Outpatient Problems Common

Question 1

Barking cough**

Answer 1

Croup

Question 2

Hydrocephalus

Answer 2

Trans-illuminates - skull has been stretched
Increased ICP

Question 3

Funny turns and movements

Answer 3

Seizures, tic disorder, vasovagal (beware of syncope)

Question 4

Headache symptoms

Answer 4

Cry first then stop - crying hurts
Sleeping/ effortless vomiting in the morning
Worse on coughing/sneezing/straining
New squint or cranial nerve palsies
New onset clumsiness
Visual change

Question 5

Heart murmurs - red flags

Answer 5

Are they cyanosed?
FTT, poor feeding, sweating (new babies do not sweat unless cardiac)
Absent/low femoral pulses, gallop rhythm

Question 6

GI red flags

Answer 6

FTT
Bilious or bloody vomiting
Bloody stools or symptoms of IBD
Consider coeliac

Question 7

Red flags with bowel movement

Answer 7

Symptoms present from birth
Abnormal lower limb neurology
Wt loss
Blood in stools
Stooling nights

Question 8

When are you worried about reflux in babies

Answer 8

FTT as well

Question 9

Pyloric stenosis

Question 10

Malrotation