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MURMURS > immunology paeds > Flashcards

immunology paeds Flashcards

1
Q

immunisations at 2 months

A

dtap polio hib rota pneumo hep b men b

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2
Q

immunisations at 3 months

A

dtap polio hib rota men c

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3
Q

immunisations at 4 months

A

dtap polio hib pneumo men b

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4
Q

immunisations at 1 year

A

hib mmr men b pneumo

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5
Q

immunisations 2-8

A

influenza

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6
Q

immunisations 3-4

A

dtap polio mmr

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7
Q

immunisations at 12-13

A

hpv

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8
Q

immunisations at teens

A

dtp men ACWY

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9
Q

live vaccines to not be used

A

bcg mmr influ yellow fever typhoid dtap

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10
Q

innactivated vaccines

A

rubella influenza

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11
Q

HAVE EGGS

A

mmr and influ

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12
Q

broad spec antibiotics in those less than 3 months

A

ceftriaxone

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13
Q

broad spec antibiotics in those more than 3 months

A

cefotaxime

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14
Q

prophylaxisis to kissing contacts

A

rifampicin

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15
Q

if lp contraindicated in mengitis what to do

A

ct

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16
Q

lp signs in bac men

A

cloudy appearance, neutrophils but dec glucose

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17
Q

lp sign sign tb men

A

clear appearance with really elevated protein and really dec glucose

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18
Q

lp signs in viral men

A

clear or haxy appearnace with lymphocytes like in tb but the glucose will be normal here

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19
Q

six causes of purpura

A

hsp, thrombocytopenia, steroids, DIC, Haemophilla, mengiococcal

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20
Q

hsp causes fatalities to this organ and how

A

renal by caussing nephrotoc syn thereofre they will reg need urine dipstick to monitor it

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21
Q

whats the rash of hsp like

A

is systemic erythematous macular rash on legs and bum ooh

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22
Q

rash of thrombocytopenia

A

widespread and they bleed from nose and purpruic membrane

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23
Q

baby boy with excessive bleeding prolonged time following tooth removal

A

haemophillia

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24
Q

complication of haemophillia

A

haemarthosis- bleed into joint and fdamage it

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25
Q

treat haemhorrhage in haemophilia

A

factor replacement

26
Q

the blood film of DIC patient

A

haemolytic anaemia fragmented RBC and abnormal coag screen therefore FBC so important to check - first line for this purpura stuff

27
Q

first line invx for purpura stuff

A

FBC

28
Q

differnece between purpura and petichiae

A

purpura is lager non blanching rash than petichiae

29
Q

HSP WHAT IS IT

A

throught to be some kind of igA vasculitis

30
Q

what number for the platelets would require transfusion

A

<20

31
Q

anaemia in purpura

A

hypochromic microcytic

32
Q

which lp result has high opening pressures

A

bacterial

33
Q

broad spec antibiotic in more than 3 months old

A

ceftriaxone

34
Q

contacts recieve what as prophylaxis

A

ciprofloxacin

35
Q

Mumps management

A

ribavirin

36
Q

centor criteria

A 
FENT 
FEVER
EDEMA 
NO COUGH 
TENDER LYMPHNODES

more than one makes likely toto be group A strep

37
Q

Chickenpox treatment and when is it infected till

A

Calamine lotion and chloramphenamine

infective until lesion is crusted over

38
Q

Complication of group A strep

A

rheumatic fever causing polyarthritic arthritis then mitral stenosis

39
Q

major criteria in Rheumatic fever (2 of this needed or one of this)

A 
JONES 
JOINT INVOLVMENT 
O LOOKS LIKE A O MYOCARDITIS 
N- NODULES SUBCUTAEOUS 
Erythema marginatum 
S sydenhams chorea
40
Q

minor criteria rheumatic fever (one of this or two of major one of minor needed)

A 
CAFE PAL 
C crp increased 
A arthralgia 
F fever 
E elevated ESR

p - prolonged PR
a - ANAEMESIS RHEUMATIS
LEUKOCYTOSIS

41
Q

Measles prodrome

A

irritable fever conjunctivitis
then
KOPLICK spots in mouth

42
Q

measles rash spread

A

starts behind the ‘easles’ (ears) then spreas to whole body

43
Q

Slapped chick fifith disease and erythema infectiosum rash spread

A

slapped check rash spreads to arms and extensor surfaces

44
Q

Which disease is a rash that spares the face?

A

scarlet fever - occurs after a group A haemolytic streptococci infection as it is a reaction to the toxins produced by this bacteria

45
Q

Which disease causes a strawberry tongue ?

A

scarlet fever - yahhhh

46
Q

disease with 24 hr after antibotics exclusion

A

scarlet fever

47
Q

school exclusion criteria for whooping cough

A

2 days after antibiotics ( 21 days from onset of symptoms if no antibiotics)

48
Q

School exclusion criteria for measles and rubella

A

4 days from onset of rash

49
Q

school exclusion criteria for chickenpox

A

5 days from onset of rash

50
Q

school exclusion criteria for 5 days from onset of swollen glands

A

mumps

51
Q

school exclusion critia for imeptigo

A

untill lesions have crusted over

52
Q

which disease is the exclusion criteria until treated

A

scabies

53
Q

Which disease is the exclusion criteria untill recovered

A

influenza

54
Q

Features of moderate croup

A

barking cough
stridor
some resp distress- sternal wall retractions
but no agitation
the child is concentrating still interested in the surroundings

55
Q

Features of severe croup

A

frequent bark cough
prominent stridor
resp distress - sternal wall retractions
significant distress and agitation
TACHYCARDIA AND HYPOXAEMIA - differentiates severe from moderate

56
Q

Treatment of moderate and severe croup

A

admission
admit also if 6 months old, upper airway abnormalities (laryngomalacia, DS)
uncertain diagnosis with differentials that are serious like epiglottitis

57
Q

What does everyone with croup reieve

A

single dose oral dexamethasone

58
Q

Septic screen contents for < 3 months old

A 
FBC 
Blood cultures 
crp 
urine check 
chest xray 
stool culture
59
Q

Fraser guidlines (5)

A

young person

  1. understand the professional advice
  2. cannot be persuaded to inform parents
  3. likely to being or continue having sex without contrceptin
  4. if they dont recieve the contraception their physical or mental health are likely to suffer
  5. young persons best intersts are needed to recieve contraception advice and contraception without their parental consent
60
Q

Can you accept that a compentent child refusal to be treated

A

no you can treat in best interest

MURMURS (16 decks)

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