Primary Care Paediatrics Flashcards
What is the neonatal period?
Up to 4 weeks
What 5 things can cause neonatal jaundice?
UTI Hypothyroidism Galactosaemia Breast milk jaundice Biliary atresia
What 5 things can cause neonatal vomiting?
Reflux CMP intolerance Pyloric stenosis Sepsis Duodenal atresia
What are some commone paediatric respiratory conditions?
Bronchiolitis Croup Viral URTI Cough Wheeze
What are some rare paediatric respiratory conditions?
Cystic fibrosis Acute epiglottitis Foreign body aspiration Pneumonia Cardiac causes Malignancy
How should the respiratory system be assessed?
Cyanosis Tachypnoeic Nasal flaring/intercostal recession/Subcostal recession Wheeze/stridor/cough Pulse oximetry Percussion Auscultation ENT exam
What does a respiratory rate of >20 in adults mean?
Unwell
What does a respiratory rate of >24 in adults mean?
Critically ill
What is a normal respiratory rate for <1?
30-40
What is a normal respiratory rate for 1-2?
25-30
What is a normal respiratory rate for 2-5s?
25-30
What is a normal respiratory rate for 5-12s?
20-25
What is a normal respiratory rate for >12s?
15-20
What are some common GI problems that occur in paediatrics?
Abdominal pain Vomiting Diarrhoea Nausea Constipation Coeliac disease
What 3 MSK problems usually occur in paeds?
Painful joints
Limp
Trauma
What 6 things cause painful joint(s) in paeds?
Inflammatory arthritis Perthes SUFE Osgood-slatters Growing pains Bone tumours
What 2 things can cause a limp in kids?
DDH
Perthes
What 3 things can result from trauma in kids?
Sprain
Fracture
NAI
What are 6 other paediatric problems presenting to the GP?
Skin ENT Opthalmology Mental health Behavioural Haemotology
How are GPs involved in child public health?
Childhood vaccinations
Child development screening
Obesity
Disease notification
What are some red flags for children?
Unresponsive to social cues/Difficult to rouse Health professional very worried Weak, high pitched or continuous cry Grunting respiration or apnoeic episodes Severe tachypneoa Severe tachy/bradiacardia No wet nappies Non-blanching rash Temp <36 or >38
What are amber flags for children?
Parent or clinician very concerned Abnormal response to social cues Reduced activity Parent/carer reports behaviour is abnormal Moderate tachypnoea SpO2 <91 Moderate tachycardia Cap refill >3 seconds Reduced urine output Pale or flushes Leg pain or cold extremities
