common accidents and emergencies Flashcards

1
Q

what is the presentation os kawasaki disease ?

A
desquamation of the fingers 
strawberry tongue 
bilateral conjunctival injection 
red, inflamed mucosa 
often complicated by coronary artery aneurysm
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2
Q

what is the treatment for kawasaki ?

A

IVIG Aspirin

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3
Q

what does affection of the jugulodigastric lymph nodes indicate ?

A

tonsillar affection

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4
Q

what is the management for follicular tonsillitis ?

A

penicillin for 10 days

erythromycin if allergic

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5
Q

what does bile stained vomit indicate ?

A

intestinal obstruction

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6
Q

what is a complication of tonsillitis ?

A

rheumatic fever

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7
Q

what does red currant jelly indicate ?

A

intussusception

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8
Q

what are the predisposing factors to intussusception ?

A

precipitated by viral infection or irritation by an intestinal polyp

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9
Q

how is intussusception treated ?

A

barium enema

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10
Q

what is the most common cause of limping inn children ?

A

transient synovitis ( irritable hip )

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11
Q

what is the presentation of impetigo ?

A

yellow crusted lesions around the mouth
general well condition
can lead to bullous lesions
children with patient in school may have the same presentation

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12
Q

what is the most common causative organism in impetigo ?

A

staphylococcal

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13
Q

what is the presentationn of SJS ?

A

skin
mucous
eye affection

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14
Q

what are the associated conditions to SJS ?

A

the milder form would be erythema multiforme

the more severe form of SJS would be TEN

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15
Q

what is ringworm of the scalp ?

A

fungal infection

tinea capitis

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16
Q

what are the differential diagnosis of swollen eyes ?

A

nephrotic syndrome

ocular cellulitis

17
Q

what are the predisposing factors regarding ocular cellulitis ?

A

dental abscess
sinusitis
local infection

18
Q

what is the presentation of ocular cellulitis ?

A

swollen eyes
pre or post septal
painful eye movements

19
Q

what is the presentation of swollen eyes associated with nephrotic syndrome ?

A

improves as the day progresses
maybe associated with scrotal oedema and ascites
minimal change glomerulonephritis
steroid responsive