Primary Care Flashcards
presentations to the GP in the neonatal period (first 4 weeks of life)
jaundice vomiting failure to thrive temperature trivia
causes of jaundice in neonates
UTI hypothyroidism galactosaemia breast milk jaundice biliary atresia
causes of vomiting in neonates
reflux CMP intolerance pyloric stenosis sepsis duodenal atresia
causes of temperature in neonates
sepsis
cold
causes of trivia in neonates
milk spots
baby acne
MSK presentations
transient synovitis (preceding illness) inflammatory arthritis Perthes disease SUFE Osgood Schlatter's growing pains bone tumours osteomyelitis DDH sprain/fracture/NAI
scarlet fever presentation
strawberry tongue
red cheek
chest rash
management of scarlet fever
penicillin
GP public health interventions for the child
- vaccines
- developmental screening at 6-8 weeks
what is checked by the GP at the 6-8 week screening check
red light reflex hips (Barlow's / Ortolani's) genitalia femoral pulses (coarctation of aorta) obesity disease notification if serious e.g. meningococcal
red flags for sepsis in a child
unresponsive to social cues/difficult to rouse
health professional worried
weak, high-pitched, continuous cry
grunting or apnoeic episodes SpO2 <90%
severe tachypnoea, tachycardia or bradycardia
no wet nappies/not passed urine in 18 hours
non-blanching rash or mottled-ashen/cyanotic
temperature below 36 degrees
if under 3 months temperature above 38 degrees
amber flags for sepsis
parent or clinician concerned abnormal response to social cues/ not smiling reduced activity, very sleepy abnormal behaviour moderate tachypnoea SpO2 <91% or nasal flaring moderate tachycardia capillary refill 3 or more seconds reduced urine pale or flushed leg pain or cold extremities
