Placement (additional things) Flashcards
how do you structure a paediatric history
confirm name, DOB…
- PC
- HPC
- PMH - previous admissions, operations…
- DH + allergies + immunisations
- Birth history
- Feeding
- Developmental history
- FH
- SH
- S/E
- ICE
fecal calprotectin is sensitive and specific, true or false
false
sensitive only
what is the management of eosinophilic oesophagitis
and how is it administered
topical steroid e.g. budesonide
break capsule and mix powder with artificial sweetener to make a paste then after taking it, do not eat or brush teeth for 30-60 min
sinus arrhythmia is a normal ECG finding in children, true or false
true
it is to do with the changes in heart rate from inspiration vs expiration
regularly irregular
why might it appear that children have ventricular hypertrophy on ECG
because their chest wall is thin and there is not enough fat to impede signal
how can placement of the ECG leads vary in younger children
V4 can be placed on the right side of the chest
features of HSP
non-blanching rash on legs and buttocks
viral infection preceding
tummy ache
need to check renal function and BP
what is hemi hypertrophy
one side of your body grows faster than the other
aka Beckwith-Wiedemann syndrome (BWS)
features of BWS
limb length difference Wilm tumours - Kidney Hepatoblastoma - Liver macroglossia hypoglycaemia abdominal wall defects
what drugs can be used for vWF deficiency
DDAVP = desmopressin
tranexamic acid = antifibrinolytic
what is a differential you must rule out for ITP
leukaemia
management of ITP in children
regular monitoring of bloods and platelet levels - to monitor when safe to go to nursery
no drugs unless severe haemorrhage e.g. intracranial or GI
what is hydroxycarbamide used for
sickle cell disease
cyanosis at birth is TGA/TOF
TGA
what is the minimum urine output expected in children
> =1ml/kg/hr
