CBD 1 tutorial paeds Flashcards
how many grades for murmus?
grades 1 = 5
when describing a murmur what aspects should you include?
-4
Location
Diastolic systolic?
Mitral or tricuspid?
Does it radiate?
features of an innocent murmur?
-4
low grade
no radiation
no symptoms, sensitive to posture
Ix child with murmur?
-2 main ones
ECG
Echo
2 common examples of an innocent murmur?
Venous
Pulmonary flow murmur
on examination how can you tell if its a venous murmur?
-2
goes away if you press on jugular vein
varies with head position
cause of venous murmurs?
by turbulent venous return
Pulmonary flow murmur is loudest where?
pulmonary area
need to distinguish pulmonary flow murmurs from what other murmurs?
small ASD or mild pulm stenosis
diabetes insipidus is deficiency in what hormone?
ADH
urine features in diabetes insipidus?
-2
lots of urine
dilute urine
Fever + petechia/purpura.
diagnosis?
meningococcal septicaemia
child has bruising with hepatosplenomegaly.
top diagnosis?
leukaemia
child has bruising with hepatosplenomegaly,
this is a sign of what?
malignant infiltration
SUDI stands for what?
sudden unexpected death infant
SIDS stands for what?
Sudden infant death syndrome
SUDI vs SIDS,
what is the difference?
sudden unexpected death infant - cause found
Sudden infant death syndrome - no cause found
SUDI most common causes?
-2
infection
cardiac related
how can parents prevent SIDS?
-3
keep temp stable
lie back-to-back
do not sleep in bed or sofa
child has tantrum, goes hypoxic, has fit, loses tone but then recovers in 60 seconds.
diagnosis?
breath holding
breath holding affects what ages?
6 months – 4 years
breath holding differentials?
-2
Arrhythmia
epilepsy
breath holding pathophysiology step by step?
Tantrum > not breathing > goes hypoxic (blue) > no O2 to brain so has fit and loses tone
in breath holding,
what happens to tone?
lose tone
