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Specialities > Paeds > Flashcards

Paeds Flashcards

1
Q

Most effective measurement of dehydration

A

Old weight and new weight

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2
Q

Fever and no localising sign <15m

A

UTI

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3
Q

Features of IDA

A

Fussy, only drinks cows milk
Ejection systolic
Anaemic signs

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4
Q

When to give Abx to otitis media

A

> 3d
Systemically unwell
<2 with bilateral

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5
Q

When does malrotation present and Ix

A

Can be 3-7d after birth

upper Gi contrast

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6
Q

When to use oxygen

A

<92% sats

Fitting <5m

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7
Q

When can you run, hop

A

Run 18m

Hop 3-4y

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8
Q

What % is shock

A

10% weight loss

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9
Q

What milestones to check at 12m

A

2-3 other words than mama and dada
Drink cup with 2 hands
Fear strangers
Walk

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10
Q

Signs of sepsis

A

Jaundice, weak continuous cry, RR>60, cap >5

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11
Q

Recurrent facial swelling and abdo pain

A

C1 esterase deficiency

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12
Q

Most impotant sign in anaphylaxis

A

Wheeze

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13
Q

Type of head haematomas

A

Caput succededum- cross suture
Caphalohaematoma- doesn’t cross
Subgaleal- diffuses boggy, shock

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14
Q

Hearing tests

A

Evoked autoacoustic- birht
Automated brainstem response if abdnoral
Pure tone audometry- toddlers - school

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15
Q

Types of abnormal foot version at birth

A

Talipes equinvarus- can’t dosriflex- poinsetti method

Positional talipes - can

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16
Q

Types of CP

A

Dyskinetic- chorea- BG
Cerebellar- ataxia
Spastic- UMN- scissoring, fists

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17
Q

Mx of jaundice

A

Must measure within 6hr of presentation
DAT if <24hrs
Photo- 50 below then check 12-18 later

Intense- if rapidly rising, or fails to respond after 6hrs

IVIG if rheas or ABo

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18
Q

Causes signs and Mx of BPD

A

Ventilation
Bilateral opacification
Ventilation wean to CPAP wean to O2

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19
Q

signs and Mx of meconium aspiration

A

Bilateral infiltrates and hyper expansion

IV gent and ampicillin

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20
Q

Mx of meconium ileus

A

Gastgraffin enema

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21
Q

Ix after UTI

A

Recurrent <6m- USS there, DMSA referal
>6m- urgent USS, DMSA

Atypical (reduced output, don’t respond in 48h)
USS there- DMSA if <3

MCUG if male recurrent, female first or VUR

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22
Q

Tx of threadworm

A

Mebedazole

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23
Q

Ix for lactose intolerance

A

Hydrogen breath test

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24
Q

Textures of different rashes

A

Scarlett- sandpaper

Parvo- Lacy

25
Q

CMPA features and Ix

A

Blood in stool, abdo pain

Skin prick test

26
Q

Mx of asthma in <5 and >5

A

If <5- moderate dose ICD, >5 low dose

27
Q

If sinusitis >10

A

high dose nasal corticosteroids

28
Q

Exclusion from school

A

Whooping- 48 if antibitiics
Impetigo- crusted over
Scarlett/ tonsil- 24hrs
Mumps- 5d from swelling

29
Q

Large right atrium, a small right ventricle and associated tricuspid incompetence and cause

A

Ebstein Anomaly - lithium

30
Q

Treatment of nephrotic syndrome

A

Prednisilone 4-6w

31
Q

Mx of SCD

A

Analgesia first in painful crisis- avoid morphine <1
Pen prophylaxis and folate

Hydroxycarbamide- recurrent admission for ACS or vasoocclsive

32
Q

Ix of med with bloody urine, anaemia after infection

A

G6PD now and in 1 month

33
Q

Mx of monomorphic punched-out erosions

A

As it is potentially life-threatening children should be admitted for IV aciclovir

34
Q

Mx of acne

A

Mild- BPO and retinoid
Mod- oral tetracycline 3m max
Severe- roucctane

35
Q

Tx of nappy rash

A

Fold sparing - zinc

Non- imidazole

36
Q

Signs of CDP

A

low bone age- no puberty signs- FH in same sex

37
Q

Investigations of of PP

A

GnRH stimualtion test
GI- stays low- adrenal, mccane
GD- stays high

38
Q

Tx of GDPP and GIPP

A

If GDPP- GnRH agonist- to arrest puberty - buserelin, gonadorelin, goserelin

GIPP- ketocanazole

39
Q

Complex febrile seizure

A

> 15m, focal, multiple in 24hrs, drowsy >1hr

40
Q

Cause and tx of conjunctivitis

A

First few days- gonoccocus- chef
1-2w- chlamydias- more common - erythro
Chlor- eye drops

41
Q

Complications of minimal change disease

A

increased risk of thrombosis, increased risk of infection and hypercholesterolaemia

42
Q

Diff of knee conditions

A

Osgood schlatter- tibial tuberosity

Chondromalacia patella- crepitus, up stairs

Osteochondritis dissecans- pain, catching locking

43
Q

Congenital hypothyroid

A

Jaundice, excessive sleepiness, hypotonia, constipation, poor feeding, jaundice and may have signs such as an umbilical hernia and macroglossia

44
Q

Types of spina bifida

A

Spina bifida oculta- lump or hair
Meningocele- herniation of meninges
Myelomenigocele- severe

45
Q

Ix of bronchiectasis

A

CT scan

46
Q

Signs of impetigo

A

LN enlargement

Golden crusted rash

47
Q

Signs, Ix, Management of orbital and periorbital cellulitis

A

Oral abs to prevent spread

Orbital- proptosis, pain with movement- CT head

48
Q

Red flag

A

38 degree and <3m
>60 RR
Grunting
Large intercostal recessions

49
Q

Maintainence fluid to give in DM

A

In DKA: 0.9% saline, not in DKA: 0.9% saline with 5% dextrose

50
Q

Differential of no testicles

A

Androgen insensitivity- groin swelling

None- delayed descent

51
Q

Common NAI presentations

A

Most common radial, humeral, femur
Post rib fracture
Torn frenulum

52
Q

Sign of CKD

A

Pale- anaemia, polydipsia and polyuria, faltering growth

53
Q

Ix if high temperature and unkown location

A

Urinalysis

54
Q

Ix of hirschprung

A

AXR with contrast- barium

Biopsy

55
Q

Turner presents in neonate

A

Lymphoedema

56
Q

Ix of TOF

A

Gastgrogaffin swallow

57
Q

Ix of biliary atresia

A

Abdo USS 1st

GS- TIBIDA scan

58
Q

What conidition is associated with pyloric stenosis

A

Turners

59
Q

What age can you squat and then play next to each other without interacting

A

18m and 2yr

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