22/06 Flashcards
what causes acute epiglottitis
haemophilus influenza B
APGAR
Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin colour)
Respiratory effort
when should apgar be assessed
1 and 5 mins
again at 10 mins if abnormal
adverse effect of methyphenidate
cardiotoxicity - perform a baseline ECG
benign rolandic epilepsy EEG
centrotemporal spikes
jaundice extending beyond physiological 2 weeks
conjugated bilirubin abnormally high
biliary atresia
crosses suture lines
caput succedaneum
doesnt cross suture lines
cephalohaematoma
cause of erythema infectious/slapped cheek/fifth disease
parvovirus b19
‘Strawberry’ tongue
Rash - fine punctate erythema sparing the area around the mouth (circumoral pallor)
scarlet fever
what causes scarlet fever
Reaction to erythrogenic toxins produced by Group A haemolytic streptococci
what causes hand foot and mouth disease
coxsackie A16 virus
Microcephalic, small eyes
Cleft lip/palate
Polydactyly
Scalp lesions
Patau syndrome (trisomy 13)
Micrognathia
Low-set ears
Rocker bottom feet
Overlapping of fingers
Edward’s syndrome (trisomy 18)
Learning difficulties
Macrocephaly
Long face
Large ears
Macro-orchidism
fragile X
Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis
noonan syndrome
Micrognathia
Posterior displacement of the tongue (may result in upper airway obstruction)
Cleft palate
pierre-robin syndrome
Hypotonia
Hypogonadism
Obesity
Prader-Willi syndrome
Short stature
Learning difficulties
Friendly, extrovert personality
Transient neonatal hypercalcaemia
Supravalvular aortic stenosis
williams syndrome
Characteristic cry (hence the name) due to larynx and neurological problems
Feeding difficulties and poor weight gain
Learning difficulties
Microcephaly and micrognathism
Hypertelorism
cri du chat syndrome (chromosome 5p deletion syndrome)
drug use increasing risk of cleft lip/palate
anti-epileptics
Sensorineural deafness
Congenital cataracts
Congenital heart disease (e.g. patent ductus arteriosus)
Glaucoma
rubella
Cerebral calcification
Chorioretinitis
Hydrocephalus
toxoplasmosis
Low birth weight
Purpuric skin lesions
Sensorineural deafness
Microcephaly
cytomegalovirus
heart defect DMD
dilated cardiomyopathy
turners syndrome murmur
ejection systolic due to bicuspid aortic valve
peak incidence at 6 months - 3 years
more common in autumn
croup (parainfluenza virus) -> give dex
<1 year old
winter
bronchiolitis (RSV) -> supportive tx
differentiate cardiac and non-cardiac cyanosis
nitrogen washout test
acrocyanosis
cyanosis of the peripheries
normal finding and may persist 24-48hr
CF colonising organisms
Staphylococcus aureus
Pseudomonas aeruginosa
Burkholderia cepacia*
Aspergillus
cystic fibrosis diagnosis
sweat test, CF indicated by > 60 mEq/l
developmental referral
doesn’t smile at 10 weeks
cannot sit unsupported at 12 months
cannot walk at 18 months
diagnosis of DDH
USS unless >4.5 months, then xray
tx of DDH
pavlik harness in children younger than 4-5 mo.
older -> surgery
Holds in palmar grasp
6 months
Points with finger
9 months
reaches for object
3 months
good pincer grip
12 months
head control
3 months
sits without support
7-8 months
crawls
9 months
walks unsupported
13-15 months
runs
2 years
tricycle
3 years
hops on 1 leg
4 years
not shy
6 months
shy
9 months
turns towards sound
3 months
mama dad
9 months
knows and responds to own name
12 months
2-6 words
18 months
combine two words
2 years
talks in short sentences
3 years
Primary hypogonadism (Klinefelter’s syndrome)
high LH
low testosterone
hypogonadotrophic hypogonadism (kALlmans)
ALL LOW
low LH
low testosterone
Androgen insensitivity syndrome
high LH
normal/high testosterone
Testosterone-secreting tumour
low LH
high testosterone