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Essie Year 5 > Paeds > Flashcards

Paeds Flashcards

1
Q

most likely location of foreign body in lungs

A

right middle lobe (widest, shortest, most vertical of bronchi)

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2
Q

Features of raised ICP

A

headache, morning vomiting, sun setting eyes, papilloedema, changes in vision

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3
Q

Dehydration assumptions

A

if sx of clinical dehydration but no red flag features = assume 5% dehydration
if red flag features present = assume 10% dehydration

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4
Q

osteogenesis imperfecta

A

autosomal recessive disorder of collagen synthesis. blue sclera, bowing of legs, hx of fractures

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5
Q

staphylococcal scalded skin syndrome

A

fever, irritability, widespread red rash with pus and crusting around eyes/nose/mouth

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6
Q

erythema toxicum

A

common skin rash that affects newborns, red base with small pustules

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7
Q

features of congenital hypothyroidism

A

jaundice, hypotonia, macroglossia, poor feeding, weight gain, sleepy

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8
Q

red flags in headache

A 
recent trauma
seizures
altered consciousness 
speech disturbance
weakness in legs/arms
change in behaviour 
photophobia, neck stiffness, non blanching rash
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9
Q

Crohn’s mx

A

induce remission = steroids +/- azathioprine/methotrexate/biologics
maintain remission = azathioprine/methotrexate

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10
Q

explain IBD to patient

A

chronic inflammation in gut which can lead to pain, bloody diarrhoea, weight loss and problems with absorbing nutrients. it is a life-long condition and it tends to come and go in flare ups every so often but there is medication that can be given to prevent and treat flare-ups. MDT

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11
Q

T1DM Mx

A

daily insulin regimen = combination of long and short acting insulins
regular blood glucose monitoring
educate on how to administer subcut insulin, how to monitor blood glucose levels, how to recognise sx of hypoglycaemia
refer to dietician
Diabetes UK for resources, advice, helpline

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12
Q

DKA Mx

A

basic observations
full head to toe physical examination looking for clinical sx of dehydration + drowsiness
blood gases for pH, glucose, U&Es, ketones
urine dipstick for ketones + glucose

take A to E approach
if shocked –> fluid bolus
otherwise, calculate fluid requirements
correct fluid deficit over 48h
use 0.9% NaCl with 40mmol KCl / L
start IV insulin infusion of 0.1units/kg/hr after 1h of fluids
when glucose <14, add 5% dextrose to fluids

regular monitoring of glucose, fluid output, neurological status, U&Es, continuous ECG

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13
Q

what should you do to prevent cerebral oedema in DKA Mx

A

regular monitoring of neurological status

make sure that glucose drops by a maximum of 5mmol/hr

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14
Q

sx of cerebral oedema

A

headache, sx of raised ICP, irritability, reduced consciousness

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15
Q

cerebral oedema mx

A

hypertonic saline
restrict fluids
call seniors + discuss further care with critical care

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16
Q

measles complications

A

encephalitis
fever induced convulsions
subacute sclerosing panencephalitis (progressive brain damage, fatal)

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17
Q

mumps complications

A 
encephalitis 
hearing loss
pancreatitis 
infertility 
spontaneous miscarriage
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18
Q

rubella complications

A

encephalitis

congenital rubella syndrome

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19
Q

mdoerate/mild asthma exacerbation mx

A

admit if worsening sx despite inhaler, previous episode of life-threatening exacerbation.
high flow o2
salbutamol in metered dose inhaler with spacer, 1 puff every 30-60s + take 5 tidal breaths per puff
if needed, can give ipratropium bromide in combination
oral prednisolone 3-5d

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20
Q

asthma exacerbation discharge + F/U

A

discharge when don’t need salbutamol for 4h
F/U 48h after discharge to review compliance, inhaler technique, discuss stepping up
allergen avoidance/smoking/vaccinations

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21
Q

questions to ask in Down’s syndrome hx

A 
feeding difficulties (macroglossia)
dysmorphic facial features
difficulties passing urine/bowels (hirschsprungs?)
floppy? convulsions? 
difficulty breathing? pallor? (congenital heart disease)
tests/scans during pregnancy
delivery hx
developmental milestones
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22
Q

down’s syndrome Ix

A

full physical examination to look for dysmorphic features
karyotyping for trisomy 21
echo for congenital heart defects
abdo USS for Hischsprung’s + biliary/duodenal atresia

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23
Q

migraine mx

A

simple analgesia
nasal sumatriptans
consider adding anti-emetics, e.g., metoclopramide
F/U in 1 month or come back if sx get worse

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24
Q

eczema mx

A

avoid triggers/irritants
emollients (use 500g/day, in all areas)
topical corticosteroids (potency depends on severity)
bandages
if severe, phototherapy, systemic therapy

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25
Q

neonatal jaundice ix

A

basic obs
full physical examination, including abdo exam looking for tenderness + masses
urine dip
admit for bloods - FBC, conjugated/unconjugated bilirubin, LFTs, TFTs, blood film, Coomb’s test

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26
Q

Croup mx

A

single dose oral dexamethasone
if this does not setting sx, can consider giving repeat dose
NSAIDs, high flow O2, fluids as needed
consider nebulised adrenaline if severe

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27
Q

explain croup to patient

A

infection of upper airways, including the voice box and windpipe (larynx + trachea). usually caused by a virus (often parainfluenza).

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28
Q

septic arthritis tx

A

IV fluclox 2 weeks, switch to oral for another 2-4 weeks

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29
Q

Kocher criteria

A

used to differentiate between transient synovitis vs septic arthritis
takes into account whether they are non weight-bearing on affected side, temperature, WCC, ESR

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30
Q

childhood obesity mx

A

managed in primary care
diet - regular, healthier meals, smaller portions, eat together as a family
exercise - fun activities, at least 1hr moderate activity per day
less screen time
orlistat considered for >12yo
MDT approach!

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31
Q

obesity ix

A

general examination
height, weight, BMI
FBC, U&Es, TFTs, LFTs, IGF-1, OGTT

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32
Q

pyloric stenosis complications

A

dehydration
severe electrolyte imbalance
weight loss

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33
Q

questions to ask to differentiate between GORD and infantile spasms

A

associated with feeding?

vomiting after?

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34
Q

question to ask when suspecting west syndrome

A

whether they are reaching developmental milestones

development delay often seen in west syndrome

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35
Q

west syndrome ix

A 
basic obs
full neuro exam 
abdo exam 
bloods - FBC, U&Es, LFTs, glucose
brain MRI
EEG
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36
Q

west syndrome mx

A

corticosteroids
early diagnosis and tx associated with improved outcomes
assoc. with loss of skills, learning disabilities, continued epilepsy

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37
Q

F/U following discharge after

A

F/U 4-6 weeks after discharge with paediatrician to do head to toe screen

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38
Q

meningococcal septicaemia mx

A 
basic obs 
full physical examination
take an A to E approach 
initiate sepsis 6 protocol - insert 2 wide bore cannulae, take blood cultures/glucose/lactate, give high flow oxygen, IV fluids, IV abx ;
refer for lumbar puncture 
alert seniors
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39
Q

Duchenne’s mx

A 
basic obs
full physical examination, look at calves 
look for waddling gait + Gower's sign
creatine kinase
genetic analysis or muscle biopsy
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40
Q

explain duchenne’s to patient

A

genetic disorder where there is progressive muscle damage and weakness. this will mean that will eventually lose ability to walk but can delay this a bit with physio, corticosteroids, protecting bone health w/ vit D + bisphosphonates. can use physical aids to help with walking, eventually wheelchair. OT to adapt home and school to help with mobility. eventually, the muscles in the heart and lung will be affected, at which point the condition becomes life-threatening. MDT! paeds/gp/cardio/resp/physio/OT/psych/counselling/school

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41
Q

Scabies tx

A

Permethrin

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42
Q

When do kids smile

A

6 weeks, refer by 8 weeks

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43
Q

which congenital infections most likely to affect fetus if contracted by mother in first trimester

A

Rubella (90% chance of developing congenital syndrome!)
CMV
Parvovirus B19

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44
Q

blueberry muffin appearance rash in newborn

A

CMV or rubella

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45
Q

severe croup mx

A

nebulised corticosteroids (if too unwell to take oral)
consider nebulised adrenaline
bleep anaesthetist

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46
Q

SUFE Ix vs Perthe’s Ix

A 
SUFE = AP & lateral frog leg views
Perthe's = xray
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47
Q

sudden severe gastrointestinal haemorrhage of dark blood in baby

A

Meckel’s diverticulum

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48
Q

benign condition where the head becomes moulded into a slightly abnormal shape

A

plagiocephaly

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49
Q

blocked nose, runny eyes, nasal voice, allergic reaction due to dust mites

A

perennial rhinitis

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50
Q

neonatal conjunctivitis <5d after birth

A

gonorrhoea

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51
Q

neonatal conjunctivitis 5-14d after birth

A

chlamydia

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52
Q

why is bronchiolitis mx different for <1yo

A

supportive mx in all cases

but do not give salbutamol to <1yo as they do not have the receptors for it to be effective yet

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53
Q

retinoblastoma

A

most common ocular malignancy in children
tends to be diagnosed at 18 m/o on average
autosomal dominant
absence of red reflex, strabismus, visual problems
excellent prognosis
mx = external beam radiation / chemo/ photocoagulation, enucleation

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54
Q

epilepsy definition

A

2 or more seizures with no identifiable cause

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55
Q

advice for parents about baby weight loss after birth

A

normal to lose 10% body weight after birth but they should regain by 2 weeks

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56
Q

nephrotic syndrome mx

A

60mg/m2/day of prednisolone for 4-6 weeks, then reduce the dose to 40mg/m2/day and give it on alternate days for 4-6 weeks
then reduce dose gradually

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57
Q

duodenal astresia mx

A

duodenodudenostomy

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58
Q

scaphoid abdomen –> dx?

A

congenital diaphragmatic hernia

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59
Q

indications of life-threatening asthma

A 
silent chest 
cyanosis
PEFR <33%
normal pCO2
exhaustion/poor respiratory effort 
altered level of consciousness
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60
Q

why should you avoid NSAIDs in chickenpox

A

increased risk of necrotising fasciitis

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61
Q

achondroplasia

A

autosomal dominant
inhibition of chondrocyte proliferation due to defect in fibroblast growth factor 3 receptor
short stature + short limbs
spares head

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62
Q

neonatal resus

A

dry baby
assess RR/HR/tone
if not breathing, 5 inflation breaths
reassess
if chest not moving, another 5 inflation breaths
if chest moving but HR<60, ventilation for 30s
if HR still < 60, start chest compressions with ventilation breaths 3:1
reassess every 30s
if still HR<60, gain venous access + consider drugs

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63
Q

nebulised salbutamol doses for < 5yo + > 5yo

A 
<5yo = 2.5mg
>5yo = 5mg
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64
Q

why can intussusception happen after a recent illness

A

recent viral illness –> inflammation of Peyer’s patches –> lead point for intussusception

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65
Q

why can minimal change disease lead to recurrent infections + thrombosis

A

loss or protein in urine includes loss of antibodies –> recurrent infections
loss of antithrombin –> thrombosis

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66
Q

spina bifida occulta

A

1 or more vertebrae have not formed properly –> skin lesion –> tuft of hair, dimpling, birth mark

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67
Q

tethered spinal cord syndrome

A

complication of spina bifida occulta –> spinal cord is attached to spinal canal –> limits movement of spinal cord –> weakness, bowel/urinary sx

68
Q

meningocele

A

meninges bulge out in between vertebrae –> no sx but can lead to increased risk of hydrocephalus / meningitis

69
Q

myelomeningocele

A

most severe form of spina bifida
spinal cord herniates out in between vertebrae –> severe neuro complications –> clubfoot, bowel/urinary sx, weakness in legs

70
Q

cephalohaematoma vs caput succedaneum

A

cephalohaematoma = collection of blood between skull and periosteum
caput succedaneum = collection of blood outside periosteum
skull periosteum scalp

71
Q

Becker’s muscular dystrophy

A

better than Duchenne’s
presents later in life
normal life expectancy

72
Q

constipation mx

A

if impacted –> disimpaction regime of escalating dose of movicol over 2 weeks
if good response, continue movicol in lower dose maintenance regime
if inadequate response, add stimulant laxative, eg senna
if still inadequate, use alternative stimulant laxative or substitute movicol with lactulose (osmotic laxative)
conservative measures - including more fibre and fluid in diet, establishing toileting routine so sitting on toilet after meal times, star chart

73
Q

acute otitis media mx

A

reassure, analgesia, should resolve within 3-7d
consider abx if bilateral AOM in <2yo, comorbidities, no improvement after 3d; 5-7d amoxicillin
if has not improved after 2 courses of abx, refer to ENT

74
Q

spastic cerebral palsy lesion location

A

motor cortex

75
Q

spastic cerebral palsy features

A 
increased tone (stiffness, less flexibility, poor balance)
types: hemiplegic, diplegic, quadriplegic
76
Q

dyskinetic cerebral palsy lesion location

A

basal ganglia

77
Q

dyskinetic cerebral palsy features

A

loss of coordination of movement –> abnormal/involuntary movements –> chorea, athetosis, dystonia

78
Q

ataxic cerebral palsy lesion location

A

cerebellum

79
Q

neuroblastoma

A

malignancy that develops from immature nerve cells of sympathetic nervous system, often forms on adrenals. sx - abdominal mass, hepatomegaly, cutaenous lesions, skeletal pain

80
Q

androgen insensitivity syndrome

A

genotypically male but phenotypically male
end organ resistance to testosterone
sx = groin swellings (undescended testes), primary amennorhea, delayed puberty

81
Q

reactive arthritis presentation

A

anterior uveitis, arthritis, urethritis

82
Q

nappy rash (skin fold sparing) mx

A

high absorbency nappies
fragrance free wipes
barrier cream (zinc + castor oil)
if irritated, consider 7d course of topical hydrocortisone

83
Q

nappy rash that does not spare skin folds/beef red rash/satellite lesions mx

A

topical imidazole

84
Q

tuberous sclerosis

A

autosomal dominant
leaf shaped skin hypopigmentation rash
benign tumours in many organs, eg retinal hamartoma, rhabdomyoma, angiomyolipoma, infantile spasms

85
Q

febrile seizure mx in community

A

if seizure does not resolve after 5 mins, give buccal midazolam. If after 5 mins, still does not resolve, call ambulance

86
Q

GORD when breastfeeding mx

A 
breastfeeding assessment 
position upright after feeds 
1) alginate therapy
2) ranitidine/PPI
if all fails, consider enteral feeding + Nissen fundoplication
87
Q

GORD when bottlefed mx

A 
review feeding hx
encourage smaller, more frequent feeds
position upright after feeds
1) thickened feeds
2) alginate therapy
3) ranitidine/PPI
if all fails, consider enteral feeding + Nissen fundoplication
88
Q

precocious puberty - examination of testicles

A

if unilateral enlargement –> testicular tumour
if bilateral enlargement –> gonadotrophic dependent cause, eg elevated FSH/LH due to irradiation, brain injury, hydrocephalus, hypothyroidism etc
if atrophy –> consider ectopic cause –> adrenal tumours, CAH, mccune albright

89
Q

Meckel’s diverticulum can be identified via what ix

A

technetium 99 scan

90
Q

hydatid torsion presentation

A

torsion of embryological remnant in upper pole of testicle
presents similarly to testicular torsion with swelling, redness, pain but also blue dot on upper pole + positive cremasteric reflex + less acute hx

91
Q

epididymitis presentation

A

presents similarly to testicular torsion with redness, swelling, pain but with positive cremasteric reflex + dysuria / discharge
doppler USS can rule out torsion

92
Q

premature thelarche mx

A

reassure + review in 4-6 months

93
Q

headlice mx

A

1) wetcombing 2) malathion / dimeticone

94
Q

what is otitis media effusion

A

collection of fluid in middle ear without inflammation, sometimes follows acute otitis media.

95
Q

otitis media effusion mx

A

often self-resolves so watchful waiting for 6-12 weeks with two hearing tests (tympanometry + pure tone audiometry).
if no improvement, refer to ENT for surgical intervention or hearing aids

96
Q

choking mx

A

encourage cough
5x back blows
5x abdominal thrusts
remove foreign body via flexible bronchoscopy

97
Q

choking mx

A 
encourage cough 
5x back blows
5x abdominal thrusts 
repeat maneouvres as necessary 
remove foreign body via flexible bronchoscopy
98
Q

Craniosynostosis

A

when cranial sutures fuse prematurely –> brain/head forms abnormally so need surgery

99
Q

omphalitis - what is it + mx

A

infection of umbilical stump –> redness, pus

need blood cultures + IV abx asap as can deseminate quickly in blood + cause sepsis

100
Q

mastoiditis sx + complications

A

infection of the mastoid bone which is the bone which drains the middle ear, may follow persistent ear infection
sx - large bump behind ear, hearing loss, pain, headache

101
Q

mastoiditis mx

A

abx

surgery may be needed (myringotomy or mastoidectomy)

102
Q

pyloric stenosis mx

A

IV fluids
nil by mouth
consult surgeons
Ramstedt’s pyloromyotomy

103
Q

Voraciously hungry kid, hypotonia, almond shaped eyes, initial problems feeding

A

prader willi

104
Q

Unilateral nasal bleeding + crust

A

foreign body

105
Q

VSD murmur

A

pansystolic murmur on lower left sternal edge

106
Q

medulloblastoma

A

aggressive paeds brain tumour
small blue cells
sx - raised ICP (morning vomiting), cerebellar dysfunction (ataxia, squinting, abrnoaml eye movements)

107
Q

indication for CT head in paeds head injury

A 
vomiting 3 or more times
loss of consciousness/amnesia >5mins
abnormal drowsiness
focal neurological deficit 
basal skull fracture 
suspecting NAI
dangerous mechanism of injury
108
Q

benign rolandic epilepsy

A

most common form of childhood epilepsy, most people outgrow by puberty
twitching/numbness/tingling of face/tongue, often at night, may be drooling / slurring of speech / excessive salivation
high amplitude spike in left centrotemporal region

109
Q

what is given to sickle cell patients to reduce frequency of crises + increase HbF

A

hydroxycarbamide

110
Q

causes of cerebral palsy

A

prenatal causes - placental dysfunction, congenital infection, cerebral malformations
delivery causes - hypoxic injury
infant causes - meningitis, encephalitis

111
Q

murmur in rubella

A

patent ductus arteriosis

112
Q

murmur in fragile X

A

mitral valve prolapse

113
Q

phimosis sx + mx

A

= non retractile foreskin, may present with irritation, tenderness, dysuria, recurrent UTIs
reassure that is normal in under 2yo + should resolve between 2-6yo + keep reviewing
do not forcibly retract
then depending on severity (concerning sx include scarring, not retracting at all), can give steroids, circumcision

114
Q

Wilm’s tumour / nephroblastoma presentation, ix, mx

A

2nd most common childhood malignancy

sx: abdominal mass + painless haematuria, less commonly anaemia + abdo pain
ix: USS to look for mass, CT to confirm dx, CXR to check for lung mets, DO NOT DO BIOPSY
mx: nephrectomy, chemo + radiotherapy if gets worse

115
Q

HUS mx

A 
admit
consult haematology + nephrology 
IV fluids 
Monitor fluid balance, urine output, BP
50% will need dialysis during acute phase
renal transplant if irreversible damage
avoid abx, NSAIDs, opioids

Long-term F/U as there may be persistent proteinuria + progression to HTN + CKD

116
Q

bilateral undescended testes mx

A

urgent referral to senior paediatrician for endo + genetic review

117
Q

unilateral undescended testes mx

A

reassure
review at 6 week check
review at 3 months
if still not descended, refer to paediatric surgeon to complete orchidopexy before 12 months

118
Q

calculating fluid deficit from weight loss

A

weight loss x 1L

119
Q

fluid deficit based on pH in DKA

A

7.2-7.3 = 5%
7.1-7.2 = 7%
<7.1 = 10%

120
Q

how to administer fluid bolus

A

fluid bolus = 10 x body weight
if non shocked, subtract fluid bolus from total fluid deficit
if shocked, you do not need to subtract, just give both bolus + fluid deficit

121
Q

criteria to admit after febrile seizure

A 
first presentation
< 18 m/o
was taking abx as it could be masking meningitis 
residual focal neurological deficit
uncertain cause
122
Q

Chignon

A

transient swelling particular to babies delivered using a Ventouse

123
Q

infantile polycystic kidney disease

A

autosomal recessive
poor prognosis
bilaterally enlarge kidneys which compress on lungs causing difficulty breathing, HTN, CKD, hepatic fibrosis
hx of oligohydramnios

124
Q

A vibratory bassoon-like murmur heard at the left sternal border in the supine position

A

Still’s murmur

125
Q

A continuous sound in the supraclavicular fossa (more so on the right) increased in deep inspiration

A

venous hum

126
Q

Bronchopulmonary dysplasia

A

persistent oxygen requirement at 36 weeks post-menstrual age

in premature babie

127
Q

3 spike wave per second pattern bilaterally on EEG

A

absence seizure

128
Q

umbilical hernia

A

very common in babies + infants
most likely will self resolve
not treated until 3-4y/o
safetynet for sx of incarceration (vomiting, abdo pain, hernia inflamed, non-reducible, stops passing stool)

129
Q

dietary advice for cystic fibrosis patients

A

Eat a high calorie, high fat diet with enzyme supplements for each meal

130
Q

post-streptococcal glomerulonephritis - good ix

A

low C3 levels

131
Q

juvenile idiopathic arthritis

A

persistent joint swelling for >6weeks with no other indentifiable cause.

132
Q

signs of systemic JIA

A 
salmon pink rash
fever
malaise
lymphadneopathy
hepatosplenomegaly
neutrophilia
thrombocytosis
133
Q

Choking or cyanosis during feeds + hx of polyhydramnios

A

tracheoesophageal fistula

134
Q

growing pains

A 
age 3-12yo 
symmetrical joint pain in lower limbs that comes on only at night 
no limp 
exercise is not impeded
normal examination
135
Q

central abdominal pain, nausea and vomiting episodes

A

abdominal migraines

136
Q

how to tell colic apart from intussescpetion

A

colic = severe episodes occur then self resolve,

paroxysmal inconsolable crying and drawing of the legs up towards the abdomen, which is accompanied by passing wind

137
Q

neonatal hypoglycaemia asymptomatic mx

A

encourage feeding

monitor blood glucose

138
Q

neonatal hypoglycaemia mx when symptomatic or very low glucose

A

admit to neonatal unit

IV infusion dextrose

139
Q

Measles isolation advice

A

4 days off school after onset of rash

140
Q

Rubella isolation advice

A

5 days off school after onset of rash

141
Q

Parvovirus isolation advice

A

Isolation not needed after onset of rash as no longer contagious

142
Q

Timeline of chicken pox rash

A

Macular to papular to vesicular to crusting over

143
Q

Scarlet fever tx

A

Penicillin V (phenoxymethylpenicillin)

144
Q

Isolation for 48h after starting abx?

A

Whooping cough

145
Q

Isolation for 24h after starting abx?

A

Scarlet fever

146
Q

Pertussis tx

A

Oral macrolide within 21 days of sx onset

147
Q

Prophylaxis for household contacts in meningitis

A

Rifampicin / ciprofloxacin

148
Q

Chronic asthma Mx under 5yo

A

1) SABA
2) 8 week trial of SABA + moderate dose ICS. If after trial, sx come back within a month, then child must have asthma so start them on SABA + low dose ICS. If sx return >1month after stopping trial, then do another trial
3) SABA + ICS+ LTRA
4) stop LTRA + refer to paeds asthma specialist

149
Q

A teenage girl presents with medial knee pain following activity. The knee has given way on occasion is a stereotypical history of:

A

patellar subluxation

150
Q

At what age would the average child acquire the ability to use double syllables e.g. ‘adah’,’erleh’?

A

6 months

151
Q

At what age would the average child acquire the ability to turns towards sound?

A

3 months

152
Q

At what age would the average child acquire the ability to knows and responds to own name?

A

12 months

153
Q

What is the mode of inheritance of osteogenesis imperfecta?

A

autosomal dominant

154
Q

A sporty teenager presents with knee pain after exercise associated with intermittent swelling and locking is a stereotypical history of:

A

osteochondritis dissecans

155
Q

autosomal recessive disorders to remember in paeds

A

sickle cell anaemia
Gilbert’s syndrome
haemachromatosis
cystic fibrosis

156
Q

paediatric neck masses

A 
lymphadenitis
dermoid cyst (suprahyoid, midline)
thyroglossal cyst (below hyoid, midline)
branchial cyst (anterior triangle, angle of mandible)
lymphatic malformations (posterior triangle)
157
Q
  1. 5 y/o presents with widespread non-blanching erythematous rash over her body, after 1 week of cough and coryzal symptoms. Teperature is 37.2, pulse 95bpm, BP 90/60, RR 22, and O2 sats are 98% on room air. Urinanalysis yields no abnormalities, but FBC shows elevated WCC and a platelet count of 7 x 10^9. What is the most likely diagnosis?
A

ITP

158
Q

periorbital/orbital cellulitis choice of abx

A

oral co-amoxiclav

159
Q

SUFE mx

A

surgical internal fixation

160
Q

<6m/o with typical UTI

A

6 week USS

no other age group needs further ix for typical UTI

161
Q

any age group with atypical UTI

A

immediate USS

162
Q

atypical UTI 6 months old - 3 years old

A

immediate USS
DMSA
MCUG if DMSA is abnormal

163
Q

recurrent UTI 6 months old - 3 years old

A

6 week USS
DMSA
MCUG if DMSA is abnormal

164
Q

atypical UTI in over 3yo

A

immediate USS

165
Q

recurrent UTI in over 3yo

A

6 week USS

166
Q

<6m/o with atypical or recurrent UTI

A

6 week USS
DMSA
MSUG

167
Q

when is an assessment by a paediatrician needed for GORD

A 
red flag sx
faltering growth
feeding aversion
unexplained distress 
unresponsive to medical mx

Essie Year 5 (4 decks)

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