Child health Flashcards
Fever and vomiting
Poor feeding
Respiratory distress
Tachycardia / bradycardia
Hypoxia
Hypoglycaemia
Jaundice within 24 hours
Neonatal sepsis
Any presentation with yellowing of the skin within 24 hours of birth
May be prolonged
Neonatal jaundice
Tachypnoea, grunting
Intercostal recession
Nasal flaring
Cyanosis
Worsens over minutes to hours
Gradually improves over 2-4 days
Respiratory distress of the newborn
Jitteriness and seizure activity
Lethargy
Neonatal hypogylcaemia
Enlarged head circumference that is rapidly increasing
Bulging anterior fontanelle
Poor feeding and vomiting
Poor tone and sleepiness
Hydrocephalus
Intolerance to feeds
Vomiting with green bile
Distended tender abdomen
Absent bowel sounds
Blood in stools
Necrotising enterocolitis
Mobility problems and spasticity
Learning difficulties
Epilepsy
Communication difficulties
Sleep problems
Cerebral palsy
Boy with weakness in pelvic muscles
Aged 3-5
Progressive weakness
Duchenne’s muscular dystrophy
Abnormal social interaction
Difficulty in communication
Differences in behaviour
Autistic spectrum disorder
Lack of responsiveness
Lack of distress
Inconsolable crying
Emotional and behavioural difficulties
Reactive attachment disorder
Recurrent / severe common childhood illnesses
Recurrent oral candidiasis
Failure to grow or thrive
Persistent fever
Encephalopathy
HIV
Chronic cough or fever > 2 weeks
Night sweats
Weight loss
Lymphadenopathy
Tuberculosis
Kwashiorkor
Marasmus
Malnutrition
Increased work of breathing
‘Barking’ cough
Clusters of coughing episodes
Hoarse voice
Stridor
Low grade fever
Croup
Viral URTI symptoms
Dyspnoea
Tachypnoea
Poor feeding
Mild fever
Respiratory distress
Wheeze and crackles
Bronchiolitis
Progressively worsening shortness of breath
Tachypnoea
Signs of respiratory distress
Expiratory wheeze
Chest sounds ‘tight’
Acute asthma
Wet and productive cough
High fever
Tachypnoea / tachycardia
Increased work of breathing
Lethargy
Bronchial breath sounds
Focal coarse crackles
Dullness to percussion
Pneumonia
Low grade fever
Malaise
Myalgia
Arthralgia
Headaches
New / changing heart murmur
Infective endocarditis
Palpitations
Dyspnoea
Chest pain
Rapid breathing
Dizziness
Loss of consciousness
HR 150-270 bpm
Supraventricular tachycardia
Projectile vomiting of milk
Vomiting after baby is fed
Keen to feed
Peristalsis across abdomen
Olive-like abdominal mass
Typically around 6 weeks old
Congenital pyloric stenosis
Abdominal pain and bloating
Vomiting bile
Constipation / bloody stool
Coffee bean sign on abdominal x-ray
Typically around 1 month old
Volvulus resulting from malrotation
Sausage-like abdominal mass
‘Red currant jelly’ stool
Typically around 6 months old
Vomiting
Intussusception
Pain in bumpy car on way to hospital
Sore belly
Peritonitis
Child cannot jump with arms reached up without moderate / severe pain
Generally unwell
Sore belly
Appendicitis
Sudden onset testicular pain
Medical emergency
Young boys
Surgery indicated
Testicular torsion
Small blue / black dot on scrotum
Scrotal discomfort
Hydatid of Morgagni
Remnants of girl sexual development from Y chromosome split becoming
Scarring and tightness of the foreskin
Potential scarring in urethra
Non-retractable prepuce
Bxo balanitis xerotica obliterans
Urethral meatus located at abnormal site
Uncomplete foreskin
Penis typically bent
Typically around 1 year old
Hypospadias
Non-tender swelling of one testicle
Transilluminates with pen torch
Hydrocele
Fever
Neck stiffness
Headache
Vomiting
Photophobia
Seizures, altered consciousness
Non-blanching rash in some cases
Meningitis
