Paediatrics Flashcards
Management of ADHD?
10 week watch and wait period: balanced diet
Drug therapy as last resort in >5s
- methylphenidate: 6 week trial basis [weight and height monitored every 6 months]
- if inadequate response: lisdexamfetamine: dexamfetamine should be started in those that benefit from lisdexamfetamine but can’t tolerate side effects.
[baseline ECG due to cardiotoxicity of drugs]
Management of patent ductus arteriosus?
INDOMETHACIN or IBUPROFEN
Treatment of threadworm:
combination of anthelmintic (MEBENDAZOLE) with hygiene measures for all members of household
Treatment of croup:
single dose of oral dexamethasone (0.15mg/kg)
emergency: high flow O2, nebulised adrenaline
Management of Kawasaki disease?
High dose aspirin
IVIG
Echocardiogram (screening for coronary artery aneurysm)
Features of Kawasaki disease?
- high grade fever >5 days
- conjunctival injection
- bright red, cracked lips
- strawberry tongue
- cervical lymphadenopathy
- red palms of hands and soles of feet which later peel
Presentation of Perthes disease?
short stature
hyperactivity
hip pain usually occurring between 5 and 12 years old
Metabolic picture for pyloric stenosis?
Hypochloraemic, hypokalaemic alkalosis with elevated bicarbonate
Measles triad:
coryza, conjunctivitis, cough
Scarlet fever management?
oral penicillin V for 10 days
(azithromycin if penicillin allergy)
children return to school 24 hours after starting antibiotics
notifiable disease
Scarlet fever management?
oral PENICILLIN V for 10 days
(azithromycin if penicillin allergy)
children return to school 24 hours after starting antibiotics
notifiable disease
Stepwise management for noturnal enuresis:
look for underlying causes advice on fluid intake, diet and toileting reward system <7: enuresis alarm >7: desmopressin
Stepwise management for noturnal enuresis:
look for underlying causes advice on fluid intake, diet and toileting reward system <7: enuresis alarm >7: desmopressin
Management for tonsillitis?
Phenoxymethylpenicillin
