Child Health Investigations and Management Flashcards
Developmental delay investigations
Chromosomes, FRAX, aCGH
Neonatal PKU, thyroid studies, CK
If indicated: MRI brain, EEG, metabolic studies, genetic consultation, others
Growth problem investigations
Bloods (gonadotrophins, growth factors, testosteone/oestradiol, thyroid, karyotype, other pathology)
Bone age
Dynamic function tests
MRI brain, USS uterus
Pyloric stenosis investigation
US (only if clinical exam unsure)
Pyloric stenosis management
Pyloromyotomy (open or laparoscopic)
Intussusception investigation
US (target sign, psuedokidney)
Intussusception management
US with air enema
Appendicitis investigation
Ultrasound
Malrotation investigation
NG tube and contrast scan
Malrotation management
Emergency surgical decompression
Idiopathic scrotal oedema management
Analgesia
Balanitis xerotica obliterans management
Circumcision
Undescended testis (cryptorchidism management)
Orchidopexy
When would you refer an obese child for paediatric review?
Serious obesity-related morbidity that requires weight loss
Children with suspected underlying medical cause of obesity
Children under 24 months who are severely obese
What is the maximum weight loss you should aim for in obese children?
0.5-1kg per month
How active should under 5s who can walk be?
At least 180 mins spread throughout the day
Orlistat use in children
Only prescribed in adolescents with very severe to extreme obesity with comorbidities
Specialist clinic with regular review, including monitoring and side effects
Surgical obesity management in children
Can be considered in post pubertal adolescents with very severe to extreme obesity and severe comorbidities
Meningitis/encephalitis investigations
Lumbar puncture
Imaging
