Paeds Flashcards
KFP: Steps in suspected NAI (5)
- Mandatory report of suspected child abuse
- Urgent paediatric admission via local ED
- Establish if patient in safe care
- Examine for further acute injuries
- Document findings
11mo brought in with 5 days of fever, cough, bilateral red eyesm runny nose. 2 days ago noticed red blotchy rash on face, then spread down neck + torso
Measles:
- start with fever+ cold like Sx: Couhg/Coryza/Conjuctivitis
- Rash appears head/neck, then spreads down to become confluent, over 3-4days
- Koplik spots - white spots
12mo with fevers + rhinorrhoea for 3/7. Settling but erupted in wide spread macpap rash ?
Roseola (or 6th disease)
- high fever 3-5days
- rash after fever, macpap rash initially trubk, then spreads out
Benign and self limiting, reassure
Kid comes in with a rash all over, face + body. Otherwise happy + well. Had a bit of a cold last week
Dx, usually timing of presentation
Slap cheek / Erythema Infectiosum / Parvovirus B19
- Cold like symptoms 7-10days prior
- 3 phase rash
-> slapped cheek -> mac-pap rash on proximal extremities -> relapses
Child with CAP on history. Analphylaxis to penicillin. Rx?
Oral azithromycin OD for 3/7
- 10mg/kg up to 500mg
- or clarithromycin BD for 3/7
ATSI child with OM - high risk features (5)
- living in remote communities
- <2yo
- first episode OM <6mo
- current ear pathology
- hearing loss or developmental delay
Child with sandpaper like rash
Scarlet fever
- acute exanthem + sore throat +- fever
- rash after 24hrs
KFP Question: what are your DDx for kid presenting with 5 days fever, rhinorrhoea, bilateral conjuctival injection, desquamating rash. Other than Kawasaki (5)
- Group A Strep/Scarlet fever
- EBV
- Systemic JIA
- Sepsis or Toxic Shock syndrome
- SJS
KFP: Management Actions for pt with HFM (4)
- Reassure self limiting disease
- Symptomatic treatment - paracetamol
- Careful hygiene at home
- Exclude until blisters have dried up
5wk old with new skin rash. Otherwise well.
Dx, and Rx if any?
Neonatal cephalic pustulosis
Will resolve within a few weeks
Can treat with Topical clotrimazole or ketoconazole BD
7yo presenting for their first ever flu shot? How to manage
Will need 2nd dose after 4wks
- first year flu needs 2 doses if <9yo
KFP: Cause of low milk supply in BF? (4+4)
Feed related
1. Poor attachment
2. Insufficient feeding/expressing regime
3. Mother-infant separation
4. Physical - tongue tie or oral cavity issue
Mother
1. Stress + illness
2. Medications
3. Medical conditions
4. Drug use +- smoking
Average weight gain of infant
- at 0-3mo
- at 3-6mo
0-3mo ~150-200g/wk
3-6mo ~100-150g/wk
UTI treatment in paed
eTG - Trimethorprim or bactrim 1st line, for 3/7
ceflex is 2nd line
3mo with umbilical hernia. Mx?
Reassure, can refer ~2yrs if still present for surgical management ~2-3yro
Child with intermittent cold like symptoms and rash. Initially was around face/head, but now down his extremeties. Otherwise ok
Rubella
- Rash co-incides with mild cold like illness
- starts up high (like rubeus hagrid), then goes down
Dx + Mx
Naevus simplex “stork bite”
Resolve over 6-12months
New born, developed this in first few days.
Toxic erythema of newborn (erythema toxicum)
- spares palms+soles
- resolves in 1-2 days
