Paeds Flashcards
What age is the average child able to sit without support?
6-8 months
what age would a child acquire the ability to walk unsupported?
13-15 months
What are the characteristics of William’s syndrome?
- elfin facies
- friendly/social
- learning difficulties
- short stature
- transient neonatal hypercalcaemia
- supravalvular aortic stenosis
What is Perthes’ disease?
Avascular necrosis of the femoral head
What are the common presenting features of perthes’ disease?
- hip pain - progressive over a few weeks
- limp
- stiffness and reduce ROM
- More likely in boys
- Kids ages 4-8yrs
What X-Ray changes are seen in Perthes’ disease?
widening of joint spaces, decreased femoral head size
What is the management of Perthes’ disease?
- Cast and braces
- most resolve with conservative management <6yrs old
- if >6 can operate
What is the Kocher’s criteria?
Used to assess the probability of septic arthritis in children
- fever > 38.5
- non-weight bearing
- raised ESR
- raised WCC
What is the treatment of threadworm?
oral mebendazole (given to all family members)
What is the treatment of whooping cough?
oral macrolide - clarithro/erythro/azithromycin
school exclusion for 48hrs after Abx
How much adrenaline do you give to a 6-12 year old in anaphylaxis?
300 micrograms (0.3ml of 1 in 1000)
What is the management of bed wetting in children under 5?
Reassure
What is the first line management of children over 7 with persistent bed wetting?
enuresis alarm
What side effect of methylphenidate should be monitored?
Stunted growth
