Child health Flashcards

1
Q

Developmental milestones? (2)

A
  • Median age - age when 50% population achieve a skill

* Limit age - age when skill should have been acquired by 97.5% of children

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2
Q

Development delay?

A

Failure to attain appropriate developmental milestone’s for child’s corrected chronological age

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3
Q

Patterns of abnormal development? (3)

A
  • Delay = global or specific
  • Deviation e.g. autism
  • Regression e.g. Rett’s syndrome
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4
Q

Red flags for development? (7)

A
  • Asymmetry of movement
  • Not reaching objects by 6 months
  • Unable to sit unsupported by 12 months
  • Unable to walk by 18 months (check CK)
  • No speech by 18 months
  • Vision or hearing
  • Loss of skills
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5
Q

Global developmental delay?

A

Significant delay in 2 or more of

  • gross/fine motor, speech/language
  • cognition, social/personal, ADL
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6
Q

Screening for Down’s syndrome? (7)

A
  • Cardiac
  • Vision
  • Hearing
  • Thyroid function
  • Sleep related breathing disorders
  • Growth charts
  • Development
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7
Q

Developmental delay IQ? (3)

A
  • Mild learning disability = 50 - 70
  • Severe learning disability = 20 - 50
  • Profound learning disability = <20
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8
Q

Specific developmental delays? (4)

A
  • Motor delays = DMD, cerebral palsy
  • Language delays
  • Sensory deficits = oculocutaneous albinism, Treacher-collins
  • Developmental deviations = autisim
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9
Q

Sign for duchennes muscular dystrophy?

A

Gower’s manoeuvre

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10
Q

Conditions associated with cerebral palsy? (8)

A
  • Mobility problems
  • Learning difficulties
  • Epilepsy
  • Visual/hearing impairment
  • Communication difficulties
  • Feeding difficulties
  • Sleep problems
  • Behaviour problems
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11
Q

Autistic triad? (3)

A
  • Communication
  • Social interaction
  • Flexibility of thought/imagination
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12
Q

Autistic communication? (2)

A

Receptive language

  • Delayed
  • Abstract language difficult
  • Expressive > receptive

Expressive language

  • Delayed
  • Echoes
  • Odd tone/pitch
  • Chunks of video speak
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13
Q

ASD flexibility of thought/imagination? (3)

A
  • Concrete and literal
  • Concept of time
  • Ritualistic behaviour
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14
Q

ASD sensory issues? (7)

A
  • Fussy eater
  • Textures of clothes
  • Sleep
  • Toilet training
  • Hair washing./cutting
  • Nail cutting
  • Noise
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15
Q

Developmental delay Ix? (5)

A
  • Chromosomes
  • Neonatal PKU, thyroid studies, CK
  • MRI brain
  • EEG
  • Metabolic studies
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16
Q

Assessments for development? (4)

A
  • Griffiths = 0-8 yrs
  • Bayleys = 0-3 yrs
  • Schedule of growing skills = 0-5 yrs
  • ADOS (ASD)
17
Q

Normal HR, respiratory rate and BP of <1 y/o? 1-2? 2-5? 5-12? >12?

A

<1

  • HR = 110-160
  • RR = 30-40
  • Systolic = 70-90

1-2

  • 100 -150
  • 25-35
  • 80-95

2-5

  • 95-140
  • 25-30
  • 80-100

5-12

  • 80-120
  • 20-25
  • 90-110

> 12

  • 60-100
  • 15-20
  • 100-120
18
Q

Examples of how child anatomy differs from adult? (4)

A
  • High anterior larynx/floppy epiglottis
  • Flexible ribs
  • Blood volume 80mls/kg
  • HbF at birth
19
Q

What is the commonest cause of acute illness in children?

A

Sepsis

20
Q

Bronchiolitis?
Ax?
Tx?

A

Inflammtory injury to bronchioles (crackles)

  • Ax = viral
  • Tx = supportive
21
Q

Croup?
Ax?
Tx?

A

Narrowing of upper airway - laryngotracheobronchitis

  • Ax = viral
  • Tx = steroid
22
Q

Important differentials for croup? (3)

A
  • Epiglottitis
  • Foreign body
  • Bacterial trachietis
23
Q

Is every child with wheeze asthmatic?

A

No - could be episodic wheeze after bronchiolitis

24
Q

CNS conditions affecting children? (2)

Dx? (2)

A
  • Meningitis
  • Encephalitis (commonly viral)

Dx

  • Lumbar puncture
  • Imaging
25
Q

Sign for meningococcaemia?

A

Fulminant purpura

26
Q

Reflex anoxic seizures?

A

get a fright/bang head + stop breathing

27
Q

Breath holding attacks?

A

Often when crying