Child health Flashcards
How would pyloris stenosis present on blood gas analysis?
Hypochloric metabolic alkalosis
- From vomiting up stomach acid
What is the classic presenting feature of pyloric stenosis?
Projectile vomiting
What kind of shunt occurs in tetralogy of fallot?
R to L
Causes failiure to oxygenate blood
What are the 4 defects in tetralogy of fallot?
- Ventricualr septal defect
- Pulmonary stenosis
- Overriding aorta (opening too far right)
- RV hypertrophy
What age group should dexamethosone be given if bacterial meningitis?
> 3m old
How do you manage suspected meninitis in community?
Stat dose of IM benzylpenicillin ( or cefotaxime if pen allergic). Immediate transfer to hospital
What are the two most common causative organisms in bacterial meningitis?
- Neisseria meningitidis
2. Streptococcus pneumoniae
What is the first line management for croup?
single dose oral dexamethosone
What is the most common cause of croup?
Parainfluenza virus
Which organisms causes the greatest morbidity/ mortality if it colonises a CF pt?
Pseudomonas Aeruginosa
Give 4 topical treatments for plaque psoraisis
Corticosteroids
Vitamin D analouges
Coal tar preparations
Dithranol
What is the main trigger for guttate psoraisis?
Streptococcal throat infection
What class of abx to treat whooping cough?
MAcrolides
Give 4 features, any of which would lead to diagnosis of whooping cough in someone w 14d unexplained cough?
Paroxysmal cough (v violent bursts)
Inspiratory whoop
Post-tussive vomiting
Apnoeic attacks in infants
What is the most common leukaemia in children?
Acute lymphoblastic leukaemia