Paeds Flashcards
How is congenital hypothyroidism tested?
What is the incidence?
Heel-prick
1 in 4000 babies
What are the signs of congenital hypothyroidism?
Prolonged neonatal jaundice, hypotonia, puffy face, short stature, delayed milestones
Untreated: cretinism
Causes of hypothyroidism in children?
Most common: autoimmune thyroiditis
Others: post- total body irradiation (ALL), iodine deficiency
Why does CAH cause a salt-losing crisis and ambiguous genitalia?
21-hydroxylase needed for aldosterone + cortisol synthesis - can cause neonatal shock
More ACTH is produced, causing hyperplasia of gland and excess androgens
PLACEHOLDER
Cyanotic heart disease
Management of threadworms
Mebendazole 100 mg stat
(+ again in 2 weeks)
Consider treating whole family
Presentation of Henoch-Schonlein purpura
Typically affects younger children after URTI
Rash looks v similar to bruises - starts at back of legs and buttocks or anywhere pressure is exerted (eg sock tops)
May be associated with: abdo pain, bloody diarrhoea, joint pain, severe cases: renal failure