General Paediatric Oupatients Flashcards
Top 10 reasons for referral to general paediatric out-patients clinic
Concern re growth UTI Constipation Abdominal pain Headaches Funny turns Heart murmur Food allergy/intolerances Minor abnormalities in infants –eg head shape Is it asthma?
Very obese child with short statue?
Consider an endocrine cause!
Treatment for child constipation?
Laxative
Attention to food/drink
Toileting behaviour advice
Headache symptoms/signs of concer
Headache on waking Worse with coughing or bending Associated vomiting- especially in the morning visual disturbance Gait disturbance Cranial nerve palsy
Difference between food allergy and food intolerance?
Food allergy (Type 1 IgE mediated) – acute allergic reaction. Can cause anaphylaxis
Food intolerance- delayed reaction –more varied symptomatology, mechanism unclear
How many children at risk of obesity?
1/6
Which bacteria is the most common cause of uncomplicated urinary tract infections in children?
E. coli
What proportion of children with functional abdominal pain go on to develop an anxiety disorder as an adult?
30% vs 12% in controls
In the UK, the median symptom interval (time between symptom onset and diagnosis) for childhood brain tumours is approximately …?
2.5-3 months
Sensitive (changes with child’s position or with respiration)
Short duration (not holosystolic)
Single (no associated clicks or gallops)
Small (murmur limited to a small area and not radiating)
Soft (low amplitude)
Sweet (not harsh-sounding)
Systolic (occurs and is limited to systole)
Innocent heart murmur
What is the mean number of respiratory for a child under 2 each year?
3 to 6
