Misc Flashcards
drops for anterior uveitis
atropine and phenylephrine (after infection r/o)
aspirin and warfarin whilst breastfeeding
avoid aspirin
warfarin ok
phenytoin SE
hairy
which drug causes orange urine
rifampicin
epipen dose for 6 and over
300 mcg
maternal endocrine issues cause
neonatal hypocalcaemia (seizures and jerky)
early if <72h
neonatal resus
5 inflation breaths
if HR improves, continue at 30 breaths/min until HR >100
if HR <60 after 30s, CPR 3:1
congenital glaucoma presentation
absent red reflex
cloudy eye
tearing
erythema
impetigo rx
local - hydrogen peroxide 5 days
widespread - fuscidic acid or fluclox/clari/ery
bullous - fluclox/clari/ery
ROP screen time
31 weeks or 4 weeks, whichever is latest
hyperthyroic mum, unclear Ab status
TFTs at birth and one week
rectal washouts in
Hirschprung’s until surgery
rx for migraines
nasal triptan
proper name for slate grey naevus
congenital dermal melanocytosis
aspirin OD
tinnitus
resp alkalosis with metabolic acidosis
sodium bicarb
early PROM causes
oligohydramnios –> pulmonary hypoplasia
NSAIDs + methotrexate =
methotrexate toxicity
initial imaging in major trauma
CXR, not CT chest
nutriprem can be given until
6 months
cooling criteria
1) APGAR <=5 or requiring resus at 10 mins
pH <7 or BE <-16 before 60 mins
2) hypotonia or seizures or abnormal reflexes
weight gain in neonates
15g/kg/day
IVI in burns
% burn x kg x 3
diabetic nephropathy screening
early morning ACR
vascular ring
dysphagia and wheeze/SOB
subglottic haemangioma
increasing SOB and external haemangioma
laryngomalacia
breathing and feeding difficulties soon after birth
subglottic stenosis
persistent stridor, worse when unwell
NAC criteria
1) over tx line
2) OD <24hr ago but levels won’t be back until >8hr AND over 150mg/kg taken
3) OD >24hrs ago + jaundice/RUQ pain/ raised ALT/ INR >1.3 / paracetamol level detectable
when to give chlorphenamine only
allergy without anaphylaxis or gastro sx (gastro may mean anaphylaxis in children)
vitamin deficiencies in chronic diarrhoea
B12 and folate
intermittent acute abdomen
malrotation with voluvulus
when to check serum bili after TCB
> 250
who can have TCB
> 35/40
24h
meningitis prophylaxis for pregnant women
ceftriaxone
management of chronic regional pain syndrome
1) physio and exercise
2) NSAIDS
3) gabapentin/antidepressents
management of conduct disorder
1) selective prevention programmes for classes of 3-7yo
group parent training for 3-11yo
group social and cognitive problem solving programme for 9-14yo
multimodal programme 11-17yo
ODD vs conduct disoder
ODD has interpersonal conflict
Conduct disorder has serious violations of rules and other’s rights
before autism assessment
hearing test
SLE mneumonic
SOAP BRAIN MD
Serositis
Oral ulcers
Arthritis
Photosensitivity
Blood (aplastic)
Renal
ANA
Immunologic e.g. anti dsDNA
Neurologic
Malar
Discoid
criteria for CT head
S - seizure
U - unconscious >5min
S - skull #
T - tense fontanelle
A - abuse
I - injury >5cm on <1yo
N - neurology
stepping reflex lost at
2 months
moro reflex lost at
4 months
righting reflex develops at
6 months
parachute reflex develops at
9 months
Babinski lost at
9-12 months, limit age 2
hypos on fasting
MCADD
galactosaemia presentation
failure to thrive
vomiting
jaundice
cataracts
E coli sepsis
CAH inheritance
autosomal recessive
physical characteristics of AIS
sparse pubic and axillary hair
primary amenorrhoea
short vagina - dyspareunia
threadworm management
mebendazole
tapeworm management
praziquantel
pertussis prevention
- vaccine for pregnant women >16 weeks if unimmunised, regardless of contact status (can heave earlier if also a healthcare worker for infants or pregnant women, or a family member of an infant)
- clarithromycin for close contacts (erythromycin if pregnant)
- vaccine for all unimmunised or last immunised over 5 years ago, if close contact
active in utero + persistent hiccups
non ketotic hyperglycerinaemia (autosomal recessive)
anorexia red flags
hypothermia <35
bradycardia <40
K+ <3
Na+ <130
BMI <13
abnormal ECG
fluid choices for children
0.9% saline or plasmalyte for resus
0.9% saline with 5% dex for maintenance
personalised if <7/7 old
complication of anterior uveitis
posterior synechiae (adhesions between iris and lens)
How to administer desferrioxamine
IV or SC (not PO)
Lead poisoning treatment
PO D penicillamine
IV sodium calcium edetate
Port wine stain name
Naeveus flammeus
Capillary malformation
Eye complications in port wine stains
Glaucoma - have regular specialist ophthalmology reviews
Vigabatrin SE
Behaviour
Optic neuritis
First line inotrope and why
Dopamine - can be given peripherally
anorexia bloods
high cortisol
low T3/4 with normal TSH
low GnRH, LH and FSH
high GH
low oestrogen
head injury posturing
decorticate = early = arms bent
decerebrate = late = arms straight
differentiating Turner’s and anorexia as cuases of primary amenorrhoea
Turner’s has high LH/FSH
Anorexia has low LH/FSH
interactions with theophylline causing increased levels
ciprofloxacin
clarithromycin/azithromycin/erythromycin
COCP
LIVER ISSUES
many others increase hypokalaemia risk
tinea corporis with inappropriate steroid treatment
tinea incognita
cholera bloods
hyperchloraemic metabolic acidosis
management of acute pain in chemo patients
oromorph (paracetamol masks fever, ibuprofen worsens platelet destruction)
who to call first for an absconder
safeguarding team
recurrent UTI + progressive symptoms
U+E to diagnose CKD
Retest for James’ allergies
2-4 yearly
Retest for non James allergies
12-18 months <5yo
2-3 yearly when >5yo
