primary care paeds Flashcards
outline the approach for a childs consultation
look at child/parnt 1st visit? detailed history: history red flags eatig drinking bowels urine parental concern pmh meds/allergies fam his immunisation?!
neonatal period is the 1st 4wks of life,if presents with prolonged jaundice what could it be
UTIV hypothyroidism galactosaemia breast milk jaundice biliary atresia
baby presents with vomiting, this could be __, CMP intolerance (change from cows milk), pyloric ___, ___ atresia
reflux (most common)
pyloric stenosis
duodenal atresia
failure to thrive is usually a ___ issue
feeding
temperature above __ is a red flag (for a baby)
30
infant not feeding could be a repiratory problem t.f
true
common resp problems in children
bronchiolitis (RSV) croup (stridor) viral UTI asthma acute tonsilitis
signs seen in childre for resp problems
nasal flaring intercostal recession (asthma)
how does resp rate compare between children nd adults
adult >20 unwell, if >25 critically ill
<1 = 30-40 1-2 = 25-35 2-5 = 20-25 >12 = 15-20
presentation of MSK problems
paiinful joints
limp
trauma
6 causes of joint pain
inflam arthritis perthes disease slipped femoral epiphyses osgood slatters growing pains bone tumours
2 causes of limping
DDH
perthes disease
childhood development screening occurs at gp check up at y6-8wks, what 4 things are covred
red light reflex
hips
genitalia
femoral pulses
red flags to consider
unresponsive to social cues health professional worrried weak/ high pitched/continuous cry grunting resp sever tachypnoea/cardia bradycardia <60 no wet nappies in last 18hr non-blanching rash/mottled/ashen/cyanotic temp <36 (<3mnths >38)