common probs

Question 1

skull deformities in babies

Answer 1

brain growing too fast, or something in head growing fast

Question 2

family history red flags (cardiac syncope)

Answer 2

known heart condition/previous surgery

fh of sudden death including in infancy

events that happen on exercise

vagal symptoms when sitting/lying

events that happen at night

Question 3

headache red flags

Answer 3

rapidly expanding headsize in infants

effortless vomiting in the morning preschool

waking at night/early morning headache

worse on coughing/sneezing/straining/bending over

changer in behaviour, sleepy

change in cognitive ability/handwriting/balance difficulties

new squint or cranial nerve palsies

diplopia/visual change

Question 4

heart murmur red flags

Answer 4

other dysmorphic signs
blue? check sats
symptoms and signs of failure - poor feeding, failure to thrive, colour changes
examination - absent/low volume femoral pulses, low ox sats, liver edge, gallop rhythm, crepitations, oedema
in children: fatigue, breathlessness and any of the above^^^

Question 5

cough red flags

Answer 5

night time waking w/ cough, wheeze, SOB or obstructive symptoms, failure to thrive, other recurrent infections

Question 6

abdo pain red flags

Answer 6

failure to thrive

bilious or bloody vomiting

bloody stools or symptoms of IBD

Question 7

constipation red flags

Answer 7

symptoms present from birth

abnormal lower limb neurology

Question 8

diarrhoea red flags

Answer 8

weight loss

blood in stools

stooling at night

other systemic symptoms fatigue, rashes, mouth ulcers, joints, eyes

Question 9

growth red flags

Answer 9

other systemic illness in FTT
children who are short and obese (most obese children are tall)
signs of puberty <8yo girl <9 yo boy
or later than 14boy 13girl (no menarche at 15)