Paeds Year 4 Flashcards
How to calculate maintenance fluid over 24 hrs?
- First 0 - 10 kg = 100ml/kg/day
- 2nd 10kg (10 - 20kg) = 50ml/kg/day
- Rest of weight is 20ml/kg/day
What is antisocial personality disorder known as in kids?
Conduct disorder
When can a child return to school in Fifth syndrome?
Once rash appears
(“slapped cheek syndrome” - Parvovirus B19)
What is the management of pyloric stenosis?
Laprascopic pyloromyotomy
What are the causative organisms of meningitis in baby less or equal to 3 months and kids younger than 6?
Neonate
- GBS
- E coli
- Listeria
1 month and older:
- N Meningitidis
- Hib
- Strep pneumoniae
AntiBs given to babies less than 3 months with meningitis?
IV amoxicillin (or ampicillin) + IV cefotaxime
Why is amoxicillin or ampicillin given in adjunct with a cefotaxime in babies less than 3 months old?
To cover gram +ve organisms such as (GBS, E coli and listeria)
Achondroplasia affects what gene?
Fibroblast growth factor receptor 3 (FGFR-3) gene
What organism may cause patients to adopt a classic ‘tripod’ position (easier to breathe if they are leaning forward and extending their neck in a seated position)?
Hib - acute epiglottitis
What is most commonly seen on X-ray in Perthes disease?
- Femoral head collapse
- Fragmentation suggestive of osteonecrosis
What childhood devvelopmental condition cvause otitis media and lymphoedema?
Turners
If a child is < 3 months and > 38 degC what is the option for management?
Refer immeaditely to hospital
What organism causes Roseola infantum?
HHV-6
erythema infectiosum can also be called another 2 names and is associuated with what organism?
- Fifth disease
- Slapped cheek syndrome
- Parvovirus B19
Precocious puberty at what age in boys and girls?
- Boys - 9
- Girls - 8
How is pertusis detected?
Nasal swab
A perforated ear drum and no infection what is the management?
Conservative
When does malrotation vs intestinal atresia present?
- Malrotation 3 - 7 days after birth
- Intestinal atresia within 24hrs
At what age can children smile?
6 weeks
Knee pain and stiff hip in fat child?
sufe
APGAR
- Appearance (Blue -> pink)
- Pulse ( 0 - 100 - >100)
- Grimace/ reflex (floppy - Max response to stimulation)
- Activity (absent - flexed - active)
- Resp (Absent -Slow cry - Vigorous cry)
What is the most common cause of respiratory distress in a newborn?
Transient tachypnoea of newborn
What childhood developmental condition has low set ears?
Edwards syndrome (trisomy 18)
What condition shows Gower’s sign (uses hands to get up from floor in an abnormal way)?
Muscular dystophy
How is muscular dystrophy inherited?
X-linked rec
- Females can still show some symptoms
Osteomyelitis effects where in children vs adults?
Children metaphysis and adults epiphysis
Osteogeneis Imperfecta defect in what?
Type 1 collagen synthesis
What drug is given as prophylaxis for bronchiolitis?
Palivizumab
Dimercaptosuccinic acid (DMSA) scintigraphy scan checks for what and is done when?
4 months after UTI
- Checks for renal scarring
Micturating cystourethrogram (MCUG) checks what?
Abnormal bladder function
What symptoms in HSP are present?
- Joint pain
- Abdo pain
- Purpuric rash on extensor surfaces and buttocks
- Recent viral infection
- Haematuria on dipstick
