Paeds Flashcards

1
Q

How is congenital hypothyroidism tested?

What is the incidence?

A

Heel-prick

1 in 4000 babies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the signs of congenital hypothyroidism?

A

Prolonged neonatal jaundice, hypotonia, puffy face, short stature, delayed milestones
Untreated: cretinism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Causes of hypothyroidism in children?

A

Most common: autoimmune thyroiditis

Others: post- total body irradiation (ALL), iodine deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why does CAH cause a salt-losing crisis and ambiguous genitalia?

A

21-hydroxylase needed for aldosterone + cortisol synthesis - can cause neonatal shock

More ACTH is produced, causing hyperplasia of gland and excess androgens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PLACEHOLDER

A

Cyanotic heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Management of threadworms

A

Mebendazole 100 mg stat
(+ again in 2 weeks)
Consider treating whole family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Presentation of Henoch-Schonlein purpura

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly