Paediatric Outpatients Flashcards
1
Q
What are some common paediatric problems seen in out-patients?
A
- UTI
- Constipation
- Abdominal Pain
- Cardio problems
- Headaches
- Food allergy
2
Q
Concerning features of Urinary Tract infections?
A
- Younger children
- Frequent infections
- Non E.col pathogens
- Poor growth
- Spinal abnormality
- Voiding problems
- High BP
- Renal tract abnormalities on antenatal scan
3
Q
Definition of constipation
A
Defined as pain, difficulty or delay in defaecation
4
Q
Definition of soiling
A
Escape faeces into the underclothing
5
Q
Definition of encopresis
A
Passage of normal stool in abnormal places
6
Q
Diagnosis not to miss abdominal pain
A
- Coeliac
- IBD
- Malrotation
- Intermittent volvulus
7
Q
Concerning features of abdominal pain
A
- Weight loss
- GI bleeding
- Significant vomiting
- Location of pain
8
Q
Headache symptoms/signs of concern
A
- Headache in the morning
- Worse on coughing or bending
- Associated vomiting
- Visual disturbance
- Gait disturbance
- Cranial Nerve palsy
9
Q
Cardiac problems - Red flags
A
- Syncope with known CHD
- Syncope during exercise or when supine
- FH of sudden death, prolonged QT or hypertrophic cardiomyopathy
- Heart murmur or other abnormalities on CV examination
- Syncope preceded by palpitations
10
Q
Define food allergy
A
IgE mediated reaction causing anaphylaxis
11
Q
What is a food intolerance?
A
Delayed reaction and the mechanism of cause is unclear, has more varied symptoms
