MSRA - paeds Flashcards
Commonest cause of cyanotic congenital heart disease
Tetralogy of Fallot
Clinical features of TOF
cyanosis
right-to-left shunt
ejection systolic murmuer
boot shaped CXR
Management of TOF
surgical repir
beta blockers in cyanotic epsiodes
Rubella presentation
Rash starts on face and spreads to whole body
Suboccipital/postauricular LN
Measles presentation
Rash starts behind ears and spreads to whole body
Prodrome:irritable, conjunctivitis, fever
Koplik spots
Management of reflux in children
Alginates
PPI or H2RA only if faltering growth/distress/feeding difficulty
Perthes disease - presenting age
4-8 years
Perthes features
Hip pain + limp
Stiffness/reduced ROM
Widened joint space and femoral head flattening on xray
Management of Perthes
Casts/braces
Surgery if >6 years old or severe
Head-banging - normal at what age
Normal for 2 year old
>3 years = sign of autism
Immunisations - at birth
BCG if risk factors
Immunisations - 2 months
- 6in1
- Oral rotavirus
- PCV
- Men B
6in1 vaccine
-Diptheria
-Tetanus
-Whooping cough
-Polio
-Hib
-Hep B
Immunisations - 3 months
- 6in1
- Oral rotavirus
Immunisations - 4 months
- 6in1
- PCV
- Men B