Edited, memorised or added to reading queue

on 01-May-2020 (Fri)

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Flashcard 5375440588044

Question
bonnet (n)
Answer
[the cover over the engine of a vehicle (US = hood)]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5376950537484

Question
bonnet (n) the cover over the engine of a vehicle (US = hood)
Answer
[default - edit me]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

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Flashcard 5377715735820

Question
boot (n)
Answer
[the luggage compartment of a vehicle (usually at the back of the vehicle) (US = trunk]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

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Flashcard 5377717570828

Question
expiry (n)
Answer
[ time or date when something is no longer valid]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377719405836

Question
fine (n)
Answer
[sum of money paid as a punishment for breaking a law]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377721240844

Question
insurance (n)
Answer
[ financial protection offered to a customer by a company against loss, damage, etc in return for a payment premium]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377723075852

Question
overtake (v)
Answer
[to pass a vehicle driving in the same direction]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377724910860

Question
penalty (n)
Answer
[official punishment for an offence or crime]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377727532300

Question
signature (n)
Answer
[your name, written by hand, on official documents, at the end of letters, on cheques, etc]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377729629452

Question
beggar (n)
Answer
[a person in the street who asks strangers for money]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377731464460

Question
community policing (n)
Answer
[policing that integrates officers into the local community to reduce crime and to establish good relations with residents]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377733299468

Question
confiscate (v)
Answer
[to take something away with authority]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377735134476

Question
crime prevention (n)
Answer
[trying to stop crime from happening]

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Flashcard 5377736969484

Question
deal with (v)
Answer
[to take action to solve a problem or to help someone]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377738804492

Question
disorder (n)
Answer
[a public disturbance or breach of the peace]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377740639500

Question
dump (v)
Answer
[to illegally throw away or abandon rubbish or unwanted objects]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377742474508

Question
emergency (n)
Answer
[a sudden problem or critical event that you have to deal with urgently]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377744309516

Question
house-to-house enquiries
Answer
[going from one house to another to ask people questions to help in a case (also called door-to-door enquiries)]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377746144524

Question
uniformed presence (n)
Answer
[visible numbers of police in uniform on the streets]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377749028108

Question
unstable (adj)
Answer
[lacking or not having emotional or psychological control]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377750863116

Question
vandalize (v)
Answer
[to destroy or damage property]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377752698124

Question
abdomen (n)
Answer
[surface of the body around the stomach]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377755319564

Question
bandage (n)
Answer
[a long strip of cloth used to cover a wound or injury]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377757154572

Question
bruise (n)
Answer
[a mark on the body where the skin is discoloured as the result of a fall or a blow (US = contusion]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377758989580

Question
domestic abuse (n)
Answer
[any incidents of violent behaviour in a family or a relationship]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377760824588

Question
fracture (n)
Answer
[a break in a bone]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377762659596

Question
on suspicion of
Answer
[as a suspect]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377765281036

Question
pull out (v)
Answer
[to drive a vehicle away from the side of the road]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377767378188

Question
skid (v)
Answer
[to slide dangerously (and usually unintentionally and uncontrollably) across a road]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377769213196

Question
accomplice (n)
Answer
[ someone who helps someone else to commit a crime]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377771048204

Question
appeal (v)
Answer
[to make an urgent request to someone for something]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377772883212

Question
burglar (n)
Answer
[someone who enters a property illegally with the intention of stealing something]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377774718220

Question
exploit (v)
Answer
[to take advantage of something for personal gain]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377776553228

Question
hotspot (n)
Answer
[place of potential unrest or criminal activity]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377778388236

Question
intruder (n)
Answer
[someone who enters a property without permission usually in order to commit a crime]

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Flashcard 5377780223244

Question
joyriding (n)
Answer
[stealing a vehicle and driving it at high speed]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377782058252

Question
leaflet (n)
Answer
[a small sheet of paper used as part of an advertising or awareness campaign and which is distributed free of charge]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377783893260

Question
legitimate (adj)
Answer
[legal]

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Flashcard 5377785728268

Question
loophole (n)
Answer
[a gap in the law which gives people a means of avoiding it]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377788349708

Question
motion detector lighting (n)
Answer
[external lighting with a sensor which switches itself on whenever movement is detected]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377790184716

Question
opportunistic (adj)
Answer
[taking advantage of opportunities]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377792019724

Question
shoplifting (n)
Answer
[stealing something from a shop]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377793854732

Question
recover (v)
Answer
[to get something back that was lost edit me]

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Flashcard 5377795689740

Question
at take down (the details) (v)
Answer
[to write (the details) down to make a note of them]

statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 5377797524748

Question
theft (n)
Answer
[the stealing of someone’s property]

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Flashcard 5377799359756

Question
trafficking (n)
Answer
[trading in illegal goods such as stolen cars, drugs or weapon]

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Flashcard 5377801194764

Question
counselling (n)
Answer
[meetings to talk over problems with a psychologist or other professional]

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Flashcard 5377803029772

Question
declare (v)
Answer
[to inform customs authorities about goods or income that you have to pay tax on]

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repetition number in this series0memorised on               scheduled repetition               
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Flashcard 5377804864780

Question
derive (v)
Answer
[to come from a source]

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Flashcard 5377806699788

Question
dilate (v)
Answer
[to expand or become wide]

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Flashcard 5377808534796

Question
forgery (n) copying something illegally so that it looks authentic and intending to make financial gain from it
Answer
[default - edit me]

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Flashcard 5378385513740


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Sans sus-décalage du segment ST = Occlusion thrombotique partielle et embolisation distale du thrombus

  • Angor instable (ou SCA ST- tropo-) : pas élévation de troponine
  • IDM ST- (ou SCA ST- tropo + ou NSTEMI) : élévation de troponine

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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Avec sus- décalage du segment ST = Occlusion thrombotique totale

  • IDM ST+ (ou STEMI)

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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Infarctus du myocarde = SCA avec élévation de troponine : reflet d’une nécrose myocardique irréversible

  • A la suite d’un IDM ST- : infarctus sans onde Q = sous-endocardique
  • A la suite d’un IDM ST+ : infarctus avec onde Q = transmural

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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Infarctus du myocarde

Classification (Société européenne de Cardiologie)

  • IDM type 1 : spontané (ST- ou ST+)
  • IDM type 2 : 2 ndr à un déséquilibre entre apports et besoins en O2 du myocarde
  • IDM type 3 : décès du patient au cours d’un SCA ST+ avant dosage de troponine
  • IDM type 4 : survenant au décours d’une intervention coronaire percutanée
  • IDM type 5 : survenant au décours d’un pontage coronarien

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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Troponine = Enzyme cardiaque libérée en cas de nécrose myocardique (> 1 g de tissu myocardique)

  • IDM : élévation en 3 h proportionnelle à l’étendue de la nécrose persistante jusqu’à 15 jours
  • Autres causes d’élévation de la troponine : anémie, myocardite, EP, état de choc, insuffisance cardiaque, insuffisance rénale, crise aiguë hypertensive, bradycardie, tachycardie, spasme coronarien, syndrome infectieux ou inflammatoire
  • Spécifique du tissu cardiaque : non élevé par d’autres atteintes musculaires (rhabdomyolyse…)

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SYNDROME CORONAIRE AIGU -> Définitions
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Autres marqueurs myocardiques

  • Myoglobine (marqueur précoce) : élévation en 2-3h, pic en 8-12h, normalisation en 24-36h
  • Créatinine phosphokinase iso-enzyme MB (CPK-MB) : élévation en 6h, pic en 36h (plus précoce < 12h si reperfusion), normalisation en 3-4 jours
  • Transaminase SGOT : élévation en 8h, pic en 24h, normal en 8-14 jours
  • LDH (notamment LDH1) : élévation en 24h, pic en 3-4 jours, normal en 6 jours

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SCA AVEC SUS-DECALAGE PERMANENT DU SEGMENT ST -> Diagnostic -> ECG
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Chronologie

  • Ondes T pointues, symétriques, amples (stade hyper-précoce)
  • Sus-décalage du segment ST (onde de Pardee) : convexe vers le haut, englobant l’onde T, ≥ 2 mm en précordial (V1-V6) ou ≥ 1 mm en frontal, sur 2 dérivations contiguës, avec image en miroir (sous-ST)
    Apparaît dans les 1 ères heures, doit revenir à la normal en moins de 3 semaines
  • Onde Q de nécrose (> 40 ms et ≥ 1 mm ou > 1/3 de l’onde R) : entre H6 et H12, persiste souvent à titre de séquelles

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SCA AVEC SUS-DECALAGE PERMANENT DU SEGMENT ST -> Diagnostic -> ECG -> Localisation
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Coronaire gauche (IVA et Cx)

  • Antéro-septal (IVA) : V1-V2-V3
  • Apical : V4
  • Latéral bas (Cx) : V5-V6
  • Antérieur étendu : V1 à V6, D1, aVL
  • Latéral haut (Cx) : D1-aVL
  • Postérieur (Cx) : V7-V8-V9

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SCA AVEC SUS-DECALAGE PERMANENT DU SEGMENT ST -> Diagnostic -> ECG -> Localisation
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Coronaire droite

  • Inférieure : D2-D3, aVF
  • Ventricule droit : V3r-V4r
  • Septal profond : inférieur + antéro-septal

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SCA AVEC SUS-DECALAGE PERMANENT DU SEGMENT ST -> Diagnostic -> Biologie
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

Enzymes cardiaques

Dosage troponine inutile au stade du diagnostic mais systématiquement élevée dans les heures suivant l’hospitalisation (confirmation a posteriori et usage pronostique)

Douleur thoracique > 30 min + modifications ECG = diagnostic posé

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SCA AVEC SUS-DECALAGE PERMANENT DU SEGMENT ST -> Diagnostic -> Paraclinique
#334 #Cardiologie #Cours #Facultaires #Fiche #Medecine #S-ECN #SCA

ETT

En urgence si complication (OAP, choc), souffle à l’auscultation, doute diagnostique

Pratiquée sinon systématiquement dans les 24 premières heures

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