Child Health Flashcards
Physical features of achondroplasia?
Trident hands
Short limbs
Lumbar lardosis
Midface hypoplasia
Causative organism for croup?
Parinfluenza virus
What is William’s syndrome?
Neurodevelopmental disorder caused by microdeletion on chromosome 7
Features of William’s?
Elfin like facies
Friendly and social
LD
Short stature
Transient neonatal hypercalcaemia
Supravalvular aortic stenosis
If a girl has haemophilia what else do you think she has?
TURNER’S SYNDROME
Because it is X-linked recessive, if a girl is symptomatic that should raise alarm bells (Turner’s only have one X- chromosome)
7 features of DDH?
7 F’s
-First born
-Female
-Fat (macrosomia)
-Fair (caucasian)
-Feet (breech)
-F*ck all Fluid (oligohydraminos) (none)
-Family (Fam Hx)
What does this baby have?
-Retinal haemorrhages, subdural haematoma, encephalopathy
Shaken baby syndrome
If a child has dyskinetic cerebal palsay which area of the brain is affected?
Basal ganglia
Substantia nigra
(These areas are involved with regulating voluntary movement and posture)
Sausage shaped mass in abdomen?
Intussusception
What does gastroschisis refer to?
Defect lateral to umbilicus
What does omphalocele refer to?
Defect in umbilicus itself
Why is diabetes a risk factors for neonatal respiratory distress syndrome?
Insulin (increased in diabetic mothers) inhibits surfactant production and maturation of fetal lungs
First MMR vaccine given when?
12-13 months
Then
3-4 as booster
Which genetic defect puts a child more at risk of developing acute lymphocytic leukaemia?
Down’s syndrome
What heart condition is associated iwth Turner’s
Bicuspid valve
(ejection systolic murmur)
However Aortic dissection is the most serious associated heart condition
Achondroplasia has what inheritance pattern?
AD
Supravalvular aortic stenosis makes you think what?
Williams syndrome
What age do kids ask what and who Qs? (milestones wise)
3 years
What age do they ask why when and how Qs?
4 years
CXR Findings in transient tachnypnoea of the newborn?
Hyperinflation and fluid in horizontal fissue
Drug for child nocturnal eneuresis?
Desmopresin
If a man has mitochondrial genetic disease what is the likelihood that his children will inherit it?
0%
Mitochondrial always passed down mother’s line
Parallel aorta and pulmonary trunk on echo is indicative of what?
Transposition of great arteries
What do you give in transposition of great arteries?
Prostaglandin E1 to maintain ductus arteriosus