MORE QUES Flashcards
Shield-shaped chest, webbed neck, low posterior hairline
(+ amennorhoea + short stature) = ?
Turner’s syndrome
X0 chromosomes (one X is missing or partially missing)
Patients with Down’s Syndrome are more likely to develop….
Acute lymphoblastic leukaemia + Alzheimer’s
Patients with familial adenomatous polyposis are more likely to develop….
Colon cancer
Patients with MEN1 are more likely to develop….
Pituitary, parathyroid, pancreatic tumours
3 Ps
Slapped cheek syndrome - implications for pregnant mother?
Asymptomatic in mother but can cross the placenta and cause severe anaemia in the foetus
Kawasaki disease clinical features
CREAM + fever for >5 days
Conjunctivitis
Rash
Edema
Adenopathy
Mucosal involvement (strawberry tongue, oral fissures etc)
Dark urine = ________ bilirubinaemia
Conjugated
(whereas normal urine shows unconjugated bilirubinaemia as it cannot be passed through the urine)
Biliary atresia causes ______ bilirubinaemia
Conjugated
therefore dark urine + pale stools
Screening for developmental dysplasia of the hip
Barlow and Ortolani tests
(Barlow = attempt to posteriorly dislocate
Ortalani = attempt to relocate on abduction of the hip)
Risk factors for DDH
5 Fs
Female
Firstborn
Family history
Fanny first (breech)
Fluid (oligohydramnios)
Most common abdominal tumour in children =
Wilm’s tumour (Nephroblastoma)
(children under 5)
Painful hip following a viral infection
Transient synovitis
Henoch-Schonlein Purpura presentation
Purpura or petechiae on the buttocks and lower limbs
Abdominal pain
Arthralgia
Nephritis (haematuria +/- proteinuria)
May be pyrexial
HSP is commonly preceded by a viral upper respiratory tract infection
Examples of live vaccines
(contraindicated in the immunosuppressed)
Measles, mumps, rubella (MMR combined vaccine)
Rotavirus.
Smallpox.
Chickenpox.
Yellow fever.
Bacterial sinusitis (frontal headache, fever, excessive mucous) leading to eye problems
Orbital cellulitis
