Diseases Flashcards
koplik spots, white spots (grain of salts on buccal mucosa)
measles
what type of virus is measles
RNA paramyxovirus
what are the complications of measles
PNEUMONIA IS MOST COMMON encephalitis subacute sclerosing panencephalitis (late 5-10 years later) febrile convulsions giant cell pneumonia keratoconjunctivitis diarrhoea increased incidene of appendicitis myocarditis
how does hirschsprung disease present
congenital dissease, much more common in males
bilious vomiting
abdo distension
CONSTIPATION
failure to pass meconium in the first 48 hours post birth
pathophysiology of hirschsprung disease
a ganglionic segment of bowel due to a developmental failure of parasympathetic Auerbach and Meissner plexus
what is klumpkes palsy damage to
lower brachial pleuxus-nerves innervating the hand
if testes undescended by 3 months what do you do
refer to a paediatric surgeon for both unilateral and bilateral undisended testes
what is the acidosis/alkalosis in pyloric stenosis q
hypochloraemic, hypokalaemic ALKALOSIS
how is pyloric stenosis managed
ramstedt pylotomyotomy
what age do you play peek a boo by
9 months
what age do you wave bye bye at
12 months
what shows a target sign on ultrasound
intususseption
barking cough =
croup
whooping cough
bordetella pertussis
what is croup caused by
parainfluenza virus
what is whooping cough caused by
bordetella pertussis which is a bacteria
what are the symptoms of whooping cough
usually worse at night and after feeding, may be ended by vomiting and associated entral cyanosis
how is whooping cough treated
gram negative bacteria so treat with antibiotics usually a macrolide
how is croup treated
viral cause so supportive and can be treated with steroids
what can a baby do at 6 weeks
control of head in vertical
stills to voice
follows torch with eyes
smile
baby at 3 months
when pulled to sit control of their head
friendly around strangers
hands held in midline
starting to vocalise
reacts pleasurably to familiar situations
what are the WHO six solutions to the most preventable causes of under 5 deaths
immediate and exclusive breastfeeding
skilled attendants for antenatal birth and postnatal care
access to nutrition and micronutrients
family knowledge of danger signs to a childs health
water sanitation and hygiene
immunisations
age to be continent of urine during the day
2 Years
stridor and coughing
croup