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Paeds - C.U > GI > Flashcards

GI Flashcards

1
Q

ICD-10 for anorexia

A

Low body weight (15% below expected)
self induced weight loss
overvalued ideas around weight
endocrine disturbance

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2
Q

ICD-10 Bulimia

A

Binge eating
Strong cravings for food
Methods to counteract weight gain
Over valued idea

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3
Q

Physical symptoms to ask about in anorexia

A 
Syncope 
Presyncope 
Palpitations 
Tiredness 
Muscle weakness
Sensitivity to cold
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4
Q

2 ways to induce remission of Crohns

A

Enternal nutrition

Glucocorticoids

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5
Q

2 ways to induce remission in UC

A

Glucocorticoids

Aminosalicylates

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6
Q

Ddx diarrhoae in children

A 
IBD 
Gastroenteritis 
IBS 
Appendicitis 
Coeliac disease
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7
Q

What is coeliac disease

A

autoimmune disease, inflammatory response to gluten

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8
Q

specific test for coeliac disease

A

tissue transglutaminase AB

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9
Q

Type of stool in a child with intersussception

A

red current jelly stool

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10
Q

gold standard investigation in intersussception

A

Abdo USS

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11
Q

Non oprerative management of intersussception

A

fluid resuscitation
broad IV AB - co-amoxiclav
Pneumatic reduction enema

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12
Q

Surgical management of intersussception =

A

failed enema
highly distended abdomen
peritonitis

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13
Q

triad of HUS

A

Microangiopathic non-immune haemolytic anaemia
thrombocytopenia
AKI

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14
Q

common aetiology of HUS

A

E.coli diarrhoea

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15
Q

3 main clinical features of HUS

A

diarrhoea
severe abdo pain
vomiting

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16
Q

Investigations in HUS

A 
FBC 
blood film 
Group and save 
COOM 
LDH 
Coag screen 
Biochem 
Stool culture
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17
Q

Fluid bolus in children

A

20ml/kg of 0.9% NaCl

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18
Q

What is used for maintenance fluids

A

0.9% NaCl + 5% dextrose

19
Q

Total fluids in 24hrs = D

A+B+C=D

A
B
C

A

100ml/kg first 0-10kg

50ml / kg 10-20kg

20ml/kg 20kg+

20
Q

Prolonged jaundice defined as

A

> 2 weeks after birth

21
Q

Causes of haemolytic anaemia in new born

A

G6PD
Rheasus
ABO incompatibility

22
Q

Hepatic cause of jaundice in new born

A

Sepsis
Hepatitis
TORCH

23
Q

Post hepatic causes of jaundice in new born

A

biliary atresia
Choledochal cysts
Bilary stricture

24
Q

Physiological jaundice normally resolves within….

25
Q

Pathological jaundice - if any of these 3 things in the hx

A

Serum bilirubin <95 percentile
After first 24hrs
Or 14 days of life

26
Q

Questions in PC for neonatal jaundice

A

How old was the child at onset
How marked is the jaundice
Color of stools and urine

27
Q

Associated symptom to check for in neonatal jaundice

28
Q

Bedside test in neonatal jaundice

A

Trans cut bilirubinometer

29
Q

Gold standard test in neonatal jaundice

A

Serum bilirubin

30
Q

Investigations in neonatal jaundice

A 
Direct Coombs test 
Haematocrit 
FBC 
Reticulocyte count 
Blood smear 
Blood groups
31
Q

Emergency in neontal jaundice

A

Kernicterus - acute bilirubin encephalopathy

32
Q

Prolonged jaundice defined as

A

> 2 weeks after birth

33
Q

Causes of haemolytic anaemia in new born

A

G6PD
Rheasus
ABO incompatibility

34
Q

Hepatic cause of jaundice in new born

A

Sepsis
Hepatitis
TORCH

35
Q

Post hepatic causes of jaundice in new born

A

biliary atresia
Choledochal cysts
Bilary stricture

36
Q

Physiological jaundice normally resolves within….

37
Q

Pathological jaundice - if any of these 3 things in the hx

A

Serum bilirubin <95 percentile
After first 24hrs
Or 14 days of life

38
Q

Questions in PC for neonatal jaundice

A

How old was the child at onset
How marked is the jaundice
Color of stools and urine

39
Q

Associated symptom to check for in neonatal jaundice

40
Q

Bedside test in neonatal jaundice

A

Trans cut bilirubinometer

41
Q

Gold standard test in neonatal jaundice

A

Serum bilirubin

42
Q

Investigations in neonatal jaundice

A 
Direct Coombs test 
Haematocrit 
FBC 
Reticulocyte count 
Blood smear 
Blood groups
43
Q

Emergency in neontal jaundice

A

Kernicterus - acute bilirubin encephalopathy

Paeds - C.U (10 decks)

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