paeds Flashcards
jaundice in the first 24h (newborn) - significance?
always pathological, causes: rhesus haemolytic disease ABO haemolytic disease hereditary spherocytosis glucose-6-phosphodehydrogenase
jaundice in the neonate from the c. 2-14 days
common, esp if breastfed
jaundice after 14 days (newborn) - what to do? causes?
prolonged jaundice screen
biliary atresia (needs urgent surgery) hypothyroidism galactosaemia UTI breastmilk jaundice infection
5 risk factors for sudden infant death syndrome
prone sleeping parental smoking bed sharing hyperthermia + head covering prematurity
also: male, social class 4 + 5, bottle feeding, mum drug use
SIDS - protective factors
breastfeeding
room sharing
dummies
what is intussception?
invagination of one portion of bowel into the lumen of the adjacent bowel (usually ileo-caecal region)
affects 6-18mo usually
intussception features
colicky abdo pain during which knees drawn up + pallor
vomiting
bloody stools - redcurrant jelly
sausage shaped mass in RLQ
diagnosis of intussception
USS - target-like mass
management of intussception
reduction by air insufflation
if fails - surgery
commonest cause of acyanotic congenital heart disease?
VSDs
ASD, PDA, coarctation, aortic valve stenosis also
which type of septal defect generally presents in adulthood rather than childhood?
ASD
3 causes of cyanotic congenital heart disease
tetralogy of fallot
transposition of great arteries
tricuspid atresia
when does fallot’s tetralogy present?
1-2mo
when does transposition of great arteries present?
birth
features of croup
stridor (usually insp) barking cough - worse at night fever coryzal symptoms increased work of breathing
