Case Studies 2 Flashcards
What age is bronchiolitis
0-12 months
Management of viral laryngotracheitis
Oral steroid - dexamethasone
Nebulised adrenaline if severe
Management of LRTI
Oral amoxicillin - IV if vomiting
Presentation of pneumonia
Fever
SOB
Cough
Grunting
Reduced bronchial breath sounds
Common features of innocent murmurs
Vibratory
Soft
Systolic
Localized - left sternal edge common
Vary with activity, position and respiration
Asymptomatic
Normal CXR and ECG
Differential diagnosis of baby with peripheral and central cyanosis with loud systolic murmur
Transposition of the great arteries
Pulmonary atresia
Truncus arteriosus
Tetralogy of fallot
What is the associated cardiac abnormality associated with down’s
AVSD
What is the suspected cardiac abnormality for turner’s
Coarctation of the aorta
What is the associated cardiac abnormality with noonan’s
Pulmonary stenosis
Associated cardiac abnormality with william’s
Supravalvular aortic stenosis
Aetiology of congenital heart disease
Maternal antenatal health - diabetes, SLE
Maternal substances - alcohol, phenytoin, lithium
Congenital infections - TORCH
Causes of short stature
Familial Constitutional delay Small for gestational age Under-nutrition Chronic illness - JCA, IBD, Coeliac Iatrogenic - steroids Psychological and social factors Hormonal - GH deficiency, hypothyroid Syndromes - turner, P-W, noonans Dusproportionate - achondroplasia
Presentation of diabetic ketoacidosis
History of excessive drinking, nocturnal enuresis, lethargy, weight loss
Abdo pain and vomiting
Management of diabetic ketoacidosis
IV access
IV insulin
IV fluids - maintenance and correction with vit K
Avoid bicarbonate and monitor electrolytes and acid-base balance
Differential diagnosis of un-conjugated bilirubin jaundice
Physiological jaundice Breast milk jaundice Infection (urinary) Hypothyroidism Haemolytic anaemia - ABO incompatibility/G6PD
