Passmed (Paeds) Flashcards
What is a salmon pink rash asssociated with?
JIA
In a neonate with resp distress what would tinkling sounds indicate?
Diaphragamtic hernia
What is the managment (after anti-pyretics) for febrile seizures?
Same as status epilepticus (buccal midazolam or rectal diazopam)
First line management for kawasaki?
IVIG & aspirin
Which management for whooping cough
Prescribe oral clarithromycin
§
Undescended testicles are associated with an increased risk of what?
infertility, torsion and testicular cancer
investigation of choice for reflux nephropathy
Micturating cystography
What is Osgood Shatters? Where is the pathology?
Common in overactive teenage kids. Inflammation at tibial tuberosity
Oh good my tendon shattered
How can measles be differentiated from chicken pox?
Classically maculopapular - not vesicular!
How can we differentiare rubella from chicken pox?
Classically presents as rash to start with ‘fine round spots’ and is not pruitic usually
What is addisons disease? Diarrhoea or consptiation causing?
Primary adrenal insufficiency - causes diarrhoea, since low
What is osteochondritis dissecans?
Where there is a fragment of bone in the knee; pain swelling & locking
How do remember the fine motor skills of a child
Like a clock; 0-3 is follow 3-6 reaching, 6-9 is transfering 9-12 pincer
Most common complication of measles?
Otitis media
What hearing tests do newborns get if they fail otoacoustic emission?
Auditory brainstem response test
Investigation for intussuception?
Ultrasound
Which abx for pseudomanas in CF cases?
oral ciprofloxacin
Even though we suspect transient synovitis why should we admit to the hospital for admission?
if fever, scared of septic arthritis
What do we need to consider with babies born at breech?
6weeks Ultrasound for DDH
Hearing taste done at schools?
Pure tone audiometry
What should be given to any children who happen to have an asthma excaerbation?
Prednisolone for like 5 days
What murmur is heard in tetralogy of fallot?
Ejection systolic
How might coarctation of the aorta present?
Weak femoral pulses; tachypnoea; poor feeding
What should be considered in an infant with lethargy, poor feeding and no fever?
Cold sepsis
Ix of duchenne muscular dystrophy: gold standard?
Genetic testing
Undescended testis - at what age to review for referral?
At 3 months
SFE causes what type of loss of rotation?
Loss of internal rotation in flexion
Classic triad of shaken baby syndrome?
RED: retinal haemorrhages, encephalopathy, subDural haemorrhages
Edwards syndrome is trisomy 18. What are some features?
Rocker bottom feet, small chin.
What is cryptorchidism
Hidden orchids, associated with hypospadias
How to remember the language & hearing milestones?
7mth babbles, 18mth few words, 2 years sentences together
With febrile seizures what can be offered for recurrent febrile convulsions?
Rectal diazepam or buccal midazolam
