Paediatric Diabetes, Thyroid and Adrenal Disease Flashcards
What is the most common symptom of new diabetes in children?
Secondary nocturnal enuresis
If a child has: elevated BG but no ketones and is clinically well, should they be referred?
Yes
Urgent phone contact with Paediatric team and arrange clincial review in 24 hours
If a child presents with elevated BG and ketones but is clinically well, what should happen next?
Urgent phone referral to duty Paeds team and same day review required
If a child has elevated BG and ketones and signs of DKA, how should they be reffered?
Emergency referral to Paeds
How can a child with diabetes acheve optimal glycaemia?
Early intensification of meds Consistency of approach Consistent targets Support Access to specialist advice
What can cause primary congenital thyroid disease in the young?
Gland dysplasia and/or at abnormal site
Inborn error of thyroid hormone metabolism - rare
What are the clinical symptoms of congnital thyroid disease in the young?
Delayed jaundice (appears after 14 days birth) Poor feeding but "normal" weight gain Hypotonia (umbilical hernia, constipation) Skin and hair changes
What test is used to screen for congenital thyroid disease in children?
Guthrie Test - cap blood test measures TSH and/or T4 levels
Give causes of acquired thyroid disease in the young?
delayed congenital post infection AI - most common Iodine deficiency Consequence of other AI disease
How does hypothyroidism in children present?
Often slow progress growth failure delayed puberty poor general heath educational difficulties Goitre
How does hyperthyroidism in children present?
behavious probles sleep disturbance eating difficulties goitre high pulse rate Precocious puberty
Is adrenal disease in the young common?
No, rare
