Paeds Flashcards
How does infantum roseola present?
High fever, mild pharyngitis and lymphadenopathy. Temp returns to normal after 3-4 days, accompanied by appearance of rose-pink macular non-pruritic rash
How does congenital hypothyroidism present?
‘Good baby’ - sleep most of time, rarely cry!
Lethargic, poor feeding, constipation, symmetrically poor weight gain.
Coarse facial features with macroglossoa
Hypotonia, large fontanelles
Umbilical hernia
6 year old short for his height, increased subcutaneous fat around trunk, immature facial features, prominent forehead. Dx?
Growth hormone deficiency
4 y/o with recent upper respiratory infection now presents with abdo pain, pain in knees and ankles, and non blanching purpuric rash over backs of legs and buttocks
-Dx and what is it?
-most appropriate first line ivx?
Henoch-Schönlein Purpura (HSP) - IgA vasculitis. Present with purpuric rash, abdominal pain, arthritis/arthralgia and glomerulonephritis
-Urine dipstick to look for blood and protein
2nd step in asthma Mx for children still having symptoms after salbutamol
-for children under 5?
-children over 5?
Under 5 - LRTA
Over 5 - very low dose ICS
Usual age of smiling?
When to refer?
6 weeks
Refer at 10 weeks
When can sit without support?
when to refer?
7-8 months
Refer at 12 months
When should be able to walk unsupported and know 2-6 words?
When to refer for both?
13-15 months
Refer at 18 months
Most common cause of failure to thrive?
Non-organic causes ie social problems!
Classic electrolyte and acid-base balance of pyloric stenosis?
Hypochloraemic, hypokalaemic metabolic alkalosis
Ivx for pyloric stenosis?
Treatment?
-ultrasound
-correct fluid/electrolyte then Ramstedt’s or laparoscopic pyloromyotomy
Testing for Coeliac disease?
-patient must have eaten gluten-containing foods for at least 2 meals a day over last 6 weeks
-serological tests: IgA tissue transglutaminase antibody and IgA endomysial antibody
-if positive, will need intestinal biopsy (and stay on gluten diet until after this)
Difference between Gillick competence and Fraser guidelines?
Gillick competence - determining a child’s capacity to consent
Fraser guidelines as specific to decide if a child can consent to contraceptive or sexual health advice and treatment (‘Fraser is sexy!’)
First line treatment for UTI in kids?
Trimethoprim
Day old neonate - bilious vomiting, scaphoid abdomen. USS shows double bubble sign. Dx?
Duodenal Atresia
