Pediatric

Question 1

What is croup
1)Pathophysiology
2)Common symptoms
3) treatment

Answer 1

1) viral infection of the sub glottic airway
2) seal like cough, stridor, sob, dob
3) steroids - dexamethasone + look at score (taussig croup score)

Question 2

🚨🚨🚨What is meningitis 🚨🚨🚨
1)Pathophysiology
2)Common symptoms
3) treatment

Answer 2

1) bacteria or virus infections of meninges
2) photophobia, neck stiffness, non blanching rash, brudzinkinsign
3) benzopencillin + ABC + Blue light 🚨🚑

Question 3

What are febrile convulsions
1)Pathophysiology
2)Common symptoms
3) treatment

Answer 3

1) hypothalamus isn’t fully till 6yrs old - unable to regulate temperature
rapid increase in temp in short space of time - due to numerous things - eg infection
2) tonic tonic state
3) ABCd - 15L , cool PT down

Question 4

What are viral infections
1)Pathophysiology
2)Common symptoms
3) treatment ✅

Answer 4

1) generally viral infection of the upper/ lower respiratory tract
2) runny nose, dry cough, dob,
3) fluids, analgesia, temp control

Question 5

🚨🚨🚨What is epiglottis 🚨🚨🚨🚨
1)Pathophysiology
2)Common symptoms
3) treatment

Answer 5

1) bacteria injury causing inflammation of epiglottis
2) 4d’s- dysphagia ( can’t swallow
Dysphony - Horace voice
Dyspoena - DIB
DROOLING -
3) don’t look in mouth + blue light 🚨
ABC PRIORITY

Question 6

What are red flags in paediatric ( respitory)

Answer 6

Nasal flaring
Tracial tug / intercostal reccesion
Cyanosis / mottling
Absent breathing or rapid @ rest

TCRASHING

Question 7

What is scarlet fever

Question 8

What is hand foot disease

Question 9

When should you consider BVM in a child

Answer 9

Poor sats despite 15L 02
- poor chest compliance (1/3 rd of normal)
- Bradypnea

Question 10

What are the signs of a child during different point of compromising

Answer 10

1) flush skin + tachy cardiac + tachypnea
2) pale skin + tachycardia+ponea + agitation
3) Cyanosis + Bradycardia/ ponea + drowsy

Skin is massive sign regarding stage of compensation as child will be tachy until they stop compromising

Question 11

What is classified as SVT in children
Or a poorly decompensating child in regards to circulation

Answer 11

Svt = above 220BPM {children are natural tachycardic upto 12yrs old)

2) poor skin colour and temp, CBR, lack of pulses

SKIN IS THE BEST INDICATOR ON COMPENSATION STATE