case 3 tutorial Dr Patel Flashcards
1
Q
what is irritability a sign of?
A
cerebral hyperexcitability
2
Q
Jitteriness vs seizures;
how do you differentiate?
-2
A
hold child and jerking stops then it jitters (seizures will not stop)
jitters = small movements seizures = bigger movements
3
Q
Causes of irritability
-6
A
infection sepsis meningococcal septicaemia encephalitis neonatal drug withdrawal (aka neonatal abstinence syndrome) hypoglycaemia
4
Q
main Ix for Meningitis?
A
LP
5
Q
main Ix for seizures?
A
EEG
6
Q
main Ix for abstinence syndrome?
A
toxicology
7
Q
main Ix for sepsis?
-3
A
blood gas, urine output, lactate
8
Q
child has irritability signs,
why do you U+Es?
A
high or low Na+ affects brain