Paeds bank Flashcards
Neonatal blood spot screening
- congenital hypothyroidism
- cystic fibrosis
- sickle cell disease
- phenylketonuria
- medium chain acyl-CoA dehydrogenase deficiency
- Maple syrup urine disease
- isovaleric acidaemia
- glutair aciduria type 1
- homocystinuria (pyridoxine unresponsive)
4 months immunisations:
- ‘6-1 vaccine’ (diptheria, tetanus, whooping cough, polio, Hib and hepatitis B)
- PCV
- Men B
Patau syndrome
Trisomy 13
- Microcephalic, small eyes
- Cleft lip/palate
- Polydactyly
- Scalp lesions
Edward’s syndrome
Trisomy 18
- Micrognathia
- Low-set ears
- Rocker bottom geet
- Overlapping fingers
Suspected meningococcal septicaemia in community - <1 year old
IM benzylpenicillin 300mg
Fragile X
- Learning difficulties
- Macrocephaly
- Long face
- Large ears
- Macro-orchidism
Noonan syndrome
- Webbed neck
- Pectus excavatum
- Short stature
- Pulmonary stenosis
Pierre-Robin Syndrome
- Micrognathia
- Posterior displacement of the tongue (may result in upper airway obstruction)
- Cleft palate
Prader-Willi syndrome
- Hypotonia
- Hypogonadism
- Obesity
William’s syndrome
- Short stature
- Learning difficulties
- Friendly, extrovert personality
- Transient neonatal hypercalcaemia
- Supravalvular aortic stenosis
Cri du chat synrome
(chromosome 5p deletion syndrome)
- Characteristic cry
- Feeding difficulty + poor weight gain
- Learning difficulties
- Microcephaly and micrognathism
- Hypertelorism
Paediatric normal heart rate
< 1 110 - 160 1-2 100 - 150 2-5 90 - 140 5-12 80 - 120 >12 60 - 100
Paediatric normal respiratory rate
<1 30 - 40 1-2 25 - 35 2-5 25 - 30 5-12 20 - 25 >12 15 - 20
Hearing testing: newborn/infant
Otoacoustic emission test for all newborns (Newborn Hearing Screening Programme)
Auditory Brainstem Response test - if otoacoustic emission test abnormal
Hearing testing 6-9 months
Distraction test
Hearing testing 18m - 2.5y
Recognition of familiar objects
Hearing testing >2.5 years
Performance testing
Speech discrimination tests (similar sounding words)
Hearing testing >3 years
Pure tone audiometry - at school entry
Measles
- Prodrome: irritable, conjunctivitis, fever
- Koplik spots
- Rash behind ears > whole body.
- Discrete maculopapular > confluent blotchy
Mumps
- Fever, malaise, myalgia
- Parotitis: unilateral to bilateral
Rubella
- Maculopapular rash starts on face > whole body > fades day 3-5
- Suboccipital and postauricular lymphadenopathy
Erythema infectiosum
“Fifth Disease/Slapped-Cheel”
Parvovirus B19
Lethargy, fever, headache
Slapped-cheek rash, spread to proximal arms and extensors
Scarlet fever
Toxins from Group A haemolytic strep
Fever, malaise, tonsillitis, strawberry tongue
Fine punctate rash with circumoral pallor
Hand, foot and mouth
Coxsackie A16
Sore throat, fever, vesicles in mouth/palms/soles
