Paediatric 3 Flashcards
Severe asthma paeds criteria (5)
Life-threatening criteria (7)
Severe
1. < 92%
2. PEFR 33-50%
3. Cant finsh sentence/ cant feed
4. HR
- >5yo > 125
- 1-5yo > 140
5. RR
- >5yo > 30
- 1-5yo > 40
Life-threat
1. Silent chest
2. < 92%
3. Cyanosis
4. Confusion
5. <33% PEFR
6. Poor resp effort
7. Agitation
6 week presents with weak femoral pulses bilaterally what should you do?
Same day discussion- Babies with absent or weak femoral pulses at 6-8 week baby check should be discussed immediately with paediatrics
coarctation of the aorta
osteogenesis imperfecta
Abdominal x-rays are useful when diagnosing necrotising enterocolitis, as they can show:
dilated bowel loops (often asymmetrical in distribution)
bowel wall oedema
pneumatosis intestinalis (intramural gas)
portal venous gas
pneumoperitoneum resulting from perforation
air both inside and outside of the bowel wall (Rigler sign)
air outlining the falciform ligament (football sign)
bacterial meningitis in < 3 months (2)
Bacterial meningitis management in > 3 months (2)
< 3 months
- IV cefotaxime (covers pneumococcal and h.influenza
- Amoxacillin (covers Listeria)
- NO DEX GUVEN IN < 3months!
> 3 months
- IV cefotaxime (covers GBS and h.influenza
= Dexamethasone to decrease ICP
What is Ebsteins anomoly?
What drug can cause it in preg?
the posterior leaflets of the tricuspid valve are displaced anteriorly towards the apex of the right ventricle.
- tricuspid regurgitation (pan-systolic murmur) and tricuspid stenosis (mid-diastolic murmur)
-enlargement of the right atrium
Lithium
croup pathogen =
acute epiglottitis pathogen =
croup pathogen = Parainfluenza
acute epiglottitis pathogen = Haemophilus influenzae B (HiB) bacteria
Women who are between 16-32 weeks pregnant are offered what vaccines?
pertussis and influenza
what murmur does TOF have?
Ejection systolic murmur at left sternal edge
Whooping cough mangement
azithromycin or clarithromycin if the onset of cough is within the previous 21 days
Features of systemic onset JIA (6)
pyrexia
salmon-pink rash (Still’s disease)
lymphadenopathy
arthritis
uveitis
anorexia and weight loss
genetic pattern of haemophilia A
There is no male-to-male transmission in X-linked recessive conditions
Hand, foot and mouth disease managment
pathogen
symptomatic treatment only, general advice about hydration and analgesia
coxsackie virus A16
Umbilical hernias in kids should self resolve by 2-3yo but if they don’t what should you do?
if large or symptomatic perform elective repair at 2-3 years of age. If small and asymptomatic peform elective repair at 4-5 years of age.
What is the most common cardiac pathology associated with Duchenne muscular dystrophy
dilated cardiomyopathy
Definitions
Neonatal death
Early neonatal death
Stillbirth
Perinatal death
Neonatal death : death within 28 days
Early neonatal death : death within 7 days
Stillbirth : intrauterine death of atleast 24weeks old gestation
Perinatal death : (early neonatal death) + (stillbirth)
necrotizing fasciitis secondary to Chickenpox, but what pathogen causes the nec fasc?!
B- haemolytic Group A strep
The 6 Fs for develpoment hip dysplasia risk factors
Fat (macrosomia), Female, First Born, Foot-first (Breech), Family history (First-degree) and Fluid low (oligohydramnios)
type of vaccine is rota virus?
Rotavirus is an oral, live attenuated vaccine
DDH imaging
first-line
if normal age at 6 weeks etc
if child >4.5 months (older) -
if normal age at 6 weeks etc = USS
if child >4.5 months (older) = XRAY
