childhealth other Flashcards
baby normal temperature range
36.5-37.5
signs of hypoglycaemia in baby. what is the 1st dign.
1st: jittery (most common)
sleepiness, seizures (rare),
early jaundice (<24hrs) likely causes
infection/haemolysis
late jaundice indicitive if
obstruction jaundice
tachypnoea can indicate
sepsis, nas
at what gestation is a healthy baby born
around 40 weeks
at what weeks gestation born would surfactant deficient lung disease affect a child
SDLD occurs in those prematurely born before 31 weeks gestation
how long does a child have to stay off school for after being diagnosed with hadn foot and mout disease
Hand foot and mouth disease does not require exclusion from a childcare setting or school
when can a mother not breastfeed her baby
(4 points)
multi drug resistant tb
neonatal galactosaemia (autosomal recessive)
HIV
hsv on mums breasts
what is the mechanism of inheritance of prada willi syndrome
genomic imprinting
(means that there is only one parental copy of a gene due to deletion etc of the other)
what is the mechanism of inheritance of duchennes muscular dystophy
X-linked recessive
What are the chances of a child having a autosomal recessive disorder if bith oarents are carriers
25%
no vaccine general illness ysmptoms, no cough plus rash that starts on head and moves down to trunk
rubella
measles is a differential however with measles child would have a cough
what is indicated by a child who cannot sit unsupported by 12 months and has a hand preference
cerebral palsy
Neonate not passing meconium within 24hrs of birth
Cystic fibrosis
What chromosome is cystic fibrosis found on
Chromosome 7
CFTR gene mutation
antenatal causes of cerebral palsy
ToRCH (cb kids held torch in olympics)
Toxoplasmosis
Rubella
CMV
Herpes Simplex Virus
dyskinetic cerebral palsy px
slow writhing, convuluted movements of fingers hands and toes
ataxic cerebrla pals px
lack of voluntary muscle control
most common causitive organism for UTI and describe the organism
E.coli
gram negative facultative anaerobic, rod shaped coliform bacteria
most common causative organism for acute epiglottitis
haemophilus influenzae type B
kawasaki disease vs scarlet fever
kawasaki rash is on soles of hands and feet which causes peeling
scarlet fever rash is small raised bumps and starts on chest and spreads to tummy
causative cause for croup
parainfluenza virus
what organism causes roseola infantum
human herpes virus 6
(hence the name 6th disease)
micrognathia, rockerbottom feet, and overlapping of fingers
edwards syndrome
edwards syndrome karyotype
trisomy 18
causative organism for hand foot and mouth disease
cocksackie A16
should children with impetigo be excluded from school
children should be excluded from school until the lesions are crusted and healed or 48 hours after commencing antibiotic treatment
school exclusion for chickenpox? if so for how long
yes- until all lesions have crusted over (usually about 5 days)
school exclusion for hand,foot and mouth disease? if so for how long
no school exclusion necessary
define preterm, term and postterm
<37wks preterm
37-42wks term
>42 wks post term
newborn baby has hypotonia and hypothermia
what is it
hypoxic ischaemic encephalopathy
causes of neonatal jaundice <24 hrs
haemolysis
abo mismatch
rhesus
when is neonatal jaundice obstructive
> 2 weeks after birth
causes of obstructive neonatal jaundice
congenital biliary atresia
what is hirschsprungs disease associated with
down syndrome
autism presentation
vs aspergers
inflexible behaviour, lack of social skills, repetitive behaviour
aspergers is the same but with normal social communication
adhd presentation
inattentive, impulsive , hyper-active, doesnt do well in school but has a lot of friends
RAD inhibited px
history of being abused
unable to form relationships
RAD disinhibited px
history of abuse
create inappropriate relationships
conductive behaviour px
social/antisocial
disrupting the public, disrespecting other people
pansystolic murmur in lower left sternal border
ventricular septal defect
differentials for purpura
meninigitis - neurological symptoms
immune thrombocytopenia (low platelets)
hsp (IgA vasculitis) - abdominal pain, aki, sometimes post infection, joint pain
