Childhood Conditions Flashcards

1
Q

What is colic?

A

Excessive high pitched crying

Rule of 3 - 3 hrs/day, 3 days/week, 3 weeks

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2
Q

How long does colic last?

A

Starts infancy resolves around 4-6 months

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3
Q

What are the signs of colic?

A
Difficult to comfort
Red face
Clenched fists
Knees drawn up 
Excessive gas
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4
Q

When do you refer for colic?

A

Inconsolable crying

Failure to put on weight with age

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5
Q

What is used for OTC colic?

A

Infacol (simeticone)

Lactase enzyme (colief)

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6
Q

What is advice for colic?

A

Not parents fault, will grow out of it

Remove cows milk for 1 week trial

Massage tummy in circular motion

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7
Q

What is cradle cap?

A

Greasy yellow scales on scalp

Before 6 months old
Self limiting

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8
Q

When should cradle cap be referred?

A

Severe on face/body
Swelling, scratching, bleeding

Infected/inflamed

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9
Q

How do you treat OTC cradle cap?

A

Baby shampoo and soft brush
Olive oil

Capasal
Nizoral

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10
Q

What is the advice for cradle cap?

A

Common and harmless
Not contagious
Do not pick scales

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11
Q

What are the symptoms of meningitis in children?

A
Non blanching rash
Flu like symptoms worsening
High fever
Severe muscle ache
Nausea and vomiting
Stiff neck
Severe headache
Cold hands and feet
Confusion
Drowsiness
Photophobia
Seizures
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12
Q

What are the symptoms of meningitis in infants?

A
Floppiness/unresponsive
Dislike being handled
Refuse feeds
Difficult to wake
Rapid breathing
Unusual cry
Bulging fontanelle
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13
Q

When do you refer meningitis?

A

ALL suspected cases

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14
Q

What is the advice for meningitis?

A

Trust gut instincts

Bacterial meningitis is life threatening and can cause blood poisoning and limb amputation

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15
Q

What are the symptoms of measles?

A

Koplik spots
Conjunctivitis
Cold like symptoms
Fever

Rash starts behind ears then spreads to face, trunk, limbs

Red-brown confluent and blotchy rash

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16
Q

What are the symptoms of mumps?

A

Fever
Headache
Malaise

Swelling on one or both sides of face

17
Q

What are the symptoms of rubella?

A

Lymphadenopathy

Rash starts on face then spreads to trunk and limbs

Pink-red macular non-confluent rash

18
Q

When should you refer MMR?

A

ALL cases

19
Q

What is an OTC product used for MMR?

A

Paracetamol

Ibuprofen

20
Q

What is the advice for MMR?

A

Bed rest
Hydrated
Keep children off school during contagious period
Avoid acidic drinks in mumps
Children with rubella should keep away from pregnant women

21
Q

How long is measles contagious for?

A

4 days after rash

22
Q

How long is mumps contagious for?

A

5 days after swelling

23
Q

How long is rubella contagious for?

A

6 days after rash

24
Q

What is the most dangerous in children measles, mumps or rubella?

A

Measles

25
Q

What are the risks associated with mumps in adults?

A

Risk of meningitis and sterility

26
Q

Why should children with rubella stay away from pregnant women?

A

Foetal damage

27
Q

What are the symptoms of irritant nappy rash?

A

Erythmatous rash on buttocks

28
Q

What are the symptoms of fungal nappy rash?

A

Satellite rash - small red applies on outer edge

Rash concentrated in skin folds - between buttocks and under cheeks

29
Q

When should you refer nappy rash?

A
Broken skin
Severe nappy rash
Yellow crust/weeping
Other body areas affected
OTC failure > 1 week
30
Q

What is used for OTC nappy rash?

A

Barrier preparations

Clotrimazole - canesten antifungal
Miconazole - daktarin

Apply for 7 days after clearing to prevent it returning

31
Q

What is the advice for nappy rash?

A

Change nappies as soon as soiled or wet
Leave nappy off to allow skin to air dry
Avoid waterproof nappies as worsens skin rash
Wash nappy area thoroughly with water or wipes