Gen Paeds Flashcards
Dose of adrenaline 6-12 y/o
300 micrograms 1:1000
How long does slapped cheek take to resolve
1 week
2 types of precocious puberty
gonadotropin dependant and gonadotropin independent
Otitis media causes
B = H.influenzae, moraxella catarrhalis V = RSV, rhinovirus
Ages affected by febrile convulsions
6 months to 5 years
eczema herpeticum management
acyclovir
measles in unvaccinated mothers complications
miscarriage, prematurity, growth restriction
brain tumours in children
craniopharyngioma
astrocytoma
epndymoma
meningioma
definition: cranioharyngioma
originates in pituitary gland
presents with homonymous hemianopia from pressure on optic chiasm
definition: astrocytoma
grade 1 to 4
G1 - pilocytic astrocytoma
G4 - glioblastoma multiforme
appearance of grade 4 astrocytoma on CT
butterfly glioma
definition: ependymoma
tumour of ventricular system
definition: meningioma
tumour of arachnoid cells of meninges
management: Kawasaki
immediate high dose aspirin and IV immunoglobulin
role of immunoglobulin in Kawasaki
reduce duration of fevers and reduce risk of developing coronary artery aneurysms
role of aspirin: Kawasaki
reduce risk of myocardial ischaemia
cause: croup
parainfluenza virus
management: croup
mild - dexamethasone
severe - hospital admission for obs, O2 and nebulised budesonide if PO steroid not tolerated
cause: epiglottitis
HiB
sunburst appearance on X-Ray
osteosarcoma
pres: infantile colic
unsettled
excessive crying
pulling up legs
worse in evening
tx: infantile colic
reassurance and support if weight ok and otherwise well
pres: caput succedaneum
present at birth
swelling common in difficult deliveries/instrumental
crosses suture lines
resolves withi days
pres: caphalohaematoma
swelling developing several hours after birth
usually parietal region
does not cross suture lines
can take months to resolve
what to watch out for in cephalohaematoma
jaundice
tx: threadworm
mebendazole and hygeine meaasures
(not for children under 6 months or pregnant/breastfeeding)
