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Conditions Flashcards

1
Q

Biliary atresia

A

Congenital narrowing of bile ducts . Jaundice >14 days term vs >21 days neonate. Kasai procedure. Increase in Conjugated bilirubin detected by direct bilirubin test.

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2
Q

Pyloric stenosis

A

Projectile vomiting and failure to feed and thrive in first few weeks of life. USS abdo and feel olive shaped mass. Hypochloraemic metabolic alkalosis. Ramstedt operation

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3
Q

Sandifers syndrome

A

Torticollis and dystonia after feed . Complication of GO reflux

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4
Q

Causes of bilious vomiting

A

Intestinal obstruction
Meconuim ileus
Hirchsprungs disease
Intussecption
Malrotation with volvulus
Imperforate anus
Oesophageal or duodenal atresia

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5
Q

Hirchsprung’s disease

A

Congenital absence of PNS ganglionic cells in myenteric/auerbach plexus in distal bowel and rectum. FMHX. >24 hrs delay in meconium. 2-4 weeks after birth 20% get hirchsprungs associated entero colitis- fever, abdo distension, sepsis, bloody diarrhoea —> toxic mega colon. RECTAL BIOPSY and abdo x ray

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6
Q

Intussception

A

6mnths-2yrs old. Associated with viral illness, HSP, polyps, meckel’s diverticulum. Sev colickly pain, red currant jelly stool, sausage shaped mass RUQ. USS. Therapeutic enemas/ surgery
Ileocecal valve is common place and most dangerous
Ileo ileo and cecocecal can sometimes self resolve

Lymphoma, appendix, are common lead points

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7
Q

Causes of short stature and investigations

A

Normal: familial, CDGP (delayed bone age)
Endo: GH deficiency, hypoT, cushings
Genetic: DS, turner’s, noonan, prader-Willi
Bone: achondroplasia, osteogenesis imperfecta, rickets
Chronic: coeliac, Ibd

IGF-1, predicted height, bone age, growth velocity

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8
Q

Causes of tall stature

A

Familial, obesity, GH excess, hyperT, precocious puberty, soto, Marian, homocystinuria, klinefelter, fragile X

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9
Q

Precocious puberty define and causes

A

Secondary sexual characteristics <8 yrs for girls or menarche <9yrs or <9yrs boys

Central: hydrocephalus, lesions
Peripheral: CAH, hypoT, gonadal or adrenal tumours (small testes), mccune Albright syndrome, testotoxicosis

Prematurethelarche

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10
Q

Delayed puberty

A

No breast dev by 13yrs. Primary amenorrhoea if no periods or secondary sexual characteristics at 14 vs if secondary sexual characteristics present then at 15. Boys testes <4ml at 14 yrs old.

Central: hypogonadotrophic hypogobadism - CDGP, chronic disease, hypoT, Kallman syn, prader-willi

Hypergonadotrohic hypogobadism- cryptochordism, androgen insensitivity syndrome, galactosasmia, thalassaemia,turners, klinefelters

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11
Q

Innocent murmur

A

Soft, systolic, symptomless, short, situational

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12
Q

Pansystolic murmurs

A

VSD ( left lower stern also border)
Tricuspid regurgitation
Mitral regurgitation

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13
Q

Ejection systolic murmurs

A

Aortic stenosis (right 2nd ICAS)
Pulmonary stenosis (left 2nd ICs)
HCOM 4th ICS left

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14
Q

Mid systolic murmur

A

ASD- crescendo decrescendo at UPPER LEFT STERNAL BORDER with a fixed split 2nd heart sound

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15
Q

PDA murmur

A

Continuous machinery crescendo decrescendo murmur
Diagnosis echo
Monitor until 1 yr and NSAIDs to close
If no closure after one year then surgery

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16
Q

Coarctation of aorta

A

Associated with TURNER’s SYNDROME.
3 days post birth collapsed baby when PDA closes. Weak femoral pulses, lower BP in legs, systolic murmur left infraclavicular and below left scapula. PG infusion

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17
Q

Pulmonary stenosis associations

A

Tetralogy of fallot
Rubella
Noonan syndrome
William syndrome

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18
Q

Tetrology of fallot

A

Pulmonary stenosis, VSD, RVH, overriding aorta
Cyanosis
Associated with rubella, alcohol, diabetes, increased maternal age
Echo BOOT SHAPED HEART
Ejection systolic murmur
Tet spells : squat, O2, B blockers, morphine, IV fluids, phenylephrine, NaHCO3
Pg infusion and aurgwry

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19
Q

Cyanosis heart disease

A

Truncus arteriosus
Transposition of great arteries
Triscuspid atresia
Tetrology of fallot
TAPVR

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20
Q

What heart disease is rubella associated with?

A

PDA

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21
Q

What syndrome is associated with AVSD?

A

Down’s syndrome

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22
Q

What heart disease is associated with turners syndrome?

A

Coarctation of aorta

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23
Q

Bronchiolitis

A

RSV under 1 yo, peaks at 6mnths
Coryzal symptoms that go to chest 1-2 days later.
Admit if under 3 months, pre existing condition, 50-75% normal intake, clinically dehydrated, RR>70, O2<92, signs of mod-severe respiratory distress, apnoeas

Management
NG / IV FLUIDS
SUCTION/ SALINE DROPS
O2- high flow- cpap - intubation

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24
Q

Viral induced wheeze

A

1-2 days fever/cough then goes to chest- resp distress and widespread expiratory wheeze.
Vs asthma- no atopy
Vs bronchiolitis- can occur up to 3yrs
RSV / rhinovirus
Same management as acute asthma- if <92% 3 BTB salbutamol and ipatropium nebs, O2 and steroid. If >92% salbutamol 10 puffs

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25
Acute asthma
Mod: PEFR>50% predicted, normal speech Sev: PEFR<50% predicted, can’t complete sentences, O2>92%, RR >40 if under 5yo vs >30 if >5yo, HR >140 if under 5yo vs >125 if over 5yo. Life threatening: PEFR <33% predicted, <92% O2, silent chest, cyanosis, Management for mod- sev - 10 puffs/2 hrs salbutamol - salbutamol and ipatroium back to back Nebs up to x3 if <92% (5mg/500mcg) -pred/dex -IV hydrocortisone -IV MgSO4 -IV salbutamol -IV aminophylline Step down on 6 puffs / 4hrs 48 hours then 4/6hrs
26
Chronic asthma
2-3 yrs clinical diagnosis -if improves on treatment -spirometer with reversibility testing if >5yo , direct bronchial challenge with histamine, FENO, peak flow variability Management <5yo SABA, low dose ICS, leukotriene ant 5-12: salbutamol, low dose ICS, LABA, med dose ICS leukoyriene or oral theophylline, high dose ICS >12 SABA low dose ICS LABA Medium dose ICS, leukotriene ant, oral theophylline, LAMA tiotropium High dose ICS oral steroids
27
Pneumonia
Productive cough & fever Bronchial breath sounds coarse crackles Strep pneumoniae (Also staph aureus, h influenzae, mycoplasma, group a and B strep RSV, influenza Amoxicillin And macride
28
Croup
6mnths- 2 yrs Parainfluenza Not preceded by corzyal Barking cough, strider, hoarse voice, low grade fever Oral dex O2 Nebuliser budenoside Nebuliser adrenaline Intubation
29
Strider causes
Foreign body Croup Epiglotitis Laryngomalacia
30
Whooping cough
Bordetella pertussis Mild cough/Coryza/fever —> severe paroxysmal cough (can cause vomiting or pneumothorax) with apnoeas and whooping Notifiable disease Macrolides 21 days or co trimoxazole Complications: long cough or bronchiectasis
31
Chronic lung disease of prematurity
Risks : <28 weeks Required O2/ intubation at birth RDS O2 0.01L/min during sleep nasal cannula Palizivumab injections
32
CF
AR CFTR Chr7 delta F508 1 in 2500 1 in 25 carriers Doagnosis Newborn blood test Pilocarpine sweat test CL>60 CFTR Mexonium ileus Recurrent LRTI steatorrhira Chronic cough Salty Failure to thrive Staph aureus Pseudomonas and burkhoderia most dangerous H influenza E. coli Klebsiella Prophylactic flycloxacillun Salbutamol NEbulised DNAse Nebuliser hypertonic saline Creon Monitor diabetes, osteoporosis, liver failure
33
HSP
under 10 yo Purpuric rash on lower legs and buttocks Abdo pain Jt pain Renal
34
UTI management
<3 months fever iv crftriaxone >3mnthsnoral
35
Posterior urethral valve
Tissue proximal urethra near bladder causes bilateral hydronephrosis and UTIs Usually picked up antenatal scan Ablate
36
I descended testes
At 6-12 months orchidopexy
37
CMPA
under 3 years Abdo pain and bloating and then allergy symptoms wheeze watery eyes cough rash
38
Perthes
5-8yo boys idiopathic Disruption of blood flow to femoral head leads to avascular necrosis Pain in groin/hip/knee, limp, restricted movement X ray may be normal Surgery if severe 5% get hip replacement
39
developmental dysplasia of the hip
Dislocation/subluxation of hip RFs: breech, 1st degree FMHX, multiple pregnancy USS diagnosis Barlow and otolini test positive Pavlik harness <6mnths vs surgery >6mnths w hip spica cast
40
SUFE
Adolescent obese male/ 8-15yo/ slight trauma causes head femur to slip on growth plate Pain, external rotation , limp Diagnosis X-ray frog lateral Internal pinning and fixation of epiphysis
41
Transient sunovitis
3-10yo Limp can’t weight bear gradual onset No fever Viral urti
42
Septic arthritis
Single joint <4yo Rapid onset Fever Aspirate IV flucloxacillin empirical 3-6 weeks
43
Oesteosarcoma
10-20yo commonly femur Swelling and bone pain worse at night Urgent x ray in 48hrs- sunburst periosteal reaction and fluffy appearance
44
Talipes
Equinovarus/calcaneovalgus Ponseti method: manipulate to normal position, cast, Achilles tenotony, boot nad bars brace until 4yrs old
45
Osteogenesis imperfecta
Genetic brittle bones affecting collagen Hyper mobility Blue sclera Triangular face Scoliosis Short Dental problems Deaf Jt and bone pain Bowed legs Recurrent fractures M Bisphosphonates Vit D
46
Achondroplasia
AD disproportionally small Frontal bossing Foramen magnum stenosis Spinal stenosis Kyphoscoliosis Recurrent otitis media Hydrocephalus OSA Obesity
47
Rickets
RFs: dark skin, indoor climate, renal disease, autoimmune, IBD/coeliac Rachitic rosary Craniotabes Undeveloped teeth/bones Pain X ray osteopenia Serum vit D < 25 Low Ca and PO4 High ALP and Pth Treatment 6000 IU ergocalciterol 8-12weeks Prevent during pregnancy with 400 IU vit D per day
48
Down’s Syndrome
Brachycephaly LD Dementia Cataracts/myopia/striabismus Prominent epicantic folds Upward slanting palpebreal fissures Brushfield spots Recurrent otitis media Flattened face and nose Large tongue and small mouth Atlanto axial instability Hypothyroidism Diabetes Leukaemia Single palmar crease Increased sandal gap Duodenal/jejunal atresia Investigations 11-14weeks combined test ( increased nuchal thickness > 6mm, decreased PAPPA, increased BHCG) 14-20 weeks triple test (decreased oestriol, increased BHCG, decreased AFP) 14-20 weeks quadruple ( decreased oestriol, decreased AFP, increased BHCG, increased inhibin A) >1 in 150 aminocentesis
49
Noonan syndrome
AD Broad forehead Downward sloping eyes and ptosis and hypertelorism Low set ears Webbed neck Short stature Pulmonary stenosis Lymphoedema JMML / neuroblastoma LD Bleeding disorders Cryptorchism
50
Fragile X syndrome
Tall long face Speech delay Small testicles LD seizures Autism Hyper mobile
51
Klinefelter syndrome
Male XXY taller Wider hips Small testicles Gynaecomastia Infertility Associated w diabetes, osteoporosis and breast cancer increased risk Testosterone injections
52
Turner syndrome
45 XO Small Webbed neck Widely spaced nipples Cubitus valgus Downward sloping eyes w ptosis High arched palate Undeveloped ovaries O P replacement GH therapy Associated w COARCTATION OF AORTA recurrent otitis media and UTIs Osteoporosis LD Diabetes HypoT
53
Marfan syndrome
AD if till in Tall, arachnodactylyl Hypermobility High arched palate Downward sloping palpebral fissures Associated Pneumothorax Lens and joint dislocations Aortic aneurysm Mitral and aortic regurg Reflux Scoliosis
54
Prader Willi syndrome
Constant insatiable hunger hypotonia LD Management GH for muscles
55
Angelmann syndrome
Happy Water fascination Widely spaced teeth LD ataxia Epilepsy Microcephaly
56
William syndrome
Broad forehead Starburst eyes Sociable Supravalbular aortic stenosis HyperCa
57
Digeorge syndrome
C- cleft lip/palate A- abnormal facies T- thymus undeveloped/ T cell abnormalities C-cardiac abnormalities H-hyper parathyroidism- hypocalcaemua - seizure 22 chromosome deletion
58
Idiopathic thrombocytopenic pupura
Type II hypersensitivity under 10 yo Low plt only (exclude leukamia) Bleeding and bruising 70% resolve in 3 months If plt<10- prednisolone, IV IgG, plt transfusion Avoid contact sports, NSAIDs, blood thinners, IM injections Complications Anaemia Intracranial haemorrhage GI bleed Chronic ITP
59
Thalassaemia
Alpha (chr16) vs beta (Chr11- minor, intermedia, major) Prominent forehead and malar eminences Jaundice Splenimrgalu Microcytic anaemia Gallstones Blood transfusions Splenectomy BMT
60
Hereditary spherocytosis
AD jaundice Gallstones Anaemia Splenimegaly Aplastic crisis associated w parvovirus B19 I: spherocytes on blood film and increased MCHC and reticulocytes Folate Splenectomy
61
G6PD deficiency
X linked recessive GP6D protects against reactive oxidative species forming. When deficient it can’t protect and therefore haemolytic occurs causing jaundice, gallstones, splenomegaly and anaemia- in response to infection/meds/anti malarials/fava and broad beans I Enzyme assay Heinz bodies blood film
62
Leukaemia
ALL most common around 2-3 years old 80% cured Associated w radiation during pregnancy, DS, noonan, klinefelter, fanconi’s anaemia 2% present with a limp Pancytopenia with random increased WBC
63
Tonsillitis and tonsillectomy criteria
Viral global symptoms Group A strep focal symptoms Probability it is bacterial: CENTOR >3 1. Absence of cough 2. tonsillar exudate 3. Lymphadenopathy (anterior cervical) 4. Fever >38° FEVER PAIN >4 F- fever P- purulence A- attended within 3 days onset I- inflamed tonsils N- no cough /coryzal PEN V 10 days Complications: Otitis media Quinsy (abscess treated with co-amoxiclav incision and drainage) Scarlet/rheumatic fever Post strep glomerulonephritis/reactive arthritis Tonsillectomy requirements: 1. Recurrent - >7 in one year, >5 2 yrs, >3 for 3 yrs 2. Recurrent abscesses (>2) 3. Snoring/breathing difficulties
64
Otitis media
Strep pneumoniae Management: 1. Resolve 3 days with simple analgesia 2. Delayed prescription if no resolve in 3 days 3. Amoxicillin 5 days if -otorrhea -<2years and bilateral - <3mnths and fever >38° or 3-6mnths and fever >39° ADMIT COmplications -glue ear (hearing loss- Eustachian tube blocked, 3mnths resolves or grommets) -hearing loss -perforation -mastoiditis -abscess
65
Febrile convulsions
6mnths- 5 yo Simple: Under 15mins Generalised tonic clonic No recurrence in 24hrs Complex 15-30mins Focal/partial Recurrence in 24hrs Status epilepticus >30 mins 1in3 risk of further FC >5mins phone ambulance Some discharged with buccal midazolam or rectal diazepam 2.5% risk of epilepsy compared to 1.8% general population. Increased if FMHX, complex FC. Neurodevelopmental disorder.
66
Seizure differentials
All ages: HYPOGLYCAEMIA- GLUCOSE CARDIAC ARRHTJYMIA - ECG babies: -sandifer’s syndrome -benign sleep myoclonus (disappears 6-8mnths) -shaken baby syndrome toddlers: - breath holding spells ( cyanosis: after crying- cyanosis vs reflex anoxic seizure- startled, vasobagal response and heart stops and seizure) -motor stereotypes/tics -self gratification Older Psuedoseizure Tics BPPV/ torticollis Or epilepsy -generalised tonic clonic (sodium valproate) -atonic (drop, associated w Lennox-gastaut sun, EEG spike and wave, associated with sleep, <3min- sodium valproate) -absence - ppt by hyperventilation, 3 second spike and wave EEG, perioral/ocular flickering (na valproate if >12trs onset) -juvenile myoclonus - 12-18yo gen tonic clonic Na val -focal - carbamazepine -BREC (benign rolandic epilepsy w contra temporal spikes) - focal, sleep, prodrome parathesia, post ictal hypersalivation, 3-13yrs male Infantile spasm 3-6mnths make Sudden flexor contractions clustered around waking, wests syndrome EEG hysparrhthmia Prednisolone, vigabatrin, ACTH
67
Hydrocephalus
Causes Aqueducts stenosis congenital Arachnoid cysts Arnold chiari malformation Rapidly increasing head circumference Sunset sign eyes Bulging anterior fontanelle Poor feeding Sleepy Poor tone M Ventriculo peritoneal shunt
68
Squint
Idiopathic Cerebral palsy Retinoblastoma Hydrocephalus Trauma Hirschbergs test Cover test Manage w patch <8yo
69
Cerebral palsy
Cause HIE maternal infections Birth trauma Meningitis Sev neonatal jaundice Head injury Types Spastic/pyramidal Dyskinesia/athetoid Ataxic Mixed Hand preference before 18 months
70
Meningitis
NHS neonatal : GBS, listeria, E. coli HSV/Vzv/entero virus C neoformans Fever hypotonia bulging ant fobtanelle non blanching pupuric if meningococcal LP if <1mnth and fever, 1-3mnths fever and unwell, <1yr unexplained fever and serious illness Stat IM/IV benpen in primary care if meningococcal suspected <3mnths cefotaxime and amoxicillin >3mnths ceftriaxone and dex 4 days Contacts single dose ciprofloxacin
71
Sepsis
<3mnths >38° treat
72
Neonatal jaundice
Physiological 2-7 days post birth Pathological in first 24hrs (worried about sepsis/abo etc) Increased production -ABO incompatibility -Rh (haemolytic disease of newborn) -haemorrhage/IVH -GP6D deficiency -polycythameia Decreased output -breast milk jaundice -biliary atresia (>14days in term baby, >21 days preterm) -cholestasis -Gilbert/crigler najjar syndrome -hypothyroidism -prematurity I -SBR and chart -FBC (haemolytic anamei) -direct bilirubin (CB- biliary atresia) -direct Coombs test (ABO) -TFTs -LFTs -blood cultures -GP6D M phototherapy- stop when 5 boxes below treatment line. Check 12-18hrs SBR. Treatment exchange transfusion
73
Scarlet fever
2-6 yrs old Group A strep Fever (24-48hrs) Sore throat Malaise headache Sandpaper rash torso flexures Circimoral facial pallor Desquamation Oral PenV 10 days Complications Rheumatic fever 20 days later Otitis media Post strep glomerulonephritis
74
Vaccines at 8 weeks
6 in 1 (diptheria/tetanus/hepB/Hib/polio/pertussis) MenB Oral rotavirus
75
Vaccines at 12 weeks
6 in 1 (diptheria/tetanus/Hib/HepB/pertussis/polio) Pneumococcal Oral rotavirus
76
Vaccines at 16 weeks
6 in 1 MenB
77
1 year vaccines
MMR Men B Pneumococcal 2 in 1 (Hib, menC)
78
3yrs 4mnths
4 in 1 (diptheria tetanus pertussis polio) MMR
79
Yearly vaccine 2-8
Nasal flu
80
12-13yrs
HPV x2
81
14yrs vaccine
3 in 1 (tetanus, diptheria, polio) Men ACWY
82
Infective mononucleolis
EBV Fever sore throat fatigue Lymphadenopathy splenomegaly tonsillar enlargement Investigations Monospot (6weeks to develop) IgM early IgG immunity 2-3 weeks recovery avoid alcohol and contact sports Complications Chronic fatigue Haemolytic anaemia Thrombocytopenia Splenic rupture Glomerulonephritis
83
Mumps
Resp droplet spread Prodrome Parotid gland swelling Pancreatitis Orchitis Meningitis Sensorineural hearing loss PCR and antibody Notifiable Supportive
84
Encephalitis
Usually HSV 1/2 or VZV Empirical acicckovir
85
What prevents HIE?
Therapeutic hypothermia
86
Caput succedaneum
Crosses sutures
87
Neonatal sepsis
Group B strep E. coli Listeria Klebsiella Staph aureus RFs PROM, maternal infection, GBS previous baby, prematurity Benzylpeniccilin and gentamicin CRP at 24hrs Blood cultures at 36 hrs If CRP<10 and blood cultures negative then stop
88
Issues of prematurity
IVH ROP feeding difficulties RDS/apnoeas Bradycardia Hypoglycaemia Hypothermia Increased infections Necrotising enterocolitis Jaundice
89
RDS
<32 weeks CXR ground glass appearance Endotracheal surfactant to manage Dex to prevent
90
Necrotising enterocolitis
RFs Prematurity Formula fed Sepsis PDA RDS/ventilation Intolerance to feeds. Bilious vomiting. Blood in stools. Distended tender abdo. Absent BS. I FBC (decreased plt and neutropenia) Cap gas metabolic acidosis CRP Blood culture AXR- distended loops PNEUMATOSIS INTESTINALIS - gas in bowel wall M TPN IV fluids and NG drain Surgery
91
Kawasaki disease
5 day >39° Widespread maculopapular rash Desquamation hands and soles Strawberry tongue Crusted lips Bilateral conjunctivitis Cervical lymphadenopathy I FBC- increased WCC and plt, decreased Hb LFTs- increased enzymes, decreased albumin ESR Urinalysis increased WCC ECHO 2-4 weeks is subacute phase with risk of coronary artery aneurysms High dose aspirin IV iG
92
What syndrome can cause regression of developmental milestones?
Retts syndrome (X linked
93
Rheumatic fever
2-4 weeks autoimmune post-strep Type II hypersensitivity Diagnosis: 2 major or one major and 2 minor Major JONES J- joint migratory polyarthritis O- organ inflammation (carditis/SOB) N- subcutaneous Nodules E- Erythema marginatum S-syndenham chorea Minor FEAR F-fever E- ECG changes A- arthralgia R- raised CRP/ESR M PENV aspirin and steroids for carditis NSAIDs Prophylactic antibiotics forever to prevent recurrence Complications Recurrence Mitral stenosis Chronic heart failure
94
Juvenile idiopathic arthritis
Autoimmune inflammation for over 6 weeks in under 16yo with no other cause 1. Still’s disease -high swinging fevers -salmon pink rash -pleuritic/pericarditis -splenomegaly -lymphadenopathy Macrophage activation syndrome - DIC 2. Polyarticular >5jts -mild fever anaemia 3. Olgioarticular <4jts , girls <6yo -ANA +ve -anterior uveitis 4. Ethesitis-related Male >6yo Anterior uveitis IBD 5. Juvenile psoriatic arthritis
95
Measles
Infective until 4 days after rash Prodrome: conjunctivitis, fever, coryzal Koplik spots Behind ears maculopapular rash spreading with desquamation of palms and soles Complications Otitis media Pneumonia Encephalitis SSPE
96
Rubella
Stay off school 5 days Mild fever Sore throat Jt pain Lymphadenopathy Erythematous macular rash spreading from face C Thrombocytopenia Encephalitis
97
Parvovirus B19
Prodrome of mild fever, coryza, aches Slapped cheeks reticular rash raised and itchy (non infectious) C Aplastic anaemia Encephalitis Myocarditis Hepatitis Nephritis Hydrops fetalis
98
Roseola infantum
HHV6 Go to school!!! High fever suddenly 3-5 days then disappears Coryza/sore throat/ lymphadenopathy Nagayama spots on soft palate (red) Then mild eryethamtous non itchy rash C Febrile convulsions Hepatitis Meningitis
99
Chicken pox
VZV Droplet spread / direct contact Fever first! Vesicular lesions on trunk and face spreading out (Non contagious once they scab) Complications Bacterial superinfection Pneumonia Encephalitis Conjunctival lesions Shingles/Ramsay hunt syndrome ACICLOVIR if immunocompromised, >14yo presenting in 24hrs, neonates, risk of complications OFF SCHOOL UNTIL 5 DAYS AFTER RASH
100
Hand foot mouth
Coxsackie A URTI— mouth ulcers — blistering red spots on hands feet mouth Fluid and analgesia
101
Pityriasis rosea
Young adults HHV6/7 Prodrome Rash herald patch to Christmas tree pattern faint pink itchy 3mnths resolve
102
When to scan for UTI??
If atypical then do MCUG, DMSA, USS during illness… -non E. coli UTI -not responding to abx in 48hrs -bladder mass -poor stream -septicaemia /seriously I’ll -increased Cr Recurrent UTIs MCUG, DMSA, USS 6 weeks after -UTI leading to 2 pyelonephritis -UTI leading to 3 Cystitis -UTI leading to 1 cystitis and 1 pyelo

Paediatrics (2 decks)

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