Paeds Flashcards
What is talipes equinovarus
Inverted and plantar flexed foot which isn’t passively correctable
Management of talipes
Ponseti method - manipulation and progressive casting usually for 6-10 weeks
May need Achilles tenotomy
Night braces until aged 4y
Systemic onset juvenile idiopathic arthritis (Still’s disease) features
Pyrexia
Salmon pink rash
Lymphadenopathy
Arthritis
Uveitis
Anorexia and weight loss
Still’s disease investigations
ANA may be positive
Rheumatoid factor usually negative
Juvenile idiopathic arthritis criteria
Less than 16 years old lasting for more than 6 weeks
Fragile X
Inherited CGG repeat on X chromosome
Macrocephaly
Prominent ears and jaw
Learning difficulties, behavioural problems
Macro-orchidism
Patau syndrome
Trisomy 13
Severe congenital malformations
Microcephaly
Cleft lip/palate
Polydactyly
Cardiac defects
Severe intellectual disability
Most infants don’t survive beyond infancy
Pierre-Robin syndrome
Micrognathia
Glossoptosis
Airway obstruction
Edward’s syndrome
Trisomy 18
Slow growth
Severe intellectual disability
Microcephaly
Overlapping fingers
Rocker bottom feet
Congenital heart disease
Micrognathia
Low-set ears
William’s syndrome
Learning difficulties
Broad forehead
Short nose
Friendly, extrovert personality
Supravalvular aortic stenosis
Transient neonatal hypercalcaemia
Noonan syndrome
Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis
Prader-Willi syndrome
Hypotonia
Hypogonadism
Obesity
Cri du chat syndrome
Chromosome 5p deletion
Characteristic cry
Feeding difficulties and poor weight gain
Learning difficulties
Microcephaly and micrognathia
Hypertelorism (large gap between eyes)
Ophthalmia neonatorum
Purulent discharge, conjunctival injection
Same day ophthalmology referral
Likely causative organisms - chlamydia, gonorrhoea
Caput succedaneum
Forms over the vertex and crosses suture lines
Soft and puffy swelling
Resolves within days
