early childhood path Flashcards
1
Q
major cause of death in 1mo t0 12mo
A
SIDS - 1/2 of death
2
Q
def. sudden unexpected death
A
instant death occurring within 24hrs of onset of Sx under 12months
3
Q
def. SIDS
A
sudden unexpected death with death occuring in sleep and cause remains unknown even after investigations including autopsy and clinical Hx
4
Q
what is cause of SIDS
A
unknown - diagnosis of exclusion
5
Q
peak of SIDS
A
1-4 mos
6
Q
major SIDS intervention
A
sleep in back
7
Q
risk factors for SIDS
A
- prone or side sleep
- soft bedding
- maternal smoking
- overheating
- late or no prenatal care
- young mom
- premature
8 . male
8
Q
3 genetic factors
A
- cardiac ion channel defects
- neurotransmitter assoc. defects
- complement C4 defects
9
Q
5 common path findings in SIDS
A
- thoracic petechiae
- pulm congestion and edema
- mild resp inflammation
- mild brain swelling
- empty bladder
10
Q
what is ontario system for investigation
A
MD coroner system
11
Q
3 parts to pre-autopsy
A
- scene investigation
- circ. of death
- infant and fam. medical Hx
12
Q
steps to autopsy (7)
A
- external exam
- photograph
- diagnostic imaging
- complete internal exam
- detailed neuro exam
- microscopic exam
- microbio/chemical tests
13
Q
6 other causes of SUID
A
- infection
- CNS disorder
- asthma
- CV
- metabolic
- GI
14
Q
def. cholestasis
A
reduction in bile formation or bile flow resulting in accumulation of bile - bilirubin - jaundice
15
Q
features of infant jaundice
A
- yellow discoloration in sclera, skin, internal
- pale stool
- dark urine
