Paediatrics

Question 1

Maintenance fluid calculator

Answer 1

Routine maintenance fluids for children are calculated by weight using the Holliday-Segar formula:1,5

100 ml/kg/day for the first 10kg of weight
50 ml/kg/day for the next 10kg of weight
20 ml/kg/day for weight over 20kg

Question 2

Initial fluid bolus in shock?

Answer 2

10ml/kg

Question 3

If child required a bolus for shock, how much fluid should be added to maintenance to rehydrate?

Answer 3

Add 100ml/kg

Question 4

If child did not require a bolus for shock, how much fluid should be added to maintenance to rehydrate?

Answer 4

Add 50ml/kg

Question 5

When is jaundice physiological in neonates ?

Answer 5

Usually appears at day 2, peaks 3-5, gone by 10 days

Question 6

Neonatal sepsis abx choice

Answer 6

Ben Pen and Gent

Question 7

Continuous murmur in a neonate most likely?

Answer 7

Machinery murmur -> PDA

Question 8

Most common cause of early onset neonatal sepsis =

Answer 8

Group B strep

Question 9

Kocher criteria for osteomyeletis in children

Answer 9

non-weight-bearing status, fever>38.5°C, white blood cell>12 K, and erythrocyte sedimentation rate>40 mm/h

Question 10

How to diagnose SUFD on XR

Answer 10

Klein’s line, if it doesn’t transcect the femoral epiphysis it is a positive Trethowan’s sign