Common Problems in Paediatric Outpatients Flashcards
what aspects of growth should be included in a referral letter?
weight + height with centiles and development
should parental concern be included on a referral letter? yes or no
yes
instead of occupation on a referral letter, what should be used instead for a child?
school life and the illness’s impact on it
most common reason for referral to a paeds outpatient clinic?
growth concern
what would you suspect in an overweight child with short stature?
could be an endocrine problem
what renal problems could cause a UTI in kids?
vasicouretric reflux
renal scarring
renal tract abnormalities
a UTI is more concerning in older children T or F
F
what symptoms in a child with a UTI would concern you of something renal?
frequent UTIs
raised BP
abdo mass
poor growth/health
what is encopresis?
passage of normal stools in abnormal places
treatment of constipation in kids?
laxatives
toileting advice
drinking plenty
what underlying diseases could cause constipation
hirschsprung's thyroid disorders coeliac anorectal abnormalities neuromuscular problem
when would you consider constipation in a newborn?
if they haven’t passed meconium in 24hrs
what are the most serious GI diseases in children?
intusussception malrotation intermittent volvulus IBD coeliac
at what time of the day is headache a red flag?
morning on waking
what exacerbating factors are considered a red flag for headaches?
coughing
bending
when is vomiting a red flag in a child with a headache?
in morning
you should ask about gait in a child with a headache yes or no
yes
when would syncope be a red flag?
in kids with congenital heart problems when supine during exercise preceded by palpitations FH is significant examination abnormalities
what is syncope?
fainting
a breathless, blue, pale, sweaty child with poor feeding could have what condition?
heart murmur
is a systolic or diastolic heart murmur a red flag?
diastolic
are thrills on CV examination normal or a red flag?
red flag
at what age are symptoms of an allergy most ambiguous?
infancy
what symptoms in an infant could suggest allergy?
crying excessively
feeding problems
skin lesions
abnormal growth/development
are tests for asthma more or less accurate in childhood?
less
at what times is asthma said to be at its worst?
night
early morning
kids need more than 1 of these to have asthma
wheeze
cough
difficulty breathing
chest tightness
most useful piece of kit to help in the assessment of funny turns?
phone to VIDEO IT
commonest kind of heart murmur in kids?
innocent heart murmur
