paeds Flashcards
which immunisations are live?
bcg, typhoid, yellow fever, varicella, rotavirus, nasal influenza
(require 4 week interval between them)
what are sga complications?
hypoglycaemia, (decreased glycogen stores)
nec entercolitis (bowel hypoxia)
polycythaemia (hypoxia)
thrombocytopenia (bone marrow compromise)
hypocalcaemia (exacerbation of natural drop)
Which type of lymphoma is more common
non-hodgkins (painless lymphadenopathy)
which tumour is associated with neurofibromatosis?
optic glioma (incl other sypmtoms of cafe au lait spots, learning disibilities, epilepsY
what symptoms do optic gliomas cause?
reduced vision, squints, flickering eeys, eye protrusion, blind spots, double vision (arise from astrocytes)
what is the most common form of childhood leukaemia and what is the usual treatment?
ALL - chemo (and radiotherapy if there is cns involvement)
what complications typically arise for cf?
nasal polyps, reduced fertility, diabetes, cirrhosis
what is a feature of a murmur that warrants further investigation in a child?
pansystolic murmur
what are features of innocent murmurs?
reduction of murmur with change of posture and with reduction of fever
machinery quality
how might mycoplasma pneumoniae present in a child?
headache and develop cough with unilateral chest findings.
treat with clari/erythromycin
what is the 1st 2nd and 3rd line treatment for abscence seizures?
1 - ethosuximide
2 - valproate
3 - lamotrigine
(never use carbamazapine as can exacerbate)
Features of DiGeorge syndrome
congenital heart defects, abnormal facies, hypoparathryoidism, cognitive/behavioural/psyciatric problems
features of fragile x syndrome?
large jaw, large testicles, large prominent ears, learning difficulties
features of williams syndrome?
round face, thick upper lip, full cheeks.
supravalvular aortic arch stenosis on echo.
happy child
short stature
Features of prader-willi syndrome
short stature, insatiable appetite, truncal obesity
what is a classic presentation of congenital cmv infection?
intracranial calcification
what is pendred sydnrome?
an AR condition with progressive hearing loss and hypothyroidism
what does a pda murmur sound like?
machinery sound, with failure to thrive (one of the most common forms of congenital heart disease)
what condition will you see heinz bodies on blood film and negative coombs test
g6pd deficiency. (provoked by fava beans) may need transfusions
