Childhood illness Flashcards
SCID treatment
haematopoietic stem cell transplant, preferably sibling
live vaccines
IMPORT
influenza
MMR
polio
oral ^^
rotavirus
TB
how to diagnose HIV in babies
x2 +ve HIV Ab tests after >18m if mother +ve
x1 +ve HIV Ab test anytime if mother -ve
school exclusion for measles
4 days from rash starting
school exclusion for mumps
5 days after swelling starts
school exclusion for rubella
5 days after rash starts
school exclusion for pertussis
2 days from abx starting
school exclusion for scarlet fever
1 day from abx starting
school exclusion for impetigo
2 days from abx starting or once all crusted over
HIV immunoglobulin levels
high IgG
low IgM and IgA
erythema migrans
lyme disease
bulls eye
erythema multiforme
target with palmar and mucosal involvement
viral or mycoplasma or drug
itchy and raised
erythema marginatum
ring
not itchy
Rheumatic fever
erythema nodosum
red nodules
IBD, sarcoid, drug, malignancy
lyme disease abx
1) doxycycline for 21 days (if 9yo +)
2) amoxicillin
3) azithromycin
if CNS involvement,
IV ceftriaxone
IgA deficiency
recurrent URTI/LRTI/otitis media
atopy/autoimmune
Wiskott Aldrich syndrome
seems like IgA deficiency (recurrent URTI/LRTI/otitis media + atopy/autoimmune) but with low platelets and high IgA/IgG
when is slapped cheek no longer infectious
once the rash appears
chronic bilateral parotitis
HIV
C diff treatments
1) PO vanc
2) PO fidaxomicin
3) PO vanc + IV metro
relapse <12/52 = fidaxomicin
testing for IgE allergy
skin prick
IgE serum specific
repeat 1-4 yearly
if diagnostic uncertainty, food challenge
testing for non IgE allergy
trial elimination diet with dieticians for 2-6 weeks then reintroduce
pertussis rx
erythromycin
fever and bradycardia
typhoid (salmonella)
testing HIV in neonates
PCR at 24-48h, 6 weeks and 3-4 months
HIV testing for older children
HIV Ab
who gets which pneumococcal vaccine?
13 PCV = childhood imms
PPV 23 = adult imms, splenic disorder, immunocompromise
who gets the pneumococcal vaccine?
hyposplenism inc coeliac
COPD
congenital heart disease
CKD/CLD
diabetes
immunosuppression (if severe, PCV + PPV)
cochlear implant
CSF leak
congenital rubella presentation and mneumonic
cataracts, deaf and PDA
two LLs so eyes and ears
congenital CMV presentation and mneumonic
venticles/calcifications, hepatomegaly, deaf
C looks like an ear
congenital toxoplasmosis presentation and mneumonic
b/l chorioretinitis, calcifications, hydrocephalus
tOxO - looks like 2 eyes
congenital syphilis presentation
rash on palms and soles
age for codeine
12y
otitis media + penicillin allergy
clarithromycin
tinea capitas treatment
PO griseofulvin
add topical imidazole if <5yo
lacy rash
parvovirus
