Paeds osce must knows Flashcards
Duchenne genetics?
X-linked recessive (dads cannot pass to sons but daughters will be carriers)
petechial rash in an otherwise well child preceding viral illness?
ITP
Prader wili is an example of genetics
Imprinting
Dx pertussis?
Nasal swab
calamine cream used for?
Chicken pox rash
What Abx to use in Mycoplasma pneumonia?
erythromycin
Triad of shaken baby syndrome
Retinal Haem. + subdural Haem. + Encephalopathy
Noonan is otherwise?
male turner
newborn blood test done on?
5-9th day
Single rash patch started on abdomen which has become symmetrically distrubted rash
Pityriasis Rosea (12wk self limiting)
Chr. of Williams?
7 (e7vish features)
What age to do Sx for perthes?
> 6
hyperinflation and fluid in the horizontal fissure?
TTN -> watch and wait
What happens to AFP in Neural tube defects?
Increased
small eyes and polydactyly
pautau (PP)
7-year-old boy with learning difficulties and macrocephaly
Fragile X
Micrognathia + Low-set ears?
Edwards
Purple rash?
Necrotising Fasscitis
*think post chicken pox infection
Where is lesion in Spastic celebral palsy
UMN periventricular white matter
Swelling of head that crosses suture lines
Caput Suc
DDH B or G?
Girls
Most common heart complication in babies with diabetic women
TGA
When are kids allowed to go back to school with Slapped Cheek?
When rash appears they are no longer infectious
How many days of Otitis media with ear pain is needed before ABx can be given?
> 4 days
Repeating your speech is common in what syndrome?
Fragile X CGG
FMR1 gene Trinucleotide repeat
Epstein Anomaly heart problems =>
malforme Tricuspid + RA hypertrophy + ASD
Undescended testes increase risk of (3)
Cancer / infertility / torsion
TGA vs TOF
when do they come around
TGA => few days
TOF => 4 weeks
Classic features: cataract, deafness, cardiac abnormalities at birth?
Rubella
Rocker bottom found in?
Edwards 18
Ladd’s procedure?
malrotation
kochers criteria
is it septic or not arthritis
Neonatal blood glucose admission number
<1MMOL
Bow legs normal at what age?
<3M
1 cause of painless bleeding requiring blood transfusion in paeds
Mickels diverticulum
Twin transfusion syndrome common with what type of pregnancy? (type of sac)
Monochorionic
What happens with personality with Perthes?
Disruptive
growing pains in the morning?
Never
What type of cyst moves with swallowing
Thyroglossal
Coxakie A or B?
A
What valve issue in turners?
Bicuspid aotic valve
When does Tx for hydrocele occur?
> 12M
When to stop phototherapy?
12-18hrs check to see if >50mmol under Tx line
post head trauma => seizure => rapid recovery with no post-ictal confusion =>
Reflex Anoxic Seizure
(vagal stimulation)
If a neonate has CHD with no cyanosis, that limits your choices to the? (4)
4Ds - ASD, VSD, PDA, defected aorta (coarctation of aorta)
Laboured breathing + intermittent apnoea + <12M
Bronchiolitis
Congenital Adrenal Hyperplasia leads to a deficiency in what?
21-Hydroxylase
What closes the PDA?
Ibuprofen
if feeding has been reduced by >50% in bronchiolitis what to do/
PAU
*also if dehydrated needs PAU
Whats normal to have with the heart with fevers?
Soft ejection murmurs
What to always do with UTI suspect after doing a dipstick?
Microbiology culture
How many months is it normal for growth to stunt for?
3M
hyperinflation and fine crackles with low grade fever?
Bronchiolitis
most to all kids should be sitting unsupported by?
9M
How do we test measles?
PCR measles RNA
What can happen to spleen in ALL?
Splenomegaly
Erythema infectiousum / B19 can cause what complication with pain in joints?
Aplastic crisis
Gold standartd for coeliac?
Biopsy
Retinopathy of prematurity is a complication from what procedure?
artificial ventilation
1st line asthma Ix?
spirometry + bronchodilatory reversibility
Precocious puberty starts when for boys and girls
Boys <9
Girls <8
Acute epiglottis for house?
Ciprofloxacin for household
APGAR consists of what?
Appearance (muscle tone)
Pulse
Grimace (reflex)
Appearance (skin)
Respiratory
if <5 and montelukast didnt work?
Referal
left - right shunts are otherwise known as?
Acyanotic
TORCH can cause what type of l-r shunt?
VSD
DiGeorge?
22Q11
Surgical Tx for Biliary Atresia?
Kasai
Most common type of brain tumour in kids?
Astrocytomas
Does brachial cyst move with swallowing?
No
4 days from onset of rash?
Measles
What type of lymphoma associated with glandular fever?
Burkitts