• Are there any triggers?
• Is there a family history?
• What treatments have you
had? How long did you
follow each treatment?
• What was the most
effective treatment? Why
did you stop it?
• How do you feel about
your skin? Does it stop
you from doing anything?

Examination

• Assess the severity and
whether there is any
scarring.
• Determine any
psychological impact.

EPILEPSY MANAGEMENT-AUSTRALIA

Treatment of status epilepticus in hospital.


1.Immediate measures Secure airway

Give oxygen
Assess cardiac and respiratory function
Secure iv access
Give lorazepam 4 mg iv or diazepam
10 mg iv
Repeat after 10 mins if no response

2.In hospital


Take blood for electrolytes, LFT, calcium,
glucose, clotting, AED levels and storage
for later analysis
Measure blood gases
Establish aetiology
Give thiamine or 50% glucose solution if
indicated
Within 30 minutes In patients with established epilepsy:
give usual AED orally, NG or iv

3.In patients with new-onset epilepsy or if
seizures continue:

fosphenytoin (18 mg/kg phenytoin
equivalent), up to 150 mg/min with ECG
monitoring or phenytoin 18mg/kg,
50 mg/min with ECG or phenobarbital
15 mg/kg iv, 100 mg/min
Longer than ITU may be necessary
minutes Anaesthetise with EEG monitoring
Midazolam, phenobarbital, propofol, or
thiopentone most commonly used
Non-convulsive status Augment or reinstate usual AEDs
Consider lorazepam or diazepam iv

Administration of Anti -D

At the first pregnancy consultation the mother's blood
group should be determined and blood taken for detection/
measurement of blood group antibodies. For
complete and incomplete miscarriages all Rh(D) negative
women who have not actively formed their own
anti-D should be given 250IU of anti-D.
There is insufficient evidence to suggest that a threatened
miscarriage before 12 weeks gestation necessitates
use of anti-D, but meta-analyses indicate that antenatal
administration of anti-D (for all indications
including miscarriage) can result in a 78% reduction
in allo-immunisation.

THE MANAGEMENT OF VARIZELLA ZOSTER VIRUS EXPOSURE AND INFECTION IN PREGNANCY AND NEW BORN PERIOD

GOOD DAY

1.Zoster immunoglobulin (ZIG) should be offered to pregnant, varicella-seronegative women with significant exposure to varicella-zoster virus (VZV) (chickenpox) infection.

2.Oral aciclovir prophylaxis should be considered for susceptible pregnant women exposed to VZV who did not receive ZIG or have risk factors for severe disease.

3.Intravenous aciclovir should be given to pregnant women who develop complicated varicella at any stage of pregnancy.

4.Counselling on the risk of congenital varicella syndrome is recommended for pregnant women who develop chickenpox.

5.ZIG should be given to a baby whose mother develops chickenpox up to 7 days before delivery or up to 28 days after delivery.

6.Intravenous aciclovir should be given to babies presenting unwell with chickenpox, whether or not they received ZIG.

7.Breastfeeding of babies infected with or exposed to VZV is encouraged.

8.A mother with chickenpox or zoster does not need to be isolated from her own baby.

9.If siblings at home have chickenpox, a newborn baby should be given ZIG if its mother is seronegative.

10.The newborn baby does not need to be isolated from its siblings with chickenpox, whether or not the baby was given ZIG.

11.After significant nursery exposure to VZV, ZIG should be given to seronegative babies and to all babies born before 28 weeks' gestation.

ASTHMA KEY POINTS

GOOD DAY !

ACUTE ASTHMA
SUMMARY OF PRACTICE POINTS
LEVEL OF EVIDENCE
Managing acute asthma in adults

If the patient is acutely distressed, give oxygen and SABA immediately after taking a brief history and physical examination.
[√]
Assess response to treatment using spirometry, oxygen saturation, heart rate, respiratory rate and pulsus paradoxus status.
[√]
Wheeze is an unreliable indicator of the severity of an asthma attack and may be absent in severe asthma.
[√]
Ensure every patient receives adequate follow-up after an acute asthma episode, including review of medications, triggers and asthma action plan.
[√]
Managing acute asthma in children

If the patient is acutely distressed, give oxygen and SABA immediately after taking a brief history and physical examination.
[√]
Emergency management of acute asthma in a child is based on initial administration of salbutamol 4-6 puffs (< 6 years) or 8-12 puffs (≥6 years) via MDI.
I
Load the spacer with one puff at a time and give each puff separately.
III-1
If treatment with an oral corticosteroid (e.g. prednisolone 1 mg/kg up to 60 mg as a single daily dose) has been initiated for a moderate-to-severe acute episode, continue for up to 5 days.

DOCTOR LOCUMS

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AMC EXAM TRAINING

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Important notice from AMC

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WHTS NEW

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