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AKT > Paediatrics > Flashcards

Paediatrics Flashcards

1
Q

Kavasaki Disease age range and fever for at least how many days

A

Common in under 5yr olds
Persistent fever >38 for at least 5 days

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1
Q

Kavasaki Disease features
TEMPERS

A

Temperature >5 das
Erythema - redness and swelling of hands/feet
Mouth - dry/crackled lips, strawberry tongue
Pace- treat early
Eyes - blood shot eyes
Rash - polymorphic blanching rash
Swollen neck gland (unilateral)

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2
Q

Child cannot sit unsupported referral time

A

12 months

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3
Q

Child walks at what age

A

12-18 months

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4
Q

Child waves bye bye age

A

1yr

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5
Q

First sign of testicular growth

A

12yrs (4mls)

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6
Q

max growth spurt in boys

A

14

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7
Q

breast development age

A

11

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8
Q

menarche age

A

13-15

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9
Q

precocious puberty age in boys

A

9

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10
Q

precocious puberty age in girls

A

8

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11
Q

talks in short sentences age

A

2.5-3

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12
Q

vocabulary of 6 words

A

12-18 months

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13
Q

combine 2 words

A

12 months

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14
Q

knows and respond to own name

A

1 year

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15
Q

Most common cause if hypertension in children

A

Renal parenchymal disease
L

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16
Q

Febrile convulsions chance of recurrence

A

30%

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17
Q

Formula fed babies with reflux and feeding issues that are not distressed

A

Reduce feeds to 150mls/kg and in smaller and more frequent feeds

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18
Q

development milestone palmer grip

19
Q

development milestone draws circle

20
Q

development milestone make Tower of 3-4 blocks

21
Q

Unilateral undescended testicle - review at 3 months - if persistent

A

refer to paeds surgeon

22
Q

Bilateral undescended testes

A

senior review within 24 hours

23
Q

At what age would the average child start to say ‘mama’ and ‘dada’?

A

9-10 months

24
Q

Thyroid function testing annually recommended in which 2 genetic conditions?

A

Turners syndrome
Downs syndrome

25
Q

UTI <6months atypical or recurrent investigation

A

US during acute infection
DMSA in 4-6months
MCUG if us abrnomal

26
Q

UTI <6months typical pathogen investigation respond to abx in 48 hrs

A

US in 6 weeks

27
Q

UTI 6m - 3yrs investigation typical

A

no investigation

28
Q

UTI 6m - 3yrs atypical infection

A

US in acute infection
DSMA in 3-4 months

29
Q

Diarrhoea duration in children
vomiting duration in children

A

5-7 days
3 days

30
Q

Inguinal hernia and umbilical hernia in children management

A

Inguinal refer to surgery
Umbilical conservative resolve at 4-5 years old

31
Q

Bed wetting referral age

32
Q

Risk factors for development displasia

A

Breech
Large gestational age
Oligohydramnios
Multiple pregnancy

33
Q

Risk factors for neonatal sepsis

A

Group b strep
Prelabour rupture of membranes
Preterm birth before 37weeks
Prom >18 hours
Intrapartum temp more than 38
Antibiotics at time of labour or within 24 hours
Suspected infection n confirmed infection in another baby in multiparity

34
Q

Developmental milestones red flag referrals

Head controll
Hold an object placed in hand
Reach for an object
Sit unsupported
Walk by 18m in boy and 2yr girl
Walk other than tiptoe
Point at objects
Run by

A

Head controll 3 months
Hold an object placed in hand is 5 months
Reach for an object 6 months
Sit unsupported 12 months
Walk by 18m in boy and 2yr girl
Walk other than tiptoe
Point at objects 2 years
Run by 2.5 years

speak three words by 12 months, use a spoon effectively by 18 months

35
Q

Fragile X Syndrome

A

Learning disability
Large head
Developmental delay
Tantrums
Hyperactivity
Autism

36
Q

Sturgeon Weber syndrome

A

Epilepsy
Developmental delay especially speech
Capillary navels

37
Q

Prader willi syndrome

A

Neonatal hypotonia
Swallowing difficulty
Cryptorchidism
genital hypoplasia
Obesity

38
Q

Development miles stones motor red flags

A

Head control 3 months
Reach and roll by 6 months
Sit independently by 12months
Not cruising by 15 months
Not walking 18 months

39
Q

Hands held in a fist when over 3 months red flag or not?

A

Red flag
Sign of hypertonia

40
Q

Emla and ametop components

A
  1. Lidocaine and prilocaine
    2.tetracaine
41
Q

Development of a 10 month old

A

Pincer grip, cruise, play peak a boo, wave bye bye

42
Q

1.Temperature that is high risk in u de 3 months
2.And intermediate risk in children 3m to 6 months

43
Q

Risk factors for DDH

A

Family history
Females
Oligohydraminos
Breech
Fetal abnornalities - CP
Premature
Low and high weight
First born

44
Q

Parent ductus arteriosus

A

Machine like murmur heard under left clavicle
Common in premature babies

AKT (6 decks)

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