Paediatrics Flashcards
Antibiotic choice for CAP in severe penicillin allergy?
Azithromycin 10mg/kg (up to 500mg) daily for 3 days
Features of measles?
- High fever, malaise
- Rash - face down
- Coryzal symptoms
- Conjunctivitis
- Cough
- Koplik spots
Diagnosis of measles?
Measles serology +- nasopharyngeal swab (if DOH gives ok)
Treatment for severe croup?
- Nebulised adrenaline 0.1% 5ml
2. Oral pred 2mg /kg up to 50mg
Which vaccines need specialist administration in history of egg anaphylaxis?
Yellow fever
Q fever
Cause of Scarlett fever?
Group A strep pyogenes
Oral antibiotic option for acne in pregnancy?
Erythromycin 250-500mg BD 6 weeks
Treatment for neonatal cephalon pustulosis?
Usually none. Can use ketoconazole cream
Cause of neonatal cephalic pustulosis?
Malassezia
Diagnosis of Kawasaki disease?
Fever at least 5 days with at least 4 of 5:
- Bilateral conjunctivitis
- Oral mucosal changes
- Erythema palms / soles and desquamation
- Polymorphous rash
- Cervical lymphadenopathy
How long for aspirin for Kawasaki disease?
6 weeks
5mg/kg
Treatment for primary enuerisis?
Bed wetting alarm
Desmopressin sublingual 120mcg at bedtime (max 240mcg)
What to do if accidentally given expired vaccine?
Repeat dose - if live vaccine, wait 28 days
6 day old with enlarged breasts and milky discharge?
Infant breast hyperplasia
Enlarging red growth in newborns belly button?
Treatment?
Umbilical granuloma - benign
Silver nitrate stick
Ligature around neck
Salt BD
Discolouration kver lower back / sacrum in babies?
Natural history?
Mongolian blue spot
Disappear by age 4
Name for fracture of ulna + dislocation of radial head
Monteggia fracture-dislocation
Buckle fracture management?
Cast for 3 weeks, no follow up needed
Management of complete transverse metaphysical fracture minimally displaced?
Referral to fracture clinic - needs well moulded cast
- at least 6 weeks
Differential 3 year old limping?
- Transient Synovitis
- Developmental dysplasia of the hip
- Non accidental / accidental
- Septic arthritis
- Acute myositis
What is perthes disease and what age group?
A vascular necrosis of the capital femoral epiphysis
4-10 years
What does sufe stand for?
Slipped upper femoral epiphysis
What is smegma?
Collection of desquamated epithelial cells / sebaceous matter between glans and foreskin
Normal, no issue
When to give pregnant woman pertussis vaccine?
Between 20 and 32 weeks
Pertussis treatment?
Azithromycin 10mg/kg (max 500mg) on day 1
Then half that for days 2-4
Another name for severs disease?
Calcaneal apophysitis
Diagnosis of severs disease?
Treatment?
Xray (but not necessary)
Avoid flat shoes, wear slight heel
Avoid strenuous sporting exercises for 12 weeks
- stretching / strengthening calf muscles
Fever for 3 days, then rash appears afterwards?
Roseola infantum
