Paeds Flashcards

1
Q

what is the management of immune thrombocytopenia in children?

A

usually no management is needed

if platelets less than 10 or major bleed then can give oral/IV steroids/IVIG/platelets

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2
Q

how does caput succedaneum present?

A
  • from birth

- swelling that crosses suture lines and resolves within a few days. Usually occurs following a tricky delivery

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3
Q

how does cephalohaematoma present?

A
  • several hours post birth

- swelling that does not cross suture lines and resolves within a few months. Usually occurs following a tricky delivery

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4
Q

how does a subgaleal haemorrhage present?

A
  • from birth
  • diffuse large swelling that crosses suture lines and can lead to encephalopathy, seizure, and death
  • needs resus
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5
Q

what organism causes infectious mononucleosis

A

EBV

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6
Q

what organism causes rheumatic fever

A

Group A strep (strep pyogenes)

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7
Q

what organism causes scarlet fever

A

Group A strep (strep pyogenes)

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8
Q

what is the triad of symptoms for infectious mononucleosis?

A

sore throat, pyrexia, lymphadenopathy

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9
Q

what is the investigation of choice for infectious mononucleosis

A

monospot test

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10
Q

what is the management of infectious mononucleosis

A

supportive management and avoidance of contact sports for 4 weeks

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11
Q

what are two complications of infectious mononucleosis

A

hameolytic anaemia seconary to cold agglutins

maculopapular rash following amoxicillin

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12
Q

how does scarlet fever present?

A

fever, malaise, N+V, strawberry tongue, sandpaper rash

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13
Q

how is scarlet fever managed?

A

10 days oral penicillin V (phenoxymethylpenicillin)

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14
Q

what is the most common complication of scarlet fever?

A

otitis media

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15
Q

what is the rule on school exclusion for scarlet fever

A

can return to school 24hrs after starting antibiotics

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16
Q

how does rheumatic fever present?

A

mitral stenosis, erythema marginatum, subcutanous nodules, arthritis, chorea

a few weeks post strep throat

17
Q

how is rheumatic fever managed

A

oral penicillin V + NSAIDs

18
Q

fever followed by itchy rash over body (macular then vesicular)

A

chickenpox

19
Q

prodrome + rash starting behind ears

A

measles

20
Q

koplik spots

A

measles

21
Q

fever, malaise, muscle pain, bilateral sore ear

A

mumps

22
Q

pink maculopapular rash starts on face then spreads to whole body + suboccipital/postauricular lymphadenopathy

A

rubella

23
Q

slapped cheek caused by which organism

A

parovirus

24
Q

hand foot and mouth disease caused by which organism

A

cocksackie

25
Q

jittery + hypotonic baby?

A

check blood glucose!