Presentations Flashcards
Child presents with flank pain and dysuria.
What is the likely diagnosis?
What is the main thing you are looking for?
E coli UTI
Signs of sepsis
Child presents with abdominal pain.
What is the mainstay of management?
Making sure you don’t miss IBD or coeliac disease
Do careful examination and history and assess growth
If worried measure anti-TTG and inflammatory markers.
Colonoscopy may be needed
Child presents with headache.
What red flags are you looking for in the child, what do they suggest and what test would you do if they were present?
Morning headaches (associated with vomiting)
Worse on couging or bending
Visual disturbances
Gait disturbances
Head tilts
Suggests brain tumour which may need MRI
Parent presents with concerns about their short and overweight child.
What sort of pathology do you suspect and what tests would you do?
Endocrine pathology
Pituitary function tests
Child presents with constipation.
What management options are there?
Increasing dietary fibre
Laxatives
Assisting with tiolet behaviour
Worried parent presents with child who had ‘funny turn’. Child recently had flu-like illness.
What is the likely diagnosis and what do you tell the parent?
Febrile convulsion
In children, this is the body’s normal response to increased temperature.
18 month old baby presents with cough, wheeze and shortness of breath
What is the likely diagnosis, what causes and what is the management?
Bronchiolitis
Respiratory syncytial virus (RSV)
Supportive (self-limiting)
Child presents with barking cough.
What is the likely diagnosis and management?
Croup (laryngotracheobronchitis)
Steroids
Baby presents with green vomit.
What is the diagnosis?
Malrotation
Baby presents with projectile vomiting.
What is the diagnosis?
Pyloric stenosis
Baby presents with red, jelly like stools.
What is the diagnosis?
Intussusception
Heart murmur noted during examination of a baby.
What other red flag signs are you looking for?
What do these red flags suggest?
Cyanosis, shortness of breath, syncope, squatting
Congenital heart disease
(squatting specifically for tetralogy of fallot)
