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Paediatrics > Children are not small adults + Approach to assessment > Flashcards

Children are not small adults + Approach to assessment Flashcards

1
Q

How does ketotic hypoglycaemia present?

A 
Brought in unrowsable
1-2 y/o
Skinny
Intercurrent resp/GI illness
Liver glucose reserves used up and fat being metabolised
Ketones produced
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2
Q

How is ketotic hypoglycaemia managed?

A

Slow release starchy meal before they go to bed

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3
Q

How does BP, HR and RR in cildren compare to adults?

A

Faster HR and RR

Lower BP

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4
Q

What are some vaccines given later on (about 1y/o) owing to more underdeveloped immunity?

A

MMR

Unconjugated pneumococcal vaccine

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5
Q

Why is it quite expected for children to have lots of coughs and colds and vomiting illnesses?

A

Developing immunity by becoming infected

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6
Q

Why is overcoming chicken pox a good indicator for healthy immune system?

A

Tests both cellular and humeral immune systems

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7
Q

What are some aspects of poo which need to be asked?

A 
Size
Shape
Appearance
Consistency
Difficulties
Pain
Blood/mucus
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8
Q

What are some aspects of a basic development enquiry?

A

Walking
Speech
Support

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9
Q

What are some common sources of infective contacts for children?

A

Family/siblings
School
Parental social impacts from, drinking, smoking etc

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10
Q

What are some good things to keep in mind when examining a child?

A 
Age appropriate techniques used
Be sensitive to what upsets children
Observe first
Be friendly and smile
Speak to the child (even if they are weeks old)
Get down to their level
Be careful moving them- keep parents close
Gentle handling and gradual exposure
Show interest in their toys + play
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11
Q

What are some general observation points?

A 
Appearance
Play
Interaction
Obs
Rashes
Bruises
Infusions
Tubes
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12
Q

What are some good resp observation point?

A 
Effort
Noise
Rate
Recession
O2
Nebs
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13
Q

What are some good CVS observation points?

A

Colour

Perfusion

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14
Q

What are some good GI observation points?

A

Feeding
Vomit
Abdominal distension/movement

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15
Q

What are some good Neuro observation points?

A

Alertness
Interaction
Play
Posture

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16
Q

What are some good MSK observation points?

A 
Mobility
Limbs movements
Posture
Splints
Mobility aids
17
Q

Name some general domains of wellness to ask about?

A 
Developmental milestones
Sleep
Feeding
Vomit
Poo
Pee
Communication

Paediatrics (25 decks)

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