Notebook_bits Flashcards
What is acroparasthesia?
Numbness in fingers and feet, pins and needles etc.
What are the two most worrying differential diagnoses in croup?
Epiglottitis (look for drooling) and Bacterial tracheitis
What is indicated by the triad of Abdominal pain, Arthralgia, and palpable purpura of the extremities? how may it be described by a layman? What is the serious complication? What is the management?
HSP: Henoch-Schonlein Purpura
Describied as:
“Tummy pain, rash and aching joints”.
Complications are renal.
When managing, do NOT give NSAIDS. Will cause worsening!
What causes Impetigo, what does it look like, and how do you treat it?
Caused by Staph Aureus, looks crusty golden, often over the face, and treated with flucloxacillin.
What causes Gingivostomatitis, and how do you treat it?
Caused by herpes sImplex
Most common primary infection in children
Treatment is with Aciclovir
NB: Children may have painful herpetic whitlow lesion on fingers - bursting this relieves the pain.
A Child has some lesions on their, hands, feet, mouth, and buttocks. What is the most likely cause?
Likely hand foot and mouth, causedb y the Cocksackie virus.
What are the “3 C’s and 2 E’s” of Measles?
Cough Coryza Conjuctivitis Exanthema (outer rash - often starts behind ears) Enanthema (inner rash - Kopliks spots)
A child is admitted with a swollen tongue and mouth, mucus membrane swelling and discomfort, rash, conjunctivitis and fatigue 36 hours after taking some antibiotics. This is NOT acute anaphylaxis. What syndrome is this?
Stevens-Johnson Syndrome
Treat with oral doxycylcline.
A child develops a rash, just as their fever is abating. Of which condition is this typical?
Roseola
Caused by HHV 6
Occurs in children 6-36 months of age
A child appears with a ring lesions, slightly erythematous, on their arms and trunk. The family recently rescued a dog. What is this likely to be?
This is likely to be Tinea corporis (ringworm).
Treat with fluconazole.
You notice a rash on a child in PAU. It looks similar to atopic dermatitis, and is extremely itchy. You notice a single large lesion on the right shoulder, and the rash appears to look like a large fern leaf, or Christmas tree, in its distribution. What is this likely to be?
This is likely to be Pityriasis Rosea
Tx is with antihistamines
Name two potential causes of Erythema multiforme.
Think “Her majesty”
Herpes
Mycoplasma
You see a child in PAU. they have red cracked lips, a widespread maculopapular rash, swollen hands, a strawberry tongue, bilateral non-leaking conjunctivitis, and a prolonged fever (over a week, according to mum). On examination they also have cervical lymphadenopathy.
Investigations show thrombocytopaenia and raised ESR and CRP. What is this?
This is very likely to be Kawasaki’s disease. This can be a life threatening condition if not picked up on early, ad it can cause coronary artery obstruction, leading to coronary ischaemia.
Diff: Scarlett Fever
What is the treatment for scarlet fever (slapped cheek syndrome)
Pen V
Two siblings in the same family present with intense pruritis. They have no history of eczema. you notice small linear ridges on their hands. What is this likely to be?
This is likely to be Scabies.
Lovely.
Treatment is with 5% Permethrin cream.
