Paeds Flashcards
Features of TOF
Pulmonary stenosis
VSD
Overriding aorta
RVH
Whats the tx for severe croup?
Oral dexamethasone
Which organism causes acute epiglottitis?
Haemophilus influenza B (hib B)
Whats tx for acute epiglottitis?
Intubation
IV cefuroxime
How do you diagnose whooping cough?
Per nasal swab culture
How is whooping cough treated?
Azithromycin/erythromycin and school exclusion
What drug can be used to prevent bronchiolitis in susceptible individuals?
Palivizumab
Causes of stridor
Croup
Epiglottitis
Foreign body
Anaphylaxis
What is ABG finding in pyloric stenosis?
Hypochloraemic hypokalaemic metabolic alkalosis
How is pyloric stenosis tx?
Ramstedts pyloromyotomy
What Ix will diagnose intussuception?
USS abdo
What is curative tx for intussusception?
Rectal air insufflation
What should you first suspect in a baby presenting with bilious vomiting in first days of life?
Intestinal malrotation
How is malrotation dx?
Upper GI contrast study/ USS abdo
3 signs of necrotising enterocolitis on AXR
Distended loops of bowel
Intramural gas
Football sign
How is NEC first treated?
Stop oral feeds (always need parenteral nutrition)
Broad spectrum abx
How is Hirschsprungs disease diagnosed?
Suction rectal biopsy
When is jaundice in a neonate considered serious?
<24hours
>2 weeks
What are the causes of jaundice lasting longer than 2 weeks?
Biliary atresia
Neonatal hepatitis
What test can be done in a neonate to test for autoimmune haemolytic anaemia?
Coombs test
What causes jaundice in the first 24 hours?
Rhesus haemolytic disease
ABO haemolytic disease
Hereditary spherocytosis
G6PD deficiency
Criteria for nephrotic syndrome
Hypoalbuminaemia (<25/L)
Proteinuria
Oedema
What does a raised conjugated bilirubin at 2 weeks suggest?
Biliary atresia
What features make up charge syndrome?
Coloboma Heart defects Atresia of nose passage Retarded growth Genital hypoplasia Ear abnormality
What chromosomal abnormality is turners syndrome?
45, X0
Which manoeuvres are used to dx DDH?
Barlow and ortolani
Ratio in paeds CPR?
5 rescue breaths to 15 chest compressions
What are the features of Kawasaki’s disease?
(CRASH and BURN) Conjunctivitis Rash Adenopathy (cervical lymphadenopathy) Strawberry tongue Hands/feet (red and oedematous palms)
Why do you avoid aspirin in children?
Risk of Reye syndrome