Paediatrics

Question 1

Most common medical ED attendances for kids?

Answer 1

Breathing difficulty, feverish, seizure, rash, D+V, abdominal pain

Question 2

What are some extra things to take when gaining a history?

Answer 2

Feeding and appetite
Activity
Urine and farces
Growth
Sleeping
Birth complications
Immunisations + health screenings 
Full term?

Question 3

Extra things to look at in A-E assessment?

Answer 3

A - stridor?
B - intercostal recession, tracheal tug, nasal flaring, head bobbing, grunting, pallor, flushing
C - central/peripheral CRT, mottling, pulses, cool skin
D - AVPU, GCS, Cushing triad, glucose!
E - Remp, rashes, injuries, NAI

Question 4

What to think about when describing rashes?

Answer 4

Distribution, mucosal involvement, colour, balancing?, palpability, petechiae (pin-point round spots appear on skin as a result of bleeding)

Question 5

Different types of rashes and how described. I.e macule, papule etc

Answer 5

Macule - change to normal skin colour, no skin elevation/depression

Papule - solid raised lesion

Nodule - differentiated to papule by palpability and depth over size

Plaque - an elevation of skin occupying a relatively large area in relation to height

Pustule - elevation of skin containing purulent of variable character

Vesicle - elevated, fluid containing lesions less than 0.5cm

Bulla - similar to vesicle, except lesion is more than 0.5cm

Petechae/purpura - bleeding into the skin or mucosa from small vessels produce a purpurin rash

Question 6

What is henoch-schonlein purpura?

Answer 6

Small vesicles vasculitis

Likely following infection

Often have abdo pain with it

Needs follow up, can lead to kidney problems