Normal Child Flashcards
‘Innocent’ rash aged 0-10 years, lasts up to 6 months
Molluscum Contagiosum
Newborn reflxes (4)
Suck,
Swallow,
Grasp,
Moro.
Groove along subcostal margins
Harrison’s Sulcus
sign of asthma/obstructive disease
Harrison’s Sulcus is a sign of
asthma/obstructive disease
Why is a single sample of GH useless?
pulsatile secretion
increased at night.
multiple samples over a period need to be taken.
Next step in management of child with GH deficiency
MRI brain.
?pituitary problem
GH deficiency implies central precocious puberty problem
Bone age tolerance
+- 2 years
Precocious puberty ages (m/f)
m under 9
f under 9 1st period
under 8 any other sign
Ball beads name
Prader Testicle Orchidometer
Central precocious Puberty/
Gonadotrophin Dependant Precocious Puberty
…problem with which hormones?
FSH/LH
peripheral precocious puberty
…problem with which which hormones?
Oestrogen/testosterone
next step in peripheral precocious puberty management
pelvic USS
? problem with testes/ovaries
increased levels of 17-OH
Congenital Adrenal Hyperplasia
Early period
Menarche
Early pubic hair
Adrenarche
Early breasts
Thelarche
1st sign of male puberty
Testicle development
1st sign of female puberty
Breast budding
most common cause of presentations where presenting complaint is ?delayed puberty
Constitutional delay (95%)
Anosmia
Kalmann’s - delayed puberty
R/G colourblindness
Kalmann’s - delayed puberty
Cleft palet
Kalmann’s - Delayed puberty
midline defects
Kalmann’s - delayed puberty
insatiable hunger, leaning difficulties, obesity
Prada-Wili
female, Short stature, thick/no neck
Turner’s
weaker muscles, greater height, poor coordination, less body hair, smaller genitals, breast growth,
Klinefelter’s
failure to grow and gain weight at the expected rate, myopia, dislocation of the lens at the front of the eye, an increased risk of abnormal blood clotting, osteoporosis
homocystinuria
What causes foramen Ovale to close?
pre birth - higher P in R Atrium than L (from maternal blood). Post birth, Higher P in L atrium than R from lungs - closes ‘flap’.
function of foramen ovale
bypass lungs (take the R ventricle out of loop)
If meconium not passed in 24hrs?
Admit and wait 24 hours
If no meconium in 48 hrs?
PROBLEM! ?surgery
Congenital Adrenal Hyperplasia
inherited - adrenal glands cannot secrete cortisol - sex hormones not regulated. Mascularises females.
