Paediatrics Flashcards
Inguinal hernia surgery timing
<6 weeks : Within 2 DAYS
6 weeks- 6 months: within 2 WEEKS
> 6 months; within 2 MONTHS
Roseola Infantum
- Starts on trunk then to neck and extremities
-Maculopapular
- HHV6-7
Laterothoracic exanthem
Unilateral axila or groin- spreads centrifugally then bilatreal
Resolves within 5 weeks
EBV, parvovirus, adenovirus
Erythema infectiosum
SLAPPED cheek
Parvovirus b19
Stage 1: cheeks
Stage 2: lace like limbs
Note: pregnant woman who’ve been exposed: Have immune status checked and refer to O&G
Gianotiii-Crosti Syndrome
Self limiting
Multiple viruses
EXTENSOR surfaces: Vesiculopapular rash NON pruritic
Measels rash
Koplik’s spots
Red macules and papules cephalocaudal spread
Rubella rash
Pink maculopapular face then to trunk and extremities over 24 hours
Erythematous papules on palate (Forchheimer spots)
Paediatric dose of Augmentin
22.5/3.2 mg/kg
First line testing for bruising in children
Second line testing for bruising in children
APTT
PT/INR
Fibrinogen
FBC
VWD screen
Blood group
Factor VIII & IX
Ca
LFT
EUC, creatinine
Signs of adequate milk supply
- Weight gain 150-200g /wk (first 3 months)
- 5-8 nappies/24hrs
- Passing soft stool once daily
- Waking spontaneously for feeds
- Settling between feeds
- Alert and content when awake
Poor growth /slow weight gain investigations
- Urine MCS
- FBC, EUC, LFT
- TSH
- Glucose
- Coeliac serology
- B12
- Stool fat globules, fatty acid crystals
>12m :ESR & Fetal calprotectin
Hypoxia levels to indicate severe respiratory condition (paediatrics)
<90%
Signs of severe respiratory condition (paediatrics)
- Irritability/lethargy
- Marked increased accessory muscle use
- Marked increased RR
- 02 sats <90% or cyanosis
- Tachycardia (significantly increased)
CAP antibiotics dosing for children
Amoxicillin 25mg/kg up to 1g 8 hourly for 3 days
Rheumatic Fever (1st line 2 agents) PLUS allergy to penicillin 2 options
Benzathine benzylpenicillin 1.2million units
Phenoxymethylpenicillin 500mg BD for 10 days
Delayed nonsevere hypersensitivity
Cefalexin 25mg/kg BD 10 days
Immediate or delayed severe allergy
Azithromycin 500mg Daily 5 days
Rheumatic Fever Hypersensitivity to penicillins
Delayed Non-severe hypersensitivity
Cefalexin 25mg/kg BD 10 days
Immediate or Delayed severe allergy
Azithromycin 500mg Daily 5 days
Rheumatic fever treatment of arthralgia or arthritis
Naproxen
5-10mg/kg up to 500mg BD
Impetigo non endemic setting - dose of oral abx
Flucloxacillin 12.5mg/kg 6 hourly 7 days
Examination findings for OSA
- Boggy inferior turbinates
- Nasal mucous inflammation
- Tonsillary hypertrophy
- OME
- Adenoid facies
- Retrognathia
- obesity
Protracted Bacterial Bronchitis treatment
2-6 weeks of Augmentin 22.5, 3.2mg/kg
Dose of Macrogol 3350 for disimpaction (child)
Then maintenance dose
1-1.5g/kg/day for 3-6 days
0.75g/kg/day
Upper limit of normal for gynaecomastia in adolescent (measurement of enlargement)
4cm
Red flags for gynaecomastia
- > 4cm
- Pre-pubertal
- Rapid progression
- Persistent for >1yr or after 17
Febrile seizure dose
Midazolam 0.2-0.3mg/kg (up to 10mg) buccally or intranasal
- repeat 10 mins later if still seizing