Paediatrics Flashcards

1
Q

Sx Kawasaki disease

A

Rash
Fever
Swollen cervical LNs
Strawberry tongue

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2
Q

Tx kawasaki disease

A

Aspirin

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3
Q

What is Kawasaki disease?

A

Medium vasculitis predominantly in children under 5

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4
Q

Infectious mononucleosis

A

Glandular fever caused by Epstein Barr virus

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5
Q

Glandular fever sx

A

Sore throat
Lymphadenopathy
Pyrexia

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6
Q

Treatment infectious mononucleosis

A

Rest, fluids, no contact sport (splenomegaly)

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7
Q

Sx chickenpox

A

Itchy macropapular rash which becomes vesicular
Rash starts on head/trunk and spreads

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8
Q

When are children infectious with chickenpox

A

4 days pre rash and 5 days after first appearance

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9
Q

What is scarlet fever?

A

Reactions to toxins made by group a haemolytic streptococci

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10
Q

Incubation period scarlet fever

A

2-4 days

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11
Q

Sx scarlet fever

A

fever
malaise
strawberry tongue
erythematous rash sparing palms and soles

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12
Q

Tx scarlet fever

A

penicillin

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13
Q

complications of scarlet fever

A

otitis media, rheumatic fever

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14
Q

Cause of hand foot and mouth

A

Coxsackie a16 and enterovirus 71

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15
Q

Sx hand foot and mouth

A

sore throat, oral ulcers, vesicles on palms and soles

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16
Q

What is fifth disease

A

Slapped cheek

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17
Q

Cause of fifth disease

A

parvovirus b19

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18
Q

sx fifth disease

A

slapped cheek appearance, triggered by sunlight and heat

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19
Q

cause of measles

A

RNA paramyxovirus

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20
Q

sx measles

A

irritable, conjunctivitis, koplik spots, rash starts behind ears and spreads to body

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21
Q

mx measles

A

notifiable disease, mostly supportive

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22
Q

cause of rubella

A

togavirus

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23
Q

Infectious period rubella

A

7 days before sx to 4 days after rash onset

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24
Q

sx rubella

A

low grade fever, macropapular rash spreads from face to body

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25
Q

Cause of pertussis

A

bortedella pertussis

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26
Q

sx whooping cough

A

paroxysmal cough >2 weeks

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27
Q

Tx whooping cough

A

Azithromycin

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28
Q

Pathophys whooping cough

A

Mortadella releases exotoxins that increase cAMP= reduced phagocytosis

29
Q

Tx rubella

A

Supportive

30
Q

When is the rash itchy in rubella infection

A

Itchy in adults but not kids

31
Q

Congenital rubella syndrome

A

First 8-10 weeks are most dangerous
Sensorineural deafness, cataracts, heart disease, IUGR etc

32
Q

What is rheumatic fever?

A

Whole body reaction following strep progenies infection

33
Q

What type of hypersensitivity is rheumatic fever

A

2

34
Q

Sx rheumatic fever

A

fever
arthritis
Chorea
erythema marginatum

35
Q

What is erythema marginatum

A

Face is spared

36
Q

What are Aschoff bodies and when are they found?

A

Rheumatic fever
granulomas found in heart

37
Q

Diagnosing rheumatic fever

A

recent strep infection plus either 2 major or 1 major and two minor
Major = arthritis, carditis, chorea, erythema marginatum
Minor = fever, raised CRP, long QR

38
Q

Should you notify PHE for mumps case?

A

Yes

39
Q

Sx mumps

A

Parotitis, fever, malaise, orchitis, raised amylase

40
Q

Tx mumps

A

Supportive

41
Q

Most common site of undescended testes

A

Superficial inguinal ring

42
Q

patent processus vaginalis leads to …..

A

hydrocele

43
Q

What is a Wilm’s tumour?

A

Malignant kidney tumour caused by mutation of tumour suppressor Wt1

44
Q

Sx wilm’s tumour

A

HTN, unilateral flank mass, haematuria

45
Q

Diagnosis Wilm’s tumour

A

Unexplained unilateral flank mass needs pads review 48h

46
Q

Tx Wilm’s tumour

A

nephrectomy and chemo

47
Q

trident hands, frontal bossing

A

achondroplasia

48
Q

Causative organism epiglottitis

A

haemophilus influenza B

49
Q

Sx epiglottitis

A

temperature, drooling, no coughing, tripod position

50
Q

X-ray epiglottitis

A

thumb/steeple signs on x-ray

51
Q

management epiglottis

A

urgent ENT

52
Q

tx asthma

A

salbutamol and prednisolone

53
Q

what is ADHD?

A

Inattentiveness, impulsivity and hyperactivity

54
Q

Mx ADHD

A
  • CAMHS referral
  • If >5, methylphenidate 6w is an option
55
Q

What is ASD?

A

Impairment in social interaction and communication, repeated behaviours

56
Q

SX ASD

A
  • Impaired social communication - children play alone, can’t maintain friendships appropriately
  • Repetitive behaviours - repetitive motor mannerisms, inflexible adherence to routines that aren’t their own
  • Intellectual impairment/language impairment
57
Q

Mx ASD

A
  • Educational and behavioural management
  • SSRIs, methylphenidate if needed
58
Q

what is bronchiolitis?

A

RSV LRTI

59
Q

Sx bronchiolitis

A
  • Cough
  • Coryzal sx
  • Breathlessness
  • Wheezing
60
Q

Tx bronchiolitis

A

supportive

61
Q

causative organism epiglottitis

A

haemophilus influenzae B

62
Q

what should you never do with epiglottitis?

A

inspect airway

63
Q

management epiglottitis

A

intubate
o2 and ABx cefuroxime

64
Q

what is a wheeze?

A

expiratory noise - narrowed lower airway

65
Q

what is stridor?

A

inspiration, upper airway obstruction

66
Q

conditions causing wheeze

A

asthma, URTI, bronchiolitis, allergy, GORD, foreign body aspiration

67
Q

conditions causing stridor

A

epiglottitis, croup, anaphylaxis, laryngomalacia, foreign body aspiration

68
Q

bronchiolitis causative organism

A

RSV

69
Q

sx neonatal sepsis

A

respiratory distress, tachycardia, apnoea, jaundice, seizures