Peads Flashcards

1
Q

Wilm’s tumour

A

abd mass
painless haematuria
weight loss

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2
Q

Baby hearing test

A

first test - Otoacoustic emission test

if abnormal, then auditory brainstem response test

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3
Q

Down’s syndrome: vision and hearing problems

A
refractive errors are more common
strabismus: seen in around 20-40%
cataracts: congenital and acquired are both more common
recurrent blepharitis
glaucoma
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4
Q

William’s syndrome

A
SLATE
Short stature
Learning difficulties
Supravalvular aortic stenosis
Transient neonatal hypercalcaemia
Friendly, extrovert personality
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5
Q

Fragile X

A

Everything big + learning difficulty

Macrocephaly
Long face
Large ears
Macro-orchidism

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6
Q

Patau syndrome (trisomy 13)

A

P for P
Polyldactyly
Cleft lip/palate

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7
Q

Pierre-Robin syndrome

A

P for P

Posterior displacement of the tongue

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8
Q

Edward’s syndrome (trisomy 18)

A

Rocker bottom feet
Low-set ears
Overlapping of fingers

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9
Q

Prader-Willi syndrome

A

OHH
Obesity
Hypogonadism
Hypotonia

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10
Q

Noonan syndrome

A

WPSP

Webbed neck
Pectus excavatum
Short stature
Pulmonary stenosis

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11
Q

Cri du chat syndrome (chromosome 5p deletion syndrome)

A

C for C

Characteristic cry

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12
Q

Head lice

A

treatment - wet combing, malathion
does not need to treat household contacts
School exclusion not required

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13
Q

Alpha-thalassaemia

A

hydrops fetalis, Bart’s hydrops

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14
Q

Hand, foot and mouth disease

A

coxsackie A16 and enterovirus 71

no school exclusion

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15
Q

Causes of hypertension in children

A
renal parenchymal disease
renal vascular disease
coarctation of the aorta
phaeochromocytoma
congenital adrenal hyperplasia
essential or primary hypertension (becomes more common as children become older)
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16
Q

important mile stones

A

dress and undress independently 4 years

competent with spoon and doesn’t spill with cup 2 years

wave bye bye 12 months

use knife and fork 5 yr

17
Q

Trinucleotide repeat disorders

A
Fragile X (CGG)
Huntington's (CAG)
myotonic dystrophy (CTG)
Friedreich's ataxia* (GAA)
spinocerebellar ataxia
18
Q

School exclusion

A

Mumps - 5 days after onset of swollen glands
Measles - 4 days after onset of rash
Rubella - 5 days after onset of rash

Chicken pox - until lesion crusted over
Impetigo - until lesion crusted over or 48 hour after abx
Scarlet fever - 24 hours after abx
Whooping cough - 48 hours after abx

19
Q

Developmental milestones: speech and hearing

A

mama dada- 9 months

combine 2 words- 2 years

talk in short sentence- 3 yr

vocabulary 200 words- 2 1/2 yr

what who- 3 yr

why when how- 4yr

20
Q

Pseudomonas infection in < 6 months

A

US and referral

21
Q

UTI in infants

A

<3 month old- refer to paediatrician

> 3 month old+ upper UTI- oral antibiotics 7-10 days

> 3 month old+ lower UTI- oral antibiotics 3 days

22
Q

Mile stone, needs referral

A

doesn’t smile at 10 weeks

cannot sit unsupported at 12 months

cannot walk at 18 months

hand preference before 12 months

23
Q

Contraindications to MMR

A

severe immunosuppression
allergy to neomycin
children who have received another live vaccine by injection within 4 weeks
pregnancy should be avoided for at least 1 month following vaccination
immunoglobulin therapy within the past 3 months (there may be no immune response to the measles vaccine if antibodies are present

24
Q

Perthes disease

A

Avascular necrosis of femoral head
common in boys
4-8 years

25
Q

SUFE

A

common in obese boys

10-15 years

26
Q

Normal lower limb variants

A
Flat feet
in toeing
out toeing
bow leg
knock knee
27
Q

typical distribution of atopic eczema in a 10-month-old child

A

face and trunk

28
Q

Kawasaki disease

A

high-grade fever which lasts for > 5 days. Fever is characteristically resistant to antipyretics
conjunctival injection
bright red, cracked lips
strawberry tongue
cervical lymphadenopathy
red palms of the hands and the soles of the feet which later peel

29
Q

Measles

A

fever
irritablity
conjuntivitis
Koplik’s spot

30
Q

Rubella

A

Lymph nodes