Paeds Flashcards
what is the management of immune thrombocytopenia in children?
usually no management is needed
if platelets less than 10 or major bleed then can give oral/IV steroids/IVIG/platelets
how does caput succedaneum present?
- from birth
- swelling that crosses suture lines and resolves within a few days. Usually occurs following a tricky delivery
how does cephalohaematoma present?
- several hours post birth
- swelling that does not cross suture lines and resolves within a few months. Usually occurs following a tricky delivery
how does a subgaleal haemorrhage present?
- from birth
- diffuse large swelling that crosses suture lines and can lead to encephalopathy, seizure, and death
- needs resus
what organism causes infectious mononucleosis
EBV
what organism causes rheumatic fever
Group A strep (strep pyogenes)
what organism causes scarlet fever
Group A strep (strep pyogenes)
what is the triad of symptoms for infectious mononucleosis?
sore throat, pyrexia, lymphadenopathy
what is the investigation of choice for infectious mononucleosis
monospot test
what is the management of infectious mononucleosis
supportive management and avoidance of contact sports for 4 weeks
what are two complications of infectious mononucleosis
hameolytic anaemia seconary to cold agglutins
maculopapular rash following amoxicillin
how does scarlet fever present?
fever, malaise, N+V, strawberry tongue, sandpaper rash
how is scarlet fever managed?
10 days oral penicillin V (phenoxymethylpenicillin)
what is the most common complication of scarlet fever?
otitis media
what is the rule on school exclusion for scarlet fever
can return to school 24hrs after starting antibiotics