ILA 2 - Hot child

Question 1

Who to notify if communicable disease? When?

Answer 1

Proper office - Complete notification form and send within 3 days / verbal if urgent
Tell patients they will get a phone call

Question 2

Most common notifiable diseases

Answer 2

Food poisoning, scarlet fever

Question 3

What social determinants inhibit vaccine uptake

Answer 3

Saftey concerns - MMR autism, worry about overloading child
Misinformation and the internet
Religious and cultural - god will save / HPV and promiscuity

Question 4

Quick eyeball assessment of unwell child

Answer 4

Appearance
Work of breathing - Audible sounds, signs of resp distress
Circulation to skin - colour / mucuous membranes

Question 5

Mnemonic for appearance of unwell child

Answer 5

TICLS
Tone 
Interactivity
Consolability 
Look 
Speech / cry

Question 6

Where to check temp in baby <4/52

Answer 6

axilla

typanic membrane in older

Question 7

What to do in exam of child with fever of unknown origi?

Answer 7

Check whole body for rash + joints 
Test urine (DIPSTICK IS UNRELIABLE IN CHILDREN)

Question 8

How should you give safety netting advice to families

Answer 8

Written - medicolegal

Question 9

What saftey netting advice generally

Answer 9

Worried/ gets worsecan come back 
Out of hours numer 
what to look out for 
Give fluids - look for signs of dehydration 
check child at night