Paediatric surgery Flashcards
calculating weight from age
2 x (age+4)
blood volume
80mls/kg
urine output
0.5mls/hr
insensible fluid loss
20ml/day
systolic bp from age
80 + (2 x age)
under 1 RR, HR and bp
30-40
110-160
70-90
2-5 RR, HR and bp
25-30
95-140
80-100
5-10yrs RR, HR and bp
20-25
80-120
90-110
over 10 RR, HR and bp
15-20
60-100
100-120
WHO pain ladder
paracetamol
ibuprofen
weak opioid eg codeine
strong opioid eg morphine
What colour is bile?
green
murphy’s triad
vomiting
pain
fever
NSAP features
short duration central constant no GIT disturbance no temperature not made worse by moving site and severity vary
fairy liquid green 3 day old baby
malrotation and volvulus
Treatment of malrotation
laparotomy
Intussusception age and history
9-12 months
viral illness, colic, dying spells
bilious vomiting
redcurrant jelly stool
investigating and managing intussusception
USS abdomen
pneumostatic reduction
laparotomy
Exomphalos association
25% cardiac
25% chromosomal
15% renal
BWS
mortality of exomphalos or gastroschisis greater?
exomphalos
