PEADS 2 Flashcards
hypoglycaemia in neonates is what
causes
<=2.5/2.6
maternal DM, prem, small for gestation age, macrosomnia, sepsis, polycythaemia, CAH
symptoms of neonatal hypoglycaemia
asymp, jitters, poor feeding, irritability, drowsiness, apnoea, seizures
treatment of neonatal jaundice
cx
early and frequent milk feeds, IV dextrose
seizures, neuro impairment
oesophageal atresia associate with what
symptoms
polyhydraminos - fetes can’t swallow amniotic fluid
excessive oral secretions, aspiration, regurg when fed, choking
treatment of oesophageal atresia
treatment
CXR - NGT curled up
surgical repair
causes for birth injuries
big baby, instrumental/difficult delivery
Erbs
C5/C6
limp arm waiters tip
physio
klumpke’s
c8/t1
wrist/hand muscle weakness
physio
cephalhaematoma
subperiosteal bleed
mumps is causes by what symptoms dx rx cx
paramyoxivirus pyrexia, headache, parotid swelling clinical supporting epidimo-orchitis, sub fertility, meningitis, pancreatitis
measles cause
symp/signs
dx rx cx
paroxymyovirus
pyrexia, kopliks spots, buccal maculopapular rash everywhere
clinical supportive
pneurmonia gastroenteritis
when is measles infectious
4 days before rash and 4 days after rash
rubella causes by what
symptoms signs
cx
togavirus
low grade fever, non maculopapular fades by d3-d5
painful LD sub occipital and postauricular rash
arthritis, thrombocytopenia, encephalitis, myocarditis
when is rubella infectious
7d before symptoms and after symptoms
neonatal causes of meningitis
1m-6y
viral
GBS, EC, listeria
meningitis, pneumonia, HI
HSV, enterovirus, adenovirus
symptoms/signs of meningitis
bulging fontanella, neck stiffness, poor feeding, fever, irritability
ix for meningitis
complications
LP, CT
HL, hydrocephalus, epilepsy, developmental delay
treatment for meningitis
under 3 months cefotaxime and amox
over 3m one dose of cefotaxime followed by ceftriaxone 6h later OD
dexamethasone IV 7d for meaning 14 pneumonia 10d for HI
PA meningi
chloramphenicol - measure plasma concentration - aplastic anaemia
meningococcal septicaemia symptoms/signs ix rx proph cx
milk non spefici fever non blanching petechiea/purpura
FBC, CRP, meningococcal PCR
benxylpenicillin gent ceftriaxone. fluid and cardioresp support
for close contacts
necrosis of limbs, HL, neuro
kawasaki is what
symptoms/signs
immune mediated inflammatory conditions coronary aneurysms japan
fever for 5 days and 4 of: rash, non purulent conjunctivitis, mucosal changes of mouth, cervical LD, erythema/oedema of hands/feet
ix of kawasaki
rx
cx
increased CRP/ESR, thrombophilia, serial ECHOs as first can be normal
immunoglobulin, high dose aspirin
coronary heart diseas
scarlet fever cause symptoms who ix rx
grou a haemolytic strep fever malaise tonsilitis, red sandpaper rash, strawberry tongue 2-6 peak at 4yo throat swab IV penicillin 10d PA azithromycin
infectious scarlet fever
cx
children can go back to school after 24 hour ABs
otitis media, rheumatic fever 20d post, acute GN 10d post
milia is what
small benign keratin filled cysts raised white spots
slapped cheek syndrome also known as what
cause
symptoms
rx
erythema infectiousium
paravirus b19
mild feverish illness then rash - not palms/toes
self limiting
infectiousness of slapped cheek syndrome
dagenours in who
not anymore when rash appears
pregnant woman esp <20 weeks
impetigo caused by what
symptoms
rx
SA/group a strep
golden crusted lesions around mouth
topic fusidic acid
fluclox PO if outside of mouth
impetigo infectons
can go back to school when lesions crusted over
or 24 hours of ABs
thryglossal cyst where
anterior triangle
branchial cyst is what
75% from what
unilateral
flutuant
2nd branchial cleft
