paediatrics Flashcards
caused by parvovirus B19
fever
headache
bright red macular erythema rash on cheeks (slapped cheek)
erythema infectiosum
= slapped cheek appearance
management of slapped cheek
self limiting
pain on exposure to sunligh
redness and swelling
blistering
erythropoeitic protoporphyria
lesions on dorsal and plamar surface of hands and feet
small vesicles on buttocks
sore throat
hand, foot and mout
what causes hand foot and mouth disease
coxsackie A16
management of hand foot and mouth
keep blisters clean
appropriate fluids
inflammed plaques with golden crust around mouth and nose
crusting
impetigo
management of impetigo
topical fusidic acid
if widespread - flucloxacilin
pearly papules with central depression
pruritus
molluscum contagiosum
management of molluscum contagiosum
self limiting
widespread erythema rash, blistering
bruising
looks like a skin burn
nikolsky sign positive
staphylococcal scalded skin syndrome
management of SSSS
IV flucloxacilin
abnormal positioning of the leg
delayed crawling
asymmetric groin
Barlow test
ortolani test
developmental dysplasia of hip
= dislocation or subluxation of femoral head during perinatal period
management of developmental dyplasia of hip
pavlick harness
- full time 6 weeks then part time 6 weeks
paralysis of arm
decreased motion of arm
waiter tip position
erb palsy
- c5/6 root
pain at tibial tubercle
localised tenderness
activity limitation in a young athlete
localised swelling
osgood schlatter
= overuse syndrome
management of osgood schlatter
rest
ice
NSAIDs
physio
surgery
recurrent fractures
blue/grey sclera
short stature
deafness
dental problems
bone deformities
osteogenesis imperfecta (brittle bones disease)
management of osteogenesis imperfecta
bisphosphonates
vitamin D
physio
hypertension at young age
weak femoral pulses
systolic ejection murmur
claudication
femoral-femoral delay
coarctation of aorta
wheeze
cough
grunting
nasal flaring
crackles
bronchiolitis
management of bronchiolitis
supportive
RSV - parlizumab
barking cough
rhinorrhoea
stridor
fever
worse at night
croup
management of croup
mild - fluids
dexamethasone single dose
sore throat
tripod position
unvaccinated child
difficulty breathing
drooling
epiglottitis
investigation of epiglottitis
laryngoscopy
lateral neck radiograph - thumbprint sign
FBC
management of epiglottitis
secure airway
IV ceftriaxone
O2
dexamethasone - reduce inflammation
coughing followed by inspiratory gasp
more common at night
rhinitis
cough
fever
whooping cough
- caused by bordetella pertussis
management of whooping cough
clarithromycin
