Paeds: Buzzwords and quickfire

Question 1

3 year old boy. Thread like linear burrows, in the finger webs and wrists. Most likely diagnosis?

Answer 1

scabies

Question 2

Commonest pathogen causing acute detetrioration in eczema?

Answer 2

-Staphylococcus Aureus

Question 3

Blistering present at birth: Most likely diagnosis?

Answer 3

-Epidermolysis bullosa

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dDx: If they had devloped after birth, Bullous impetigo would be more likely

Question 4

8 day old infant, flaccid, fragile blisters developed in the poast 24 hours. Most likely diagnosis?

Answer 4

Bullous Impetigo

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dDx: If they were present at birth, it could be Epidermolysis bullosa

Question 5

Treatment for Bullous impetigo?

Answer 5

Co-amoxiclav (Beta-Lactamase resistant antibiotic)

Question 6

Umbilical granuloma, first choice of treatment?

Answer 6

Cauterization with a silver nitrate stick

Question 7

Palpable purpura (almost universally present)

Abdominal pain

Joint pain and/or inflammation

Renal involvement (most commonly proteinuria and haematuria)

Most likely diagnosis?

Answer 7

Henoch-Schonlein Purpura

Question 8

How do you confirm diagnosis of Layngomalacia?

Answer 8

Flexible laryngoscopy

(Allows visualization of the larynx)

Question 9

The commonest cause of congenital stridor is laryngomalacia.

Question 10

The commonest causative organism of Acute bronchiolitis?

Answer 10

Respiratory Syncitial Virus (RSV)

Question 11

Preventative treatment for RSV bronchiolitis?

Answer 11

Palivizumab (RSV monoclonal antibody)