Childhood presentations Flashcards

1
Q

What is pyloric stenosis?

A

Narrowing of the opening from the stomach to the first part of the small intestine due to hypertrophy of the muscle

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2
Q

How does pyloric stenosis present?

A

Severe projectile non-bilious vomiting

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3
Q

When does pyloric stenosis present?

A

~ 6 weeks

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4
Q

What is intussusception?

A

A part of the intestine invaginates (folds into) into another section of intestine, often causing an obstruction

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5
Q

How does intussusception present?

A

Periodic nausea and vomiting (which is sometimes bilious)
Pulling legs to the chest area
Intermittent moderate to severe cramping abdominal pain
Rectal bleeding - “red currant jelly” stool

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6
Q

What pattern of inheritance is cystic fibrosis?

A

Autosomal recessive

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7
Q

How might cystic fibrosis present?

A
Chronic respiratory problems
Nasal polyps
Pneumonia
Bulky stools 
Poor weight gain
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8
Q

Which gender is clubfoot more common in?

A

Males

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9
Q

How is clubfoot treated?

A

Ponseti cast

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10
Q

What is growth of children at each stage of development dependant on?

A

Infant: nutrient led
Child: growth hormone led
Pubertal: sex hormone led

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11
Q

What is the treatment for croup?

A

Oral steroid to reduce inflammation

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12
Q

What is the treatment for croup?

A

Oral steroid to reduce inflammation

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13
Q

What is croup and how does it present?

A

Viral laryngotracheobronchitis

Stridor, barking cough

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14
Q

What is the commonest reason for acute illness in children?

A

Sepsis

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15
Q

What is the commonest reason for acute illness in children?

A

Sepsis

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16
Q

When should an endocrine cause for obesity be considered in a child?

A

Very overweight child with short stature

17
Q

What are red flag symptoms in a child with headache?

A
Headache on waking
Worse with coughing or bending
Associated vomiting- especially in the morning
visual disturbance
Gait disturbance
Cranial nerve palsy