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04- Child Health > GP paediatrics and out-patients > Flashcards

GP paediatrics and out-patients Flashcards

1
Q

prolonged jaundic is defined as what in term and preterm babies?

A

14 days for term

21 days for preterm

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2
Q

how long is the neonatal period?

A

up to 4 weeks

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3
Q

what are some common neonatal GP presentations?

A

jaundice

vomiting

failure to thrive

sepsis

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4
Q

what are some common respiratory problems in children?

A

bronchiolitis

croup

viral URTI

asthma

acute tonsilitis

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5
Q

what are some rare respiratory presentations in GP?

A

cystic fibrosis

acute epiglotitis

foreign body

pneumonia

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6
Q

how would you assess the respiraotry system?

A

cyanosis

tachypnoeic

nasal flaring

wheeze/stridor

pulse oximetry

ENT exam

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7
Q

what are the respiratory rates in infants?

A

<1 30-40

1-2 25-35

2-5 25-30

5-12 20-25

>12 15-20

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8
Q

what are common GI problems in <1yr olds?

A

gastroenteritis, UTI, constipation

intuscception, volvulus incarcerated hernia

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9
Q

common Gi problems in 2-5yr olds?

A

gastroenteritis. UTI, constipation

ituscception, appendicitis

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10
Q

common GI problems in 6-11yr olds?

A

gastroenteritis, UTI, constipation

appendicitis, trauma, testicular torsion

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11
Q

common GI problems in 12-18yr olds

A

gastroenteritis, UTI, constipation

appendicitis, trauma, testicular/ovarian torsion

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12
Q

what is the causitve organism of scarlet fever?

A

streptococcus pyogens

or, group A beta haemolytic streptococci

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13
Q

what is the caustiive organism in foot and mouth disease?

A

coxsackie or enterovirus

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14
Q

what developmental screening tests are there?

A

red light reflex

hips (barlows/ortalanis)

genitalia

femoral pulses

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15
Q

when investigating aspiration of an object how many x-rays ened to be taken?

A

two images- anterior/posterior and lateral to confirm exact position of object

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16
Q

what should you be careful to consider in a child with short stature who is also overweight/obese?

A

endocrine cause

17
Q

what are the top 10 reasons for referral to general paediatric out-patients clinics?

A

concern re growth

UTI

constipation

abdo pain

headaches

funny turns

heart murmur

allergy

minor abnormality e.g head shape

asthma?

18
Q

which bacteria is most common cause of uncomplicated UTI’s in children?

A

E.Coli

19
Q

define constipation

A

pain, delay or difficulty in passign stool

20
Q

define soiling

A

escape of stool into underwear

21
Q

define encopresis

A

passage of normal stool in abnormal places- can be result of contipation or emotional stress

22
Q

what is the treatment for constipation?

A

laxatives

attention to food/drink

toileting behaviour advice

23
Q

what are some underlying disease causes of constipation?

A

hirschsprungs metabolic

coeliac

neuromuscular

24
Q

when concerned with abdo pain what are diagnoses you shoul dbe careful not to miss?

A

coeliac disease

IBD

malrotation

intermittent volvulus

25
Q

what are some concernign features associated with abdo pain?

A

wgt loss

vomiting esp if bile

fever

recurrent mouth ulcers

26
Q

what proportion of children with FAP go on to develop anxiety as an adult?

A

30%

27
Q

what are the red flags for a child with headaches?

A

headache on wlking

worse on bending

assoc vomiting- esp in morning

visual distrubance

28
Q

what is the median symtpom interval (onset to diagnosis) for paediatric brain tumours?

A

2.5- 3 months

29
Q

what is the most common type of heart murmur in children?

A

innocent murmur

30
Q

what are some minor abnormlaiites esp in infants?

A

head shape/size

skin lesions

feeding concerns

crying excessively

31
Q

what percentage of GP consultations are pschologically related?

A

30%

04- Child Health (9 decks)

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