Paeds Flashcards

1
Q

Scaphoid abdomen

A

Diaphragmatic hernia

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2
Q

Nitrogen washout

A

Differentiates between congenital heart disease and respiratory disease.
Fast release of nitrogen (positive) menas congenital heart disease

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3
Q

Crossed eyed child

A

Must ask whether vomited this morning

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4
Q

Flexure sparing rash

A

Nappy rash

Rx = barrier cream e.g. zinc or castor oil

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5
Q

Non flexure sparing

A

fungal infection

Rx = clotrimazole

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6
Q

Satellite lesions

A

fungal infection

Rx = clotrimazole

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7
Q

Pruritus ani

A

threadworm

Rx = mebendazole single dose with second dose available in 2 weeks

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8
Q

Assessment of depression in LD

A

physical symptoms are important like poor sleep and weight loss

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9
Q

Diarrhoea with no fever or vomiting

A

E Coli

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10
Q

Diarrhoea with vomiting and fit (10%)

A

Shigella

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11
Q

Double stomach bubble on x ray

A

duodenal atresia

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12
Q

Previous intubation

A

Subglottic stenosis

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13
Q

JIA Rx?

A

Corticosteroids or methotrexate.

> 6 weeks arthropathy

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14
Q

Epilepsy: Lennox-Gastaut Type

A

Multiple seizures daily which are difficult to treat and associated with personality changes
Rx: sodium valproate

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15
Q

EEG: slow spike waves with abnormalities

A

Lennox Gastaut type

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16
Q

Epilepsy: Juvenile myoclinic epilepsy

A

Teenager who drank alcohol. Symmetrical arm and leg jerking

Rx: sodium valproate

17
Q

Epilepsy: Benign Rolandic epilepsy

A

Nocturnal
Mouth and face twitching
Generally children grow out of it
Rx: carbemazepine

18
Q

EEG: 3 (2) spike wave per second

A

Absence seizure

19
Q

High spike in left centrotemporal lobe

A

Benign Rolandic

This is known as the Rolandic fissure

20
Q

Pyloric Stenosis Rx

A

NMB, IV fluids, NG tube and Ramstedt procedure