Paediatrics

Question 1

Differentials for a critically ill infant- mnemonic?

Answer 1

THE MISFITS
Trauma- always consider non-accidental
Heart disease- congenital and acquired
Endocrine- CAH
Metabolic- hypoglycaemia
Inborn errors of metabolism
Sepsis- infection
Formula- incorrectly mixed
Intestinal
Toxins- medication
Seizures- CNS abnormalities/metabolic

Question 2

Why could formula be a cause of a critically ill infant?

Answer 2

The addition of too much water results in hyponatremia and the addition of too little water results in hypernatremia

Question 3

Mnemonic for Kawasaki’s disease?

Answer 3

CRASH and BURN
Conjunctvitis
Rash- erythematous
Adenopathy- lymphnode >1.5cm
Strawberry tongue
Hand and foot- erythema and swelling
Burn- fever >5 days

Question 4

From what does the external ear (pinna) develop?

Answer 4

6 Hillocks of His from 1st and 2nd branchial arch