14/6/22 Flashcards
Typical mx of EOS?
Generally peniciliin + aminoglycoside (gentamicin)
Notifiable causes of gastroenteritis?
Campylobacter jejuni,
Listeria monocytogenes, Escherichia coli O157, Shigella and Salmonella
Different types of JIA?
- Oligoarticular (most common) - MAX 4 JOINTS (usually assymetric + large joints)
- Polyarticular (5+ JOINTS) - anterior uveitis = sero-ve, rheumatoid nodules = sero+ve
- Systemic JIA / Still disease = systemic symptoms inc salmon pink rash and serositis
In mx of nappy rash (form of irritant contact dermatitis) when should you give 1w of topical 1% hydrocortisone?
If rash is inflamed and causes discomfort in children >1m age
Signs of tuberous sclerosis?
skin = ash leaf shaped patches, shagreen patches
(roughened patches of skin over the lumbar spine), angiofibromata in a
butterfly distribution over the bridge of the nose and cheeks, and
fibromas beneath the nail bed
Neuro = developmental delay, LD and infantile spasms
cardiac - rhabdomyomas
eyes = retinal hamartomas
renal = renal cc
What is acute abdomen in children?
rapid onset of severe abdominal pain that may
indicate life-threatening intra-abdominal disease requiring urgent surgical
intervention
Eg perforated appendix
When does miscarriage require further ix?
Recurrent miscarriage is defined as the loss of 3 or more consecutive pregnancies before 24 weeks’ gestation -
What ix in recurrent miscarriage?
transvaginal ultrasound scan (uterine anomalies), coagulation screen
(thrombophilia), lupus anticoagulant and anti-cardiolipin antibodies (antiphospholipid syndrome), and cytogenetic analysis of the patient and partner
(balanced translocations)
What are call-exner bodies and what is the diagnosis?
Call–Exner bodies are eosinophilic fluid-filled spaces that are found between granulosa cells and they are pathognomonic of granulosa cell tumours
What gynae cancer causes hirsuitism, amenorrhoea and virilisation in young women?
Sertoli-leydig cell tumours
What to do if 12w of SSRI hasnt worked in OCD?
Use a TCA (eg clomipramine) or alternative SSRI
What class of drug is venaflaxine?
SNRI
WISC-V Classification of IQ score?
130 and above = Extremely High
120 – 129 = Very High
110 – 119 = High Average
90 – 109 = Average
80-89 = Low Average
70 – 79 = Very Low
69 and below = Extremely Low
LD classification by WISC IQ score?
- 50–70: Mild
- 35–49: Moderate
- 20–34: Severe
- Less than 20: Profound
What IQ test should be used?
(WPPSI) designed for children aged 2–7 years
(WISC) which is designed for children aged 6–16 years
When to give meds for insomnia?
If there is severe daytime impairment (as in this case), a short course of a hypnotic agent may be considered
Social phobia questionnaire?
Social phobia inventory (SPIN)
