diagnosis Flashcards
projectile vomiting first few months life, gastric peristalsis, palpable abdo mass, dehydrated
pyloric stenosis
what should differentials be for lower abdo pain in child
exclude appendicitis, dkA, hepatitis, lower lobe pneumonia, pyelopnephritis, strangulated inguinal hernia, testicular torsion
usually occurs between 3 months and 2 yrs, colicky pain, pallow, abdo mass, redcurrant jelly stool. treat with reduction then surgery if fails -
intussuception
common causes of gastroenteritis in infants?
campylobacter, shigella and salmonela most common causes
What should be concerned about in gastroenteritis in infants?
dehydration
8-24 yrs age with abnormal stool, poor growth, distension, muscle wasting, anaemia, abdo pain.
gluten sensitive enteropathy - coeliacs
How do you diagnose coeliacs?
Do IgA, tissue transgluatminase, endomysial Ab, duodenal biopsy
What is hirschprungs?
absence of mysenteric plexus of rectum- have obstruction in newborn and cant pass meoconium - later on have constipation, growth fail and abdo distention
How do you mx hirschprungs?
sunction rectal biopsy
oedema, proteinuria and low albumin, no haematuria, normal BP, steroid-sensitive syndrome
nephrotic syndrome
oedema, htn, low UO, haematuria and proteinuria
nephritic syndrome
causes of nephritic syndrome
post-strep, henoch schonlein purpura, IgA nephropathy
infant UTI presentation
fever, vomit, lethargy, irritable, poor feed/growth, jaundice, spetic, offensive urine, febrile seizure
Child UTI presentation
febrile seizure; dysuria, freq, urgency, abdo pain, fever, lethargy, anorexia, vomit, diarrhoea, haematuria, offensive urine, enuresireoccurs
What should you ask about in a paeds hx?
need to clarify who collateral hx is from
antenatal / postnatal
gestation
Growth scans
Mode of delivery
Complications in pregnancy and birth – drugs or infection, hospital stays
USS
Ask for red book
Apgar
Immunisations - askif up to date
Development - Ask the parent what they can do ; Motor, speech, language and vision
Family history
Neonate deaths – CONE scheme
Siblings- age, onset, health, age, may ask about height and weight
Social history
Second hand smoking
Whos at home, who looks after child
School or pre- school —? More likely to get infections
Social services involvement if appropriate
Pets
HEEADSSS - teens