PAEDS Flashcards
SCARLET FEVER
bacteria?
syx?
tx?
STEP A E.G STREP PYOGENES
fever, sore throat, strawberry tongue, rash often flexures
tx- pen V
Osgood-Schlatter disease
Seen in sporty teenagers
Pain, tenderness and swelling over the tibial tubercle
Chondromalacia patellae
Softening of the cartilage of the patella
Common in teenage girls
Characteristically anterior knee pain on walking up and down stairs and rising from prolonged sitting
Usually responds to physiotherapy
Erythema infectiosum
syx?
virus?
fifth disease or ‘slapped-cheek syndrome’
Caused by parvovirus B19
Lethargy, fever, headache
‘Slapped-cheek’ rash spreading to proximal arms and extensor surfaces
Rubella
Rash: pink maculopapular, initially on face before spreading to whole body, usually fades by the 3-5 day
Lymphadenopathy: suboccipital and postauricular
laxative of choice in children?
movicol
asthma over 5
1) SABA
2) SABA + PAEDS LOW ICS
3) SABA + PADS LOW ICS + (LTRA)
4) SABA + PADS LOW ICS + LABA
5) SABA + MART LOW DOSE
6) SABA + MART MED DOSE
7) REFER
asthma under 5
1) SABA
2) SABA + MOD PAED ICS
3) SABA +PAED LOW ICS + (LTRA)
4) REFER
Caput succadeneum
c s - CROSSED SUTURES
Generalised superficial scalp oedema, which crosses suture lines
cephalohaematoma
The swelling usually appears 2-3 days following delivery and does not cross suture lines.
MEASLES
erythematous rash that classically starts behind the ears
associated with fever, conjunctivitis, coryzal symptoms
white koplik spots inside of the mouth.
Most common congenital cardiac abnormality in Down’s syndrome?
Atrioventricular septal defects
Necrotising enterocolitis
syx
one of the leading causes of death among premature infants.
feeding intolerance
abdominal distension
bloody stools
abdominal discolouration, perforation and peritonitis.
Eczema herpeticum
begins with a cluster of itchy and painful blisters
urgent admission and treatment with antivirals.
Barlow vs ortalani
Developmental dysplasia of the hip (DDH)
Barlow = Bad - backwards ( dislocation).
Ortolani= Orthopedist means the doctor will correct the dislocation - out
Developmental dysplasia of the hip
6 X more common in females
indication for admission with croup?
stridor at rest
suprasternal recessions
under 6 months
when to refer for external cephalic version
women who are 36 weeks or more with a breech presentation
threadworms tx
single dose mebendazole whole house + hygiene advise
IM BEN PEN dose FOR meningococcal septicaemia
< 1 year 300 mg
1 - 10 years 600 mg
> 10 years 1200 mg
Osgood-Schlatter disease.
painful swelling over the tibial tubercle.
A baby is born with micrognathia, low-set ears, rocker bottom feet and overlapping of fingers
- Edward’s syndrome 18
- eigtheen
- digit overlapping
- rocker bottom
when is neonatal blood spot screening ‘heel prick’ test performed?
Between fifth and ninth day of life.
whooping cough tx?
if within 21 days onset, start azithromycin or clarithromycin
cyanotic congenital heart disease
which detected in neonate?
three Ts
tetralogy of Fallot - presents later
transposition of the great arteries (TGA) - neonate detected
tricuspid atresia
acyanotic CHD
ventricular septal defects (VSD) - most common
atrial septal defect (ASD)
patent ductus arteriosus (PDA)
coarctation of the aorta
aortic valve stenosis
Immune (or idiopathic) thrombocytopenic purpura
child presenting with petechiae and no fever
usually preceded by a viral illness
grade reflux nephropathy?
micturating cystography is the investigation of choice for reflux nephropathy
Autosomal recessive conditions are
Autosomal dominant conditions are
Autosomal recessive conditions are ‘metabolic’
Autosomal dominant conditions are ‘structural’
-structures are strong and dominanat eg structural engineering
A young boy is noted to have a webbed neck, pulmonary stenosis, ptosis and short stature. The karyotype is normal
Noonan syndrome
williams syndrome
supravalvular aortic stenosi
small upturned nose
long philtrum
wide mouth, full lips
small chin, and puffiness around the eyes.
happy + itellectual disability
A baby is born with microcephaly, small eyes, low-set ears, cleft lip and polydactyly
- Patau syndrome
13
All breech babies at or after 36 weeks gestation require what imaging at 6 weeks??
USS for DDH screening at 6 weeks regardless of mode of delivery
croup severe tx i.e. low 02 not responded to PO dex
02 and nebulised adrenaline
