childhood conditions Flashcards

1
Q

what are the symptoms of colic?

A
excessive high pitched crying
difficult to comfort
red in face
clenched fists
knees drawn up to stomach
trouble passing stools
excessive gas
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2
Q

when would you need to refer a child with colic?

A

inconsolable crying

failure to gain weight

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3
Q

what OTC product would you recommend for a child with colic?

A
  • infacol eg
    something with simeticone [simethicone]
  • lactase enzyme
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4
Q

what are the symptoms of cradle cap?

A

greasy yellow scales on scalp

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5
Q

when do you refer an infant with cradle cap?

A
  • severe, cradle cap on face/body
  • swelling, scratching, bleeding
  • infected/inflamed
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6
Q

what products do you recommend to someone with an infant with cradle cap?

A
  • baby shampoo and use soft brush daily
  • rubbing olive oil onto scalp
  • capasal shampoo/nizoral dandruff shampoo
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7
Q

what are the symptoms of meningitis?

A
  • non blanching rash
  • flu like symptoms
  • high fever
  • muscle ache
  • stiff neck
  • cold hands and feet
  • photophobia
  • seizures
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8
Q

what are the symptoms of meningitis in INFANTS?

A
  • floppiness/unresponsive
  • refuse feeds
  • difficult to wake up
  • rapid breathing
  • unusual cry
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9
Q

when do you refer someone with meningitis?

A

all cases must be referred

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10
Q

what is the treatment for viral meningitis?

what is the treatment for bacterial meningitis?

A

viral: does not need hospital treatment, use pain relief
bacterial: life threatening go to hospital

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11
Q

give symptoms of measles?

A
koplik spots
conjuctivitis
 cold like symptoms/fever
rash that starts behind ears and spreads to face
red brown blotchy rash
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12
Q

give symptoms of mumps

A

fever headache malaise

swelling on one side of face or on both sides

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13
Q

give symptoms of rubella

A

rash that starts on the face and spreads

pink-red macular rash

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14
Q

when do you refer a pt with MMR [measles, mumps, rubella]

A

all cases must be referred

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15
Q

how long do you keep children away from school if they have measles?

how long for mumps?

rubella?

A

measles: for 4 days after rash appears
mumps: for 5 days after swelling appears
rubella: for 6 days after rash appears

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16
Q

what are the symptoms of nappy rash?

what are the symptoms of fungal nappy rash?

A

rash on bum

fungal: small red spots on outer edge of rash. rash in skin folds

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17
Q

when would you refer an infant with nappy rash?

A

broken severe nappy rash

yellow crust/weeping

otc has not worked after 1 week

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18
Q

what OTC products would you recommend for nappy rash?

A

barrier preparations - sudacrem

antifungal preparations: clotrimazole, miconazole apply for 7 days after clearing to prevent it returning

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19
Q

what is some advice you would give to someone about nappy rash?

A

change nappies often, leave nappies off to allow skin to air dry, avoid water proof nappies, wash nappy area properly

20
Q

what are the symptoms of oral thrush?

A

white patches on tongue and inside mouth that cannot be scraped off

21
Q

when would you refer oral thrush?

A

refer when its recurrent infection
otc failure of more than 1 week
refer all except babies and children bc it is common in them

22
Q

what otc products would you give for oral thrush and the age requirement for them?
what is the dosage regimen for this product

A

4 months and over: miconazole gel. apply 4 times a day after meals. continue for at least 1 week after symptoms disappear.

23
Q

what are the symptoms of slapped cheek [parvovirus]?

A

bright red rash on cheeks
light pink/lace-like, itchy rash on trunk and limbs

cold like symptoms

24
Q

when would you refer someone with slapped cheek?

A

when they have any blood disorders

when they are showing symptoms of anaemia [fainting, SOB, pale skin, tiredness]

25
Q

what OTC products can you give for slapped cheek?

A

paracetamol/ibuprofen

antihistamines if itchy

26
Q

what are the symptoms of whooping cough?

A

initial symptoms: runny nose, watery eyes, sore throat, fever

intense coughing that sounds like a whoop. coughing at night, bringing up thick mucus and vomit

27
Q

when would you refer a pt with whooping cough?

A

all cases must be referred

28
Q

what is the treatment for whooping cough?

A

antibiotic is given if cough present for less than 3 weeks.

for the fever give analgesics

29
Q

is whooping cough contagious? for how long would you advice the child to stay away from school?

A

for 5 days after starting antibiotics or 3 weeks after coughing started

30
Q

what are the symptoms of chicken pox?

A

small red spots turns into very itchy and infectious blisters which turn into crusts

smalll red spots appear on chest first then spread

3 days before spots: fever/headache/sore throat

31
Q

who do you refer someone with chicken pox?

A

adults
pregnant women
ppl with weak immune system
infants under 4 weeks old

32
Q

what OTC products could you give for chicken pox?

A

calamine lotion, crotamiton, and chlorphenamine [if older than 1 yo] for itching

simple analgesics for fever

33
Q

which analgesic do you avoid in chicken pox and why?

A

ibuprofen bc can cause serious skin reaction

34
Q

what advice do you give to someone with chicken pox?

A

don’t scratch the lesions: cut nails short and clean them

very contagious. it is infectious until lesions have crusted over

35
Q

when would you refer a child under 3 months with a fever?

A

if the temp is 38 or over

  • if dehydrated, convulsions, serious signs of floppiness, drowsiness, persistent vomiting, rash
36
Q

when would you refer a child aged 3-6 months with a fever?

A

if temp is 39 degrees or over

37
Q

when would you refer a child over 6 months with a fever?

A

if it has been more than 3 days

38
Q

what is the dose of paracetamol post immunisation for children?

A

60mg up to 4 times a day

39
Q

what is the dose of ibuprofen post immunisation for children?

A

50mg dose followed by another 50mg dose after 6-8 hours if required

40
Q

what are the symptoms of impetigo?

A

golden crust lesions

41
Q

what are the 2 types of impetigo and describe each one?

A

non-bullous impetigo: small red sores around nose and mouth that can turn into blisters and burst. can be itchy

bullous impetigo: fluid filled blisters on arms/legs. spreads and then bursts. can be painful and itchy. fever and swollen glands

42
Q

when do you refer someone with impetigo?

A

all must be referred for antibiotics

43
Q

what are the advice you would give to someone with impetigo?

A

contagious so stay away from school until rash goes away and give hygiene advice

44
Q

what are the symptoms of scarlet fever?

A

pink red, itchy ‘sandpaper’ rash

sore throat/heachache/febver/flushed cheek/swollen tongue

strawberry tongue

45
Q

when do you refer someone with scarlet fever?

A

refer all bc needs antibiotics

46
Q

what is the treatment for scarlet fever and duration of treatment?

A

amoxicillin for 10 days

47
Q

for how long should children with scarlet fever stay off school for?

A

for at least 24 hours after starting antibiotic