Acute child Flashcards

1
Q

Who has a large head and prominent occiput?

A

Infants

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2
Q

Do infants have a high or low anterior larynx/floppy epiglottis?

A

High

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3
Q

What do the majority of infants present with?

A

Bronchiolitis/URTI/Croup

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4
Q

What is bronchiolitis and what is the treatment?

A

Acute inflammatory injury of the bronchioles

Supportive treatment

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5
Q

Is bronchiolitis viral or bacterial?

A

Viral

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6
Q

What is croup and what is the treatment?

A

Larygnotracheobronchitis

Steroid treatment

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7
Q

What sign might you see on the x-ray of a child with croup?

A

Steeple sign

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8
Q

Is croup viral or bacterial?

A

Viral

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9
Q

Is encephalitis commonly bacterial or viral?

A

Viral

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10
Q

What information should you include in a referral letter?

A

General health including growth, weight and height with centiles and development

Relevant social info e.g. if child is on CP register

Parental concern

Impact on school

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11
Q

A child presents and is obese and of short stature. What cause should you consider?

A

ENDOCRINE

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12
Q

What are some UTI red flags in kids?

A
Younger children
Frequent infections
Non-E.coli infections
FHx renal disease
Poor growth/general health
Poor urinary flow in infant
Voiding problems/constipation
Spinal abnormality
Raised BP
Renal tract abnormalities onantenatal scan
Abdominal mass
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13
Q

What is the commonest cause of UTI in children?

A

E.coli

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14
Q

What is the definition of constipation?

A

Pain, difficulty or delay in defaecation

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15
Q

What is the definition of soiling?

A

Escape of stool into underclothing

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16
Q

What is encopresis?

A

Pooping of pants in children that have already been toilet trained

17
Q

What is the treatment for constipation in kids?

A

Laxatives
Attention to food/drink
Toileting behaviour advice

18
Q

What is a constipation red flag?

A

Delay in passage of meconium > 24hrs after birth