Primary Care

Question 1

What are the common presentations of neonates in primary care?

Answer 1

Jaundice -> UTI, breast milk jaundice, biliary atresia, toxoplasmosis, CMV, VZV, HIV, Hep B, Galactosaemia, Hypothyroidism, sepsis, haemolysis
Vomiting -> reflux, CMP intolerance, pyloric stenosis, sepsis, duodenal atresia
Failure to thrive -> feeding problems?
Infection/sepsis
Trivia

Question 2

What are common respiratory presentations in children in primary care?

Answer 2

• Cold
• Infant not feeding
• cough
• wheeze

Question 3

What are common causes of respiratory presentation in children in primary care?

Answer 3

• Bronchiolitis
• Croup
• Viral URTI
• Asthma
• Acute tonsilitis
• COVID-19

Question 4

What are rarer causes of respiratory presentation in children in primary care?

Answer 4

• Cystic fibrosis
• Acute epiglottitis
• Foreign body
• Pneumonia
• Cardiac causes
• Malignancy

Question 5

How are respiratory presentations in children investigated in primary care?

Answer 5

• Cyanosis
• Tachypnoeic - RR
• Nasal flaring/intercostal recession
• Wheeze, stridor, cough
• Pulse oximetry
• Percussion
• Auscultation
• ENT exam

Question 6

What are common GI presentations in children in primary care?

Answer 6

• Abdominal pain
• Vomiting
• Diarrhoea
• Nausea
• Constipation
• Impact on school attendance

Question 7

What are common MSK presentations in children in primary care?

Answer 7

• Painful joints
• Limp
• Trauma

Question 8

What are the common causes of MSK presentations in children in primary care?

Answer 8

• Joint pains → transient synovitis, inflammatory arthritis, Perthe’s disease, slipped femoral epiphysis, Osgood Schlatters, growing pains, bone tumours, infective causes
• Limp → DDH, Perthes
• Trauma → sprain, fracture, NAI