More General Paeds Flashcards
If the pain is closer to the umbilicus - then what is true?
there is less chance of a pathology
remember guarding etc on examination
what is Murphy’s triad of appendicitis?
pain
vomiting
fever
tenderness over mcburny’s point is classic of?
appendicitis
complication of appendicitis
abscess
mass
peritonitis
NSAP
non specific abdominal pain (classic of early appendicitis)
NSAP - what condition may cause this?
mesenteric adenitis
penumonia (usually on right)
what are the common symptoms of pyloric stenosis?
non bilious vomiting (projectile)
weight loss
how do you test for pyloric stenosis?
gases (alkalosis, hypokalaemia)
test feed
US
3 day old baby vomiting GREEN may be a sign of:
malrotation and volvulus
how do you investigate malrotation and volvulus?
upper GI contrast study
Intussusception signs
6 - 9 months old
baby is crying
bilious vomiting (green!)
low capillary refill time
how do you investigate intussusception?
USS abdomen
you see a ‘target sign’ in the scan
what is gastroschisis?
abdominal wall defect
what is exomphalos?
umbilical defect with covered viscera
child presents with a groin swelling:
hernia
how do you manage a hernia?
urgent surgical referral and repair
where are hernia’s usually in children?
inguinal hernia
Hydrocele
SCROTAL swelling
common in newborns, painless, blueish colour
undescended testes name
cryptorchidism
what is an orchidopexy?
movement of an undescended testicle into the scrotum
when would you consider circumcision?
balanitis xerotica obliterans
religious
UTI
differentials for acute scrotal pain
torsion testis
torsion appendix testis
epididymitis
trauma
hydrocele
assessing a UTI
history and exam
USS
renography (MAG3, DMSA)
micturating cystourethrogram (MCUG)
what does a T-MAG3 renogram show?
drainage reflux (function)
