Paeds Flashcards
Treatment of ITP
What if plts <10 or bleeding?
Usually no treatment advised
If plts <10 or if bleeding:
- give oral/iv steroids
- IVIG
- plt transfusion in an emergency
Rx of scarlet fever/strep a infections and for how long
10 day course of penicillin V (phenoxymethylpenicillin)
when can go back to school with scarlet fever
24hrs after starting abx
rx of threadworm
single dose of mebendazole for whole house
complications of kawasaki disease and how is this screened
coronary artery aneurysms
echo
kawasaki presentation
fever for >5 days
rash
strawberry tongue
bilateral conjunctivitis
Lymphadenopathy
red palms of the hands and the soles of the feet which later peel
seb derm (cradle cap) rx
reassurance - usually resolves within a few weeks
massage a topical emollient onto the scalp to loosen scales, brush gently with a soft brush and wash off with shampoo.
if severe/persistent a topical imidazole cream may be tried
criteria to assess septic arthritis in kids
kocher
fever >38.5 degrees C
non-weight bearing
raised ESR
raised WCC
rx of meningitis in kids dependent on age
< 3 months: IV amoxicillin (or ampicillin) + IV cefotaxime
> 3 months: IV cefotaxime (or ceftriaxone)
what is given in patent ductus arteriosusu to promote closing
indomethacin
how long does it take for infantile colic to get better and resolve
usually 3-4 months with full resolution by 6 months
necrotising enterocolitis presentation
feeding intolerance, abdominal distension and bloody stools
first weeks of life
premature babies
ix for NEC and pathognomonic sign
abdominal xray
gas in gut wall
rx of NEC
stop oral feeds, barrier nurse and give antibiotics (cefotaxime and vancomycin
intussusception vs NEC
IN is in older children 5mo-12mo whereas NEC is in few week olders
IN is ix by Ultrasound, NEC is ix by AXR
IN causes red current jelly stool
NEC causes frank blood
