differentials Flashcards
1
Q
swollen child
A
- anaphylaxis
- cellulitis
- angioedema
- nephrotic syndrome
- other causes of hypoabuminemia- heart failure or liver failure
2
Q
seizing boy
A
- epilepsy
- CNS infection
- febrile convulsions
- metabolic- hypoglycaemia, hypocalcemia, hypo/hypernatremia
- cerebral hypoxia
- head trauma
- toxins or poisoning
3
Q
bruised toddler
A
- non-accidental injury
- bleeding disorder
- brittle bones
- copper deficiency
- rickets
- malignancy
4
Q
limping boy
A
- trauma
- transient synovitis
- arthritis
- slipped femoral epiphysis
- osgood-schlatter disease- avulsion during the growth spurt
- avascular necrosis of the femoral head= perthe’s disease
- malignancy- ewing’s sarcoma
5
Q
septic arthritis causative organisms
A
streptococcus pyrogens, H influenza, strep pneumonia, staph aureus
6
Q
asthmatic teenager worsening symptoms
A
- increasing severity of asthma
- exposure to new allergens
- trigger infections or exercise
- poor compliance
- mild CF
- immunodeficiency
7
Q
short child
A
- familial
- endocrine- growth hormone deficiency or hypothyroidism
- nutrition
- steroid excess (endogenous or exogenous)
- syndrome - turners
8
Q
sore throat
A
- viral infection
- bacterial infection
- allergy
- immune deficiency due to steroids
- immune deficiency
- bone marrow disorder
- psychosocial issues
9
Q
breathless child
A
- acute asthma
- inhaled foreign body
- epiglottis
- croup
- anaphylaxis
- trauma b
10
Q
drowsy child
A
- meningitis
- shock= sepsis
- respiratory - asthma
metabolic cause- DKA - sickle cell crisis
- trauma raised intracranial pressure
- poisoning
11
Q
blue baby
A
- resp- congenital respiratory disorder
acquired respiratory problem
congenital obstruction or acquired obstruction - congenital heart disease
teratology of fallout and transposition of the great arteries - lack of respiratory drive
seizure disorder
congenital CNS malformation
drugs
12
Q
recurrent cough
A
- asthma
- LRTI
- URTI
- habit cough
- suppurative lung disease Cf or kartageners
- inhaled foreign body