Paeds Flashcards
Bronchiolitis
4 signs
Dx Ix?
Mx?
Fever, tachycardia/pnea, wheeze, recession (inter/subcostal), cyanosis, nasal flaring
Nasopharyngeal aspiration
O2, NG feeding
What would make you admit bronchiolitis
Rib recession, apnoea, >50Breaths/min, dehydration, poor feeding, parental exhaustion
XR findings severe bronchiolitis
Hyperinflation
2 causes of croup
Parainfluenza
RSV
influenza
measles
SUFE 2Rfs? Age? 2 findings OE? Risk if not mx? 3 DDs?
Male / obese / trauma
10-17
Limp
Reduced hip movements
externally rotated
Avascular necrosis
Perthes
transient synovitis
septic arthritis
osteomyelitis
2 causes of jaundice in first 24 hours of life?
2ix?
Rhesus haemolytic disease ABO incompatabiltiy hereditary spherocytosis G6PD deficiency Syphilis, rubella, CMV, herpes, hepatitis
Serum bilirubin
Direct coombs test
blood film, FBC, group
TORCH screen
Pale stools and raised conjugated bilirubin in baby?
biliary atresia
Why do you get jaundice in first 2 weeks?
3 Causes of prolonged jaundice
Hepatic immaturity
increased erythrocyte breakdown
breastfeeding infection endocrine - hypothyroid biliary atresia CF
What is Eisenmenger syndrome
L->R shunt
-> pulmonary HTN
reverses shunt
RDS
3RFs?
What produces surfactant?
Prematurity maternal diabetes c section twins FHx
Type II pneumocytes
2 signs a febrile convulsion may be complex
focal neurology
lasts >15 mins
reccurence in 24hrs
incomplete recovery in 1 hour
2 peices of advice for parents afterfebrile convulsion
what they are
how to manage pyrexia at home
first aid for seizures
when to call an ambulance
What is cerebral palsy?
define 2 types ?
chronic disorder of movement and posture
due to non progressive brain abnormalities
occuring before the brain is fully developed
Spastic, athetoid, ataxic, mixed
2 things you may see on XR of intusseption
right lower quadrant opacity
gass filled proximal bowel
perforation
multiple fluid levels
