Mary's teaching Flashcards
when do you use DMSA to investigate UTI?
when? if 3 months, <6
non-e coli (klebsiella)
septicaemia
raised serum creatinine
mass
DMSA
function
missing bits
radioactive scan
6 week baby boy
projectile vomiting
hungry straight after
mum says looks a lot smaller
what is it?
pyloric stenosis
surgical correction of pyloric stenosis
ramstedt procedure
cause of bilateral cryptorchidism?
hypopituitarism
in cryptorchidism by what age should you do an orchidopexy?
before 2 years old
causative agent of HUS
E.coli 01571:H7
features of HUS
Microangiopathic haemolytic anaemia
nephropathy
thrombocytopenia
HUS investigation?
FBC
clotting
renal function - aki
stool culture and toxin - e coli 0151 h7
BP
fluid balance ( every 8 hours)
daily weight (twice a day)
what type of rash is measles?
what spot?
maculopapular rash
koplik
subacute sclerosing panencephalitis
complication of measles years after
fatal
prolonged jaundice screen ?- 14 days
○ Conjugated and unconjugated bilirubin
§ If conjugated bilirubin is raised what does this mean?
□ Biliary atresia
§ Direct antiglobulin test (coombs)
§ TFT
§ Fbc, blood film
§ Urine for mc&s and reducing sugars
U&e’s and LFTs
what enzyme conjugates bilirubin? and where
where does bilirubin go after it becomes conjugated here?
UGT - enzyme
liver
to gallbladder
causes of prolonged jaundice?
biliary atresia
hypothyroidism
urinary tract infection
breast milk jaundice
CMV, toxoplasmosis
red flag for headaches
new headache
rash
fever
stronger than any other headache
visible jaundice before 24 hours is a risk factor of it being pathological
t/f
true
management of PDA treating preload / afterload?
furosemide / diuretic reduces demand
captopril
afterload reducers why is used in acyanotic heart disease
reduces systemic vascular resistance
what is a trendelberg positive mean in gait
weakness in the hip abductor muscles consisting of the gluteus medius and gluteus minimus
what is perthes disease?
avascular necrosis of femoral head
femoral epiphyses
internal capsule would present issues?
speech
what is given in a cyanosed baby
what is the name of this drug?
alprostadil which is a synthetic prostaglandin E1
to keep the PDA open otherwise cyanosed baby will not be able to get oxygen
duodenal atresia presents with
duodenum is not patent which causes bowel obstruction
bilious vomiting is happening
maintenance fluid in children?
0.9% NaCl +5% glucose
do you get bilious vomiting in pyloric stenosis
no
shock what do you give?
0.9% NaCl 10ml-20ml/kg
bilateral nasal polyp
very uncommon
plasmalyte is what ?
isotonic solution but not used routinely
what is choanal atresia
nasal choanae is closed congenitally
presents early
