PASTest 2 Flashcards
social services referral
concerns about a child’s safety / well being
non urgent referral if you believe child / parent can do with additional support
if you think child needs to be removed from the premises immediately
important to contact police
swelling that extends beyond cranial sutures
cranial uss
to rule of sub galeal haemorrhage
cause of jaundice due to diminished conjugation of bilirubin?
hypothyroidism
reduces bilirubin conjugation
gut motility
feeding
epididymitis
caused by STI - chlamydia/ gonorrhoeae
VSD -
echocardiography
surgical repair
sponatanous closure can occur in <1
coarctation of aorta
strong brachial pulse
absent femoral
can be cyanotic
prostaglandin given to keep ductus arterosus open until repair
x ray shows rib notching
balloon angioplasty w / wo stenting
tet of fallot
4 defects
what does heart look on xray?
pulmonary stenosis,
right ventricular hypertrophy, ventricular septal defect overriding aorta
boot shaped heart
embryological mechanism behind Tet of Fallot?
anterosuperior displacement of infundibular septum
febrile neutropenia
at risk of neutropenic sepsis
requires iv tazocin
pseudomonas risk in ALL pts
complications of acute otitis media
tympanic membrane perforation
recurrence
temp hearing loss
mastoiditis
meninigitis
how to manage an acute otitis media with complication
5 day oral amoxicillin
and review in 6 weeks
Patients who require acute ENT referral for assessment - Acute otitis media
haemodynamically unstable or very unwell
3-6 months
> 39 degree temp
under 3 months
meninigitis
mastoiditis
how to manage uncomplicated acute otitis media?
pain relief - paracetamol, nsaids
review
should resolve in 72 hours
potter syndrome is?
oligohydramnios
pulmonary hypoplasia
utero-renal failure
autosomal recessive PKD
perinatal or death by first year
decreased urine output- oligohydramnios
infantile hemangioma management
medical photograph
reveiw in 3 months
2) oral/ topical beya blockers, steorids, surgical excision - timolol
how many words should you know by 18 months
6-12 words
examination signs of pneumonia
consolidation signs - tachypnoea
use of accessory muscles
cyanosis
bronchial breathing
reduced air entry
percussion notes - dull over area of consolidation
ortolani manouvre
flex hips and knees of baby to 90 degrees
abduct legs
relocates dislocation if elicited during barlow manouvre
ortolani test for?
posteriorly dislocated hip
adducting hip while putting pressure on knee?
barlow manouvre